Evidence Based Nursing

INTRO

Evidence Based Nursing or EBN is a method to making quality choices and offering nursing care based upon personal clinical knowledge in mix with the most existing, relevent research readily available. It is likewise referred to as proof based practice. It is a thoughtful combination of the very best offered proof coupled with the medical competence.

TERMS

Evidence Based Clinical Practice Guidelines:-.
Particular practice recommendations that are based upon a methodologically extensive evaluation of the best evidence on a particular subject.

Proof Based Decision Making:-.
The combination of the finest research evidence in making choices about patient care, which ought to consist of the clinician's knowledge as well as patient preferences and values.
Evidence Based Practice (EBP):-.
An issue fixing technique to practice that includes the conscientious use of present finest proof in making choices about patient care. Proof Summaries:-.
Synthesis of research studies, systematic literature review.Generalizability:- The degree to which the findings from a research study can be generalized or applied to the larger population.

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MEANING.

Proof Based Practice [EBP] is a problem solving method to the shipment of health care that incorporates the finest proof from studies and patient care information with clinician proficiency and patient preferences and worths.

[Fineout-Overhott, E-2010]" Proof Based Nursing is the incorporation of the very best research evidence in addition to patient choices the clinical settings and scenarios and healthcare resources into choices about client care".

[Ciliska & & Donna, 2006]" Evidence Based Nursing Practice is the conscientious, specific and judicious usage of theory derived, research study base details in making choices about care shipment to people or groups of clients and in consideration of specific requirements and preferences".

[Ingersoll, 2000]
GOALS OF EPB.
To do the ideal thing, at the correct time, for the right person, ensure quality care for client.

PURPOSE
Evidence based practice is to provide the highest quality and most cost effective nursing care possible. To advance quality of care provided by nurses
To resolve problems in clinical settings
To increases satisfaction of patient
To focus on nursing practice away from habits& tradition to evidence and research

IMPORTANCE OF EVIDENCE BASED NURSING PRACTICE

It results in better 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. Integration of EPB into nursing practice is essential for high quality patient care and achievement.

COMPONENTS OF EVIDENCE BASED NURSING PRACTICE

Key elements of a best practice culture are evidence based practice mentors, partnerships between academic and clinical settings, EPB champions, clearly written research, time and resources and administration support. When delivered in a context of caring and in a supportive organizational culture, evidence based practice can help to achieve the higher quality of care and best patient outcomes.

SOURCES OF EVIDENCE BASED NURSING PRACTICE

Primary sources of evidence:-
These draw on original research findings. These sources include reports and
articles about research. Secondary sources of evidences:-
These draw on a range of source informing the topic of concern including. Systematic review
Meta analysis
Evidence based journals
Clinical guidelines or protocols
Cochrane collaboration
Expertise opinion

STEPS OF EBN

Formulating a well built question
Identifying articles and other evidence based resources
Critical Appraisal
Applying the evidence
Re-evaluating the evidence
Formulating the question:-
A well built clinical question includes the following components The Patient’s disorder or disease
Intervention or finding under review
A Comparison intervention

The Outcome [PICO]
Applying PICO is a systematic way to identify important concepts in a case, and formulate a question for searching.

Identifying Resources
After successfully formulating the clinical question we need to find relevant evidence. There are generally three categories of resources.

Background information
Filtered resources
Unfiltered resources
Background 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 subject specialists pose a question and then synthesize evidence to state conclusions based on the available
research.

Unfiltered Resources:-
It is up to you to access the resources quality, validity and applicability to your patient.

Critical Appraisal:-
When approaching a study, you want to know weather it was alone well, what the results were and weather it is relevant to your patients. After identifying an article you must appraise the information critically.

Applying the evidence

Once 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.