Evidence Based Practice Summary

Proper collection of blood cultures are necessary and the most direct method of determining whether or not a patient is septic. The purpose of obtaining blood cultures is to identify and isolate the bacteria that are causing an illness and then determine the best course of treatment based on the sensitivity of the bacteria to particular antibiotics. One of the most frustrating problems plaguing hospitals is the increased rate at which blood culture results are being returned as contaminated specimens. These results can lead to a significant increase in cost to the hospital and patient as well as an increased length in hospital

Evidence-Based Practice Proposal Final Paper Usha Kizhakkedan Grand Canyon Final Paper of Evidence Based Proposal NUR-699 Dr. Debbie Long June 1, 2016 Table of Contents Part 1: Organizational Culture and Readiness Assessment 4 • Introduction to Evidence-Based Practice 4 • Barriers to Evidence-Based Practice 4 • Facilitators of Evidence-Based Practice 5 • Integration of Clinical Enquiry 5 • The Survey 6 Part 2: Problem Description 7 • Description 7 • Identification of change agents in the Health care system 8 • PICOT question 8 • Purpose and Objectives 9 • Rationale 10 • Literature support 10 • Research Method 10 Part 3: Literature Support 11 • Research Questions 11 • Search Method 12 • Organization of Literature 12 • Framework 12 • Nursing Rounds- Patient and Family Satisfaction: 13 • Communication: 15 • Management of Pain, Use of Call Lights and Cases of Patient falls 15 • Data Collection 16 Part 4: Solution Description 16 • Objectives 17 • Change Methodology 17 • Implementation Plan 18 • Evaluation 19 Part 5: Change Model 19 • Change Model 20 • Implementing Change 21 • Rationale 22 Part 6: Implementation Plan 22 • Staff Education 23 • Client feedback 23 • Timeframe 23 • Hiring Process 24 • Implementation 24 • Data collection and Evaluation 24 • Progression 24 • Resource Management 24 • Budget Plan 25 • Outcomes and its impact 25 • Summary 26 Part 7: Evaluation of Process 26 • Objectives 26 • Methodology 27 • Procedure 27 • Collection and Analysis of data

Evidence Based Practice Nursing is the utilization by nurses of Evidence Based Research findings that, according to Houser (2012), steer the nurse toward integration of clinical expert opinion and experience with an unbiased exhaustive review of the best scientific evidence professional nursing care literature can provide while incorporating patient values and preferences. Evidence Based Practice Nursing entails adopting a systematic critical thinking decision making process guided by a deliberate and defined chosen Evidence Based Nursing model path that involves searching,

Evidence-based practice is a decision making process in which you combine scientific data with clinical expertise, patient values and circumstances of the patient. (Hoffmann, Bennett 2017). The World Health Organisation (WHO) defines chronic diseases as those which are caused by non-reversible pathological changes in the body, are permanent and leave a lingering disability, those that require ongoing rehabilitation or care. Indigenous Australians experience very high prevalence, morbidity and mortality from chronic health conditions such as diabetes, cardiovascular, renal and chronic respiratory disease. Multi morbid and comorbid chronic diseases are increasingly placing a greater burden on individuals, communities and health care services

Patient safety and quality of care are vital outcomes in the healthcare system. As professionals dealing with human lives, we consider these topics as core to our practice. In 2005, the Quality and Safety Education (QSEN) project was created in response to the challenges recognized in preparing nurses with the knowledge, skills, and attitude (KSAs) essential in providing safe and high-quality care to every patient (QSEN, 2012). This QSEN collaboration was the product of the strategies developed by the Institute of Medicine (IOM) report Crossing the Quality Chasm in 2001 and Health Professions Education: A Bridge to Quality in 2003 (Armstrong, G. & Barton, J., 2014). There were six competencies identified in the QSEN curriculum that includes patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics, and safety. In this paper, the QSEN competency, evidence-based practice will be discussed in relation to achieving quality and safety to the nursing process.

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

Today, we are continually striving to improve the quality of care that we deliver and the best method in applying relevant research into clinical practice is through evidence based practice (EBP). We have now come to a time in our careers to shift our direction on how to employ evidence based practice techniques when managing our patient's health care needs. Facilitation is a method that has been investigated as a way to help clinicians accomplish the implementation of evidence into practice. As clinicians, we are encouraged to think outside the box and utilize critical thinking skills as well as express our role as nurse practitioners as part of the health care team.

Jennifer, these are all great points. Nursing practice has come a long way since Florence Nightingale, but still struggle when it comes to implementing evidence based practice. As discussed in chapter two (Walker & Advant, 2011), many nurses have misunderstood the term evidence based practice and its underlying intent and believe the focus should be more on practice based evidence (PBE). They state “PBE attempts to capture in-depth, comprehensive information about patient characteristics, processes of care and outcomes while controlling for patient differences” (Walker & Advant, p. 43, 2011). In recent years, I have seen a push to help nurses return to school for degree enhancement, and to provide more tools for them in the workplace such

Shirey, et al, (2011) did an excellent job breaking down the differences between Quality Improvement (QI), Evidenced Based Practice (EBP) and Research. The terms QI, EBP and research are often erroneously used interchangeably. Frequently it seems as if nurses don't know which method to use to address the practice problems they are trying to solve. As someone, who is responsible for implementing QI projects on a regular basis and has also mentored nurses in doing both EBP and research, I found the clarity of the descriptions enlightening, an addition to my knowledge base and will also help me in my practice. The description used of a three-legged stool where QI, EBP and research as the legs all play an integral, yet individual, parts in

This paper will examine the best nursing practice for standardizing shift-to-shift reports. I became interested in this topic after hearing my mother talk about her day floating to a floor at her hospital. She received report on her patients from two different nurses that morning. Each nurse gave her different information and both were missing information that she considered vital to the care of her patients. She normally works in the ICU and on the step-down medical surgical floor, which both use a version of a template that was designed by one of the nurses to facilitate a standardized shift-to-shift

Quantitative research deals with numbers and is measurable. Some examples of quantitative data are cost, number of participants and time. This type of research is systematic and uses the more traditional scientific method of data collection and presentation. Qualitative research has data that is nonnumeric in nature and it is difficult to measure. As the root of the same suggests, it gives a quality description of the data being viewed. It can include descriptions or verbal responses. Qualitative data is subjective in the sense that the answer can be different amongst various people.

Evidenced based practice (EBP) defined as “clinical decision making based on the simultaneous use of the best evidence, clinical expertise, and the clients” values (p. 28-29). In nursing practice, following EBP will strengthen influences and guide the nurse’s ability and help them provide the best clinical care practice (ANA, 2013). Nurses follows best practice to improve the quality of care for every patient and will assist them in understanding a study that is not well explained or hard to understand for better patient outcome. My best practices on implementing the project presentation is following and incorporate the evidenced based practice for promoting health for my target audience.

The foundation of the evidence-based practice paradigm according to Barkham & Mellor-Clark (2003), relies on efficacy research that focuses on and assesses the measurability of specific interventions. It also addresses questions about safety, and capability. The goal is to provide the best practices possible in reducing possible harm or threat to the client through practice intervention. Through evidenced based practice, potential harm can be minimized, and potential benefits maximized. According to Drisko (2011), EBP, improves clinical practice outcomes, informs treatment planning and helps to better serve our clients. It also helps identify procedures that are cost-effective resulting in the best practice and the best use of resources.

It was nice reading from your posting, and that was very thoughtful of you on how nurse leader uses strategies in the implementation of Evidence-Based Practice (EBP) as you said the nurse leader should present any problem to the team in order to find solution to solve the problem. It is a very good idea for leaders to work as a team with their employee to find solutions to problem rather than seeking it themselves, like the saying goes that, “problem share is half solve”. The nurse’s leader should also create awareness and train staffs on new and best available information present on EBP web site to care for patients Huber (2014).

Evidence based practice is vital in delivering a good standard of health care and reducing harm to patients (Craig and Smyth, 2012). Knowing the theory behind nursing practice it is an essential component of the Nursing and Midwifery Council’s (2014) standards for pre-registration nursing education as well as a core component of ‘The Code’ (Nursing and Midwifery Council, 2015). Evidence based practice enables nurses to deliver good quality care which is based on contemporary up-to-date research and current, valid information (Beyea and Slattery 2006).