Case Study : Evidence Based Practice

Evidence-Base practice (EBP) is defined as: “based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach” (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-driven process, which involves the use, evaluation and application of research; identification of best evidence; evaluation of care; problem solving; decision-making; clinical expertise; and requires patient involvement. Evidence-based practice is made of evidence, clinical expertise, patient preference, the context of care (Barker, 2013). In brief, evidence-based practice is the parameter in the nursing practice that it requires that the nurses gather and use clinical evidence to make decision for the patients so that in the nursing process they can deliver the quality of care for the patients (Ellis, 2013). In the other words, in the nursing practice all the nursing procedures performed by the clinical evidence supported.

The Evidence-Based Practice (EBP)is the systematic decision-making process to improve the work environment and clinical practices to get better quality patient outcomes. The EBP is the process where data collection, organizing, processing and implementing of the research findings are the critical points for the right results. One of the essential aspects of interest of using EBP research for nursing practice is that it gives the highest conceivable quality care and cost-effective treatment possible. It helps to fill the gaps and weaknesses in patient care so that patients will get better outcomes. It also blends the evidence and clinical experience to provide better patients experiences. It is essential as it helps to increase patient safety and improve quality of life. It also helps to reduce various medical complications and keeps the healthcare costs low.

46% of participants were able to recognize the term EBP and 54% of participants follow their colleagues for the guideline (Ammouri, A, A. 2014). Association between the personal characteristics and use Evidence Based Practice (EBP) including the difference of age, education as well, which also highly effect on the utilization of Evidence Based Practice ( Al-Ghabeesh, S et al.

Share what evidence-based practice means to you (EBP) and describe how EBP is used in your practice setting.

Bruce A. Thyer, P. (n.d.). What Is Evidence-Based Practice? Brief Treatment and Crisis Intervention Vol. 4, No. 2, 167-176.

In nursing, best research evidence means methodologically sound, clinical relevant research about the effectiveness and safety of nursing interventions, the accuracy and precision of nursing

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

Evidence based Practice allows for there to be a relationship between the care of patients and the best practices available. In order to achieve this relationship EBP combines a few key components in the clinical setting to enhance decision making to provide the best care possible. These key components are:

Evidence Based Practice is beyond the Advanced Nurse Practitioners and the patients, it is more and part of an organizational culture. Advanced Nurse Practitioners have to understand how literature findings can be reviewed in order to determine if they are relevant and clinically significant to the population they serve as your focus on lesbian, gay, bisexual, and transgender (LGBT) community. It is a good idea to use the evidence-based policy to implement and provide education and training. In addition to education and training, the clinical environments need to be change which can change some behaviors towards this

Evidence-based practice is a form of critical thinking at that specific moment when you’re on the job in that specific situation. The first source that I found stated that evidence based practice combines the evidence found with what you know and joins them both to give proper healthcare (Evidence-Based Practice for Health Professionals 2014). The second source I found stated that evidence based practice which is used as EBP for short sometimes is a combination of your clinical knowledge, ethical standards for your patients, and the evidence used into making your final decision to take care of that patient (http://guides.mclibrary.duke.edu). For example, in an emergency a patient comes in the emergency room claiming that he has bad reflux.

Evidence- based practice is a trend both within the occupational therapy field and in the medical profession as a whole. It was first introduced in 1971 when Archibald Cochrane published “Effectiveness and Efficiency” where he suggested that because resources are limited clinical evaluation and treatment should be made based on sound evidence (Katsikis, 2014; Shah & Chung, 2009). The definition of EBP written by Sacket (1996) is still frequently quoted today; he defined EBP as "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research."

Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.

Evidence Based Practice (EBP) is a process that permits us to evaluate study, scientific strategies, and other evidence resources centered on high quality outcomes and put on the results to run-through [Academic of Medical-Surgical nurse (AMSN, 2014)].

Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a valid and clear rationale to support it. Whilst using (EBP), this also acknowledges the patient/clients best interest. (EBP) is 'the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patient/clients ' (Sackett et al, 1996).

EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996)