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¶ … Evidenced-Based Practice (EBP)
The objective of this study is to review an article titled "Evidence-Based Practice Habits: Transforming Research into Bedside Practice" (Rauen, Flynn, Bridges 2009 p 46). The authors point out that nursing practice in the United States is more focused on the traditional-based practice than evidence-based practice. Many practices in critical nursing care are still continuing despite that the researchers contradicting the practices. The study believes that insufficient administrative support, lack of time, limited access to information are the barriers in the clinical-based practice three decades ago still exist today. While the benefits of evidence-based practice are well understood, nevertheless, there is a still a barrier in transforming the research findings into practice. To eliminate the problems, the accreditation bodies that evaluate and mandate the EBP (evidence-based practice) assist in moving the research forward. The authors suggest that it is critical to developing a culture of inquiry that will help nurses developing the current evidence into practice, and the culture of inquiry will assist in improving the clinical outcomes and patient care.
Steps taken by...
The implementation of the EPB is to integrate the clinical evidence and clinical expertise using the systematic research and sound methodology to make decisions. Nursing practitioners are required to develop skills, which include literature searching as well as the application of evidence and formal rule in evaluating the clinical literature. According to Rauen, et al. (2009), the clinical question or problem starts from the patient care, and it is critical to developing well-built clinical questions as well as selecting appropriate resources to conduct research. Rauen, et al. (2009) focuses on areas of critical care practice that include monitoring hemodynamic parameters for patients. The study also investigates how low-dose dopamine can be used to treat or prevent renal dysfunction. The authors discuss "prevention of deep vein thrombosis." (Rauen, Flynn, Bridges, 2009 p 46). While there are issues with regard to the physiology and facts of the fluid replacement, the authors identify the current bodies of evidence that can assist nursing professionals in transforming research into bedside practice.
Application of the EPB Setting regarding the Implementation of an EBP
Rauen, Flynn, Bridges (2009) discuss the strategy of using the EBP to prevent the Deep Vein Thrombosis. The…
references and research studies to find solutions to the patient's problems suffering from acute respiratory distress, heart failure, cardiac surgery and sepsis. There is also a need to make a research on the studies that discuss the hemodynamic parameters in backrest versus supine elevated position, prone position and lateral position. The authors argue that the evidence-based practice can assist the nursing practitioner to observe the difference between CVP (central venous pressure) and PAP (pulmonary artery pressure) in patients in supine and flat position compared with the position that is more than the spontaneous variability. Thus, the evidence-based research assists in enhancing a greater understanding of the positioning of the patient when monitoring patients" hemodynamic parameters.
Rauen, Flynn, Bridges (2009) further point out that a method nurses can employ in taking accurate measurements of patients hemodynamic parameters is to use the position specific reference in order to correct the hydrostatic pressure. The author believes that nurses can measure the output of the thermodilution cardiac when the bed is elevated by up to 20°. The authors also believe that the application of EBP requires nurses to investigate series of studies about patients in cardiac ICU (intensive care units) and patients in medical-surgical units to assist in obtaining the CVP and PAP of patients' supine, as well as patients with bed head elevation from 0° to 60°.
Conclusion
The EBP is the conscientious use of the available evidence to make effective decisions regarding the patient care. With integration of the clinical evidence and clinical expertise as well as using a sound methodology, nursing practitioners are able to make decisions to improve the patients' healthcare.
Reference
Key Issues in Nursing Informatics Since as early as the 1980s, information technology, computer science, and nursing science have all been integrated under the rubric of nursing informatics: with the goal of improving patient care and quantifiable outcomes (Kaminski, 2015). Nursing informatics has also enabled the entrenchment of evidence-based practice in healthcare. Key issues in nursing informatics include the ongoing changes to hardware and software, the need to align various informatics
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