Effectiveness of Evidence Based Practice in Skin Firming Treatments

This essay critically analyzes the effectiveness of EBP in skin firming treatments to improve individual’s final outcomes. It describes the advantages and disadvantages of various EBP and how they are being applicable. The essay also discusses the barriers to implementing EBP in clinical practice.

Clinical Aesthetic

Table of Contents
INTRODUCTION...........................................................................................................................3
LITERATURE REVIEW................................................................................................................3
CONCLUSION................................................................................................................................9
REFERENCES..............................................................................................................................10

INTRODUCTION
The evidence based practice (EBP) is considered as integration and core principle, which
strongly aims on three aspects which are best scientific evidence, clinical experience and patient
values. As per the report states that individuals are appear to be fond of skin firming treatment,
which evolve methodologies for tightening of skins, diminishing fine lines, wrinkles and dark
spots on the skin which is also considered as age spots (Al Dujaili & et. al. 2018). These
procedures prevailed along with its complexities and also people might encounter numerous
issues in regards with treatments and intervention. This essay also underpins the critical analysis
on the effectiveness of EBP in skin firming treatments to improve individual’s final outcomes.
Moreover, it also describes advantages and disadvantages of variety of EBP and how they are
being applicable.
LITERATURE REVIEW
Studies described that clinical environment is the arena where learners can achieve
opportunity where they can learn in regards with care and what the clinical practice is all about
(The Evidence for Evidence-Based Practice Implementation, 2008). While practice, learners can
achieve learning of individualize care. As per the studies of ASAPS, there are about 12.5 million
surgical as well as non-surgical interventions which are termed to be happen 81% of the total.
(The Need for Evidence-Based Aesthetic Dermatology Practice, 2009) It has been found to have
increased in the clinical procedures. Surgical procedures have been increased by the rate of
119% and also non-surgical procedures which is by 726%.
According to the researchers, the top five non-surgical cosmetic procedures are Botox
injections, laser hair removal, use of hyaluronic acids i.e. Hylaform, Restylane, Micro
dermabrasion & also Chemical peels, which are often used by individuals (Britt & Marcus,
2017). As per the author, Initial assessment of a Prospective Cosmetic Dermatology Patient,
includes five certain steps in EBP in context with skin firming treatment. (Charlson, 2021). It is
the sex steps process, in which first step is to administrating answerable structured question
which can be generated from a individuals encounter, determination of valid external evidence
which can helpful for an individual for dermal intervention (Aesthetic Dermatologic Treatments:
Consensus from the Experts, 2015).

It is essential to critically appraising the evidence for appropriate and validity based on
the hierarchy of strength in the deceased order and its literature which consist embedded steps
like systematic intergeneration of reviews, randomized controlled trails, non-randomized
intervention studies, observational, non-experimental, opinion and suggestion of experts.
Another intervention that is being concluded is to implement the results of the appraisal of
evidence and to clinical decision making which can be given to the individuals, evaluate their
outcomes and last it is to disseminate attained information and record information of patient for
future use in practice (Dayan, & et. al. 2020)
The meta analysis is defined as the aspect which is based on the different aspect that is
followed within various concept and factor related with the medical intervention. The meta-
analysis is referring the relatively towards the new statistical technique that is attracting which is
great deal of the attention which is associated with the medical and social science literature. The
tool and technique is used to follow the aspect which is discussed the advantage and
disadvantage of evidence practice in the skin firming treatment. The meta-analysis indicates that
the people or the population take skin firming treatment in order to reduce the complication
which is associated with the lining on the skin, ageing and so on. RCT which is known as the
Randomised control trail which is based on the selected participant for the randomised control
trail which include 7000 and more patient that taken the skin firming treatment which is effective
for the adult patient with the dermatological for the week of treatment and they were effective as
comparison with non-surgical factor for skin firming.
As per the researchers, the EBP is a practice in which associated with the integration of
best research evidence along with clinical expertise and patient values. With the implementation
of this practice, clinicians will ultimately can lead to attain improved patient outcomes. (Fabi &
Yin, 2020). It is a model which works on its determined three fundamental or key components
which are: best evidence which is generally used in the clinically relevant research which has
been formulated by the use of sound methodologies, clinical expertise are prefer to the
practitioner's cumulated knowledge, clinical skills & their experience (The Evidence for
Evidence-Based Practice Implementation, 2008) Also, valuing patients which are termed to be
unique preferences, concerns as well as expectations each individuals can brings to a clinical
encounter, in respect to the dermal treatments.

Studies concluded that there is multiple terminology which are being used and considered
in the procedure of skin firming treatments (Fadhel & Silva, 2018). Such as ultrasound, bottom
line, radio frequency, laser treatments. There is other treatment which are being used in which
surgery is not involved such as facelift, eyelid surgery and neck lift surgery that are most
common treatment which has been used in the field of clinical atheistic. The considered
advantage of EBP in the field of dermatology, has been determined as effective as it can
facilitate in medication that has been progressing quickly and rapidly, that has making significant
and essential changes in the manner in which dermatologists treat patients by considering their
desired outcomes as affirmative. There are clinical interventions that needs to determine to alert
individuals, along with the updated and latest with the outstanding development of such new
plan for acute care, yet dermatologists often neglect to keep up on the off chance, that when it
just depend on the visit timings with practitioners. (The Need for Evidence-Based Aesthetic
Dermatology Practice, 2009).
There are some of difficulties which is create obstruction for the implementation of
evidence based practice are they are most of the reported organisation show the aspect of barrier
to implement of the EBP which is based on the lack of human resource which include shortage
of medical professional, lack of internet to access the work and many more. The major advantage
of the evidence based practice in the skin firming treatment is that they evolve the ability and
individualise the care of patient. Moreover, they reduce the cost of the patient care and they
enhance the expertise of the medical professional which help to provide care with the patient
who take skin firming treatment as an advantage. The major disadvantage of the evidence based
practice in the skin firming is that they indicate shortage of evidence, the oversight of the
common sense and the length of time which is used to create difficulty in the fining of valid
credible evidence.
Endeavours to defeat this inadequacy by going to clinical schooling programs have been
displayed to neglect to work on our exhibition, while the act of EBM has been displayed to stay
up with the latest. New abilities should be acquired on the best way to look through electronic
bibliographic data sets productively and how to basically assess the various kinds of study, as
laid out in the "tool kit" part of the book on which this article is based. The issue is that time for
such exercises is exceptionally restricted without a doubt in a bustling clinical timetable. (Gold,
& et. al. 2018)

Dermatologists cannot be anticipated to peruse and evaluate each new randomized
controlled preliminary distributed in dermatology, particularly as dependence on a solitary early
sure randomized controlled preliminary can be dangerous, in any event, when distributed in an
esteemed diary. All things considered, top notch efficient audits that have looked for all pertinent
information are expected to refresh dermatologists on current best medicines. (Gorgu, & et. al.
2019) Point out that the securing of new data innovation abilities doesn't imply that they supplant
the qualities of being a decent specialist, for example, history taking and assessment abilities,
frequently depicted as the workmanship of medication.
All things being equal, the act of EBM should be viewed as a coordination of information
the executive’s abilities with clinical abilities. (Aesthetic Dermatology Treatments: Consensus
from the Experts, 2015) The point is to make an emanate, learned, state-of-the-art, skilful,
humane, and productive specialist. In this the advantages of EBP that can be considered are
promoting being systematic and explicit, it can help to maintain up to date and inclination of
precision, it can also help in minimizing risk factors as well as influence the agenda of future
dermatology trails and helps in improving the outcomes of individuals, as it lowers down
prevalence of associated risk factors.
As per the author, the evidence base practice can help in providing patient safety.
(Hammoudeh & Stevens, 2019). In order to aims on the patient safety, there are several key
points which has been considered, at first, it can engage health care personnel who are at point of
care in considering point of care in selecting and prioritizing individual's safety, which can be
clearly communicating the evidence base that can be strength type for the individual's safety in
the dermal surgery as well as the conditions which needs to be structured and targetted to each
stakeholders of service seekers.
In the second principle, it analyses the qualitative and quantitative data i.e. adverse
events from surgeries, adverse events, sentinel events and so on (Aesthetic Dermatologic
Treatments: Consensus from the Experts, 2015). Moreover, author conclude that clinicians
general perform to be more occupied with embracing patient security drives when they
comprehend the proof base of the training, as opposed, “practitioners do this, since it is an
outside administrative necessity for individual that can provide effective practice and will be able
to attain improved outcomes for patients. (Hoefnagel & et. al.2019) “For example, it is basic to
determine along with occupied clinicians about the evidence based practice (EBP) that can help

in reasoning for doing risk factor for the appraisal, and also it able to assist them with in
understanding that risk associated factor that can be evaluated is an outer administrative
organization assumption in light of the fact that the strength of the proof backings this patient's
health in the practice (Skin anti-aging strategies, 2012).
Whereas, third, the understanding of didactic education alone is considered to never
enough to change practice for an individual. It has been termed by author that once training on a
particular security initiative is not enough and sufficient for a service user. Essentially further,
developing information and knowledge in context with risk factors, do not really further develop
and demonstrate practice. Maybe, health care associations should invest in the resources, tools
and skills which are meant to be expected to make a culture of evidence based safety practices
rehearses where questions are energized and also motivated along with the considered
frameworks are made and determined to make it simple to make the best decision (Aesthetic
Dermatologic Treatments: Consensus from the Experts, 2015). This can help to clinician to
determined strong decision for the interventions which can help an individual to attain desired
outcome.
The fourth principle which highly concern on EBP upgrades as well as improvement in
individuals' security and safety which should be tended to at each progression and execution
cycle of treatment for individuals (Kalampokis & Smidt 2020) In order to address and direct of
training of practitioners which is fundamental to decide the fit between the EBP patient safety
data and attained information and also the quality of care and services. According to the author,
there is no way of carrying out and to implement, the effective practice along with safety
measures (Skin anti-aging strategies, 2012).
Furthermore, the author state that at last, it essential to evaluate the processes and
outcomes for application of policy, which is found to be associated with null risk factors. Service
users and their stakeholder need to acknowledge that the endeavours to further develop and
improvement in the patient security in order to have positive impact on the quality of services as
well as care of individuals (Khan, 2021). For example, if a new bar coding framework or system
which is being utilized and followed to oversee blood transfusion error. This error is well known
as outcome indicators. It has been discovered that EBP can represent effective result along it can
also underpins the safety measures of individuals.

As per the author, members of social system such as nurses, physicians and other staff
can be influence, how they have rapidly and widely adopted interventions of EBP. Audit and
feedbacks, PGA (performance gap assessment), testing the strategies of EBP that have been
observed. (Aesthetic Dermatologic Treatments: Consensus from the Experts, 2015) According to
the author, it has been observed that PGA and audit as well as feedbacks influenced a positive
impact on changing practice behaviours for the service providers i.e. for clinicians. PGA which
also termed as baseline practice performance that can help to inform members, at the initial stage
of change, in regards with the practice that can indicates particular for PGA that are in context
practice and its effective performance and it also provides ample of opportunities for the
improvement of the practice of clinicians.(Kimura, & Tanaka, 2019 ) This strategy can be
helpful for staff to know the standard and the quality of efforts which to improve care and patient
outcomes are progressive. Studies also conclude that EBP can help clinicians to achieve their
desired outcome in the treatment and able to provide them assistance that can also help to
improve their future practice, which is a strong reason that confirms the importance of Evidence
Based Practice.
According to researcher, there can be multiple of barrier that can be found in the
deleveraging quality of care and services to individuals. It considered as big challenge in the
health care system nowadays. (The Evidence for Evidence-Based Practice Implementation, 2008)
Evidence based practice (EBP), debits problem solving approach that is available on the best and
valid evidence based practice which can help them to improve quality of care, can facilitate in
lowering cost and the individual as well as professional’s development of health workers.
Moreover, it has been based on the international standards that can foster the quality of clinical
practices as well. EBP has introduced a plea for patients, which can facilitate them to attain best
level of care which can help them to improve the outcomes of service users.
As per the author there can be several barriers which have been found as organisational
factors which are interlinked with barrier to the implementation of EBP that also contains lack of
time to overview the literature, hectic work pressure, lack of skill and experience of staff in EBP
and also lack of resources, which are common barrier that can promote adverse effects on the
individuals. (Oliveira & et. al. 2017). Studies represent that other factors that can also promote
effect the effectiveness such as shortage of staff, lack of accessibility of internet sources, lack of
time management and sometimes it has been experienced by dermatologists that practice can be

interrupted by eligibility of patients. Studies confirmed that there are number of criteria which
needs to fulfil by the service user in order to fit for the cosmetic surgery. (Why Is Evidence-
Based Practice in Nursing So Important? 2021) Such as administration mental well-being, it
should be determined if patients and his or her body type are fit and eligible.
Moreover, in depth analysation it has been found that EBP is very much necessary to
follow for practitioners as it can also help in facilitating them and also for the organisation.
Furthermore, as per the author The incorporation of EBP in nursing gives nurture the logical
examination to settle on very much established choices. Through EBP, attendants can remain
refreshed with regards to new clinical conventions for patient consideration. Via looking for
archived intercessions that fit the profiles of their patients, attendants can build their patients'
opportunities for recuperation. EBP empowers medical caretakers to assess research so they
comprehend the dangers or viability of an indicative test or therapies. The use of EBP empowers
medical attendants to remember patients for their consideration plan (Skin anti-aging strategies,
2012).
This permits patients to play a proactive part in their own medical care since they can
voice concerns, share their qualities and inclinations and make ideas on how they need to
proceed. EBP is a fundamental part of protected, quality patient consideration. Medical
caretakers should know about current practices to furnish care to patients with convoluted and
crippling conditions. Nursing understudies in a RN to BSN program become familiar with the
job of examination in the nursing practice. (Aesthetic Dermatologic Treatments: Consensus from
the Experts, 2015) These projects cover the plan, approaches, measure and moral standards of
examination. What's more, nursing understudies utilize basic thinking abilities to assess and
study research contemplates to apply the discoveries to their nursing practice. With the
utilization of EBP comes better persistent results, which can diminish the interest for medical
services assets. Along these lines, medical care associations can diminish costs (Oliveira & et. al.
2017) For instance, obsolete practices might have included supplies, gear or items that are as of
now excessive for specific systems or strategies.
The consideration of approach of EBP is problem solving approach which can help an
individual to attain quality of care, it can also help in integration that it the best evidence from
the studies and individualized care data along with expertise of clinicians and also concern in
regards with patient's preferences as well as values of individual. (Barriers to Implementation of

Evidence Based Practice in Hospitals, 2014) Moreover, dermatology ought to add to "sound
treatment" not just in superficial means by attempting to delete time remnants in skin of patients,
however, by attaining critical influence in avoidance of risk factors, also the recovery factor of
patients and also deferring of skin firming treatments consolidating information on conceivable
neighbourhood and fundamental treatment, instrumental gadgets, tools and medical intervention
as well as obtrusive methodology, that can be filling the absence of logical examinations and
becoming one of the significant focal points of the number of research. (Safran, & et. al.2018).
CONCLUSION
Overall it can be concluded that cosmetic dermatology is progressively in demands due to
age factor populace and the wealth of new tools and techniques and also non-invasive treatment
choices makes these outpatient methods increasingly engaging and tempting. It can provide a
better outcome with the effective use of EBP (evidence based practice), it helps to attain positive
results and improved outcomes of patients. Also, along with multiple resources and brilliant
armoury of medical items and tools are considered to be accessible with additional facilitates the
procedure to complete in an effective manner. It has been studied in essay that while doing
generally facial restoration procedure, accentuation should be determined, the concerning factor
should be patient's safety. Although the study of making an interpretation of examination into
training is genuinely new, there are some considered guidance evidence which undermined what
execution and the projection should be use in advancing the safety and security of patient. EBP
can also help in determining the required care interventions for the patients.

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