Evidence based patient care becomes a life long approach to clinical decision making to improve clinical outcome, and includes use of best evidence clinical outcome values of patient and there families. The purpose is to help bedside nurses determine the strength of evidence on the bases of the research methods. Evidence based nursing care is informed by research finding use of research evidence in clinical practice is an expected standard of practice for nurses and healthcare organizations. It determines the strength of research studies that says the findings and evaluates the evidence for potential implementation into best practice (Albert, Eastwood, & Edwards, 2004).
Because of the large number of patients and the high cost of care associated with hospital readmissions nurses both in hospital and in home health service must develop and implement strategies that are associated with improved outcomes for patients. Healthcare team must conduct a systemic assessment that includes identification of the cost of the CHF patient’s aggravated factors that may influence the cost of CHF.
In the facility where I work we use evidence-based practice for CHF patients. CHF patients are instructed on medication compliance, regular excise, low sodium diet, healthy food and also fluid restriction. Patients were also instructed to weigh themselves daily and report weight gain of 4 pounds in a week. Nurses were also instructed to weigh patients every week and report weight gain of 4 pounds to physician. When a patient weighs more than 4 pounds in a week, action has to be taken; patient has to be evaluated in order to monitor him/her for fluid overload. Patient with CHF are at risk for fluid overload.
After the evidence-based practice, agency noted that the rate of patients readmission were reduced and their conditions were stabilized without frequent reoccurrence of the disease process.
Albert, N., Eastwood, C., & Edwards, M. (2004,...
References: Albert, N., Eastwood, C., & Edwards, M. (2004,
November 6). Evidence-Based Practice Acute Decompensated Heart Failure. Retrieved August 11, 2015, from http://ccn.aacnjournals.org/content/24/6/14.full.pdf
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