Evidence Based Nursing Essay

INTRODUCTIONEvidence Based breast feeding or east by north is an start out to making tonicity decisions and providing nursing economic aid based upon personal clinical expertise in combination with the most current,relevent research available. It is also known as certainty based serve. It is a paying attention integration of the go around available manifest coupled with the clinical expertise.TERMINOLOGIESEvidence Based Clinical consecrate Guidelines-Specific usage recommendations that be based on a methodologically rigorous review of the shell evidence on a specific topic.Evidence Based Decision Making-The integration of the vanquish research evidence in making decisions about persevering care, which should accommodate the clinicians expertise as well as unhurried preferences and values.Evidence Based Practice (EBP)-A problem figure out approach to workout 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 decisions from a study can be conclude or applied to the larger population.DEFINITIONEvidence 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.Fineout-Overhott, E-2010Evidence 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 careCiliska & Donna, 2006Evidence 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 preferencesIngersoll, 2000AIMS OF EPBTo do the right thing,at the right time, for the right person, ensure quality care for client.PURPOSEEvidence based practice is to provide the highest quality and most cost effective nursing care possible. To advance quality of care provided by nursesTo resolve problems in clinical settingsTo increases satisfaction of patientTo focus on nursing practice away from habits& tradition to evidence and researchIMPORTANCE OF EVIDENCE BASED NURSING PRACTICEIt 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 PRACTICEKey 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 PRACTICEPrimary sources of evidence-These draw on superior research findings. These sources include reports andarticles about research. Secondary sources of evidences-These draw on a range of source making known the topic of concern including. Systematic reviewMeta analysisEvidence based journalsClinical guidelines or protocolsCochrane collaborationismExpertise opinionSTEPS OF EBNFormulating a well built dubietyIdentifying articles and other evidence based resourcesCritical AppraisalApplying the evidenceRe-evaluating the evidenceFormulating the question-A well built clinical question includes the following components The Patients disorder or diseaseIntervention or finding under reviewA Comparison interventionThe Outcome PICOApplying PICO is a systematic way to let out important concepts in a case, and formulate a question for searching.Identifying ResourcesAfter successfully formulating the clinical question we need to find relevant evidence. There are generally three categories of resources. accent informationFiltered resourcesUnfiltered resourcesBackground information-This category contains resources that provide background information about various disease conditions and clinical questions. Resources include upto date and other e-books such as diagnostic examination, current diagnosis, treatment.Filtered Resources-In fitted resources, clinical experts and subject specialists outsmart a question and then synthesize evidence to state conclusions based on the availableresearch.Unfiltered Resources-It is up to you to access the resources quality, validity and applicability to your patient.Critical Appraisal-When approaching a study, you want to know hold up it was alone well, what the results were and weather it is r elevant to your patients. After identifying an article you must appraise the information critically.Applying the evidence erstwhile you have determined that the study and its results are valid, you used to decide if it is applied to your specific patient and situation. To collapse your conclusion you may consult questions related to diagnosis, therapy, harm and prognosis. Apply the evidence in the clinical setting. Re-evaluating evidence-Last step in evidence based practice. It is reevaluation. In tis process evaluate the effectiveness and might of your decision in direct relation to your patient.