Describe how evidence-based practice is different from research
Evidence-based practice is now a frequently used term nowadays when it comes to making clinical decisions. Sackett et al. define the evidence-based practice as the conscientious use of current best evidence in making decisions about individual patient care (as cited in Melnyk & Fineout-Overholt, 2015, p. 3). However, due to the need to provide high-quality care to allow for the best patient outcome at low cost, the definition of evidence-based practice has been broadened. Evidence-based practice now includes a systematic search, critical appraisal, and synthesis of the most relevant and best research to answer a burning clinical question (Melnyk & Fineout-Overholt, 2015, p. 3). Carnwell (2000) defines research as a systematic, planned investigation of a specified problem, with a predetermined outcome, which contributes to the understanding of a clinical question. The research project begins with identifying a problem to be investigated and ends with an outcome in the form of results and recommendations.
Highlighting the differences according to Carnwell (2000), research is used to investigate, the results of which will add to existing evidence. Evidence-based practice, on the other hand, aims to search for and appraise the best evidence. A research study ends with the outcome specified at the beginning of the study. Evidence-based practice, on the other hand, ends by making clinical decisions. Research is less concerned with existing evidence, relying instead on other research evidence to build up sufficient justification to conduct the investigation. In comparison, the evidence-based practice relies on a variety of evidence, including that arising from patients’ individual needs. Don't use plagiarised sources.Get your custom essay just from $11/page
How would you identify a research project as being an evidence-based intervention project versus the creation of knowledge in a nursing research project?
According to Carnwell (2000) in Table 1 evidence-based intervention project and nursing research project can be identified based on their title, introduction, problem statement, literature review, data collection method, interpretation, and discussion.
Table 1.
Identifying research type based on headings.
| HEADING | RESEARCH | EVIDENCE-BASED PRACTICE |
| Title | Shows an investigation into something | This is usually a strategy to change with the best evidence |
| Abstract | Summarizes what was done and what was found | Summarizes what was done, what was found and what changes were brought about. |
| Introduction | Rationale for selecting the topic in the light of existing gaps in research. | Existing evidence used to set the conditions from a variety of sources is used to set the condition. |
| Problem | Research question/Hypothesis | Evidence based practice question or hypothesis |
| Objectives | To -explore relationships between gender and age in relation to …… -develop predictive models of such relationships | To -conduct a systematic review of … -compare the best evidence with current practice in …. -device a strategy in… in the light of the best evidence. |
| Literature review | This is structured and opportunistic. Literature used to justify the need for research. | Systematic literature review including strategy for inclusion and exclusion. Literature used as part of the evidence on which to base clinical decisions. |
| Sampling | Can involve a random sample from a database to ensure a high degree of generalizability. | Can involve sampling of audit data |
| Data collection methods and method analysis | Uses interviews, observation, questionnaires for collecting data. Interview analyzed by content analysis and questionnaires by statistical methods. | Uses mainly existing data. Audit data usually include descriptive statistical data, while qualitative may involve quotes. |
| Interpretation | The findings are interpreted in order in the light of the purpose of the research. | A detailed interpretation is presented of the evidence from the various sources showing convergence or disagreement of data from different sources. |
| Discussion | The research findings are compared to current research findings discussed in the literature. Implication for practice are considered. | Evidence from current practice is compared with the best evidence from literatures or clinical guidelines. Any deficiency in current practice are explained. |
| Conclusion | will include a summary of the main finding and a list of recommendations. | The summary will lead to an action plan. The action plan will specify precisely what changes are needed and how these changes will be brought about. |
How do you see EBP’s role in your role as a DNP?
Evidence-based practice (EBP) is increasingly replacing research as a way of ensuring clinical effectiveness and decision making in the NHS (Carnwell,2000). Therefore, engaging in EBP as a DNP is essential to me because it involves the patients’ preference allowing the evidence that is collected to address patients’ individual needs. The use of EBP will enable me as DNP to make informed and safe decisions for my patients. Thus, ensuring positive patient outcomes.
References
Carnwell, R. (2000). Essential differences between research and evidence-based practice. Nurse
Researcher (through 2013), 8(2), 55. Retrieved from
https://login.libproxy.chapman.edu/login?url=https://search-proquest-
com.libproxy.chapman.edu/docview/200766964?accountid=10051
Melnyk, B, M, &Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare:
a guide to best practice. 3rd ed. Philadelphia, Wolters Kluwer.
Response
According to Portney (2020), research and evidence-based practice are correlated concepts that relate to the identification and use of knowledge from research sources to clinical practice. Research involves a rigorous process to answer burning clinical questions or fill gaps in the documented medical literature. Evidence-based practice, on the other hand, is putting into practice the best evidence found out through research in patient care. Nursing research is significant in broadening knowledge and understanding the rationales of various nursing interventions. Nursing research projects can either be from created knowledge or, evidence-based research project. Evidence-based research project compares current nursing practices with the best evidence found from research project. While the knowledge creation research project only explores certain phenomena. As a DNP, EBP is significant because it allows me to cater to individual patient needs, which results in better patient outcomes and satisfaction. Braithwaite et al., (2018), postulates that the outcome of evidence-based practice has played a significant role in nursing education, practice, and science. Thus, the need for evidence-based practice is on healthcare transformation, which champions for safe, efficient, and effective care.
Reference
Braithwaite, J., Churruca, K., Long, J. C., Ellis, L. A., & Herkes, J. (2018). When complexity science meets implementation science: a theoretical and empirical analysis of systems change. BMC medicine, 16(1), 63.
Portney, L. G. (2020). Foundations of Clinical Research: Applications to Evidence-Based Practice. FA Davis