Evidence Based Practice Case Study

According to Dr. David Sackett (1996) Evidence Based Practice (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.”

Venous thromboembolism refers to the formation of a blood clot in a blood vessel. While clots can form in an artery or a vein, this article focuses only on clots that occur in a vein ("," 2015). Critically ill patients are at an increased risk of a venous thromboembolism (VTE) due to VTE can manifest as a deep venous thrombosis (DVT) or a pulmonary embolism (PE). Risk factors include venous stasis, vascular injury, and hypercoagulable disorders. A majority of ICU patients carry at least one risk factor for VTE; additional risk factors are considered to have a cumulative effect…it is impossible to predict which patients will experience a

As mentioned before, my chosen policy priority is childhood obesity, an epidemic with many health issues associated with it. According to Burns, Grove, and Gray (2011), research used as evidence- based practice (EBP) has been implemented in the clinical practice to achieve quality care, efficiency, and positive outcome for patients and healthcare organizations. Furthermore, when EBP is applied to clinical practice it provides description, explanation, prediction and the control of phenomena. To this, Saviñon, Taylor, Canty-Mitchell, and Blood-Siegfried (2012) suggested that nurses can advocate for the children by encouraging parents to provide children with a variety of foods in adequate amounts to support growth and energy play. Furthermore,

Nurses have many responsibilities. Providing safety and the highest quality client care is one of the top priorities. The collective goal for the Quality and Safety Education for Nurses (QSEN) is to educate nurses and future nurses to constantly refine their knowledge, skills and attitude to provide the highest safety and quality to their patients (Cronenwett et al., 2009). Evidenced-based Practice is one of competencies written by QSEN. This is a process which involves the healthcare provider to efficiently and effectively collect appropriate data and research activities to provide optimal healthcare to the patients (Cronenwett et al., 2009).

Utilizing evidence based practice in nursing is paramount today in the always evolving field of nursing. Having the clinical expertise and knowledge of a nurse is just the first step in making decisions for the treatment of a client. Adding the most recent and up to date evidence alongside with the client’s values and preferences is ideal to guiding the process of healthcare (Kelly & Tazbir, 2010). When evidence based guidelines are set forth in the plan of care for a client, the clinician has an abundant of amount of data to make sound decisions on. This allows the nurse to make the best decision or develop the best strategy to deliver care. Evidence based practice also allows

The use of Evidenced-Based Practice (EBP) is required by universities throughout Undergraduate programs in Communication Science-Disorders, Graduate programs in Masters of Arts or Science in Speech-Language Pathology, and during Doctor of Philosophy (PhD) programs in Speech-Language-Hearing Sciences. The implementation of EBP in all my assignments significantly increased during my first semester in the Masters of Arts program for Speech-Language Pathology at Lehman College. During the use of EBP for assignments, I have relayed on my clinical judgment to question: the methodologies, how and why certain groups were selected, the author/s’ purpose for writing the article, the most valuable piece of information, the inferences and conclusions, and how it will impact the field of speech-language pathology. I also used evidence-based research while writing reports and justifications for therapy techniques and goals; during the search for articles I had to consider how it would impact the client and his/her family, as well as the meaning it would add to the therapy session. Moreover, I encountered acronyms and new vocabulary that are currently being used in the field such as MGRs- Mental Graphemic Representations, and tDCS- transcranial Direct Current

As every patient is unique and has his/her own condition, nurses and other health care providers need a source to follow as a guideline. Evidence based practice can be used as good guideline for health care provider, and it also can show different ways of care and their results. Evidence based practice has a huge role in the world of nursing profession. One of the biggest goals of nurses is to apply the evidence into their practice in a right way, even though a lot of nurses could not apply the evidence into their practice in the right way. ((Schmidt & Brown, 2015). Role of a professional nurse is to implement the evidence into practice in a right way, and create the right result from it. There are a lot aspects involved in evidence based practice

Special education practitioners appear to have produced the majority of the research on the prevalence of evidence-based practice in education. Studies of the prevalence of evidence-based practice in general education do exist, but in at least one instance, the research was published in a special education journal (Kretlow and Helf, 2013). Kretlow and Helf (2013) published a study of kindergarten, 1st and 2nd grade teachers that asked these teachers about the reading programs they were implementing. The results indicate that few of these teachers are using reading curricula that is demonstrated to be evidence-based. Studies among special educators have produced similar results. Research by Cook and Cook (2013) suggested that significant misunderstanding exists about what evidence-based practices are and this has led some special education teachers to ignore evidence-based practices. Similar results were obtained by Carter, Stephenson, and Strnadova (2011) regarding the prevalence of

In medicine today it is becoming essential to remain on the journey to best possible practice, which “involves implementing available evidence into practice” (Dogherty, et al., 2013, p. 129). Dogherty, et al. (2013) researched the facilitation of evidence based practice by selecting 20 nurses “to attend an interactive knowledge translation symposium to examine what has worked and what has not in implementing evidence in practice.” Results from the study showed both many positive and negative facilitation experiences. “Successful implementation (of evidence based practice) is associated with focus on a priority issue, relevant and easy to use evidence, development of strategic partnerships and a multidisciplinary project team including

Why should nurses incorporate research? Nurses should incorporate research in their scope of practice to deliver the highest and safest quality health care. This is based on proven scientific evaluation, peer review, combined with one’s clinical experience, critical thinking, and competency. (Stevens, 2013), “research produces the most reliable knowledge about the likelihood that a given strategy will change a patient's current health status into desired outcomes”. With these analyses, I believe that nurses can achieve great outcomes and patient satisfaction. However in our class lecture, Chamberlain College of Nursing (CCN, 2015), states that “research yields evidence upon which nurses may base their practice, i.e., evidence-based practice”. In a nut-shell, nurses’ combine research to improve their scope of practice, innovate nursing concept, and enlarge nursing knowledge (Hood, 2014, p. 243).

Some barriers to implementing evidence based practice include: lack of education, lack of organization, lack of time, geographical location, absence of literature to research, and the lack of willingness by staff (Melnyk, 2016). When people recognize that there are barriers involved in implementing evidence based practice, a plan should be made to eliminate as many of these barriers as possible. Despite the fact that nurses report that EBP leads to greater professional satisfaction and patient care, they are not consistently using it. “The two most frequent barriers to EBP, however, were a lack of time and an organizational culture that didn 't support it—getting past workplace resistance and the constraining power of the phrase, “That 's the way we 've always done it here” (Wallace, 2012). Some ways to implement evidence based practice include: incorporating education about EBP in order to start promoting the critical thinking and research interest.

Evidence-based health care practices are available for a number of conditions such as asthma, heart failure, and diabetes. However, these practices are not always implemented in care delivery, and variation in practices abound.1–4 Traditionally, patient safety research has focused on data analyses to identify patient safety issues and to demonstrate that a new practice will lead to improved quality and patient safety.5 Much less research attention has been paid to how to implement practices. Yet, only by putting into practice what is learned from research will care be made safer.5 Implementing evidence-based safety practices are difficult and need strategies that address the complexity of systems of care, individual practitioners, senior leadership,

According to Melnyk, Fineout-Overholt, Gallagher-Ford and Kaplan (2012) evidence-based practice (EBP) is a problem-solving technique to help in the making of clinical decisions in regards to healthcare to provide the best scientific solution to a clinical problem. This process involves clinical expertise, patient values, preferences and the best research evidence to date. The findings of an EBP project alone does not make the final decision, but the findings can help support new interventions to patient care and patient processes (---------------). If I was approach by a colleague who wanted me to co-author a manuscript and I was passionate about the project and potential benefits to patient care I would willingly accept to join their team.

There are many ways to define evidence-based practice (EBP). In the most common sense of the term, it combines clinical expertise with external scientific evidence that helps make the best decisions about the patient's care in accordance with the patients’ needs and preferences. Evidence-based treatments require expertise, clinical judgment, and skill from practitioners (Brown, 2013, para.14). Frequently, these treatments include cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), mindfulness-based stress reduction (MBSR), mindfulness-based cognitive therapy (MBCT), compassion-focused therapy (CFT), and imago relationship therapy (“Evidence-based Therapies,” 2017, n.p.). Different

The Nursing profession of today has evolved into an evidenced-based practice, where evidenced-based research is used to validate nursing interventions and goals, improving patient care and promoting health. “The long-term lived experience of patients with implantable cardioverter defibrillators” and “A prospective descriptive study exploring hope, spiritual well-being, and quality of life in hospitalized patients”, are two evidenced-based articles that use qualitative and quantitative research methods. This paper will discuss the research methods used in the two articles as well as the different parts that make up a research article and how those findings can be applied into a clinical setting.