EVIDENCE BASED PRACTICE

By:- firoz qureshiDept. psychiatric nursing

DEFINITION EBPEBP as using the best evidence available to guide clinical decision making .An integration of the best evidence available, nursing expertise , and the values and preference of the individuals families and communities who are serve

steps Steps for process of evidence

based practice Formulating the clear question

based on a clinical problem literature review to search best

available evidence analysis of strengths and weakness

of evidence

Cont.. use of based evidence in clinical

practice evaluating the efficacy of empirical

evidence

BARRIERS OF EBP Insufficient time for nurses to

implement new ideas. Lack of authority to change patient

care procedures. Lack of knowledge and confidence

among nurses and other professional practitioners.

Lack of continuing education process.

Cont

  Lack of interest. Lack of time. Lake of support

 NEW WAYS OF PRACTISING N

The advent of evidence-based reviews of nursing interventions makes visible for the first time in a systematic and critical format, the efficacy of one type of nursing intervention Over another. Systematic reviews that produce practice guidelines or inform clinical practice manuals have the capacity to direct nursing practice

Cont…or resolve issues where practices

differ according to scientifically validated evidence. Increasingly, the efficacy of a number of nursing interventions will become known and able to be ranked in a quantifiable manner. This identification, measurement and review of nursing work makes up the object domains of nursing that enable future government to take place.

From evidence to actionChanging any part of the health care

systemrequires careful thought and

planning; an individual nurse’s decision to change

anelement of practice can rapidly have consequences for colleagues and

patients. It can be challenging to turn

research findings into practise.

Cont..

There are many barriers to the effective translation of research findings into action including barriers which exist atorganisational levels, including economic, social and political

barriers.

Cont.. As the nursing profession expands

andnurses further develop their roles,

both independently and within

interdisciplinary teams, it is important that nurses

are able to challenge each other and hold each

other to account.

cont…The use of evidence allows nurses to

account for their decision making and justify

it accordingly, as well as allowing

practices to be reviewed and evaluated

objectively

EBP to initiate breast feeding:

An institutional changes in maternity care

practices effectively increased breastfeeding

initiation and duration rates. These changes

can be part of a comprehensive set of

changes, such as those implemented in

pursuit of BFHI (Baby Friendly Hospital Initiative) designation. They can be individual interventions such as

cont Increasing the rooming-in of

mothers and babies or discontinuing polices that are not evidence based.

Educating hospital staff through a 3-day training program has been shown to enhance compliance with optimal maternity care practices and increase rates of breastfeeding.

Cont.. Use of pacifiers by newborns is

associatedwith fewer feedings per day and a

shorter duration of breastfeeding overall

1. The main objectives evidence based

practice is; to increase awareness of the effectiveness of decision and action of practitioner s educator and policy makers. 2. In the health service it is designed to improve decision making and

achieveclinical effectiveness by enabling clinicians to use the most effectiveness

intervention,therefore reducing waste and eliminating

unnecessary practice.

OBJECTIVES OF EVIDENCE BASED PRACTICE

Cont..3. With the dissemination of the best

evidence to the widest audience imaginable with the use of information technology, it is expected that variations in the provision of services and patient s outcomes will be reduced.

4. The development and use of clinical guidelines based on evidence can also to achieve this objective.

Cont..Finally it also aims to reduce the reliance

on expert knowledge and increase t

ransparency of decision making. With the

evidence in the public domain lay persons

can, potentially, look for and use the

evidence to inform discussions with health

professionals.

USE OF EVIDENCE BASED PRACTICE

The idea behind the use of Evidence-based

practice or evidence-based healthcare is

that it comes from 3 combined aspects - the

values and preferences of the patient, the

clinical or clinical expertise, and the research evidence itself.

The combination of these three aspects is

what leads to improved individualized patient

outcomes, making evidence-based practice

crucial to nursing practice itself. it was

discovered that nurses use experience and

advice from their colleagues to guide their

practice, and this may not always be rooted in

evidence.

Cont..

 However, despite having the research ready

for nurses to access, the nurse needs to have

a certain level of expertise in researching in

order to benefit from evidence and use it,

rather than rely solely on experience and

adviceAside from access, nurses must be

able to not only read the language used in the

research, but critique its usefulness, synthesize the findings and interpret

existing practice guidelines

Cont..Essentially, nurses are called to use

theirskills in finding research that is

relevant and useful to clinical situations in which

the patient may benefit, and incorporate

them into individualized patient care, as

well as establish health policies. It is not

enough to rely on nursing textbooks, using

what was taught in nursing school, or

practicing by observation or advice.

Role of nurse in evidence based practice1. Better patient outcomes; Nurse

regularly make decision on what care to provide for their patient .These decision can impact the patients health negatively or positively

2. making decision based on knowledge that is backed by research makes it easier for a nurse to doctor what care provide to her as opposed to trying something that may or may not be beneficial to patient

Cont..3. Decision making; using EBP to

provide care to patients increases the nurses confidence .This is because she knows that she is basing her decision about patient care on valid information that has been thoroughly researched.

Cont…4. Incorrect Advice; reliance on the

expert advice of colleagues can mean the application of out-dated or incorrect advice. individualised interventions evidence based practice encourages, tailored , and individualized treatment of client and emphasize care and out comes

Thank you