Evidence Based Practice in Improving Patient Outcomes Order Instructions: Hello writer sir, how are you today
Thank you so much for helping for this perioperative case study assignment.
The topic is mentioned below.
• APA Referencing
• At least 25 genuine references from 2010 to 2016 study based,
• 90 % references have to be Peer Review Journal article AND books
• Australian and New Zealand based study articles are preferable.
• Please have a look Rubric guideline for a given topic, I need good grades in this assignment so please do me a favor and try to make a good reflection using
Students will be required to develop an individual position statement related to a given topic.
The information contained in the statement should clearly demonstrate the student’s
perspective, which should be supported by current relevant evidence and reflect current policy and practice within the Australian nursing context with clear reference and linkage to the Nursing & Midwifery Board of Australia (NMBA) Registered Nurse Standards for Practice 2016.
Topic
Evidence based practice (EBP) is the clinical decision-making process which is based upon the best available evidence, new research findings, clinical experience, and patient preferences. Nurses are expected to implement research findings into their practice, but many are not trained in how to do this. Therefore, it should not be expected that nurses are at the forefront of EBP implementation in the clinical setting.
Hint:
How does evidence based practice improve patient outcomes?
How evidence based practice applied theoretically and clinically?
Is it feasible to expect RNs to implement EBP in the clinical setting without training/support?
Evidence Based Practice in Improving Patient Outcomes Sample Answer
PD
How does evidence based practice improve patient outcomes?
Evidence-based practice leads to quality care. It also brings about enhanced patient outcomes achieved through the use of current research evidence that is accessible to health care professionals (Prior, Wilkinson & Neville, 2010). Nonetheless, healthcare providers have to take an extra mile to integrate the best research evidence with clinical knowledge of their practice, patient and family values to ensure better decision making. The integration of suitable clinical evidence and the patient needs helps in determining whether there is a need for practice change. According to Nicholson, Jackson & Marley, (2014), giving patients’ evidence-based data and involving them in the decision making processes about receiving particular intervention is relevant in improving the outcome. To ensure greater patients’ involvement in decision making regarding their treatment, a partnership with health care professionals presents extra tools to create and assess patient decisions that provide evidence-based data in a comprehensible structure. In turn, this considerable deliberation increases the patient outcome (Furber et al., 2015).
In reality, EBP enhances not just the adaptability, confidence, critical skills, decision making processes among nurses but also improved skills as they continuously assess several research to support their practice, an aspect the leads to quality patient outcomes. Besides, Clark, Collier & Currow (2015) argue that EBP results into considerable job satisfaction, improved cohesion that foster retention in the healthcare sector. Owing to the fact that EBP comprises the use of healthcare information, it is paramount to healthcare providers when it comes to tackling issues associated with suitable patient care, this contributes to the improved patient outcome (Iles et al., 2014). Moreover, EBP can improve the patient outcome through results assessment based on the practice decision. This involves understanding the impacts of intervention. Outcome assessment is imperative for determining the effect of practice decisions on the quality of care. Again, it is necessary for the nurse to focus on “so-what” results that the current health care structure regards essential including rates of complication, hospitalization, length of stay and cost (Skinner, Williams, & Haines 2015). Again, critical appraisal of EBP can increase patient outcomes. This entails performing a rapid critical appraisal (RCA) of the research evidence to verify if the address the clinical issue. This procedure responds to various issues including the validity of the evidence; relevance of the results; and if the evidence can help the nurse meet health care needs of patients (Barclay et al., 2014).
Furthermore, EBP can improve patient outcome though the use of continuous questioning of clinical knowledge. During the delivery of health care services, providers should constantly inquire current practices; for example, how the careful assessment of medication can contribute to fewer errors (Harris, et al., 2015). In addition, Bernhardsson et al., (2014) believe that practices that support inquiry can aid questioning among health providers. Some of the essential aspects of EBP in the enhancement of patient outcome are orientation programs for new providers that disseminate expected evidence-based care for practicing RNs; recognition initiatives that remunerate evidence-based care and so forth.
How evidence-based practice applied theoretically and clinically?
Evidence-based practice can be applied based on theory, which describes the importance of intervention in inducing change. This is vital in changing health professionals or patients’ behaviors, especially in promoting evidence-based care. Understanding theoretical and clinical application of EBP is relevant in improving health care outcome of patients. Nonetheless, there are resistances to assess the theoretical perspectives for changes and implementation attempts due to nature of evidence-based studies, perceived need to differentiate activities of improving patient outcome and use of theory may not be essential (Harris et al., 2015).
Moreover, perspectives like the fundamental use of opinion to convince main stakeholders in the healthcare system or intensity concepts are important means of applying EBP clinically as well as theoretically. Underlying the aspect of adequate dose intervention is a system of action; until there is a detailed comprehension of action to ensure the effectiveness of an activity (Hulcombe et al., 2014). Therefore, interventions to induce a change in clinical setting, theory present insights into the mechanism to guarantee the success of an intervention. Overlooking theoretical part can negatively affect the important components of an intervention (Gibb, Edwards & Gardner, 2015).
Systematic reviews are also necessary when it comes to the application of EPB theoretically and clinically. Such reviews provide feedback for making informed decisions regarding the effective use of evidence-based interventions (Briggs et al., 2014). However, Lizarondo et al., (2016) state that there is the barrier of gathering information on primary issues of performing audits as well as feedback from previous studies. Therefore, little can be collected from previous attempts rather than a failure of success in certain efforts. While theoretical perspective can be applied in gathering information, it may be overlooked in the creation of intervention and strategies (Scott, 2014).
A challenge common with lack of clinical or theoretical perspectives in the planning of evidence-based intervention is an inadequate link to the strategy or important theory (Afzali et al., 2014). For that reason, there is a need to use the theoretical framework in the execution of planning procedures. Besides, the popular assumption of choosing induced intervention based on strong theoretical principles overlooks the element of the patient and health care institution (Bismark et al., 2015). While healthcare organizations are usually complex, interaction is necessary for the selection of a suitable theory to understand patients’ behaviors and changes in an institution (Ziviani et al., 2015). Use of EBP theoretically and clinically can be achieved if a targeted action in health care setting with man actors, several structures and complex factors influencing decision making.
Is it feasible to expect RNs to implement EBP in the clinical setting without training/support?
Clinical and health care is a vigorous human discipline where colossal amounts of money are spent yearly on research, an issue that leads to the invention of medical processes and devices. In this respect, training remains paramount if RNs have to implement Evidence-based practices within a medical setting effectively (Spigelman & Rendalls, 2015). While RNs see EBP from a positive perspective in terms of quality patient care, its implementation process has been faced with several bottlenecks. For instance, healthcare literature is generated in their volumes on a monthly basis, which makes it difficult for RNs to keep abreast with the information.
Many RNs support the notion of evidence-based practice but the limited knowledge and understanding in this field in terms of theory and practical intervention hampers their successful use of EBP. The RNs are required to demonstrate exceptional literature searching skills (Ju & Hewson, 2014). This makes it hard for the RNs to search and retrieve current, appropriate and accurate evidence. Schneider & Whitehead, (2013) contend that RNs who are conversant with Boolean and proximity functions, indexing and truncation or lack the support may not be able to implement EBP practices competently.
Implicitly, RNs should undertake continuous training when it comes to looking for evidence; particularly within a healthcare setting that promotes EBP. Whereas training remains paramount for clinical nurses to realize the use of EBP, librarians can underpin this objective by teaching the search approaches (Grove, Burns & Gray, 2014). Without proper training and support, RNs may not be able to implement EBP based on informed decisions (Fairbrother et al., 2014). As such, this may lead to poor quality care that endangers the lives of patients. Research skills are therefore critical because it helps the RNs evaluate and implement the best accessible evidence based on outcomes for safety and enhance quality practice (Baghbanian et al., 2012).
Proper medical training helps the RNs craft practices based on experiences, information base, sensations and beliefs to determine how these shape practice (Melnyk & Fineout-Overholt, 2011). When the RNs lack proper training and support, it may also degenerate into ineffective therapeutic and professional associations. This is a self-defeating approach that may hinder the implementation of EBP. Training enhances the RNs ability not just to establish and sustain but to wrap up associations with a keen eye on the boundaries that exist between career and individual relationships (Melnyk & Fineout-Overholt, 2011). Moreover, it advances effective communication with respect to individual dignity, culture, belief system and rights. In the end, training and support are essential not just for the implementation of EBP but for the optimization of based decisions that lead to quality care service delivery.
Evidence Based Practice in Improving Patient Outcomes References
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