Are you a nurse or even a student, and are you searching for ways of improving patient outcomes and making an impact in your profession? Evidence based practice (EBP) is the way to go and focuses on patient care.
This article will inform you on how to go about and gather skills for your profession. We will define EBP for you, the steps involved, the types of questions to ask, the quality of evidence, and address some frequently asked questions.
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Evidence based practice is a decision-making and problem-solving technique that various professionals apply in their line of duty. Some fields that use this technique are psychology, education, the healthcare industry, social work or community projects, etc.
In healthcare, the approach applies the facts available from the current research of clinical studies, clinical expertise, and patient values. This strategy was evident during the covid 19 era when physicians could rely on the research being done by the WHO and the patient's preference to give treatment.
Let’s define these three components of the EBP:
Current, relevant, and reliable studies can help you make decisions or solve various issues. This research can include meta-analyses, systemic reviews, observational studies, and random controlled trials.
Clinical Expertise – it’s the expertise skills that you gain from studies, training, and practice and helps in the EBP. Your experience helps you to analyze the research and apply it to your situation or the client’s context.
Patient or Client Preferences and Values – refers to the collaboration between professionals and the patients that help in decision making. The patients share their preferences that guide healthcare providers in delivering the best care.
EBP guidelines benefit nurses and clinicians in making the correct decisions for patient care. These benefits of evidence based practice in nursing include:
Applying the best evidence to nursing interventions, clinical skills, and a combination of patients' preferences and values lead to better results. This evidence guides healthcare providers' practice, ensuring patient safety, fewer treatment complications, and better health results.
The EBP method is patient-centered, and the clients can share their treatment preferences and any other unique issues or situation. This client engagement in the decisions making improves patient satisfaction and involvement in their healthcare.
This research approach challenges nurses to think critically, analyze the studies, and integrate them into practice. Again, when healthcare providers are informed on the latest research in their niche, it enhances their knowledge and overall performance in healthcare settings.
EBP empowers nurses to critically appraise and integrate research evidence into their practice—continuous research and learning lead to professional growth and expertise.
Applying evidence based practice in nursing interventions that have been proven leads to better resource utilization. Since you rely on tested and proven interventions, you don't have to do unnecessary procedures, thus reducing healthcare costs.
EBP promotes collaboration in the healthcare setting. Professionals integrate the relevant research and their clinical expertise and still engage clients. The interdisciplinary technique promotes teamwork, communication, and commitment to improved patient care.
Using the evidence method in nursing ensures that they practice what’s right based on evidence. This method helps the nurses to be accountable for their actions in the healthcare facilities. Again, the professionals always ensure they deliver quality care.
The steps used in the EBP involve a systematic and structured approach to applying research in clinical problem-solving. The general steps for the EBP include the following:
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There are specific types of questions that you should formulate to search for the best evidence. These questions have various categories depending on the kind of information that you are seeking:
These questions seek clarification on the treatment effectiveness, therapy, or intervention. The purpose of asking this question is to ensure you achieve the best when managing a condition. For instance, you may want to know whether treatment A or B will cause allergic reactions to
It's a question that will help you identify the best and most efficient diagnostic test for a specific condition. The level of accuracy will determine the test's sensitivity and predictive values. You can easily compare tests B and C to determine which will deliver the most accurate results.
Prognosis refers to the prediction of the outcomes of a condition. So, you ask a question to learn the result for a specific condition or the forecasted future. These questions help you to learn the path of patient management and assist you in making the right interventions.
Etiology means the origin and cause of the disease. An etiology question should focus on the causes or risk factors related to the condition or the effects of an intervention.
These questions you pose to learn the effective prevention measures for a specific condition.
Learn more on how to apply PICOT in these questions.
We have a list of the best evidence based practice topics in nursing that you can consider for your research. You can do pediatric, psychology, adult, critical care, and pain management.
Different ways are used to test the quality and relevance of the research studies. These levels will help the medical professional identify and use the relevant evidence in their clinical practice. The following are the levels of EBP from the highest to the lowest.
These comprehensive studies summarize and analyze the results of multiple primary research studies on a specific topic. They provide the highest level of evidence as they integrate and critically appraise a large body of research. Meta-analyses combine data from individual studies to obtain a pooled effect size.
RCTs are the most reliable level of evidence and belong to level A. This evidence involves allocating participants into different groups, like intervention and control, to evaluate their efficacy. This level will offer strong evidence for cause and effect relationship if it has a proper design.
This evidence that belongs to level B examines a group of people over time and assesses their exposure to a specific intervention. The follow-up can be prospective (monitoring the progress with time) or retrospective (assessing changes with historical data). This level gives valuable evidence, but the results may be subject to biases.
A case study compares an individual with a particular outcome to others without the outcome controls. It also examines the individual’s previous exposure to potential risk. This research is valuable when dealing with rare conditions though it's more prone to bias.
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This research deals with data collected in a particular area to examine the relationship between its variables. This evidence highlights a population's prevalence, distribution of factors, or outcomes. Unfortunately, the method fails to establish cause-and-effect relationships.
Its evidence is acquired from the experts' opinions, commentaries or recommendations, and consensus viewpoints. They provide insights and hypotheses but should always be interpreted and applied cautiously.
These are the six levels of evidence based on its effectiveness and quality. You should always decide which to use depending on the scenario. Sometimes it is best to go the extra mile and discuss with colleagues or experts from another department.
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The research technique ideas come from various sources that are called problem-knowledge-focused triggers. They come from staff due to recurrent clinical issues, the urge for quality improvement, and risk surveillance. Another trigger is the questions raised by clients concerning treatment, diagnostic tests, and the likelihood of disorders.
EBP mainly aims to improve the quality and effectiveness of healthcare systems by integrating proper research, clinical expertise, and client values and preferences. If you need help writing evidence based practice essays, place an order with us.
The EBP method offers several benefits to the medical team and patients:
Some students may think that evidence based practice nursing and research in nursing are the same, but that's not true. The two techniques have similarities but distinct fundamental differences.
So, evidence based practice in nursing involves using the best studies to make informed decisions on treatment. EBP also involves the interpretation of the evidence from studies and integrating it into clinical interventions. In contrast, research in nursing is gathering existing and generating new knowledge for better nursing practices.
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The skills you need to implement EBP in nursing include the following:
We have dissected various sections of EBP in this article to make it easy for you to understand. We started by defining the term, learning its benefits, the levels of evidence, the steps involved, and the kind of questions that you should pose. Again, we have addressed some of the most frequently asked questions to emphasize a few concepts and help you grasp some essential information.
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