• Home
• Articles
• Essays
• Add site

Evidence-Based Practice

Evidence-Based Practice


Introduction

Evidence-based practice (EBP) has recently turned out to be a well-known aspect in nursing practice in addition to a major force in shaping nursing practice (DeBourgh, 2001; Estabrooks, 1999; Swan, McGinley, & Lang, 2002). The perception of EBP has been acknowledged as an indispensable way for carrying about this alteration. Preferably, EBP has the potential to advance the eminence of nursing care based on the best evidence available. This paper addresses the Evidence-based nursing practices: (1) Definition of evidence-based practice, (2) three reasons why Evidence-Based Practice in general is important to nursing care, (3) Why I choose this specific topic for my research?, (4) how Evidence-based Nursing Practice has influenced nursing clinical practice in the past 5 years and, (5) Comparison of two different resources of Evidence-based practices.


I. Define the term: Evidence-Based Practice. Discuss the origins of Evidence-Based Practice, including the influence Florence Nightingale had on this concept.

"Neither a man, nor even a doctor, always presents any additional explanation of what a nurse ought to be comparable to 'dedicated and dutiful'. This explanation would carry out just too for a gatekeeper. It may well even carry out for a stallion. It would not carry out for a police officer." (Florence Nightingale, 1860)

In recent times, the era of 'evidence-based nursing' has turned out to be known to all of us. This term has gone forward from the preliminary job completed in 'evidence-based medicine', which has been described as: the careful, overt, and well thought-out use of existing most excellent facts in decisions-making regarding the look after of patients. It implies that that carrying out of evidence-based medicine is equivalent to incorporating individual proven skill by means of the finest handy peripheral medical evidence from methodical study.


II. Explain three reasons why Evidence-Based Practice in general is important to nursing care.

Evidence-based nursing practice is the one that may perhaps make possible upcoming healthcare contributors to administer the sudden increase of new journalism and expertise and eventually may outcome in enhanced patient results.

The reasons why this kind of practice is so important are:
Students of nursing spend plenty of preclinical training time conniving care strategies, evaluating pathophysiologic underlying principles, and remembering pharmacologic communications. Even though these actions & some kind of behaviors are valuable, they are not the only means of training learners for treatment practice.

Only dependence on course books and professional acquaintance does not encourage the decisive thinking abilities that nurses ought to have to continue to exist in the existing rapidly increasing medical scenarios. Equally medicinal and nursing experts have discovered this revolution in this practice, research plus awareness expansion, an example budge named "evidence based practice".

EBP "incorporates talent to way in, recapitulate, and relate information from the text to daily medical tribulations". EBP "have needs of an importance on methodical surveillance and understanding and a dependence on the study to validate nursing assessments."
Discuss how/why you decided to research your specific Evidence-Based Practice topic.

The entreaty that "each and every nurse should have to care as much as necessary with respect to her own performance to desire to ensure it is totally depend on the finest promising information" is a thing that is really fascinating to me. That is the only rationale behind I choose this topic for my research. At the same time as the acknowledgment of the significance of this practice is not newly-fangled, almost previous 30 years has all ears on the classification of the obstacles to evidence-based practice as well as the reflection of various approaches to prevail over these obstacles. These obstacles consist of limitations of times, inadequate right to use the literature, dire need of guidance in quest of information and decisive assessment know-how, professional or practiced ideas that highlights realistic with comparison of intellectual familiarity, and a working atmosphere that does not hearten quest of information


I have visualized that it is not adequate to provide nursing learners a small number of lectures on the route of exploring and then looking ahead to them to make use of that familiarity all the way through their professions in an enduring way of collecting and reading between the research evidence lines and put these findings into practices. Nurses would like to carry out care based on study, but that they get it not easy to have an entrée to research.


III. Discuss your specific example of Evidence-Based Practice and evaluate how it has influenced nursing clinical practice within the last 5 years. (NOTE: this is your research “meat�!)

Researches are of diverse kinds. In a meta-analysis that is intended to find out the involvement of research-based practice to patient results, as Heater and associates asserted that patients who take delivery of research-based nursing concern create "considerable advantages" in behavioral awareness and both physiological and psychosocial effects comparable to those getting custom nursing care


It is not easy to integrate good quality research findings in such practice. According to Suter and Bostrom, only 21% of the nurses involved in this profession have applied a new research finding in the past 6 months. Luker and Kenrick applied qualitative research techniques in a probing analysis of community nurse decision-making in the United Kingdom. They concluded that majority of the nurses had a fair knowledge of research but did not know how to apply it in their profession. This analysis also supported the earlier report that nurses found it difficult to appreciate and access published research. The reason to this could be their less involvement into journals and libraries or maybe because they have not been trained to appraise research work.

Estrabooks interrogated staff nurses about how much they use various sources of knowledge. The result was that experiential, nursing school, work place sources, physical sources, intuitions and experiences of others where the basic sources of knowledge. Literature of any type was rated as a standard medium of availing knowledge. The researcher asked them to name any one source which was used the most by them. Nearly 38.7% named nursing journals as their best source. However, it was further realized that these weren’t research journals but trade magazines published by nursing professional organizations.
More than 400 nursing journals are listed in Ulrich’s International Periodicals Directory. A lot of these nursing journals publish original research and in a wide range of languages. Individually working nurses are not able to find a higher quality research published each year, especially when research relating to nursing is published in non-nursing journals.

When nurses were taught to identify and appreciate research critically, they had responded with interest. However, they found it hard to apply their learnt skills in practice. Their reasons to this difficulty were mostly work pressure and shifting patterns. Certain nurses were interviewed in a qualitative study. This was done in order to inquire about their required source of information, most of them said that they needed reference sources to be precise and to the point. Nevertheless, the midwives working in Northwest of England also narrated that they have difficulty in judging the quality of journal articles. Nearly all of the midwives who were approached said that they needed research reports to be briefer and to the point, jargon-free and self explanatory.

Utilization of research work could be simply defined as the implement of research findings in that area of work that could be as a registered nurse or simply the use of research.
The latest development in nursing is an emergence by the name 'Evidence-Based Medicine' (EBM). This term has been evolved from the primary work done in 'evidence-based medicine' described as: the unambiguous, reliable and astute use of current based evidence. The motive of doing so is to make decisions about the care of individual patients easily and firmly. The usage of EBM defines a process of incorporating clinical expertise with the best provided external clinical evidence from systematic research.

The meaning of EBM is broader than Research Utilization.
The process of following evidence based writing includes the following steps: preparation of a certain answerable question to address to a patient problem or event; a proper research which could be helpful in answering the question; appreciation of the validity, reliability and pertinence to the research evidence; combining the elements of research evidence and information which can persuade the authority to the patient's problems: patient's preference for alternative forms of care, clinical expertise, and available resources; applicability of the evidence based-based practice decision; and eventually, assessment of the decision's result.

Identify at least two different and specific resources (e.g., database, professional nursing organization, research nursing journal) for evidence based practice.

The Agency for Health Care Policy and Research (AHCPR)

Part of the US Department of Health and Human Services, the Agency is charged with supporting research designed to improve the quality of healthcare, reduce its cost, and broaden access to essential services.

Emory's EBM Resources Page 

Developed by the Grady Branch Library and Emory Hospital Library of the Health Sciences Library, Emory University School of Medicine; Extensive set of links to EBM resources including search filters developed by the Grady Branch Librarian


Conclusion

These are exciting times in nursing. With the increased emphasis on graduate education for nurses, many important research questions related to the practice of nursing are being addressed using rigorous research methods. There is a strong motivation among nurses to apply the findings of research to their practice through evidence-based nursing. To complement these developments, a variety of resources have emerged to help nurses become evidence-based practitioners.







References
DeBourgh, G. (2001). Evidence-based practice: Fad or functional paradigm? AACN Clinical Issues: Advanced Practice in Acute & Critical Care, 12(4), 463-467.
Estabrooks, C.A. (1999). Will evidence-based nursing practice make practice perfect? Canadian Journal of Nursing Research, 30(4), 273-294.
Swan, B.A., McGinley, A.M., & Lang, N.M. (2002). Ambulatory care nursing practice: Developing and contributing to the evidence base. Nursing Economics, 20(2), 83-87.

DiCenso A, Cullum N, Ciliska D (April 1, 1998). "Implementing evidence-based nursing: some misconceptions". Evidence-Based Nursing. 38-40. Accessed from: http://ebn.bmjjournals.com/cgi/content/full/1/2/38

A Lipp, & P Edwards. (2005). "Disposable surgical face masks for preventing surgical wound infection in clean surgery," in "The Cochrane Database of Systematic Reviews". Chichester, United Kingdom: John J. & Wiley and Sons, Ltd, 2005. Issue 2. Accessed from: http://www.cochrane.org/cochrane /revabstr/ab002929.htm.

Nightingale, F. (1946). "Notes on nursing what it is and is not. London: Churchill Livingstone". First published in 1859.

Heater, BS, & Becker, A.M., & Olson, R. (1998). "Nursing interventions and patient outcomes". A meta-analysis of studies. Nurs Res 1988;37:303-7.

Ketefian, S. (1975). "Application of selected nursing research findings into nursing practice�. A pilot study: Nurs Res. 24: 89-92.

Blythe, J, & Royle, JA. (1993). "Assessing nurses' information needs in the work environment". Bull Med Library Association: 81: 433-5.

Pearcey, PA (1995). "Achieving research-based nursing practice". Advance Journal of Nursing; 22:33-9.

Bostrom J, & Suter WN (1993). Research utilisation: making the link to practice. Journal of Nursing Staff Development, 9:28-34.

Luker KA, & Kenrick M. (1992). "An exploratory study of the sources of influence on the clinical decisions of community nurses". Journal of Advance Nursing, 17:457-66.

Estabrooks, CA. (1998). Will evidence-based nursing practice make practice perfect? Canadian Journal of Nursing Research, 30:15-36.

"Ulrich's international periodicals directory". New York: Bowker.

Royle JA, & Blythe J, & Ingram C, & DiCenso A, & Bhatnager N, & Potvin C. (1996). The research utilization process: the use of guided imagery to reduce anxiety. Canadian Oncology Nursing Journal, 6:20-5.

Meah S, & Luker KA, & Cullum NA. (1996). "An exploration of midwives' attitudes to research and perceived barriers to research utilization". Midwifery, 12:73-84.

Sackett DL, & Rosenberg W, & Gray JAM, & Haynes RB. (1996). Evidence-based medicine: What it is and what it isn't. BMJ, 312:71-2.

Flemming, K. (1998). Asking answerable questions. Evidence-Based Nursing,1:36-7.

McKibbon KA, & Marks S (1998). Searching for the best evidence. Part 1: where to look. Evidence-Based Nursing, 1:68-70.

McKibbon KA, & Marks S. (1998). Searching for the best evidence. Part 2: searching CINAHL and Medline. Evidence-Based Nursing,1:105-7.

DiCenso A, & Cullum N, & Ciliska D (1998). Implementing evidence-based nursing: some misconceptions. Evidence-Based Nursing, 1:38-40.
4925

Posted by: Andrea Louise

Best Custom Writing Sites

Sites that provide custom writing services are better alternative to downloading pre-written paper samples, especially if you temporarily can't handle writing your own paper for some reason, and can not afford risking your course and reputation for plagiarism detection failure. The prices for custom written essays are affordable, but if you need 15-pages long master level report overnight, you better prepare to spend a noticeable sum.