Reflection on Evidence-Based Practice in Clinical Practice (NSD203)
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SITUATION As a QUTIC nursing student studying in the first year of HL10 course, I studied unit NSD 203 inquiry in clinical practice. This unit included information and knowledge on Evidence- based practice processes and I have learnt the significance of applying EBP processes in healthcare practice. In this assessment, I would reflect my learning from this unit and write how it would help in developing my future professional skills. For this, I will use my reflection skills, QUT library resources and other internet sources as well. TASK/ACTION My task is to use the STARL reflection framework to reflect the leanings of this unit. I have studied about evidence-based practice and its processes. EBP is a clinical decision-making process where it is ensured that every action taken by a healthcare practitioner is well researched and justified to ensure safe and better patient health outcomes (Hoffman, Bennett, Del Mar, 2017). I learnt that it involves five main steps of designing a clinical question, finding evidence, critically appraising the evidence followed by integrating the evidence with clinical expertise and patient’s specific needs and finally evaluating the credibility of the evidence. In class, I was taught to design an answerable clinical question and find evidence to it. Also, I learnt to search journals and articles from different database sources available on QUT library and on other internet sources. I learnt how to use key terms and filters to refine our research and find appropriate evidence. Further, through the assessments, I learnt to Differentiate between qualitative papers and quantitative papers, critically evaluate papers, about the hierarchy of evidence and identified my own biases.
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RESULT/REFLECT I have learnt that EBP is a very important concept of healthcare practice and can bring better patient outcomes. It involves thorough search, interpretation, analysis and integration of evidence and then it is applied to the clinical practice, so, the patients receive safe and effective care services (Melnyk, 2017). I learnt that this is an extremely beneficial approach with which I can improve the quality of my services. Initially, it looked a little complicated and difficult to use but the workshops and lectures have taught how to sense reliable evidence from unreliable ones and to critically evaluate those evidence. Thus, I feel much more confident in conducting research now and can actually find an answer to clinical questions. LEARNING As a healthcare professional, The skills and knowledge I gained in this unit would be very useful for my future practice. After learning about various benefits of delivering evidence- based care, I have made up my mind to incorporate this skill in my routine practice. I would ensure that I look up for credential evidence supporting the practices and accordingly deliver the services. In fact, NMBA (2016) also suggests that Registered Nurses must critically think, analyse nursing practice and use research findings to deliver accurate and effective care services. Thus, this unit has greatly helped me to become a better healthcare professional and made me able to deliver high-quality services as per national standards to my future patients. I can expect better health outcomes of my patient and also believe that I would make a significant contribution to the healthcare system through my newly developed research skills.
REFERENCES Hoffman, T., Bennett, S., Del Mar, C. (2017) Evidence-based practice across the health professions (3rd Ed). Chatswood: Elsevier Melnyk, B. M. (2017). The Difference Between What Is Known and What Is Done Is Lethal: Evidence‐Based Practice Is a Key Solution Urgently Needed. Worldviews on Evidence‐ Based Nursing, 14(1), 3-4 Nursing and Midwifery Board of Australia (2016) Registered nurse standards for practice. Availablefrom:http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/ Professional-standards/registered-nursestandards-for-practice.aspx