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The Importance of Evidence-Based Practice in Nursing
In the center of evidence-based nursing, clinicians position their thoughts about the patient’s preferences and clinical experiences of colleagues, combining it with an individual patient’s intervention based on the knowledge obtained from reliable scientific results. Evidence-based nursing is a concept involving a shift in the focus of the implementation of technologies and standards for making decisions – from pharmacy and medical guidelines to labor and time spent on professional education. The technology of evidence-based practice of nurses promotes improving the quality of health care due to the rational use of resources and because of its concepts of health care.
One of the key requirements of evidence-based practice for nurses, as for other medical services, is the desire of nurses to provide patients with the best treatment possible. In accordance with the principles of evidence-based practice (EBP), nurses should not just rely on the experience and intuition that have arisen over the years of work, but also follow specific standards developed by research in order to provide a high level explanation and conduct of clinical intervention. Application of new evidence-based practices gives clinical development in practice. This allows maximizing the effect of therapy in a single clinical case, generalized for a specific patient or a group of patients. EBP is also the key to the patient’s quick recovery and excellent clinical results without complications during diseases, injuries or with multiple disorders.
Evidence-based practice has been defined as a strategic problem-solving approach to clinical practice that incorporates the best evidence from well-designed studies, patient values, and clinical expertise. Evidence-based practice in nursing is critical to successful patient care, and it is pertinent that it is introduced during the faculty meeting with the support and help of administrators, decision-makers, university professors, and cooperative physicians. In nursing, it is mandatory that practical formative and summative evaluations be undertaken and that nursing practices are based on evidence obtained from well-organized research studies. Compared to other areas of healthcare, in some instances, nursing has taken advantage of research in practice, with significant clinical and financial consequences. Nurses have a number of key roles to play as promoters, implementers, and formulators of research in health and clinical practice. The incorporation of nurse researchers, along with networking and support, into research teams can both reinforce and further evidence-based practice in the organization.
Nursing, like all other fields of study, is dynamic and its practice is made more effective by assuming highly principled ethical and moral standards of intellectual and practical competence. Evidence-based practice is paramount in achieving these critical goals and in creating a culture of quality, safety, reducing medical errors, and improving the academic performances of nursing students. Evidence-based learning focuses on the process of knowledge acquisition during education, work, and experience. During the educational process, it helps to examine the teaching-learning process.
A major challenge to evidence-based practice process for healthcare professionals in any setting is to have a travelable vision, the correct viewpoint, and the appropriate resource support so that one can continuously direct energy toward building, questioning, challenging, and extending the knowledge base that underpins healthcare research, professional education, and patient safety. Nurses continue to face similar challenges and barriers to research utilization as did their historical nursing counterparts. For example, nurses still argue about the dominance of medical models on the nurse’s professional identity, remain focused on individual nursing care rather than professional practice health outcomes, adhere to the tradition of doing for others rather than doing for self, or identify a lack of professional voice or dialogue within the research utilization context. This is likely why years of research traditional models continue to generate contempt for research-based knowledge, negative attitudes to research implementation, and a lack of motivation for the application of nurse education or student preparation. As a result, most studies not only continue to identify and describe barriers to research utilization, they produce results that resemble and reflect the nursing work environment’s complexity, futility, limitations, and privilege that surround those nurses practicing within the boundaries of knowledge.
In view of the fact that the modern healthcare environment faces considerable difficulties associated with increasing expectations, decreasing resources, and a number of areas of healthcare services that lag behind in incorporating scientific evidence into practice, there is a great deal of attention being directed toward the actual implementation of EBP. Healthcare professionals are as likely to resist these changes by way of expressing concern about the traditionalists, the radical reformers, or merely hide behind the reality that scientific evidence and activity is someone else’s responsibility. This changing environment sets the scene for a collision course for healthcare organizations. It is inevitable that evidence-based practice not only challenges the entire healthcare system, each of this clinical nursing practice, nursing research, the nursing profession, and nursing community, it also turns each of them inside out.
4. By teaching nurses how to evaluate the process as well as the outcomes of implementing the evidence, it is possible to capture new learning from that process. When the evidence has been implemented, it is important to evaluate the success of that implementation.
3. Sources of evidence can then be identified. A strategy to support the acquisition of evidence and resources to support its review and synthesis comes next. When these have been gathered, they can then be critically appraised. It is not enough to gather the evidence. It is necessary to provide education and opportunities for nurses to apply the evidence when they are able to do so. It is also helpful to provide rewards to support them in changing their practice to reflect the evidence. Companies may support nurses by, for instance, paying for the cost of time and materials as well as for support and mentorship in nursing practice.
2. A second strategy is to encourage nurses to identify clinical questions and problems and to ensure that they are aware of evidence from the literature that can be used to inform their practice. If this is done and the nurses have the skills and confidence needed, evidence-based practice is more likely to be used in any setting.
1. The number one strategy for promoting the implementation of evidence-based practice is the development of a culture that values evidence-based care. This culture must be sustained by ensuring resources are available, providing rewards for evidence-based behavior, and promoting the education of new nurses in the skills necessary for evidence-based care.
Nurses need to continue to synthesize and categorize research so that it can be transformed into clinically meaningful quality practice. Having the ability to deliver the art of science as well as the science of nursing care will provide the essential elements that contribute to optimal outcomes. Through systematic inquiry, developing evidence, translating knowledge, and demonstrating the impact of nursing care, nurses can be powerful contributors to the improvement of patient, family, and community healthcare results. They will help in the progression of clinically important nursing care, thus improving the quality of healthcare.
The promise of healthier communities depends on whether nurses adopt evidence-based practice and help change and shape practice in their unique setting. As healthcare costs continue to rise and the importance of patient safety and quality becomes more significant, it is imperative that nursing continue to shape, lead, and use the evidence supporting the outcomes of nursing care. Only through synthesis and distribution of evidence leading to implementation and evaluation of practice will nurses become the evidence-based profession essential to promoting the health of individuals and communities. The urgent need for understanding the impact of care and opportunities to create the evidence that will guide nursing actions necessitates that nurses embrace empirical knowledge, professional judgment, and the ethical conduct of care.
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