среда, 20 февраля 2019 г.
Evidence Based Nursing Essay
macrocosm attest establish breast feeding or EBN is an approach to fashioning quality decisions and providing nursing palm found upon personal clinical expertness in combination with the most(prenominal) current,relevent investigate visible(prenominal). It is also known as evidence based practice. It is a thoughtful integration of the best available evidence coupled with the clinical expertise.TERMINOLOGIESEvidence Based Clinical coiffure Guidelines-Specific practice recommendations that atomic number 18 based on a methodologically rigorous review of the best evidence on a particular proposition topic.Evidence Based Decision Making-The integration of the best look for evidence in making decisions astir(predicate) affected role divvy up, which should include the clinicians expertise as well as patient preferences and values.Evidence Based Practice (EBP)-A problem lick approach to practice that involves the painstaking physical exertion of current best evidence in makin g decisions virtually patient cope. Evidence Summaries-Synthesis of studies, systematic literature review.Generalizability- The extent to which the decisions from a study can be generalized or applied to the big 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 search 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 nurture in making decisions about care delivery to individuals or groups of patients and in consideration of individual necessarily 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 rivet on nursing practice away from habits& tradition to evidence and researchIMPORTANCE OF EVIDENCE BASED breast feeding PRACTICEIt results in go against 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. desegregation 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 amongst academic and clinical sett ings, EPB champions, clearly written research, time and resources and administration support. When delivered in a context of caring and in a supportive organisational culture, evidence based practice can help to achieve the high quality of care and best patient outcomes.SOURCES OF EVIDENCE BASED NURSING PRACTICEPrimary sources of evidence-These draw on original research findings. These sources include reports andarticles about research. Secondary sources of evidences-These draw on a clutch of source informing the topic of concern including. Systematic reviewMeta synopsisEvidence based journalsClinical guidelines or protocolsCochrane collaborationExpertise ideaSTEPS OF EBNFormulating a well built interrogativeIdentifying articles and new(prenominal) evidence based resourcesCritical AppraisalApplying the evidenceRe-evaluating the evidenceFormulating the question-A well built clinical question includes the following components The forbearings disorder or diseaseIntervention or f inding under reviewA Comparison interventionThe Outcome PICOApplying PICO is a systematic way to identify important concepts in a case, and arise a question for searching.Identifying ResourcesAfter successfully formulating the clinical question we imply to find relevant evidence. There are generally three categories of resources. solid ground 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 melodic theme specialists pose a question and then synthesize evidence to nation findings based on the availableresearch.Unfiltered Resources-It is up to you to access the resources quality, validity and pertinency to your patient.Critical Appraisal-When approaching a study, you want to know die hard it was alone well, what the results were and weather it is relevant to your patients. After identifying an article you must evaluate the information critically.Applying the evidenceOnce 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 reach 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 efficiency of your decision in direct relation to your patient.