This paper consists of two parts; in the first part we examine the close relationship between the research process and development of evidence for practice. The second part will try and appraise the different types of evidence and evaluate their appropriateness for implementation in practice…
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The focus in this paper is on evidence-based practice in the nursing field that has gained a lot of momentum and the definitions vary. The findings of research, clinical knowledge, knowledge gathered from science, and all the medical expert opinions fall under what many in the field call "evidence" although practices that are based on research findings always tend to result in the required patient outcomes in different settings the geographic locations notwithstanding. According to Schofield, the impetus and desire for this evidence-based practice in matters nursing comes from healthcare practitioners, readily available medical information. Evidence-based practice requires changes in nursing education and other aspects like practice-relevant kind of research, and closer working relationships among all the concerned groups, that is, researchers and clinicians. Evidence-based practice does provide many opportunities for the whole concept of nursing care to be a bit more effective, individualized, dynamic and streamlined. This, nevertheless, helps in minimizing the effects of the clinical judgments. In incidences where evidence is used to define some of the best practices rather than just supporting the existing practices, the profession of nursing care manages to keep pace with some of the latest technological advancements and also takes advantage, in many ways, of new medical research findings and knowledge developments. The different types of evidences vary on the basis of the fact that they are normally from different sources. This evidence based practices, often abbreviated as EBP, basically aims at applying the best valid and reliable evidence which has been gained by use of scientific method to making clinical decisions. This evidence for practice is extremely important in the sense that it seeks to help in assessing the strength and validity of evidence of the benefits and risks of treatment, or even lack of it and medical diagnostic tests. It helps clinicians to learn and be in a position to know whether given treatments plan will do more harm or good. According to Margolis (1999, pg. 135,) the evidence’s quality can be accessed on the basis of the type of source, that is, from those clinical tests that are controlled and trials, systematic and analytical reviews of the double-blind variety, and not forgetting other aspects like conventional wisdom. This can also be based on other factors like clinical relevance, validity of the statistics, and currency. According to Ehrenberg (2003, pg 281,) evidence based practice recognizes the fact that most of the aspects of medical and health care depend on very particular and individual factors like quality or life value judgments, and this are normally subject to scientific research methods. This evidence based practice , however, attempts to clarify those medical activities and practice parts that are principle and part of the scientific methods and applying those methods in ensuring that best prediction of expected outcomes in treatment of medical illnesses , even as the raging debate on what desirable outcomes should be (Ramstadius,1997,pg. 5). The research process is well known by most of the researchers in the medical field. Those involved in the carrying out of research in evidence based practice, if the current research finding are anything to go by, are well versed with the scientific research process. The systematic process that characterises research has to be strictly adhered to whenever those who intend to do any kind of medical researching .This ensures that the findings and data that is collected
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In this work, reviews of already done research will be carried out to determine the effect of stroke, or hypoperfusion of brain parenchyma Stroke, or hypoperfusion of brain parenchyma, is the most commonly encountered neurologic condition. Because of its pathophysiology, stroke is one of acutely presenting symptoms with debilitating consequences.
The investigation is structured in the form of a literature meta-analysis concerning an article specific to the nursing profession and its relationship to evidence-based practice. A hybrid approach is used to derive comparisons between a case study, and a literature meta-analysis of related findings.
For example, nurse assisted euthanasia is a practice which has been termed by critics as nurse assisted suicide whereby patients look forward to taking their lives as a remedy to their long and intense suffering. In such a situation, evidence-based practice would allow the nurse to identify whether the pain of the patient is intense enough to warrant the assistance.
Furthermore, some interventions which reliable researches showed to have significant benefits have been largely ignored. By bringing together the results of research in a systematic way, appraising its quality in the light of question being asked synthesizing the results in an explicit way and making the knowledge base more accessible, it is hoped to foster a greater sensitivity to the evidence by researchers, policy makers, health practitioners and the public.
However, the use of the term "evidence based" had confused many practitioners. Several researches were done to clarify the term. Aside from misconceptions and misinterpretations, evidence based nursing practice is also plagued with debates and issues that need to be resolved.
Its goal is to eliminate unsound or excessively risky practices in favour of those that have better outcomes.
"Evidence-Based Practice (EBP) is a thoughtful integration of the best available evidence, coupled with clinical expertise. As such it enables health practitioners of all varieties to address healthcare questions with an evaluative and qualitative approach.
There are various principles and theories related to the implementation of such interventions and a nurse or a medical health professional has the obligation and responsibility to assess which among the available interventions would work best
Currently, nurse scholars are attempting to move beyond the safe confines of the randomized control trial as the gold standard of science. Unfortunately, the teaching and research of these forerunners are often discounted by their peers who feel compelled
However, with the rapid transformation within the sector, evidence based practice within the healthcare domain has come into existence. Evidence based practice often refers to the approach of using the best
It helps in improving the number of competitive nurses in the medical industry.
Evidence-based method is a system that increases the number of quality nurses in the nursing profession. In the modern world, there are many expectations for the nurses. The
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