Jan 01, · Evidence-based practice (EBP) is widely recognised within the role of nursing. Its implementation and purpose in the delivery of care is seen as an important driver for nursing practice and clinical UK Essays May 31, · Evidence Based Practice In Health Care Essay. Evidence based practice in health care is a process of finding evidence or efficiency of different treatment options as well as determining its relevance to a particular client’s situation (liamputong, , P. ) The Benefits of Evidence Based Practice in Nursing Essay examples. Words9 Pages. Evidenced Based Practice (EBP) is essential to enable all nurses to provide the most current up to date practises for their patients. This process involves research, systematic review of current practises, critical thinking skills, evaluation and application to the clinical setting
Evidence Based Practice In Health Care Essay » Nursing Research Essay
Evidence Based Practice In Health Care Essay. Before evidence best practice the ill person was seen as having spiritual failing or being possessed by demon. Prehistoric man looked upon illness as a spiritual event.
Research done before the twentieth century was more anecdotal, consisting of descriptions of patients or pathological findings.
It is important to healthcare practice because it is an approach to decision making in which the practitioner use the reliable evidence that affect the care of individual patients. That information is carefully considered according to all relevant and valid research in order to make plan which is best suitable for that patients.
Evidence based practice in nursing care is based on solid evidence that is up to date and well researched. Evidence based practice provides the best care to patient and family which gradually leads to improved patient outcomes and patient and family satisfaction with care. To support clinical decision, evidence from research is used to evaluate efficiency of intervention and outcomes.
Fundamentally, evidence-based practice in the area of health care refers to the process that includes finding empirical evidence regarding the effectiveness and efficacy of various treatment options and then determining to relevance of those options to specific clients liamputong,P.
Quantitative research is a valid tool and can assist evidence based practice. However, there are issues with quantitative research. It can show you relationships but will not always explain why these relationships exist or why they do not. Quantitative research can also have issues with bias and it is essential to investigate and analyse all data presented in any study.
Cox conducted quantitative research in the form of a Randomized Controlled Trial that was performed, at the Primary Care Organisation PCO level in relation to falls one of the primary causes of accidental death and fragility fractures in older adults. In, order to assess the weather specialist osteoporosis nurses delivering training to care home staff can reduce fractures and improve the prescription of treatments to reduce fractures versus usual care. In essence, the randomized controlled trial is a study in which people are allocated at random to receive one of several clinical interventions.
This research can be considered as blocked randomization since there are equal-sized blocks of participants. The use of blocked randomization is valuable to the quantitative researcher because it enables an equal assessment of equal numbers of participants. The use of large equally sized groups is advantage of quantitative research.
It can assess the effectiveness of practice on larger groups of people, thus making it more effective, evidence based practice in nursing essay.
Interventions can be divided into three categories specifically, evidence based practice in nursing essay, single, multiple and multi-factorial. In the given research article, it can be concluded that multi-factorial intervention was used where different participants receive different combination of interventions based on an individual assessment Gillespie, Robertson, Gillespie, Lamb, Gates, Cumming, Rowe, The interventions were given very clear and were designed to be easily accessed by all participants.
The interventions were also based on strategies deemed to be primary care level and cost-effective. The interventions included different methods such as verbal and written training, risk factors for falls and fractures, methods used for risk assessment and prevention of fractures in the workplace. This is strength of Quantitative research. Data can be clearly assessed to see if one or a combination of these interventions would decrease the likelihood of falls.
This is an excellent example of how quantitative can inform evidence based practice. The strength of Quantitative research is the clear conclusions it can draw.
The trial gave an answer. The answer informed clinicians about the practice of interventions in reducing falls in older people. That was that these interventions were ineffective. However, there was no explanation as to why the trial was so ineffective. A computer program and a biostatical were used to randomly allocate patients to the control group which is called as usual care or the Intervention Protocol IP. This is another strength of Quantitative research techniques.
That is that computers can evidence based practice in nursing essay used to randomly allocate groups. There can be no bias when a computer separates groups. In the research article excluded patients, it has been evidence based practice in nursing essay that not enough time to gain ethical approval and research governance The reason behind the numerous people refusing to participate in the research has not been mentioned, evidence based practice in nursing essay.
This is a weakness of Quantitative research. The article does not clearly state this and it is not mentioned in the conclusion. It is only shown in the flow diagram, so it could be easily missed. Additionally, out of the 58 actual participants, 29 participants were grouped under Intervention Protocol IPwhereas the remaining 29 participants were grouped under control group, evidence based practice in nursing essay.
The most frequent utilized method for identifying participants is never discussed in the research article. This once again is a weakness of quantitative research. However, at this 6 month stage the clinicians involved in the trial knew that the interventions had been unsuccessful. This is because they could not be blinded to the results. It can then therefore be questioned as to how effective the treatment the second group received was.
It could be argued that it would be difficult to stay motivated if the clinicians already knew that the trial had been unsuccessful. This in turn could bias the second group of usual care patients in the study. This analysis then demonstrates another issue with quantitative research techniques. According to Sackett and Associatesp. However, a well-informed researcher and clinician will always be aware of the bias that can exist when presented with evidence based practice in nursing essay in a trial using quantitative research techniques.
Gillespie LD. et al. Intervention for preventing falls in older people living in the community Review4 Landorf, K. Clinical Trials : The Good, the Bad and the Ugly. In Liamputtong, P. Research methods in health: foundations for evidence- based practice. Chapter 15, pp.
South Melbourne: Oxford University Press. Norman, G. Fundamentals of Clinical Research for Radiologists. Randomized Controlled Trials. Canada: AJR. Retrieved from. British Medical journal. Cox, H. Educating nursing home staff on fracture prevention: a cluster randomised trial. Wood, G. Nursing Research: Methods and Critical Appraisal for Evidence -Based Practice 6th ed, evidence based practice in nursing essay.
Missouri: Mosby Elsevier. Hammell, K. Qualitative Research in Evidence-Based Rehabilitation pp. London: Elsevier. Liamputtong, P, evidence based practice in nursing essay.
Research methods in health: Foundations for evidence-based practice. Australia and New Zealand: Oxford University Press. Taylor, B. There are many definitions but the most commonly evidence based practice in nursing essay is Sackett et al Sackett et al page 5. The author will discuss the importance of evidence for practice, different types and levels of evidence. The research process, dissemination of evidence, barriers and will conduct evidence based practice in nursing essay critique of two research articles.
The importance of evidence based practice is to enable nurses to provide high quality care, improve outcomes for patient and families and to run a more efficient health service. Providing a streamlined service, which is cost effective and based on current evidence based practice has shown to reduce cost but also to enhances the quality of care the patient receives Melnyk et al Working in partnership with the nurse the patient is able to participate in decisions about their care.
In using a problem solving approach the nurse is able to integrate clinician expertise and patient preferences to provide individualized care suitable for the patient. To acquire knowledge in the past, nurses have relied on decisions based on trail or error, personal experience, tradition and ritual. Parahoo suggests learning by tradition and ritual are important means of transferring knowledge, for example learning the ward routine. According to Brooker and Waugh Students learn from effective colleagues who practice safety and on the basis of best evidence.
According to Burns and Grove to generate knowledge a variety of research methods are needed. The two different research methods are quantitative and qualitative. According to Burns and Grove quantitative research is an objective formal systematic process and demonstrates its findings in numerical data.
According Munhall qualitative research is gathering information to describe life experiences through a systematic and subjective approach and does not use figures or statistics to produce findings. Evidence based practice promotes the application of research evidence as a basis on which to make health care decisions so it is important to search for the truth and knowledge logically.
The next step is the purpose of the research. To build a picture up of what is known or not known about the problem a literature review is conducted. Evidence based practice in nursing essay is followed by the study framework and research objectives, questions and hypotheses.
EVIDENCE BASED NURSING for Nursing Students
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Evidence-based practice nursing essay examples. Course Project: Introduction to Course Project. Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current blogger.comted Reading Time: 10 mins Apr 20, · In this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure Evidence-based practice (EBP) is widely recognised within the role of nursing. Its implementation and purpose in the delivery of care is seen as an important driver for nursing practice and clinical outcomes (Cullen & Adams ). It has been defined as the
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