Evidence-Based Practice Section D

NUR 699

Evidence-based practice (EBP) is an important part of augmenting the intensive care in the nursing practice,and it is the basis of providing best quality healthcare to patients (Risch, 2018). If the health sector adopts EBP as part of its culture, patient’s outcomes are improved,and it leads to the satisfaction ofthe family, patient and the healthcare provider. Evidence-based practice has also been touted to reduce the risk of harm, reduces costs,and it decreases unnecessary procedures and tests (Risch, 2018). The first procedure of the EBP process is integrating the EBP into the organization(Beyea& Slattery, 2006).Thisinvolves using evidence into the practice which is a vital part of the healthcare. It aims is to lower the costs by decreasing time and in the prevention of an infection acquired in the hospital.

Organization Culture

Vital care is provided by a critical or intensive care nurse who provides care to patients in need of intensive care. EBP has proven to be successful and effective in showing the leads to quality healthcare and reduced hospital costs (Beyea& Slattery, 2006). Creating an environment where evidence-basedpractice culture is very important, it makes organizations reliable. This paper focuses on how nurses use EBP to care bedridden patients,and it examines the thorough process of evidence-based practice. Improved healthcare is a product of three important factors, that is, evidence-based practice, nursing research and quality improvement (QI) (Risch, 2018). These three factors complement each other in the improvement of patient outcomes. Nursing research is a systematic procedure that involves testing, evaluation,and development (Risch, 2018). An example of intervention to a patient in critical care is; therapeutic hypothermia effect on the skin of the patient? If no solution is found to this intervention,the nurse is expected to consult with a scientist to design and review board-approved research of the question.

Expected Outcomes using PICOT and outcomes

An example of an EBP is a proposed project researching on the effects of pharmacological thromboembolism (VTE) prophylaxis use to inpatients that have undergone an operation (craniotomy),and they are recuperating in the neuro ICU. This study is problem triggered because patients have developed VTEs which have been acquired in the hospital. To solve this problem, the nurses have to come with a PICOT (problem, intervention, comparison, outcome,and timing). The nurses have to question all dimensions of literature available rating them against the PICOT chart by quality and strength. From here, they establish a protocol in which VTEs are monitored for implementation purposes (Risch, 2018). In this case, the patient may have fallen below the benchmark because of increased VTEs.

The second step of EPP is PICOT development. Its development is crucial because it ensures the particular problem in the clinical setting is improved. The problem may include various types of population or patients, for example, sex, patients with special needs or ethnicity. Interventions are methods of treatments which are of interests (Beyea& Slattery, 2006). The comparisonis alternatives available,and outcomeare the desired results while timing is important because the problem should be solved in a brief and precise manner. The last step of EBP is the dissemination of results through presentations in seminars of the organization. Barriers can hamper the success of EBP implementation. The main barriers to EBP are lack of education about EBP and poor leadership to incorporate EBP in the organization (Beyea& Slattery, 2006).

Outcome impact

If EBP implementation is successful, positive outcomes are realized by all stakeholders. Patients can access quality care because their problems are effectively solved by integration of EBP, which is patient-centered quality care. Patients are also attended with efficiency due to environmental changes such as improved professional expertise. All these culminate into high-quality care to the patients, family and health care providers’ satisfaction.

References

Risch, S. (2018). Evidence-based practice in a clinical setting. Nurse.Com. Retrieved from https://resources.nurse.com/evidence-based-practice-in-a-clinical-setting

Beyea, S.C., & Slattery, M.J. (2006). Evidence-based practice in nursing: A guide to successful implementation. Retrieved from http://hcmarketplace.com/media/supplemental/3737_browse.pdf