Iebp PDF

INTRODUCTION
Implementation of evidence-based practice (IEBP) refers to the use of best, valid, currently
available and relevant research findings, expert opinion, standard guidelines and books in
clinical decision-making practice. IEBP improved quality healthcare and client outcomes in
the care setting like reducing patient pain, hospital stay and ulcers due to pressure.
Therefore, future research needs to explore ways to foster the documentation of evidence-
based practice (EBP) interventions more effectively. Nurses and midwives who have higher
educational status, and management and service provision experience can reduce barriers
to the IEBP. Thus, IEBP achieves quality health care through knowledge, skill, the experience
of health service providers, collaborative decision making and good time management
DEFINITION
"EBP is the integration of clinical expertise, patient values, and the best research evidence
into the decision-making process for patient care" (Sackett D, 1996).
EBP is a problem-solving approach to decision-making that integrates the best
available scientific evidence with the best available experiential (patient and practitioner)
evidence, and encourages critical thinking in the judicious application of evidence to the
care of the individual patient, patient population or system.
EBP IN NURSING
 Evidence-based practice in nursing involves providing holistic, quality care based on

the most up-to-date research and knowledge rather than traditional methods, advice
from colleagues, or personal beliefs.
 Nurses can expand their knowledge and improve their clinical practice experience by
collecting, processing, and implementing research findings.
 Evidence-based practice focuses on what's at the heart of nursing — your patient.
Learn what evidence-based practice in nursing is, why it's essential, and how to
incorporate it into your daily patient care.
WHY IS EBP IMPORTANT FOR NURSING?
 EBP is important because it moves practice from tradition to sound scientific

evidence.
 sIt provides Nurses a process by which questions can be answered.
 EBP improves outcomes for patients by making sure the care they receive is in line
with current best practices.
WHY IS EVIDENCE- BASED PRACTICE IN NURSING ESSENTIAL?

(AMERICAN NURSES ASSOCIATION)
 Implementing evidence-based practice in nursing bridges the theory-to-practice gap
and delivers innovative patient care using the most current health care findings.
 The topic of evidence-based practice will likely come up throughout your nursing
career.
 Its origins trace back to Florence Nightingale. This iconic founder of modern nursing
gathered data and conclusions regarding the relationship between unsanitary
conditions and failing health. Its application remains essential today.
OTHER BENEFITS OF EVIDENCE-BASED PRACTICE IN NURSING

(AMERICAN NURSES ASSOCIATION)
 Promotes positive patient outcomes.

 Reduces health care costs by preventing complications.
 Contributes to the growth of the science of nursing.
 Allows for incorporation of new technologies into health care practice.
 Increases nurse autonomy and confidence in decision-making.
 Ensures relevancy of nursing practice with new interventions and care protocols.
 Provides scientifically supported research to help make well- informed decisions.
 Fosters shared decision-making with patients in care planning.
 Enhances critical thinking.
 Encourages lifelong learning.
EBP IS AN EXPLICIT PROCESS
Five Steps to Implement Evidence-Based Practice in Nursing-
1. Ask a clear question – about the patient's issue and determine an ultimate
goal, such as improving a procedure to help their specific condition.
2. Acquire the best evidence –by searching relevant clinical articles from
legitimate sources.
3. Appraise the resources gathered- to determine if the information is valid,
of optimal quality compared to the evidence levels, and relevant for the patient.
4. Apply the evidence- to clinical practice by making decisions based on your
nursing expertise and the new information.
5. Assess outcomes- to determine if the treatment was effective and should be
considered for other patients.
THE LEVELS OF EVIDENCED-BASED PRACTICE
i. Level A- acquires evidence from randomized, controlled trials and is considered the most
reliable.
ii. Level B -evidence is obtained from quality- designed control trials without
randomization.
iii. Level C- typically gets implemented when there is limited information about a condition
and acquires evidence from a consensus viewpoint or expert opinion.
iv. Level ML (multi-level) is usually applied to complex cases and gets its evidence from
more than one of the other levels.
BARRIERS AND CHALLENGES

i. lack of time.
ii. lack of empowerment to modify practice.
iii. lack of support from colleagues.
iv. lack of access to research papers.
OVERCOMING BARRIERS AND CHALLENGES

In many organizations, leaders face various barriers and challenges that hinder their ability
to maintain continuous improvement and education within their teams. Nursing practice is
no exception. Here are some of the biggest challenges facing organizations in the nursing
field.
i. Lack of Time and Resources

One of the most common challenges organizations faces is a lack of time and resources to
support continuous improvement and education initiatives. Employees’ workload can make
it challenging to allocate time for learning, and budget constraints may limit the resources
available for providing training and development opportunities.
To address this challenge, organizations can prioritize learning and resource allocation
appropriately. Time-management strategies, such as designating specific hours for learning
or setting up a regular schedule for training, can help make learning a consistent part of
employees’ work routines. Moreover, leveraging low-cost or free resources, such as online
courses, webinars, or industry-related blogs, can offer valuable learning opportunities
without straining the budget.
ii. Resistance to Change

Many organizations experience resistance to change from employees who may hesitate to
adopt new processes, technologies, or ways of thinking. This resistance can impede the
implementation of continuous improvement and education initiatives.
To overcome resistance, leaders can communicate the benefits of continuous education to
employees by illustrating how it aligns with the organization’s goals and values. Providing
ongoing support and encouragement, addressing concerns, and celebrating successes can
help build trust and buy-in from employees-essential elements for successful change
management.
iii. Developing Effective Leadership and Collaboration

Effective leadership and collaboration are necessary for overcoming barriers and fostering
an environment that supports continuous improvement and education. Leaders must set a
positive example by engaging in continuous learning themselves and encouraging their
teams to do the same.
Furthermore, leaders can facilitate collaboration within their teams by creating spaces for
open communication, providing opportunities for cross-functional collaboration, and
leveraging the unique skills and expertise of team members. Collaboration helps build
relationships within the team and fosters an environment where learning and the exchange
of ideas thrive.
CONCLUSION
Implementing evidence-based care in nursing is crucial for improving patient outcomes and
promoting high-quality, safe, and effective care. It involves a collaborative effort between
nurses, healthcare professionals, and researchers to continually evaluate and update best
practices based on the latest evidence. By incorporating evidence-based care into their
practice, nurses can ensure that they are providing the best possible care for their patients
while advancing the nursing field. While implementing evidence-based care may require a
shift in practice, it is worth the effort to improve patient care and ultimately benefit the
health of individuals and communities.
BIBLIOGRAPHY
1. American Nurses Association. (2023, May 5). What Is Evidence-Based Practice in Nursing?
ANA. https://www.nursingworld.org/practice- policy/nursing-excellence/evidence-based-practice-
in-nursing/
2. Tsistinas, O. (n.d.). Subject Guides: Johns Hopkins Nursing Evidence- Based Practice: Home.
Guides.upstate.edu. https://guides.upstate.edu/c.php?g=1023176&p=7411225.

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INTRODUCTION

 Evidence-based practice in nursing involves providing holistic, quality care based on

WHY IS EBP IMPORTANT FOR NURSING?

 EBP is important because it moves practice from tradition to sound scientific

WHY IS EVIDENCE- BASED PRACTICE IN NURSING ESSENTIAL?

OTHER BENEFITS OF EVIDENCE-BASED PRACTICE IN NURSING

 Promotes positive patient outcomes.

EBP IS AN EXPLICIT PROCESS

Five Steps to Implement Evidence-Based Practice in Nursing-

THE LEVELS OF EVIDENCED-BASED PRACTICE

BARRIERS AND CHALLENGES

OVERCOMING BARRIERS AND CHALLENGES

i. Lack of Time and Resources

ii. Resistance to Change

iii. Developing Effective Leadership and Collaboration

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