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. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn. Evidence-based Practice (EBP) is …show more content…
I did not choose PsychInfo or Social Care Online and several specialist databases as I did not want to get any articles that focus on other perspective other than nursing. I asked the search engine to look for heart failure in the title section of articles and also lifestyle as secondary to it. I also used quotation marks to specifically search for heart failure rather than search each word individually. To further refine my search, I went onto the chronic heart failure filter. Using these search criteria, I was able to pick the primary evidence that fits best to my aims. I used the Cochraine Library to search for my secondary evidence as it is best to look for systematic reviews which is a form of secondary evidences. I used the advance search feature of the database. I performed the search using heart failure with quotation marks in the title section of articles. I also used quality of life and exercise in the abstract of possible articles as keywords. As well as this, I used the search engine’s function to only show results restricted to systematic reviews. Using these search criteria, I successfully chosen my secondary evidence. The primary evidence that I have chosen is a study conducted by Brodie et al (2008) about how a physical activity ‘lifestyle’ intervention based on motivational interviewing, compared to standard care, can improve quality of life for people with chronic heart failure. The authors of this article included an account of its
Internet or Professional Article Research and how the info in the article applies to your patient.
I improved the way I find evidence by using reputable database like EBSCO rather than Google. This removed any doubt that the source was credible due to the revisions of peers who are experts in the respective fields. When combining all of the evidence, I learned to corroborate evidence in the same paragraph by finding studies that show similar results (3-4).
My phenomenon of interest is: The effect of health promotion on the outcome of African- American heart failure patients. Heart failure is fast becoming prevalent among African -Americans due to high incidence of CAD and hypertension. African Americans have the highest mortality rates from chronic diseases. Evidence depicts health promotion as vital to the outcome of heart failure patients. The role of nursing in health promotion has been shown to promote positive outcomes such as adherence, knowledge of illness and improved quality of life. There is a need to decrease readmission and mortality rates in African American heart failure
It synthesizes the results of various primary studies by using strategies that reduces biases and random errors. These reviews follow a strict scientific design and provide consistent estimates about the effects of interventions, therefore, conclusions are defensible. Systematic reviews shows where knowledge is lacking and can be used to guide future research. These reviews are usually carried out in the areas of clinical tests such as diagnostic, screening and prognostic; public health interventions; economic evaluations; adverse effects and how and why interventions work. Cochrane reviews are systematic reviews undertaken by Cochrane Collaboration members, aims to help people to make well-informed decisions about healthcare by preparing, maintaining, and promoting the accessibility of systematic reviews of the effects of healthcare
The peer-reviewed article that I chose was about heart disease. Heart disease needs particular attention from health care administrators, since “Chronic heart failure (CHF) is a progressive syndrome that results in a poor quality of life for the patient and places an economic burden on the health care system”. (Ramani, Uber, & Mehra,
Evidence Based Practice is a principle that is centered on the improvement of patient care and outcomes, by introducing and researching current based evidence when making decisions for that patient. According to Johnston (2016), “Health-care practitioners are increasingly being encouraged to implement research evidence into practice in order to ensure optimal patient outcomes and provide safe, high-quality care”. Throughout the course of this class, whether it be from researching about Evidence Based Practice, or the implementation of nursing care delivery models, patient care and the way we treat our patients is at the forefront of change. We know that change is necessary, now it is just a matter of how to implement that change into the healthcare
There are many different definitions of Evidence-Based Practice (EBP). According to EBP book, most EBP definitions contain three components “research-based information, clinical expertise, and patient preferences” (In Schmidt & In Brown, 2019, p. 4). These three words explain what is EBP in a simple way for me to understand. It means EBP research includes collecting information, reviewing, evaluating, and implementing evidence into the practice to improve patient outcomes. EBP is unique concept because it doesn’t only take consideration of the evidence, but it does give preference to individual patient’s values and needs to advocate for improved patient experiences. EBP is a holistic approach to improve patient care outcomes and nursing practices. By utilizing EBP into my practice is not an extra task but it helps to cover the difference in patient care to improve patient
The use of evidence based practice is extremely important so that nurses can provide the best possible, and safest care to our patients. Evidence based practice can be defined as the practice of nursing in which interventions are based on data from research that demonstrates that they are appropriate and successful (Catalano pg. 6). It is required in order to achieve the highest quality and most cost –effective care for our patients.
In this first article, “____” it is a meta-analysis that did a literature search for randomized control trials that investigated the use of HSS with furosemide for the treatment of acute advanced CHF. The inclusion criteria for the studies were “(i) subjects included patients with acute advanced
The effect of evidence-based practice (EBP) has resonance across nursing science, education and practice. EBP has called for quality improvement and healthcare transformation which emphasizes the need for reshaping care that is effective, safe, and efficient (Stevens, 2013). In healthcare settings, the heightening complexity of medical care and the need to increase quality, safety and cost control for better patient outcome have led to the use of clinical guidelines in practices (Cecamore, et. al., 2013). Brown and Ecoff, (2011), report that Evidence-based decision making becomes the process for achieving evidence-based practice. In decision making process, it involves asking focused answerable questions, obtaining evidence, and
We used a broad range of keywords in our search strategy, including free text in addition to the controlled vocabulary terms of individual databases. This is especially important for CPWs where the terminology is inconsistent. The search strategy was developed with the assistance of an information specialist. We also screened relevant publications from the EPOC (Cochrane Effective Practice and Organization of Care Group) Register of Studies.40 Bibliographies of CPW systematic reviews were also searched for missed publications. A recent study suggests that English language restriction does not introduce systematic bias into systematic reviews with meta-analysis.39 Therefore, we restricted the language of publication to either English or French. Studies identified from the search strategy were entered into the reference manager Endnote® (version X4, Thomson-Reuters). They were then manually
This article was very interesting. The fact that simply working out could help people that are heart failure patients was amazing to us. But knowing that their is evidence of having a workout routine that could be specific to your very own heart is truly an amazing discovery in the world of heart failure. It's important to know that that heart failure patients will now have a smarter way to prevent heart
In this paper, I would like to discuss the chronic condition of heart failure and the interventions that a family nurse can use to promote the health of the patient and family. Chronic illness is a condition that lasts longer than six months, for most patients it is a lifetime. Per the CDC, chronic disease management accounts for 86% of the U.S. healthcare costs. Some examples of chronic diseases are diabetes, heart disease, cancer, respiratory diseases, and genetic birth disorders. A patient and family that experiences a chronic illness is not faced with one acute episode but encounters challenges of coping with the illness and daily life (van Houtum, Rijken, & Groenewegen, 2015). Health promotion during a chronic illness is essential
Risk factors of heart failure are well known but, often overlooked by the average person. Poor lifestyle risks such as
During the study we faced some difficulties. First, it was difficult to find enough number of participants in heart failure physicians. Second, the time to discuss with the physicians was limited because the physicians had appointments with their patients. Third, two of the physicians took the survey and sent back the results by email, so we could not discuss with them face to face.