Methodological And Practice Based Evidence Based Practice

Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.

a. The current thought about evidenced based practice is that it can be useful if the evidence is good and been proven to work. Just like any other new thing in the medical field it has many criticisms but they have been debunked on the basis of underlying misinformation or misunderstandings. One of the problems with evidence based practice is human judgement, when picking out which evidence to use it can be influenced by a decision maker 's biases and political interests. Another problem with evidenced based practice is that some of the EBP out there does not meet the requirements of scientific evidence.

It would seem a foregone conclusion that effective clinical practice is based on the best possible, rigorously tested evidence because the public assumes it, patients expect it and practitioners profess to value it. Yet the emphasis on evidence as a basis of clinical practice reached the forefront of health care only in the last two decades. The past decade has seen unprecedented advances in information technology, making research and other types of evidence widely available to healthcare practitioners. Technology has supported the rapid communication of best practice and afforded consumers open access to healthcare information as well. As a result, Evidence Based Practice (EBP) is quickly becoming the norm for effective clinical practice.

Evidence-Based Practice: In Nursing, the Research Process, and Patient Outcomes Evidence-based practice (EBP) is important in nursing because it is translated into clinical care that is backed by research studies that have been proven to have significant findings towards the solution to a clinical problem. Using the proper research process allows for valid evidence that is needed for EBP to be valuable to the general patient population. EBP improves patient outcomes by improving the quality of care provided, limiting risks while improving benefits, and decreasing the overall cost of patient care.

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).

Evidence-based practice is a systematic approach to rational decision making that facilitates achievement of best practices and can be used as a guide to help nurses make effective, timely, and appropriate clinical decisions in response to the broad political, professional, and societal forces that nurses and other health professionals are confronted with daily (Scott and McSherry, 2009).

Evidence-based practice is becoming an imperative and integral part of the clinical setting upon healthcare professionals. Evidence-based practice is considered to increase patient outcomes due to evidence-based implementation and successful facilitation and training of the staff.

The unique feature of evidence-based practice is the effective it has on psychological symptoms. Dr. Norcross noted that evidence-based practice when put in clinical knowledge,  encompasses the patients characteristics, culture and client's preferences to enhance the application of psychotherapy.

21). Healthcare practices did not always employ evidence but instead depended upon trying new innovations and relying on the results. If a method did not work then practitioners went back to the drawing board and developed a new system then tried it out. Those methods that did not work were discarded, but the healthcare workers did not give up. In the past methods were utilized that were considered more harmful than good. Employing evidence based practices reduces the risk associated with harm in providing services. Over the past few decades evidence based practice evolved and practitioners began to search for a research base for the care they provided to clients (Aveyard and Sharp, 2013, p. 23). The utilization of evidenced based practice in social work lends credence to the profession. There is an abundance of information that is dedicated to the profession, and social workers have to employ the best strategies to make informed decisions. There are two main reasons why there is so much information available which include an increased demand for research and more/better quality research being produced and information is more widely available from the Internet (Aveyard and Sharp, 2013, p.

Research has only one source of proof and that is the research itself (Levin, 2006). The focus of research is on whether the intervention being researched is ready to be applied to clinical practice (Levin, 2006). Evidence-Based Practice reviews and assesses current clinical practice and presents a new or improved clinical practice (Levin, 2006). Evidence-Based Practice begins by questioning a current clinical practice (Levin, 2006). The question will then help guide the reviewer to reliable research in a reputable database, to find quality evidence that will answer the clinical question (Levin, 2006). The evidence then has to be evaluated for legitimacy and incorporated into clinical practice and lastly it will be assessed to determine if it is successful and if it meets patient preference and satisfaction (Levin,

Evidence-based practices (EBP) develop from the combination of excellent research evidence with the needs of the patient and clinical knowledge or skills. EBP promotes health care that enhances the quality, values, and reliability of patient care, improving health outcomes, and reducing costs, and disparity in patient care (Burn, Grove, 2009). When EBP is delivered, the best clinical decisions are made and the results are positive patient outcomes (Makic, Martin, Burns, Philbrick, & Rauen, 2013).

When thinking about evidence-based practice, I believe that the research process is used many times in keeping patients healthy and happy. Brown (2016), did a research process on patients in critical who were diagnosed with Acute Kidney Injury (para. 4). He found that the cause of acute kidney injury was from sepsis and by recognizing the disease early, and giving continuous nursing care with fluids and renal replacement therapy; patients could lessen their chance of getting chronic kidney disease (Brown, 2016. para. 4). In the hospital, we also use a lot of qualitative research, by surveys and questionnaires. An example would be when I'm registering a patient; they have the choice to give me an email to do a quick review of their visit, or

Evidence-based practice will be extremely helpful among the hospital setting because it will allow for me to learn from reliable resources. Using evidence-based practice thus far has helped for me to learn about different cultures and become more prepared when meeting with patients. I will continue to work within the hospital setting and need to be sensitive of how different cultures feel about the medical system as well as treatment options. At times, I have found myself wondering why my patient does not want to go a certain treatment route and many times I can use evidence-based practice to get a better understanding. Many times evidence-based practice has allowed for me to share articles with coworkers and have dependable evidence to fall back on when advocating for my patient within team meetings.

Evidence based practice has been used since the 1920s (Brown, 2013). EBP has become more common since its formal introduction in 1992 (Chrisman, Jordan, Davis & Williams, 2014). EBP got its start in medicine and is not only used in nursing, but psychology and education as well. Nursing research is now used in many countries around the world (Brown, 2013).

Evidence-based practiced (EBP) as you mentioned is vital to improving health care and patient outcomes. While the utilization of EBP is important, establishing means for research and developing evidence to be implemented in practice is an integral part to promoting EBP. Integration of EBP is made possible through contracts in the US and Canada established by the Evidence-based Practice center (EPC) programs. These current 13 programs are supported by the Agency for Healthcare Research and Quality (AHRQ) (AHRQ, 2013). EBP is then established through research of current scientific literature regarding developing coverage decisions, quality measures, and clinical practice guidelines (AHRQ, 2013). Encouraging improved patient outcomes