EVIDENCE BASED PRACTICE
This essay aims to explore the importance of utilising evidence based care while working with clients and other health care providers to form a professional and reliable nursing team. This essay also aims to focus and evaluate a qualitative article entitled “Patient experiences of bladder problems following stroke” selected from the Nursing Standard. The assignment will adopt a systematic approach to expose the strengths and weaknesses of the chosen qualitative research article. I found this topic quite intriguing after undertaking a clinical placement in a stroke unit and learnt that many people suffered in silence as they found urinary incontinence embarrassing to live with as it caused them a lot of distress, discomfort and reduced their quality of life. I found out that this condition can be severe and debilitating and an increased knowledge base of this condition could prove to be beneficial to care, and this is why I have chosen to research and review evidence for managing urinary incontinence in patients who have suffered a stroke. In accordance to the Nursing and Midwifery Council (NMC, 2008) code of conduct, confidentiality shall be maintained throughout the assignment. Hogston & Marjoram (2007) define incontinence as the involuntary loss of urine at an inappropriate time or place. The Continence Foundation (2000) further argues that urinary incontinence is not a disease but a symptom of an underlying disorder that can be mental, physical or social. Urinary incontinence costs the NHS £424 million per year. EVIDENCE BASED PRACTICE
Aveyard & Sharp (2009) define Evidence Based Practice (EBP) as practice that is supported by clear reasoning taking into account on the patient’s preferences and using one’s own judgment. Higgs & Jones (2000) suggest that evidence in evidence based practice should be considered to be knowledge derived from a variety of sources that has been subjected to testing and has found to be credible. Government policy and professional guidance require professional practice to be based on evidence (Gomm & Davies, 2000). The era of the patient as a passive recipient of care is changing and being replaced by new emphasis on the relationship between the NHS and the people whom it serves, one in which health professionals and patients are genuine partners seeking together the best solutions to each patient’s problems through the use of research (Crookes & Davies, 2004). Hek & Moule (2011) further support this evidence by stating that as new evidence emerges there is a need to challenge and change traditional and ritualistic practice as it is a requirement by the NMC Code of Conduct (2008) that nurses should practise using up to date evidence and take part in appropriate learning and practice activities that maintain and develop their competence and performances. Hek & Moule (2011) further argue that evidence based practice equip professionals with the knowledge of viewing a complete situation and apply holistic care. Gabby & le May (2004) further acknowledges that EBP ensures care is based on the best evidence which is available to everyone in a broader spectrum rather than being localised to a specific area due to expertise, knowledge and funding purposes. Information is made available to the public and permits people to be involved in decision making processes about their care. EBP clarifies what is known and what is not known to enhance further research. Explicit and transparent ways of working with less knowledge for misinterpretation is availed leading to well informed health professionals and client focused care pathways. The practice guidelines enable consistency of care across professional boundaries permitting structured processes for dissemination of the best evidence. Beyea & Slattery (2006) further suggest that providing care to patients using evidence based practice increases the...
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