Evidence based practice in Nursing
Evidence-based practice (EBP) is a unique decision-making technique that includes the patient’s choices, the clinician’s skills, and the most recent accepted research findings based on evidence in patient care. It was established in 1992 in the field of medicine and eventually moved to other sectors such as nursing, psychology, and education. EBP aspires to change the health care industry from traditional patient care methods to those based on evidence. 55% of nursing practices are currently evidence-based.
Steps in evidence based practice
Although there are no conventional criteria for determining how much clinical knowledge and patient choice contribute to EBP, neither of these factors should be ignored. In EBP, there is a method for determining whether evidence is weak or strong and a procedure that is followed.
The first stage is creating a clinical question. It needs a target population, an interest, a comparison group, outcomes, and a time frame. After posing the inquiry, nurses must begin gathering evidence. The seven levels of evidence are used to distinguish between weak and strong evidence.
The validity, dependability, and applicability of the evidence should later be determined. If the evidence is credible, move to the next step, which involves combining it with other EBP elements. Observe the consequences and if they are positive share the knowledge with others.
Example of evidence based practice
Blood pressure measurement is an instance where evidence-based nursing practice is utilized. There are distinct blood pressure measurement methods for children and adults. The auscultatory approach is utilized while examining children.
Impact of evidence based practice
EBP has introduced significant changes in the nursing field. Several attempts have been launched to infuse health institutions with evidence-based procedures. These include the practice and adoption initiative, the realignment of education, and the development of models and theories. The Lowa model and the Ace star model have been instrumental in the realization of EBP. Additionally, the technique has enhanced health and health systems.
Problems with evidence-based practice
Insufficient education and knowledge programs. Health providers lack adequate expertise on how to do this procedure. In addition, evidence-based practice is occasionally challenged with hostile settings that are resistant to change. People there are hesitant to accept study findings and prefer traditional techniques. Evidence-based procedures have an intricate, difficult-to-implement plan.
The health industry is being quickly transformed by evidence-based practice. It is not only increasing the efficacy of patient treatment, but also the health and safety of patients. Health experts, policymakers, and other stakeholders have collaborated to ensure the practice’s complete implementation. Evidence-based practice faces several obstacles, including a dearth of research information and unfriendly environments.
Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing & healthcare: A guide to best practice.
Burns, N., & Grove, S. K. (2010). Understanding nursing research: constructing a practice based on evidence. The Elsevier Health Sciences journal.
LoBiondo-Wood, G., & Haber, J. (2017). Nursing research-E-book: methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.
Newhouse, R. P., S. L. Dearholt, S. S. Poe, L. C. Pugh, and K. M. White (2007). Model and recommendations for evidence-based nursing practice at Johns Hopkins. Sigma Theta Tau International Honor Society of Nursing, Indianapolis, Indiana.
Evidence based practice in Nursing