Critical appraisal of a piece of research based evidence. For a well grounded, effective and up to date approach to practice, a health professional must understand key concepts to evidence based practice (EBP), this has been described as 'doing the right things right' (Muir Gray 1997, page 18). EBP is to ensure that all health care is correctly and efficiently treated, a widely cited definition of EBP is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research" (Sackett et al, 1996). As our mind's deteriorate we forget what we learn from our initial training and EBP is in place for all medical professions alike to ensure healthcare is treated correctly.
The problem is clearly stated with adequate background information; there is justification for the study, 115 patients infected with Hepatitis C through reuse of contaminated vials. This problem is very significant to nursing in that there is unsafe medication handling involved. This problem is researchable and opens the gate for change to be implemented. C. Conceptual/Theoretical Framework D. Review of Literature Government reports have urged open reporting of concerns about the quality and safety of patient care. Underreporting of quality problems and adverse events are common.
Evidence Based Practice 2012: From the available journal articles I have chosen to critically evaluate the following publication; Braye, S. Orr, D and Preston-Shoot, M (2011). Conceptualising and responding to self-neglect: the challenges for adult safeguarding. The Journal of Adult Protection, Vol.13, (4) pp 182-193. This research publication is that of a literature review on self neglect where the aims were to gather a range of thoughts and perceptions on self neglect as defined in the literature within the context of adult safeguarding. The authors looked at what professional interventions were undertaken to safeguard these vulnerable groups, reviewing considerations made to mental health, mental capacity and human rights.
The aim of evidence based practice (EBP) being to help clinicians base their actions on best current evidence. Newly educated nurses are aware that nursing research is very valuable to nursing because it challenges and tests the effectiveness of the care we
This essay offers a discussion of the importance of evidence based practice within the healthcare environment. Evidence based decision making in clinical practice takes into consideration, the patient’s wellbeing, where the procedure can take place and the clinical circumstances (####,####). #####,(####) suggest that evidence based research findings are the best type to inform health professionals with regards to decisions, actions and interactions with patients. #### & ####,(####) also found that nurse’s believe there is a need to evaluate the evidence so that clinical actions can be changed if the research shows the actions are more cost effective and the results are still in the patients best interest (#### & ####.,####). A choice of articles
The Joint Commission is one such agency that provides assistance and support to health care facilities to ensure that certain standards are met, education for implementing new standards and feedback of current healthcare practices as part of the accreditation process. According to Facts about Hospital Accreditation (2014), the “Joint Commission standards address the hospital’s performance in specific areas, and specify requirements to ensure that patient care is provided in a safe manner and in a secure environment (p. 1).” This agency uses a Priority Focus Process methodology to identify areas within healthcare organizations which have a significant impact on patient safety and quality of care. One of these areas that Nightingale Community Hospital would like to focus on is communication. According the O’Daniel and Rosenstein (2008), “Lack of communication creates situations where medical errors can occur. These errors have the potential to cause severe injury or unexpected patient death…More specifically, the Joint Commission cites communication failures as the leading root cause for medication
New England Journal of Medicine, 323, 1438-1443. Tager, F.A. et al. (2001). A controlled study of cognitive deficits in children with chronic Lyme disease.
This will require an approach of creating a culture at York Healthcare into an EBP environment that must be supported by hospital administration, management, educators and clinical leaders. In addition, a conceptual framework that will translate research into practice is required. An Evidence-based model proposed by Rosswurm and Larrabee (1999) which is derived from theoretical and research literature is the framework to guide nurses, through a systematic process, to obtain, interpret, and integrate the best available evidence into clinical practice. The proposed change is compatible with the current organization’s culture as it aligns with the facility’s vision and mission to provide the best possible care and to make every experience great. Conclusion Evidence-based practice (EBP) is an approach that enables clinicians to provide highest quality of care in meeting the multifaceted needs of their patients and families (Melnyk & Fineout-Overholt, 2005).
Critique to Evidence-Based Practice in Nursing Name of Student Institution of Affiliation Critique to Evidence-Based Practice in Nursing Evidence-based Practice (EBP) is a study aimed at finding the effectiveness of the design-models put in place through the incorporation of information obtained from patients and clinicians (Levin, Fineout-Overholt, Melnyk, Barness & Vetter, 2011, p.22). EBP is important because it offers an insight into the effectiveness of the models put in place in the healthcare system, their effectiveness while at the same time reducing the costs. EBP can be thought of as a practice aimed at empowering the medical practitioners while at the same time ensuring that patients get the best health care at a reduced cost (Levin at al., 2011, p.21). EBP is a systematic research review whose impact will continue to benefit both the patients and nurses in the medical healthcare setting. According to Levin et al.
Evidence based practice has predominantly been used in the field of Medicine , to discover a more effective approach of treatment for patients. In medical profession evidence based practice is of critical importance.The practitioners rely on the evidence provided by researchers and experienced doctors to come up with treatments that are reliable