EVIDENCE BASED NURSING PRACTICE
Evidence Based Nursing or EBN is an approach to making quality decisions and providing nursing care based upon personal clinical expertise in combination with the most current,relevent research available. It is also known as evidence based practice. It is a thoughtful integration of the best available evidence coupled with the clinical expertise.
Evidence Based Clinical Practice Guidelines:-
Specific practice recommendations that are based on a methodologically rigorous review of the best evidence on a specific topic.
Evidence Based Decision Making:-
The integration of the best research evidence in making decisions about patient care, which should include the clinician’s expertise as well as patient preferences and values.
Evidence Based Practice (EBP):-
A problem solving approach to practice that involves the conscientious use of current best evidence in making decisions about patient care. Evidence Summaries:-
Synthesis of studies, systematic literature review.Generalizability:- The extent to which the findings from a study can be generalized or applied to the larger population.
Evidence Based Practice [EBP] is a problem solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preferences and values.
“Evidence Based Nursing is the incorporation of the best research evidence along with patient preferences the clinical settings and circumstances and health care resources into decisions about patient care”
[Ciliska & Donna, 2006]
“Evidence Based Nursing Practice is the conscientious , explicit and judicious use of theory derived, research base information in making decisions about care delivery to individuals or groups of patients and in consideration of individual needs and preferences”
[Ingersoll, 2000] AIMS OF EPB
To do the right thing,at the right time, for the right person, ensure quality care for client.
Evidence based practice is to provide the highest quality and most cost effective nursing care possible. To advance quality of care provided by nurses
To resolve problems in clinical settings
To increases satisfaction of patient
To focus on nursing practice away from habits& tradition to evidence and research IMPORTANCE OF EVIDENCE BASED NURSING PRACTICE
It results in better patient outcomes.
It contributes to the science of nursing.
It keep practice current and relevant.
It increases confidence in decision making.
Policies and procedures are current and include the latest research, these supporting JCAHO readiness. Integration of EPB into nursing practice is essential for high quality patient care and achievement. COMPONENTS OF EVIDENCE BASED NURSING PRACTICE
Key elements of a best practice culture are evidence based practice mentors, partnerships between academic and clinical settings, EPB champions, clearly written research, time and resources and administration support. When delivered in a context of caring and in a supportive organizational culture, evidence based practice can help to achieve the higher quality of care and best patient outcomes. SOURCES OF EVIDENCE BASED NURSING PRACTICE
Primary sources of evidence:-
These draw on original research findings. These sources include reports and articles about research. Secondary sources of evidences:-
These draw on a range of source informing the topic of concern including. Systematic review
Evidence based journals
Clinical guidelines or protocols
STEPS OF EBN
Formulating a well built question
Identifying articles and other evidence based resources
Applying the evidence
Re-evaluating the evidence
Formulating the question:-
A well built clinical question...
Bibliography: Shabeer.P.Basheer & S.Yaseen Khan (2013), “A concise text book of advanced nursing practice”, page no:-750-757
Fine out-over holt,E.Melgat.B.M, “Evidence based practice step by step:- critical appraisal of evidence”, Part 7, Page no: 47-52
Royal.J.Blythe.J (1998), “Promoting research utilization in nursing, the role of the individual organization & environment”, page no:-71-72
Baumann.S.L, (2010),“The limitations of evidenced based practice”, page no:-226-230
Samta Soni (2013), “Text book of advance nursing practice”,Jaypee Publication, 1st edition Nancy Dickson-Hazard (2004), “Global issues and challenges”,Journal of nursing scholarship , page:- 6-10
Claire Weinberg & Kelly Horwood (1998 Jan.), “Evidence based nursing journal ”,RCN Publication, Page:-2-3
Please join StudyMode to read the full document