Evidence based practice in nursing
Evidence based practice in nursing is a problem-solving approach that seeks to offer effective patient care by incorporating clinical expertise, patient values and evidence from research. This practice aims at improving health care systems by offering better health solutions to patients at pocket-friendly prices. Currently, 55% of nurses, use it when attending to clients.
Steps involved in evidence based practice in nursing
Ask clinical question
The first step is to find out what problem the patient has. Understand the finer details such as symptoms age and gender. Raise a clinical question related to the condition of the patient. The question will guide you during the research process. For example, can regular massage relieve back pain?
After defining your question do research on the topic. Perform a comprehensive literature review from articles, nursing journals and books related to matters of health. For instance in the above mentioned clinical question. Find out the causes of back pain? The benefits of doing massages? Does massage relieve pain? What kind of pain? Make sure you holistically research on the area of interest to get enough evidence
Evaluate and integrate the evidence
At this point do an intensive evidence appraisal. Use Oncourse learning’s rating system to find out where the evidence you come up with falls. Level A indicates the evidence is strong while level c shows that the evidence is weak. Also, find out whether the results are valid, reliable and relevant. After defining the state of the evidence consider other factors such as patient’s values, clinician’s expertise, and incorporate them before giving a prescription.
The final step involves evaluating how the patient is fairing. Find out whether there is any progress or positive response. In a case where you are assessing whether massage relieves back pain. Find out if it actually helped. If you get a positive feedback record and share it for future use.
Challenges facing evidence based practice in nursing
There are several obstacles facing evidence based practice. These include; lack of extensive knowledge of research and research methods among health professionals, resistance to change due to high costs and firm believe in traditional practices, and inadequate education programs.
In conclusion, evidence based practice in nursing is essential for better patient care. It does not only enhance the health care system but also promote the provision of better cost-effective services. There are five steps involved in evidence based practice. These include asking a clinical question, acquiring evidence, evaluating and integrating evidence and assessing outcomes.
Impact of Evidence-Based Practice Research
Evidence-based practice research is essential in the nursing field since it integrates clinical expertise, scientific evidence, and client values to offer high-quality services that reflect the needs and interests of the patients. It is regarded as the source of the best practices since it leads to the development of medical procedures that are verified and credible. It is unlike using one source of information such as expert opinion or scientific information. However, evidence-based practice is highly preferred in the nursing field since it integrates all the sources of information to provide reliable and practical solutions. It has various benefits to the nursing field including improving patient outcomes, reducing the cost of treatment, and eliminating non-effective procedures.
Evidence-based practice research is essential in improving patient outcomes. It helps a healthcare provider to think of why they are doing what they are doing. It prompts them to think if there are better ways their daily practice can be improved (Bryant‐Lukosius et al., 2016). The research helps nurses to also uncover new information on how to treat or prevent various medical conditions. It is also essential in unveiling practices that can be adopted in the medical field to boost efficiency. For example, through evidence-based research, the Affordable Care Act was introduced. The purpose was to boost access to medical care and reduce the cost of treatment. Other practices that have been adopted out of research include the telehealth. The introduction of telehealth was meant to promote access to medical care even from a remote location (Bryant‐Lukosius et al., 2016). The success of the two projects have been successful and they have transformed the nursing world.
The patient outcomes can also be in terms of the satisfaction of a patient. The satisfaction of a patient is derived from how they are handled by the caregivers. Patients who are admitted in hospital desire to get the attention of the nurses anytime they need it. Additionally, they should be attended to when it is required such as receiving the right treatment (Schmidt & Brown, 2017). Patient outcomes also refer to the satisfaction of staying in a clean and friendly hospital environment. Cases of hospital-acquired infections have been linked to low levels of satisfaction. It is through evidence-based research that effective medical procedures can be established. For example, research can recommend that catheters should be cleaned or disinfected to avoid infections (Schmidt & Brown, 2017). The recommendation will help nurses to know the reasons why patients acquired infections while they are in hospital. The nurses will thus shun habits that put the health of a patient at risk.
Reducing Cost of Treatment
The cost of treatment across the world has increased over the years. The sharp increase in the cost, however, has been associated with unnecessary medical procedures. Scientific evidence has proved that some patient care practices are less important in the endeavor to enhance patient care (Saunders & Vehviläinen-Julkunen, 2016). For example, nutritional support for inpatients is not necessary if a patient is already suffering from a disease such as an organ failure. However, the practice has been promoted in the past with medical officers encouraging patients to eat a balanced diet. The conditions they may suffering from cannot be resolved by a balanced diet (Saunders & Vehviläinen-Julkunen, 2016). A study in the United States hospitals indicated that hospitals were spending over $200 billion annually on medical procedures that had little value on the patient outcomes. The use of scientific evidence-based practice helps in identifying and eliminating unnecessary medical procedures.
Evidence-based research is crucial in the nursing field since it helps in reducing the period within which a patient stays in hospitals. Advancement in technology and medical help in identifying antibiotics or medical technologies that can monitor the conditions of patients (Black et al., 2015). Additionally, evidence-based research has helped in establishing the use of artificial intelligence in a patient. The use of intelligence helps in an in-depth diagnosis of blood samples or other fluids to assess the condition of a patient. The in-depth diagnosis reduces the time a patient will spend in the hospital. The reason is that most patients spend a lot of time in hospital due to lack of clear diagnosis. Therefore, the actual disease continues to spread or make a person weak whereas the nurses are treating a different condition (Black et al., 2015). The use of evidence-based research in nursing has proved that it is possible for patients to spend less time in hospital when they are handled well.
Evidence-based research is crucial for nurses in the management of the data and the flow of information. The reason is that evidence from previous research has recommended the use of blockchain as a safe and efficient platform to share medical data (Saunders & Vehviläinen-Julkunen, 2016). Nurses have embraced the use of the technology to ensure they securely share their data without fear that it will be deleted or tampered with. It is through evidence-based research that scholars have recommended the technology as an effective solution. The nurses also desire to have an efficient platform to share data in the dispensation of the increased number of hackers and data breach. It is thus crucial to encourage hospitals to adopt the technological advancements that have remained crucial to the nursing world (Black et al., 2015). Nurses are also encouraged to keep searching for more applications that can be used to enhance patients’ satisfaction, reduce the cost of treatment and hospital stay.
Refining Hospital Policies
The use of evidence-based research in nursing is important in the development of friendly policies. Nursing policies are based on the scientific information, values and patients’ requirements. One of the important policies is the establishment of friendly working schedules. The schedules in most hospitals have led to nurse burnouts (Black et al., 2015). The increasing rate of nurse burnouts has been associated with poor working schedules and low nurse staffing levels. Long hours have also been identified as one of the reasons nurses experience burnouts and severe exhaustion. The cases of burnouts have led to increased cases of medical errors. It is thus important to borrow the best practices from evidence-based research in nursing. The findings and integration of knowledge will be important in developing friendly policies that will foster the performance of nurses and their ability to eliminate medical errors (Saunders & Vehviläinen-Julkunen, 2016). Another source of burnouts is lack of friendly relationship among nurses. Evidence-based research has proved that there is a need to develop friendships and amicable conflict resolutions among nurses. For example, when the nurses are not in good working conditions they will not handle their patients in the right manner.
The friendly nature of the nursing world has been enhanced through evidence-based research. The reason is that it has led to the development of policies that can be used to improve the nursing world. For example, the development of policies to secure the data of patients is secure at all the time boosts their confidence (Saunders & Vehviläinen-Julkunen, 2016). When patients are not sure if their data may be shared with or access by unauthorized personnel, they tend to fear. When nurses are delivering patient care, they get information from evidence-based research on how to securely manage the data of patients (Bryant‐Lukosius et al., 2016). For example, nurses can emphasize that all persons who will get to the servers room must have specific qualifications. In this case, the data of the patients will remain safe and thus patients will feel assured that the hospital cares for their needs.
Patients who are receiving treatment can help a healthcare facility to develop better policies. Therefore, one of the benefits of evidence-based research in the nursing field is that it brings in the perspective of the patient. The patients will indicate what they wish they could feel, experience or identify (Bryant‐Lukosius et al., 2016). The concept of evidence-based is thus used for the benefit of a health facility since they will indicate what they do not like. For example, when patients are given an opportunity to comment on the performance of the nurses, they provide practical challenges and possible solutions.
The management will require the evaluation of evidence-based research before they can make policies. One of the reasons is that they will consult from evidence-based practice research studies. The studies will be combined with the information or expertize from the nurses to make a complete perspective (Schmidt & Brown, 2017). A hospital might thus need to adjust various policies based on the practical approaches in nursing. For example, although hospitals rely on their policies in hiring nurses, they will rely on evidence-based practice. The nurses will fill a vacant position by hiring the best personnel who will deliver the need results. The hiring will be based on experience, academic qualifications, motivation, and innovativeness (Schmidt & Brown, 2017). The reason is that evidence-based experience research will create a platform of searching for the best nurses who should fill vacant positions. Therefore, the approach of adopting evidence-based research in the nursing field has remained successful over the years.
The purpose of evidence-based research in nursing is to integrate clinical expertise, scientific evidence, and client values to offer high-quality services that resemble what the patients’ desire. Researchers have consolidated solutions on how the nursing field has developed over the years. One of the reasons why it is growing is that practical solutions are developed to provide quality results. The evidence-based practice provides verified and credible solutions that can be applied in practical health settings. The benefits include improving patient outcomes, reducing the cost of treatment, and eliminating non-effective procedures. It has been praised by different medical professionals since they have experienced the fruits of evidence-based research. It helps in taking care of the patients’ perspective and expectations. The medical practices must thus meet the needs of every stakeholder involved in the provision of medical services. Nurses should thus embrace evidence-based practices since they provide reliable approaches to the treatment of patients.
Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., & Qian, H. (2015). Promoting evidence-based practice through a research training program for point-of-care clinicians. The Journal of nursing administration, 45(1), 14.
Bryant‐Lukosius, D., Spichiger, E., Martin, J., Stoll, H., Kellerhals, S. D., Fliedner, M., … & Schwendimann, R. (2016). Framework for evaluating the impact of advanced practice nursing roles. Journal of Nursing Scholarship, 48(2), 201-209.
Saunders, H., & Vehviläinen-Julkunen, K. (2016). The state of readiness for the evidence-based practice among nurses: An integrative review. International Journal of Nursing Studies, 56, 128-140.
Schmidt, N. A., & Brown, J. M. (2017). Evidence-based practice for nurses. Jones & Bartlett Learning.
Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Burns, N., & Grove, S. K. (2010). Understanding nursing research-eBook: Building an evidence-based practice. Elsevier Health Sciences.
LoBiondo-Wood, G., & Haber, J. (2017). Nursing research-E-book: methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.
Newhouse, R. P., Dearholt, S. L., Poe, S. S., Pugh, L. C., & White, K. M. (2007). Johns Hopkins nursing evidence-based practice model and guidelines. Indianapolis, IN: Sigma Theta Tau International Honor Society of Nursing.
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