Evidence-Based Practice: Nursing Developed As A Profession

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Evidence-Based Practice Intro to Professional Nursing 3010 April 11, 2015 Evidence-Based Practice As nursing developed as a profession, it gained a scientific basis that has developed theories and performed research specific to nursing and has defined the way that patients are treated. Nurses no longer utilize trial-and-error to treat patients, but use methods of treatment that are firmly based in knowledge gained through research (Black, 2014). “Evidence-based practice is a problem-solving approach to clinical decision-making within a healthcare organization that integrates the best available scientific evidence with the best available experiential evidence” (Hain & Kear, 2015). In the past, patients were treated using…show more content…
Nurses and other healthcare providers may directly participate in these studies and also help to gather statistical data based on observations and patient outcomes. For example, at Grady Health System in Atlanta, GA, the emergency medical services department participated in a research study that compared the use of midazolam and lorazepam in prolonged seizure activity (Grady EMS). This study also compared the delivery of the drugs via intravenous (IV) or intramuscular (IM) administration to determine whether the drugs work more quickly or more effectively when given via IV or IM. This study was called the Rapid Anticonvulsant Medication Prior to Arrival Trial or RAMPART. The paramedics that participated in this study received specific training prior to their participation. Patients were screened and were not included in the study if their seizures were caused by a head injury or low blood glucose level. Patients were also excluded if they had an allergy to either medication. The study concluded that patients who received midazolam via IM injection were 73% likely to be seizure-free upon arrival to the hospital while the patients who received lorazepam via IV injection were 63% likely to be seizure-free upon arrival to the hospital (RAMPART). The paramedics that participated in the study felt that they were contributing valuable information and were proud to be a part of this research. Research can change the way healthcare providers treat their patients and can transform healthcare as a whole. As nurses engage in evidence-based practice, they can see that what they are doing has a firm basis in research and that they are not simply treating their patients based on
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