Running Head:EVIDENCE BASED PRACTICE 1 EVIDENCE BASED PRACTICE AUTHOR’S NAME UNIVERSIT OF AFFILIATION
EVIDENCE BASED PRACTICE 2 Table of Contents 1.0 Introduction-------------------------------------------------------------------------------------------------3 1.1.1 Levels of evidence-------------------------------------------------------------------------------------4 1.1.2 Types of evidence-----------------------------------------------------------------------------------4 1.1.3 Importance of evidence for practice.'------------------------------------------------------------6 1.2 Barriers to implementation of evidence--------------------------------------------------------7 1.3Demonstrates awareness of research process-------------------------------------------------7 2.0Provides a critique of two articlescorrectly identifying the type of evidence------8 2.1.1Burnout article------------------------------------------------------------------------------------8 2.1.2 Palliative care article---------------------------------------------------------------------------8 3.0 Methodology--------------------------------------------------------------------------------------------9 3.1The research design-------------------------------------------------------------------------------9 3.2Data collection.-----------------------------------------------------------------------------------------9 3.2.1Palliative care article----------------------------------------------------------------------------9 3.2.2 Burnout article----------------------------------------------------------------------------------10 3.3Sampling method------------------------------------------------------------------------------------10 3.3.1 Palliative care article-------------------------------------------------------------------------10 3.3.2Burnout article-----------------------------------------------------------------------------------10 3.4Approach to analysis--------------------------------------------------------------------------------11 4.0CONCLUSION------------------------------------------------------------------------------------------11 References------------------------------------------------------------------------------------------------12 Bibliography------------------------------------------------------------------------------------------------14
EVIDENCE BASED PRACTICE 3 1.0 Introduction Evidence-based practices are practices in health that are not regularly provided in care delivery. However, the practices are available for a number of illnesses such as heart failure, asthma, and diabetes. The patient safety research has put a lot of emphasis on analysis of data to identify the issues regarding patients and demonstration of how the new practice will lead to improvement in patient safety and improved quality. Nevertheless, less attention has been paid to how these practices will be implemented. Implementation of evidence practices requires strategy since they are complex hence the strategy should address the complexity of individual practitioners, top; leadership and care systems, ultimately changing to be evidence-based practice. Nursing has a great history of utilizing research in practices. The profession of nursing has provided great leadership for care improvement through the application of the findings in research (Clancy et al., 2006). The evidence-based practice is the judicious and conscientious use of best evidence in aggregation with clinical know-how and patient values to guide health care decisions. Best evidence practicescomprise of the empirical evidence from randomized controlled trials, evidence of other scientific methods such as qualitative and descriptive research. After enough evidence is gathered the practice should then be guided by research evidence in conjunction with clinical know-how and patient values. In some situation whereby the research base is not
EVIDENCE BASED PRACTICE 4 sufficient and available, decision making by the health care is derived from the non-research evidence sources such as scientific principles (Titler, Kleiber and Steelman, 2017). 1.1.1 Levels of evidence Based on methodological validity, quality of their design and patient care applicability assigned to the level of evidence, the decision state the recommendation strength. The levels comprise of: First, level 1: systematic review evidence or meta-analysis of the randomized controlled trial of all relevant or guidelines that are clinical evidence based on the reviews that are systematic of the randomized controlled trial, or more randomized control trial that have a good quality of similar results. Second, level 2: evidence should be obtained from at least one randomized controlled trial that is well designed such as a large multi-site randomized controlled trial. Thirdly, level 3: considered as the non-experimental study.at this level is the review of the systematic review of the randomized control trial of the previous level without or with meta-analysis (Hopkins, 2017).Fourthly, level 4: this is evidence that emerges from case controls that are well designed or cohort studies. Fifthly, level 5.These are evidence that emerges from the systematic reviews of the qualitative and descriptive studies commonly referred to as meta-synthesis. Level 6: These are evidence that emerges from a single qualitative or descriptive study. Level 7: There is evidence from the reports that come from the expert or the opinions of the authorities (Ackley et al.,2008) 1.1.2 Types of evidence Types of evidence are used in making a decision regarding the patient care. Some types of evidence are regarded stronger than others since not all types are equal.
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