Scott, K., McSherry, R. (2009). Evidence-based nursing: clarifying the concepts for nurses in practice. Journal of Clinical Nursing, 18(8), 1085-1095. doi:10.1111/j.1365-2702.2008.02588.x…
Go to MEDLINE at http://www.pubme44d.gov and conduct a search on your clinical question. Please type your search history in the table below:…
The Seven Steps of Evidence-Based Practice Summary In the article “The Seven Steps of Evidence-Based Practice”, Bernadette M. Melnyk, distinguished foundation professor of nursing at the University of Arizona outlines the argument that despite of proven positive outcomes such as “improved patient outcome, reduced cost, and greater nurse satisfaction” of implementing the evidence-based practice, majority of nurses still remain reluctant in using EBP or use it in the irregular manner. The author suggests to implement the seven step EBP approach using the “PICOT” method. As the author claims that because of financial deficits, not all hospital able to adopt EBP; even if patients have achieved positive outcomes because of implementation of the EBP, majority of nurses refuse to share their experiences with other colleges; even if EBP brought positive outcomes during trials, there is no prove that it may be actual for clinical practice. In conclusion, the author suggests to create sort of feedback team to report EBP results to other health care organizations through local meetings, press conferences, or professional publications.…
The health care organizations should provide nurses mandatory evidence-based practice (EBP) programs annually to develop and ensure competencies that enable staff nurses to use evidence in their practice. Moreover, nurse managers and leaders need to create a supportive environment for EBP, such as providing resources for searching for evidence. In order to have the administrative support, managers and leaders need to communicate with policymakers and set out related policies with evidence-based research to make the EBP as the daily basis of nursing care. Consequently, it should be…
A number of studies reveal that the advantages of implementing evidence-based practice by nurses and other health professional’s results in the advancement quality of care that leads to enhanced patient outcomes. Furthermore, the current use of evidence-based in the clinical setting would result in increased patient outcome since the evidence-based practice includes multidisciplinary recommendations that could facilitate all nurses in addressing questions related to the best patient care.…
The focus of this assignment is to look at Evidence Based Practice (EBP), why it is important for nursing to be evidence based and the barriers to implementation of EBP.…
Evidence based practice helps us to ensure that we are providing the best possible care to our patients. By basing our care on practices that have outcomes based on evidence just makes since. They have been tested and proven to be effective on patients. We don’t have to do trial and error to find out what works the best for our patients, the work has been done for us. This gives our patients the best care possible. Many changes have been made over the past 10 years based on evidence based practices. There are many resources available to nurses, nurse managers, administrators and others that provide research that has been completed. These resources include different kinds of studies that have been performed. They include cohort studies, case…
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Nursing research is used everyday in nursing thru evidence-based practice. Evidence-based practice is used to make clinical decisions by using the best possible evidence garnered through liable sources( Attree,M. 2007). An Rn is always learning with thru textbooks,continuing education, and policy. This research allows the Rn to integrate evidence-based practice into their patient care. It is important that the Rn stays update on research so that she is giving the best possible care to her patients. For example most nurses think it is important to put a patient in trendelenburg for hypotension, but is proving in new research shows that there is no improvement in blood pressure with this use. This is an example of new research and improving patient…
Evidence-based practice (EBP) has been emphasized since the publication of the Institute of Medicine’s report “To Err Is Human”. Nurses should be able to not only provide standard care within the scope of practice but also deliver safe care based on the best EBP that is most up-to-date at that time. Furthermore, research is developed based on the current evidence-based practice. Research nurses work on new projects to conceptualize innovative ideas, generate literature research, and conduct clinical trials to develop new evidence-based practice. The reason why evidence-based practice and research are important is because health…
The trend towards chronic disease management provided by nurses utilizing evidence based practice (EBP) has increased, however barrier for acceptance for nurses as a care team member continues. A pilot study reported by Laughlin and Beisel (2010) reported the evolution, acceptance and barriers of nurses in a primary care setting as a member of the treatment team providing chronic disease management. In addition the study focused attention on the skill sets nurses utilizes to provide care of chronic conditions, emphasized the nurse being uniquely qualified to assess the needs of patients with chronic illness, the nurses ability to formulate a plan of care and facilitate coordination of care (p. 414). Although nurses have the experience and…
According to Masters (2017, p. 255), “evidence-based practice (EBP) is a mechanism that allows nurses to provide safe, high-quality patient care based on evidence grounded in research and professional expertise rather than tradition, myths, hunches, advice from peers, outdated textbooks, or even what the nurse learned in school 5, 10, 15 years ago”. EBP allows nurses to apply current evidence using advanced technology and expert knowledge appropriately. It also allows nurses to practice safely and efficiently while making sound decisions based on relevant research. I believe as a nurse EBP gives me a sense of confidence that allows me improve the quality of care delivered by utilizing my advanced education and knowledge of the nursing…
The field of nursing is always improving and evolving. It is progressively moving forward as new information and research fuel our ability to provide proper patient care. In fact, I have seen the field change and develop in more ways than I can shake a stick. One of the most profound differences came with the inundation of technology and the connectivity of the internet. Never before has the patient been able to access so much information at their fingertips, or have medical professionals had such unprecedented access to patient records and global resources along with cutting edge techniques.…
Melnyk,B. M. & Fineout-Overholt, E. (2005). Evidence-base practice in nursing and healthcare: a guide to best practice. Philadelphia: Lippincott Williams & Wilkins.…
Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.…