Evidence based practice in nursing

Evidencebased practice in nursing

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Evidence-basedresearchis one of thefieldsthat have significantly contributedto thedevelopmentof thenursingresearchandpractice.Thesystematicmethodof inquiryaimedat providingreliableevidenceon mattersrelatingto thepatientsandnursescontinuesto receivea boostfrom evidence-based research(Melnyk, 2014). Thispaperis a summaryof thearticleon evidence-basedpracticeforthebusynursepractitioner. Thefunction of this research is to give anoverviewof theprocessof evidence-based practiceandthestepsinvolvedin theprocess.Itseeksto polishtheskillsof nurseswith referenceto relying on qualityevidencewhenever theyare attendinga patientSummary

Thearticlegivesa detailedaccounton howtheevidence-based researchmanifests in thenursingpractice.EBP is definedas theconscientiousandjudiciousapplicationof thebestevidencewhenarrivingat decisionsregarding the treatment of a patient. Themethodcameinto practicedue to theincreasedneedforpractitioners to be on their ownwhengivingtreatmentsto patients.Thetermis usedinterchangeablywith Evidence Based Medicine (EBM). Thecontinued successis due to theextensiveawarenesscreationandintroductionof EBP in thenursingcurriculum.

Thenursingpracticewasconceivedin theUnited States of America in the1960s due to theincreasedresponsibilityof physicians.Thedemandforclinical practitioners soared,andthebestoptionwasto haveassistantsto addressthemildercases.However,thesenurseswereunder thesupervisionof physicians,andtheycould not operateindependently.Wheredoctorswerenot present,thenursesusedpre-conceived methodsandsymptomsto attendto theclients.Itwasnot possibleto supervisethenursesall thetime.Thenursingpractitioners requiredautonomy.This would be enhanced byprovidingthem with thebestmethodto addressailments.Theideaof Evidence Based Medicine, alsoknownas Evidence Based Research cameinto practice.Theprocesscontains five stages that assistthepractitioner to givethebesttreatmentbased on evidence.Step1: Formulating clinical guidingquestions

Itis imperativeto havea guideline on whatto assessin a patient.Thenursingpractitioner usesa toolthat has four componentsto definehis wayof questioning.Theshortformof thedeviceis PITCO.P standsforthepatientandhis demographical characteristicsandtheavailablesymptoms.I standforthelikelyintervention.C standsforthecomparisonof theinterventionandthesymptomsto ascertaintheir compatibility.O standsfortheexpectedoutcomeandT standfortheperiodfortheoutcomes(Facchiano &amp Snyder, 2012).Step2: Search forthebestevidence

Inthisstep,thenurseevaluatestheavailableevidenceboth from thepatientandfrom theobservablecharacteristics.He/sheobtainsall theavailableevidencerelatingto theconditionof thepatient.Theguidingquestionsprovidethenursewith a chanceto digressto getas muchinformationas possible(Facchiano &amp Snyder, 2012).Step3: Evidence appraisal

Thepractitioner rankstheevidenceon thebasisof reliability.Theevidenceoccursin levels with referenceto opinion,expertise of thepractitioner andrandomized trials.Thebestpro is necessaryfortreatment.Step4: usingevidenceagainst clinical expertise

Toenhance sound decision making, thepractitioner useshis knowledgeto accompanytheavailableevidence.Thesetwo componentsresultin thebesttreatment(Facchiano &amp Snyder, 2012).Step5: Evaluating theoutcomes

Afterthetreatment,thepresenceof a desirableoutcomeis checked.Theoutcomeis thestandardmeasureof whetherthere wasan informedwhenapplyingevidenceduring treatment(Facchiano &amp Snyder, 2012).Applicationof thestepsin a case

Aseventeen-year-old sexually activegirlvisitsthehospitalto knowmoreabout theHuman Papilloma Virus andwhethershecan geta vaccinationof thesame.Anursewill haveto enquire about thesexualbehaviorof thegirl,her ageandconsiderher gender.Thenursewill extractEvidence from thegirlon whethershehas developedanycomplications.Anysymptomswill be a godsourceof evidence.Theavailableevidenceiscategorizedon thebasisof reliabilityandthebestevidencefrom observation,andclinical trialswill be used.Thenursewill applyhis expertise alongside theevidenceavailableto choosethebestvaccine between Gardasil andCervarix. Themostappropriatetreatmentisusedforthegirl.Theprojectedoutcomewill be developed,forexample,to ensurethatthegirlis safefrom thevirusin thefuture.Conclusion

Inconclusion,evidence-based researchis one of thebestinputsin thenursingpractice.Nursescan nowoperateindependentlyandgivethebesttreatmentwhentheyuseevidenceto arriveat their decisions(Sandstrom et al., 2011). Theintegrationof theEBP in thenursingcurriculum servesas thebestapproachto instillingthepracticeinto themindsof youngprofessionals.Theobservablecharacteristicof theEBP is thatis applicablein all thecasesthat nursesdealwith everyday.Thenursingpractitioners should continueto embraceto deliverthebestoutcomes.

References

Facchiano,L., &amp Snyder, C. (2012). Evidence‐basedpracticeforthebusynursepractitioner: Part one: Relevance to clinical practiceandclinical inquiryprocess.Journalof theAmerican Academy of Nurse Practitioners,24(10), 579-586.

Melnyk,B. M. (2014, July). TheDevelopmentof New Evidence-Based Practice Competencies forPracticing Registered Nurses andAdvanced Practice Nurses. InSigma Theta Tau International`s 25th International Nursing ResearchCongress. STTI.

Sandstrom,B., Borglin, G., Nilsson, R., &amp Willman, A. (2011). Promotingtheimplementation of evidence‐basedpractice:A literaturereviewfocusingon theroleof nursingleadership.Worldviewson EvidenceBasedNursing,8(4), 212-223.

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