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Evidence-based Practice Essay

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❶If you are caring for a child who was in a motor vehicle accident and sustained a severe head injury, would you want to know and use the effective ,empirically supported treatment established from randomized controlled trials to decrease his or her intracranial pressure?




This research is vital due to several cases of surgical infection taking place in operating room. The aim of the study is to determine the information and extent of applying sterile technique among operating room nurses in four selected hospitals in Samar, Philippines.

Globalization comes with a large number of professional developments and policies especially in the nursing sector. This study was conducted on four hospitals in Philippines. Inclusion standards were set for this study is participation among nurses are nurses with permanent employment, nurses who agreed to participate on this study and nurses working in the identified hospitals. The research concludes that knowledge has a positive effect on the extent of practice by the nurses.

Different International bodies as Commission for health improvement prove that evidence based practice is researched on daily basis by different scholars. Sackett et al denote evidence-based practice is a popular discipline that applies in clinical practices since , and started with the medicine sector as Evidence Based Medicine EBM. It later spread out to other fields like nursing, education, dentistry, psychology, and library among others.

EBP demands that these practical decisions need to come from confirmed research studies, and they should interpret according to particular EBP norms. EBP is the incorporation of the best research evidence with clinical expertise and patient values. However, there are some patients who reject the administration based on their different culture and values.

Besides that, the practitioner might understand underlying hindrances like finances that may halt the application of EBP. Evidence Based Practice in nursing includes the major decisions made by the professionals, which in my area includes the surgeries. Some of these decisions include appraising, accessing, and integrating research evidence with their professional judgment and with their clinical decision-making Department of Health, There are several factors on why nurses are reluctant to apply EBP in their daily work.

Evidence based practice include making decisions by combining any knowledge acquired from the nursing practice, patients inclination, and applying research evidence. It means that the nurses have a variety of options including sitting back and watching, or taking action based on their experience. Nevertheless, the decision made is crucial hence it need brainwave.

A clinical question is essential before making evidence-based decision. So, it is important to search for a suitable EBP to help in making the right decision at the particular situation. Lastly, the nurse evaluates the different effects of the action taken. Since the early years of Florence Nightingale, research became popular till the first nursing journal published in United States in which began considering evidence based practice.

Nightingale is famous for her systematic thinking and applied religious faith that favored systematic approach. According to Keith , Nightingale had a good access to governmental information and other material making her work knowledge based. She applied graphical presentation in form of pie and bar charts unlike others who used tables. The health ministry requested Royal College of Nursing in to examine the effectiveness of nursing.

From then onwards, various research programs came up including Information provision and wound care. Anyhow, Rodgers noted that the progress of EBP is slow but it is successful as the years go.

Utilization of evidence-based knowledge broadens the relationship between the nurses and the management like the clinicians. The result showed harmful and prolonged routines thus it made a change in the national policy within acute care hospices and long-term care settings Evans et al, Nurses applied excessive pressure on the elderly without realizing of the psychological torture involved.

Today, science has expanded and advance compare to those years during Nightingale years. In spite of this progressive development, there is still a gap on contemporary knowledge and the extensive adoption to improve the health sector. Bass stated EBP appliance in nursing profession is similar in all fields or disciplines. The major challenge is the readiness to apply these evidence-based researches due to different drawbacks that include lack of understanding, inclusion, and lack of necessary education programs.

To further strengthen this argument, Pravikov et al mention most nurses have two years degree program which does not accommodate evidence based practice. Moreover, EBP weakness also includes accessing of vital information on the research done. Therefore, users find it difficult to access especially in work place. In nursing, the clinical specialists and the doctors who own higher skills in recognizing problems, analyzing, and translating are far from reach. Hence, they are hesitated to apply EBP in their practice.

Perioperative nurse must be knowledgeable on sterilized technique. Reflecting on my experience being a perioperative nurse for five years now, to enhance better understanding on the importance of sterile technique and the consequences of not applying sterile technique, EBP is the best tactic.

For instance, EBP is based on studies done on sterile technique and they show result for not applying sterile technique may lead to surgical infection. Hereafter, nurses could make decision-making on evidence-based in their practice. It is crucial for nurses to be familiar with different decisions they partake and consider the consequences associated with the decision made.

It is also important for nurses to be given the necessary skills required to enable them construct the vital questions and efficiently and effectively look for the available study evidence that best applies to these questions. Helpful information that I picked in this study is the importance of sterilizing the operating instrument. This study based on surgical sites infections that are common in most operating rooms.

This definitely raises most hospital concern and wants more research to be carried out in order to identify where the problem lies. Surgical site infection causes many deaths during the operations, and that is the reason why different strategies like sterilizing technology came up. Many patients have died because of infected surgical wound and this calls for an evidence based study to resolve the prevailing problem.

In psychiatry, rehabilitation, medicine, psychology, and other professional bodies, loose bodies of knowledge apply, and this is a major drawback on their performances.

Evidence based practice begins with a profiling research which informs the professionals and their clients what works best for them. Easy access to EBP information enhances both clients and the practitioners to identify their helpful treatment before intervention starts. I have choose this article as it has link with my profession and it is very knowledgeable for me being a perioperative nurse. The critic tool that I have chosen is step by step guidelines in critiquing a quantitative research study by Coughlan et al Appendix 2.

The methodology tool applied in this study was descriptive-correlation research method. The descriptive method describes the knowledge and the extent of which the nurses applied the sterilization technique in practice. In addition, the correlation method is dissimilar relationships among the different variables used.

This study was conducted in four hospitals in Philippines and the results are based on answers by nurses with permanent employment, nurses who agreed to participate on this study and nurses working in the identified hospitals. There are three-part questionnaire consisted of demographics profiles of the participants. Questionnaire 11 includes a checklist whereby the participants rated out of 5 points with 1 being lowest rate.

The data analyzed through inferential and descriptive statistics consisting of frequency, standard deviation, percentage and mean. Analyzing research studies require suitable tool looking at the methodology used.

Tanner suggests these tools normally bear questions that aid the analyzer in determining the different steps followed in this research. It is notable that some steps are more vital than others. Descriptive-correlation tool applied in this study is credible based on many factors. The researcher uses simple language that is easy to understand without consultation.

This means there are no scientific jargons that sometimes pose a threat to the readers. The authors seem to understand the subject matter clearly according to the list of questions in their questionnaire.

For instance, hand washing, scrubbing, intraoperative phase and circulator role. The purpose of this study is vital due to several incidents that related to surgical wound infection.

In the article abstract, they mention the overview of their study, including the research problem which is in prevention of surgical site infection and contamination, sterile technique need to be implemented. They also remark the sample, methodology, finding and recommendations which is mention earlier in the need for the nurses to control and protect the patients from surgical site infections. The grammar used in this study is straightforward, easy to understand and systematically arranged.

Usually, a reader like me demands an interesting research that motivates us to continue analyzing, and this presents well in the above-mentioned analysis. There are certain factors that strengthen this research, which includes the identification of the research problem. The hypothesis used is that most nurses have the knowledge on sterile techniques but due to some reasons, they fail to apply it in practice.

Some nurses bear the knowledge but they lack the confidence to put this evidence-based research into practice. There are four major reasons that limit the nurses from using EBP. Retsas stated research reports similar to the above-mentioned are normally complex, statistical, academic and nurses find it difficult to interpret or work with the research products. This may cause confusion to nurses during interpretation. The results are graphical and the nurse might have problems understanding it.

This particular research is consistent and any nurse whether a graduate or a trainee can easily relate to it except of the graphical result. The researcher clearly links each step to the other with the objective of the study, which follows with a literature review. In their literature review, the research is rather shallow compared to other great researches. It is lacked of specific details on the occasions where nurses have failed to apply the technology and the consequences that follow. The literature failed to analyze the different surgical tools applied in the operating rooms by the nurses.

However, they identified the hospital and the need for the research. The literature should include the history of evidence-based practice including when it began and why. The hypothetical structure lacks in this study, which is necessary for reader who needs to understand and analyze the research. The researchers did not go in depth into the subject matter although the introduction had a good review of the search information.

The research paper is lacked of proper relationship between different concepts in its literature. However, most theoretical frameworks work best in experimental and quasi-experimental researches unlike in descriptive studies similar to the above mentioned.

According to Dale in every research, it is vital to identify the main question and this was not seen in this research. For example, the researcher should have asked how competent the management of the operating room is in educating their staffs on sterile technique.

This would assist the researches in analyzing the situation because the failure to practice sterile technique could be perioperative nurses not sent for continuous education leading to lack of competency. These questions are likely to come from patients or the nurses themselves.

The questions may derive from the customary practices or from different literature. The sample in this study, for me the size is relatively small compared to the many operating rooms in Philippines. Anyhow, the choice of participants in regards to age group, and gender is great. In terms of experience, the researcher should have picked people with longer experience in the job. The attendance for educational training of these participants is equally poor so it could not provide a conclusive result.

A bigger sampling in all categories would have provided a better data analysis. This study was carried out in hospitals and chances for the nurses were conversant with the subject at hand. However, the participants were from only one-region hospitals and different issues may have limited their voluntary information. At times, the participants are not sure of their confidentiality, despite them signing confidentiality forms; they still have the fear of being exposed.

The nurses could fear intimidation from the superiors, and this drives them to give false information in favor of the organization. The researcher got the approval from the ethics committee at Samar Provincial hospital, and the other hospitals before they began conducting their research. No participants were forced or harm during the survey.

Neither there was any bias because the respondents were not selected purposively. In the operational definitions, the researcher ensured that the reader fully comprehended the study by applying simple concepts and terms in the research Parahoo, The researchers have used clear and simple understanding terms to carry out this study.

However, most of these studies relate because the objective regards patterns in group behaviors, tendencies, averages, and properties Robson This paper examines an article written about evidence-based practice and the quality of a tutorial question. Health care experts and professionals who leverage evidence-based practice use patient references, clinical expertise as well as research evidence to make decisions.

A close reading and analysis of this article reveals prohibitive cost of information and significant barriers in the access of answers related to clinical problems. The article goes further to discuss the impact evidence-based practice has had in contemporary treatment administration. One of this is that it increases access to solid answers and making it easy to treat diseases among a community of patients Aveyard et al.

The article supports a model PICO in successful administration of evidence-based practice. Using this model, it is possible to make evidence-based practice a success in searching for clinical answers. Searching for evidence in the EBP starts with the patient. The patient is the best source where questions and problems related to care can be established.

The second step of searching for evidence is translating clinical question s into a searchable query ies using the PICO model. Deciding on the best research study to address the problem is the third step of finding evidence in the EBP.

Finally, a literature search is done in the appropriate source. Going by the four steps provided by the article, The National Institute of Health observes that the quality of health care can be established. However, thanks to evidence-based practice that now common problems surrounding patient care can be solved and brought into a broader perspective.


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Evidence based practice is a complex experience that requires synthesizing study findings to establish the best research evidence and correlate ideas.

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Evidence based practices as using the best evidence available to guide clinical decision ggettsy.cfce based practice in nursing is a pocess of locating,appraising and applying the best evidence from the nursing and medical literature to improve the quality of clinical nursing practices.

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Evidence-based practice is the process of applying existing research findings that has shown to work when considering a chosen strategy. It is based on analysing the collection of data that has contributed towards a specific knowledge base, which has been shared amongst fellow practitioners within a specific field, with the aim to inform current practice within a profession. Free Essay: Evidence based practice which is a problem solving approach in the way that health care professionals deliver care is based on studies and.

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Evidence based practice include making decisions by combining any knowledge acquired from the nursing practice, patients inclination, and applying research evidence. It means that the nurses have a variety of options including sitting back and watching, or taking action based on their experience. May 01,  · Check out our top Free Essays on Evidence Based Practice to help you write your own Essay.