Evidence Based Practice Nursing Reflection Essay

The Benefits of Evidence Based Practice in Nursing Essay examples

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Evidenced Based Practice (EBP) is essential to enable all nurses to provide the most current up to date practises for their patients. This process involves research, systematic review of current practises, critical thinking skills, evaluation and application to the clinical setting. In addition to this, the nurse must take into account the patients’ preferences. For nurses to have professional autonomy they must be able to justify their actions and demonstrate an understanding of why they perform the tasks they do. This defines them as unique professionals judged by their knowledge and not simply by their hands on skills. As stated by McSherry, Simmons & Pearce (2002);
“Nurses are responsible for the care they provide for their patient.…show more content…

(Polit & Beck, 2010). As nursing is person-centred and relies on a multidisciplinary team approach it has to take into account the care setting, patient predilections, clinical judgement and best available evidence. (Holland & Rees, 2010).
The key steps involved in evidence based practice come from a thirst for knowledge that once ignited makes the next step to asking a well worded clinical question easier. A well formulated question improves patient outcomes and supports the implementation of change. One such method looks at foreground and background questions. A background question is usually a basic knowledge question and is usually answered by a textbook. Foreground questions are usually specific and once answered can help in clinical changes. An acronym useful for formulating a well worded question is PICOT. ( Stillwell, Fineout-Overholt, Melnyk, Williamson, 2010).
“PICOT is an acronym for the elements of the clinical question: patient population (P), intervention or issue of interest (I), comparison intervention or issue of interest (C), outcome(s) of interest (O), time it takes for the intervention to achieve the outcome(s) (T).” (Stillwell et al., 2010, p. 59).
When a question has been identified the best study design can be chosen. For a prognosis question, a good quality cohort study would be used. For a non-compliance question, a qualitative study would be appropriate and for the effectiveness of treatment a systematic

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Edwards, M. (2008). Evidence-based practice. In A. Bryan, E. Mason-Whitehead, & A. McIntosh (Eds.), Key concepts in nursing. London, United Kingdom: Sage UK. Retrieved from http://search.credoreference.com

Evidence-based practice (EBP). (2010). In A. Powers, Dictionary of nursing theory and research. New York, NY: Springer Publishing Company. Retrieved from http://search.credoreference.com

​Lillyman, S. (2010). Reflection. In A. McIntosh-Scott (Ed.), SAGE key concepts series: Key concepts in Healthcare Education. London, United Kingdom: Sage UK. Retrieved from http://search.credoreference.com

Louw, G. (2009). Evidence-based practice. In F. Wilson and M. Mabhala (Eds.), Key concepts in public health. London, United Kingdom: Sage UK. Retrieved from http://search.credoreference.com

Mannix, J. (2008). Reflection. In A. Bryan, E. Mason-Whitehead, & A. McIntosh (Eds.), Key concepts in nursing. London, United Kingdom: Sage UK. Retrieved from http://search.credoreference.com

Reflective practice. (2006). In C. Brooker (Ed.), Churchill Livingstone's dictionary of nursing. Philadelphia, PA: Elsevier Health Sciences. Retrieved from http://search.credoreference.com

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