What is evidence Based Practice

Concisely define evidenced based practice, the evolution of EBP and how barriers to EBP can be overcome. Briefly give an example of a compelling clinical question that piques your interest.

 

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Sample Answer

 

Evidence-Based Practice (EBP) in Nursing

Evidence-Based Practice (EBP) is the exercise of acquiring, handling and applying scientifically proven inferences in refining clinical practice. EBP operates under three major integral components; external evidence, consultant’s clinical proficiency and patients’ inclination. The practice is meant to improve patient’s care as well as improve the nursing setting. Nursing practice is capable of providing the best patients’ care at a cost-effective rate with EBP in practice. Currently, collective nursing accords require nursing practice to be methodological, making EBP a vital aspect in clinical exercise.

How EBP Evolved

EBP evolved from evidence-based medicine, whose root objective was to test the effectiveness of medical practices using simple experiments. Evidence-based medicine was initiated in 1972 and formally documented in 1992, with its objective being replacing unsystematic clinical experience with scientific clinical practice (Mackey & Bassendowski, 2017). In 1996, scholars attributed the integration of clinical expertise to clinical research as EBP evolved (LoBiondo-Wood & Haber, 2017), with the central aim of advancing patients’ preference. EBP was then adopted in other fields such as psychology, dentistry and public health. Currently, at least 55% of nursing practices are carried out under EBP (Craig & Dowding, 2019). Current speculations estimate EBP to take over most of the nursing practices soon.

Overcoming Barriers to EBP

There are several obstacles to executing EBP in nursing practice. Lack of expertise to formulate EBP strategies, negative perceptions towards research in nursing, large data amounts for analysis and organizational constraints, among others, are some of the barriers to executing EBP in nursing practice. There are, however, strategies set in place to overcome these barriers. Assessing the nature of these barriers will pave the way for an enactment plan (Naeem, Bhatti & Ishfaq, 2017). As well, beliefs on evidence-based practice should be strengthened in the nursing profession. Moreover, healthcare providers should be presented with successful evidence-based rehearses to develop their indulgence on the significance of EBP.

Compelling clinical question

What is the ethical validation of nurses’ perception regarding end-of-life decision making?

References

Craig, J. V., & Dowding, D. (Eds.). (2019). Evidence-based practice in nursing. Elsevier Health Sciences.

LoBiondo-Wood, G., & Haber, J. (2017). Nursing research-e-book: methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.

Mackey, A., & Bassendowski, S. (2017). The history of evidence-based practice in nursing education and practice. Journal of Professional Nursing, 33(1), 51-55.

Naeem, S. B., Bhatti, R., & Ishfaq, K. (2017). Barriers to Evidence Based Nursing Practices in Tertiary Care Hospitals. Pakistan Library & Information Science Journal, 48(3).

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