Importance of evidence-Based Practice in Nursing
The combination of analysis evidence, clinician’s know-how, and the welfare of patients is known as Evidence-Based Practice (EBP). The application of evident research has significantly improved the expertise and science used while practicing as a nurse. The analysis guides the practitioners to make sober decisions about the patients’ medical conditions (Dang & Dearholt, 2017).
Additionally, the nurses get updated about the developing methods involved in patient care and, as a result, increase recovery chances of patients. According to Wright et al. (2016), patients get the confidence to open up about what they think about the treatment process. On the other hand, EBP helps the nurses to evaluate any potential harm or injuries on the patients. There are various steps included in EPB, which include the practitioner’s need to find out about the patient’s problem. As a result, the nurse can argue out the best treatment to give to the patient. However, the treatment should be supported in the clinical field before its application. After confirming the efficiency of the method, the nurse puts it into practice. Don't use plagiarised sources.Get your custom essay just from $11/page
EBP affects the morals and attitudes applied in medical practice resulting in improvement in the delivery services offered to patients (Moch et al., 2015). Additionally, EBP reduces the expenses in medical health because of the need for resources used in healthcare decrease. However, there is a need to innovate measures that help overcome barriers to the widespread use of the current analysis. Personal and organizational boundaries have been cited as the main obstacles. For example, inadequate know-how about conducting an examination, awareness of the essence of research, and criticizing the analysis methods are among the personal obstacles. Additionally, the nursing fraternity lacks confidence in conducting research involved in their practice. The organizations’ barriers cited include inadequate time for new methods implementation, inadequate research tools, and the inability to approach the analysis personally.
Researchers identified organizations’ support to nurses as an essential factor associated with EBP. This initiative helps the nurses build confidence without the fear of victimization in case of the emergence of errors. According to Dang & Dearholt (2017), hospitals should avail advanced nurses, analysts, and mentors to help train unskilled nurses about the importance of applying EBP in medical practice. The use of advanced research on patients helps build trust with the health care providers resulting from the effectiveness of the methods employed and success in the treatment process. At the same time, nurses are encouraged nurses to acknowledge the use of EBP in their practice. The establishment, involvement, and employment of research experts in medical sectors are essential in motivating nurses about the use of EPB. When hospitals engage analysts in research, the assurance of positive and efficient outcomes is guaranteed. The fact that adequate health care is a priority in medical practice, the nurses, should come up with the best treatment procedures.
Hospital Policy
The health care sector has the responsibility of complying with the set medical strategies and procedures ranging from discharging patients’ processes to the maintenance of hygiene of patients and the health care workers. Complying with the set strategy and methods reduces accidents and provides a conducive working environment for both the practitioners and patients. Hospital policies and methods responsibilities include encouraging professionalism and giving guidance to new staff and personnel. At the same time, the strategies discourage the reliance of memory by nurses, which result in medical errors (Ghanem et al., 2015). Sepsis, for example, refers to a deadly condition that results from an infection in the bloodstream. Chemicals are released into the bloodstream to try and fight the disease. In situations where the virus overwhelms the body, it results in sepsis. People who are prone to sepsis are newborns, children, older people, and those who have a history of cancer, HIV, diabetes, and liver malfunctioning. Health care centers should follow EBP for the well-being of patients. There are multiple procedures and diagnosis methods from the clinic that are similar to those of EBP (Seymour et al. 2016). For example, EPB recommends the use of two or more criteria to determine the status of sepsis. The hospital policy recommends that patients should be tested from time to time. If the patient has a history of infections, they tend to have positive acute sepsis (Hernandez and Teboul, 2017).
Diagnosis procedures include testing for bacteria present in the blood and determine the number of white and red blood cells. White blood cells provide immunity to the body, while red blood cells act as oxygen transporters to the body tissues. Additionally, tests, for example, ultrasound, are conducted to determine the cause of infection. Other experiments conducted are for the examination of platelets count, and if, in any case, the blood pressure is low. If, in any case, the patient is positive, the head physician recommends for the immediate treatment of the patient, which are implemented by the emergency section and a certified nurse. The patient’s progress is reported to the head physician through the SBAR tool. After the definite diagnosis, antibiotics are administered to the patient. Lactic Acid Reflex, which helps in the hyper fusion of tissues, is also applied to patients with signs of shock. However, patients who are already experiencing shocks are given vasopressors because of recurrent hypotension. The hospital policy also has put in place the process of maintaining the patient’s information and data. These documents require each sector to prepare reports. The same applies to the head physician and the quick response team.
The hospital applies the EBP in different sections, such as the process of analyzing and treating sepsis patients, which is evident in the hospital policy. Additionally, the 3hrs continuous tests after the positive lactate tests are carried out according to the EBP rules. Another similarity is testing the nature of blood before administering antibiotics because they interfere with the blood system. Additionally, in the case of lactate or hypotension, a minimum of 30ml/kg of crystalloid is conducted in the form of IV bolus (Ryoo et al., 2015). On the other hand, the clinic does not adhere to some EBP instructions; for example, EBP recommends that during analysis, imaging services such as ultrasounds should be added on the analysis list to enhance sepsis results (Hernandez and Teboul, 2017).
Additionally, treatment procedures such as putting severe patients on an oxygen support machine are recommended by EPB, but the clinic does not insist on implementing it. The reason for the choice to focus on sepsis is that being a certified nurse, in the recent past, individuals have been experiencing organ failure; for example, kidney failure as a result of infections. It is, therefore, important as health care practitioners to implement the best diagnosis and treatment for sepsis to improve the patient’s welfare.
Strategies and Procedures in Hospitals
Ghanem et al., (2015) explains that there are different types of policies in a health care center, which include the managerial, human resources resource, care providence, information, and pharmaceutical systems. The fact that the administrative policy is the primary determinant of the hospital’s smooth-running is essential to ensure that this policy complies with the set medical rules and regulations practice. The administration’s policy roles are to make sure that the staff is comfortable in the workplace. As a result, the managerial policy becomes the most important in health care sectors. Consequently, the plan ensures that patients and visitors are offered satisfactory services. The hospital administrative team sets the patient’s visiting hours, buys the hospital equipment such as beds, and controls all the activities necessary in maintaining the health care facility.
My Role in Evidence-Based Practice as a New RN
Evidence-Based Practice (EBP) is essential to certified nurses in the days to come because it gives them the confidence to discover more research, which significantly helps the nursing practice. Importantly, EBP encourages morals in the place of work. Therefore, if, in any case, certified nurses decide to own a health care facility, the training from EBP helps the hospital successfully deliver services. Maintaining ethics in hospitals will result in patient’s safety, protecting them from potential harm and injuries (Wright et al., 2016).
In conclusion, Evidence-Based Practice, being a combination of evidence of research conducted, plays significant roles in ensuring the well-being of both the health care practitioners and patients. The nurse’s expertise is enhanced and therefore gets the ideas of dealing with various health conditions. Additionally, practitioners get to understand ways of finding solutions when dangers or injuries happen to patients. After finding out a medical problem, the nurses should evaluate the evidence discovered before approving it. Consequently, EBP is cost effective because the resources required in hospitals are decreased. Although challenges face the process of implementing new research, the nursing organization has established the solution to the barriers, which include employing experienced analysts and mentors in the hospital.
Additionally, EBP has introduced new research in various medical fields, for example, the improvement in the diagnosis and treatment procedures of sepsis. In the health care center, setting strategies and methods are essential for the welfare of both the nurses and patients. The managerial policy is the most important in any hospital setting because it spearheads all the hospital’s operations.
References
Dang, D., & Dearholt, S. L. (2017). Johns Hopkins nursing evidence-based practice model and guidelines. Sigma Theta Tau.
Ghanem, M., Schnoor, J., Heyde, C. E., Kuwatsch, S., Bohn, M., & Josten, C. (2015). Management strategies in hospitals: scenario planning. GMS Interdisciplinary Plastic and reconstructive surgery DGPW, 4.
Moch, S. D., Quinn-Lee, L., Gallegos, C., & Sortedahl, C. K. (2015). Navigating evidence-based practice projects: the faculty role. Nursing education perspectives, 36(2), 128-130.
Ryoo, S. M., Ahn, S., Kim, W. Y., & Lim, K. S. (2015). External validation of the MISSED score to predict mortality in patients with severe sepsis and septic shock in the emergency department. European Journal of Emergency Medicine, 22(5), 327-330.
Salerno, A., & Robinson, K. (2015). NG Tube Placement Methods: An EBP Review.
Seymour CW, Liu VX, Iwashyna TJ, et al. Assessment of Clinical Criteria for Sepsis: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). Jama 2016; 315:762-74.
Wright, J., Lawton, R., O’Hara, J., Armitage, G., Sheard, L., Marsh, C., … & Thomson, R. (2016). Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm.
Hernandez, G., & Teboul, J. L. (2017). Fourth Surviving Sepsis Campaign’s hemodynamic recommendations: a step forward or a return to chaos?