Evidence Based Practice History

Discuss the value of best evidence as a driving force in delivery of nursing care at your facility. Throughout the healthcare system, evidence based practice establishes a foundation where changes are made to improve practice. Leaders in practice are stationed at both the facility and system levels to guarantee the implementation of evidence based practice. ET’s facility’s EMR also contains third party evidence based content that provides care plan, flowsheet, and patient education content. To guarantee that ongoing evidence is imbedded within the EMR through regular upgrades, using a third party makes this possible.

Human beings are different in nature. So as each practitioner’s qualities are different. Furthermore, evidence-based practice appears to share very similar definitions,

Outcome three in the Doctor of Nursing Practice (DNP) program has prepared me to use analytic methods to appraise critically existing literature and other evidence to determine and implement the best evidence for practice.(Raup, King, Hughes & Faidley, 2010). For example, at the start of the DNP program, I lacked experience in research and understanding of the literature review, now I have the ability to develop, direct and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care. Technology and the database research assisted me in forming my question, proposal, and project by providing evidence-based data and available resources. Two key examples that facilitated my growth

In this system articles are rated based on eight standards, including a clear purpose statement, objective literature review, suitable methodology, repeatability of intervention, reliability measure, sufficient sample size, clear results, generalizability of findings. Scores of 1, 2, and 3 were given in eight areas leading to a total possible score of 24. A score of 1 indicated insufficient information; a score of 2 meant adequate information, and a score of 3 equaled thorough, clear, and concise information. Articles were also rated by level of evidence (table 2). 1A equaled a meta-analysis of multiple well designed controlled studies, 1 equaled well designed randomized controlled trials, 2 equaled well designed non-randomized controlled trial (quasi-experimental), 3 equaled non experimental designs, and 4 equaled expert opinion

For this week’s discussion post I will identify a situation where evidence-based practice has been applied in my workplace. Evidence-based guidelines are put in place and into practice after research has been completed. This helps with intertwining practice and research and are established by professional organizations, government agencies, institutions, or expert panels (LoBiondo-Wood & Haber, 2014). These clinical guidelines give clinicians findings to help in the decision making process of diseases or treatments. In developing evidence-based practice, a clinical question must first be put into place.

Ivonne I too thought this was going to be a very easy class. I had absolutely no idea how complex evidence based would actually be. There are many tedious concepts and facts to take into consideration when it comes to evidence based practice. As Houser (2015) states "The strongest evidence for nursing practice is provided when multiple studies report the same results. " I also learned that the way you search for your data makes an incredible difference in your results.

1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”. Evidenced-based nursing is a way of making decision and providing nursing care that is based on clinical issues and combine it with the most current, relevant research that is available on that issue. Evidence based nursing utilize the most up to date method of providing care, which have been proven via assessing high quality studies and statistically with significant research findings.

This assignment has impacted my perspective on evidence-based practice by helping me build clinical reasoning skills and knowledge of difference diagnoses that will enables me to apply the most high-quality and appropriate intervention strategies that is proven effective in improve patient’s treatment outcome.

It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as

Evidence-based practice. Eells (2014,

I observed that nurse researchers are held in high esteem by the younger nurses and student nurses who are mentored by the nurses. In clinical areas, I educate my patients based or recent findings that will improve nursing care. I have realized that a major barrier to evidence best practice in our profession is lack of research reports and articles because of the difficulties involved in accessing such reports and articles. 6.2 SOCIAL CONTEXT The body of knowledge underlying nursing needs to be extended and nurses must learn to make decisions which have a research base.

Predominant glottic view obtained in classic LMA, Ambu Aura40 and in I-gel was 2 (50%), 1 (63%) and 3(40%) respectively. Graph 2: Showing glottic view seen through fibreoptic bronchoscope. Oropharyngeal leak pressure Oropharyngeal leak pressures are commonly performed with the LMA to indicate the degree of airway protection, the feasibility for positive pressure ventilation and the likelihood for successful supraglottic airway placement.14 We found a higher mean OPLP with I-gel 36.23 ± 3.00 and least with LMA classic 30.90 ± 2.15 which was of statistical significance p=0.000 (Table-5, graph-3).

Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016).

Systematic review clinical assessment and evaluation of all studies that discusses the same clinical issue, simply its summary of outcomes of researched studies in a quantitative manner and hence it's named Meta analysis. After setting a question and searching for studies that meets the eligibility criteria and reading it very well to obtain adequate and precise results for Meta analysis detection of bias in the individual studies is an important issue to avoid inadequate results and to be sure that the data collected is confidence wise.1 So bias is critical topic and must be focused in.

Introduction Evidence-based practice(EBP) is defined as "the integration of best research evidence with clinical expertise, and patient values in making clinical and patient care decisions." (Sackett et al., 2001, p. 1). It also involves the integration of research evidence, scientific theories, local circumstances and existing resources. While undertaking evidence-based practice has the advantage of improving clinical practice and the quality of care, the development of EBP is still not prevalent in nursing. In this essay, barriers hindering the development of EBP in nursing will be discussed and elaborated with examples.