Evidence Based Practice Step By Step Analysis

a. This portfolio shows the educational journey through the BSN program at Western Governors University(WGU). The curriculum at WGU was very challenging, nonetheless it prepared me to become a safe and effective nurse. The BSN curriculum provided avenues to keep me up to date with safe practices and learn how to master therapeutic communication. WGU also helped me sharpen my critical thinking skills in order to make decisions quickly and provide safe and effective care to patients. As the result of my training, I am ready to embark in the field of nursing and do my best to make a difference in my patients lives.

Deb Kanya Initial Post Polit & Beck, (2012) describe Evidence-Based Practice (EBP) as an integration of clinical expertise, patient values, and the best research evidence. One of the more challenging aspects of EBP is the actual research on a particular topic. The fact is there is a multitude of journals and reviews etc. on any given subject; for this reason it is imperative that one knows how to conduct a proper search for pertinent information. Due to the complexity of literature searches and the amount of information available it is prudent to follow a guide while doing research.

Jewell, D. (2014). Guide To Evidence-Based Physical Therapist Practice (3rd Ed.). Burlington, MA: Jones & Bartlett Learning. He important A book used by Western University in there DPT that discusses the tools needed and used to learn about philosophy, history, and importance of evidence-based practice.

According to Hinkle and Cheever (2014), Evidence-based practice is not about emerging new knowledge or confirming existing knowledge. It is about interpreting the evidence and applying it to clinical decision-making. And clinical opinion validates existing knowledge based on a theory. Furthermore, Evidence-based practice is a practice that is supported by the reaches that considers the health care setting, patients, and clinical judgment (Hinkle and Cheever, 7) This week I was able to practice in relaxation techniques with my patient.

Evidence Based Intervention Case Information Mary has been diagnosed with Alzheimer’s disease at a moderate level. She also has other health issues including high blood pressure, diabetes and depression. Her husband, John has these additional health issues as well and is currently Mary’s caregiver. They receive home health services as well. John understands that Mary will need to go to a nursing home at some point, but would like to keep her at home for as long as possible.

Examples of such research are clinical trials, experiments conducted in the laboratory, and controlled random trials. The second component is clinical expertise, the observation and exposure gained over time. An example of clinical expertise is inductive reasoning. The third and final component of evidence-based practice is patient benefits. This is the “unique preferences, concerns, expectations, financial resources, and social supports” each patient brings to the clinical consultation (Greiner & Knebel, 2003, p. 57).

When implementing evidenced-based practice, there are five major steps to its development: ask, acquire, appraise, apply and assess. Research involves gathering data, comparing, and analyzing it to produce information that is viable to a particular topic being evaluated. Critical appraisal is one of the most important components to evidence-based practice. According to the Center for Evidence-Based Medicine (n.d.), critical appraisal is the process of carefully and thoroughly evaluating research. The reason behind critical appraisal of research is to identify the level of evidence, how well it was conducted and evaluate it for relevance to one’s practice (Fineout-Overholt, Melnyk, Stillwell & Williamson, 2010).

Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up, while acknowledging the patient/clients best interest. In this professional outline it will be discussed why EBP is so important to start with student nurses career and continuing throughout the nursing career and the second main point will be on the impact it has on patient outcomes regardless of discipline. I believe if this mind set is instilled early in the nurses career the practice will evolve it a more proactive

Evidence based practice is the act of incorporating clinical expertise, best research evidence and patient values and preferences in delivering care. This system, as opposed to previous methods that used the same standard of care for each patient, evaluates treatment plans based on research and the practioners own experiences. The usual workup of this type of practice is to ask a series of “why” questions and meticulously observe patient patterns to paint a better picture of the environmental factors surrounding the patient’s condition. This method advanced treatment modalities as practioners were able to better incorporate external factors in the assessment. Previous styles of care such as defensive medicine, forced providers to aggressively

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.

In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).

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

Before EBP was imbedded into healthcare, nurses relied in the advice of senior nurses and what they learned through education and trial and error. Floranc enightengal ……. However, it wasn’t until the mid-1800s that evidence-based medicine had its beginnings, but did not come into play until the year of 1972. Through many years different modifications, various groups of nurses have drafted their own versions of evidence-based practice guidelines into play.

It helps us build rapport and trust by showing them that their experiences and emotions are understood and valued. Furthermore, another crucial skill I have acquired during nursing school is using evidence-based practice. This allows nurses to use the best available research evidence, clinical expertise, and patient values and preferences in making clinical decisions. Practices are constantly changing as more evidence and research comes out, it is important that we as nurses keep up-to-date with the new evidence and research so that we can improve patient outcomes and quality of

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).