The Role of Evidence-Based Practice in Modern Nursing

The provided document highlights the importance of evidence-based practice (EBP) in nursing, emphasizing its role in enhancing understanding between caregivers and patients. It notes that EBP not only increases patient outcomes but also fosters professional relationships within healthcare settin...Read More

Running head: MANIFESTATION OF EVIDENT BASED PRACTICE
Manifestation of evident based practice
Name of the Student:
Name of the University:
Author Note:

1MANIFESTATION OF EVIDENT BASED PRACTICE
Executive summary:
The aim of the report was to give an insight of the process of Evidence Based Practice in the
field of nursing. The importance of such practice is elaborated in the report along with the
implementation process. The report also demonstrates the impact of the process on patient
outcome. It also analyses the feasibility of non-trained nursing that is without the knowledge
of evidence based practice. The report also deduces a notion on the way the untrained care
givers can be give assistance in the present scenario to improve the process by which they
give care to the patients. The importance of planning on the basis of evidence in the health
care centers is also elaborated in the discussion. The incorporation of the standards formed by
the Nursing and Midwifery Board of Australia (NMBA) reduces the complications that the
nurses face during care giving process.

2MANIFESTATION OF EVIDENT BASED PRACTICE
Table of Contents
Introduction:...................................................................................................................3
Discussion:.....................................................................................................................3
Initiation of evidence based practice:.........................................................................3
Importance of evidence based practice:.....................................................................4
Impact of evident based practice on patient outcome:...............................................4
Theoretical implementation of evident based practice:.............................................4
Practical implementation of evident based practice:..................................................5
Significance of the knowledge of evidence based practice in the field of nursing:...5
Issue of lack of knowledge among the non- trained nurses:......................................5
Feasibility of implementation of evident based research practice by registered
nurses, without formal training:.............................................................................................6
Implementation of the NMBA standards (2016) in the context of evidence based
caregiving:..............................................................................................................................7
Conclusion:....................................................................................................................8
References:.....................................................................................................................9

3MANIFESTATION OF EVIDENT BASED PRACTICE
Introduction:
Evident based practice in the field of nursing is the utilization of the best evidences
available currently, in planning and giving care to a patient. It is an approach to
systematically administrate clinical practices (Hoffmann, Bennett & Del Mar, 2013). It needs
the practitioner and the caregiver to evaluate the present research works, guidelines and other
available resources to give a patient the best personalized treatment (Hall & Roussel, 2016).
The process integrates the experience of a clinical expert, researches of the relevant updated
evidence available for a particular type of illness.
The report discusses about the importance of evidence based practice in the field of
nursing. The requirements that a patient has is also taken under consideration during the
practice of the model.
The necessity of the caregiver to execute the rule and regulations drawn on the basis
of the current evidence is elaborated in the report. The implementation of the evident based
practice and its impact on the patient is also being discussed.
Discussion:
Initiation of evidence based practice:
The practice of treatment and care giving on the basis of evidences, came to existence
in the 1980’s. The practitioners faced many problem during the time when there was no
methodology added to the process (Rubin, 2012). This made the process complex as there
was no insight available for approaching the problem. The process is not just the utilization of
researches, it also requires the inclusion of one’s personal intuitions and knowledge.

4MANIFESTATION OF EVIDENT BASED PRACTICE
Importance of evidence based practice:
The process assists the nurses to ensure high-quality of care to the patient because it
combines the research materials in addition to personal knowledge of a nurse. It increases the
caregiver’s confidence for making a decision by providing the outlines of the procedure
(Greenhalgh, Howick & Maskrey, 2014). The process is crucial to be followed by the nurses
because it provides them the current procedures and policies that is being implemented across
the globe.
Impact of evident based practice on patient outcome:
The impact of evidence based practice till date has given positive patient outcomes.
The process has successfully helped the caregivers and practitioners to yield positive
outcomes in minimum duration. The method has transformed the healthcare industry by
redesigning the process of caregiving. This process is safe, highly effective and can be
practiced efficiently (DiCenso, Guyatt & Ciliska, 2014). The difficulty that the nurses faced
in contributing their valuable knowledge has been minimized and they get a clear idea about
the case they are dealing with, as an outcome of the process. The practice also reduces the
period taken for treatment and has a major role in lowering the charges of treatment, as it
reduces the patient’s time of stay. Reduction in the span of stay also minimizes the risk of
infection, which are acquired from hospitals.
Theoretical implementation of evident based practice:
The nurses in the making in the present scenario, need to study the different ways in
which the practice can be processed practically. The practitioners and the senior registered
nurses have reported the need of making the students learn the practice, at least in the areas of
their specialization. The Australian colleges of nursing, therefore, have added the subject in
the syllabus to commemorate the process. The theories help them to have an understanding of
the practice process, it decreases the problems faced by the interns during practical

5MANIFESTATION OF EVIDENT BASED PRACTICE
approaches, as, they already have an insight of the scenario. The process has been in strict
implementation from the last two decades. The process of caregiving has been reported to
have immensely bettered since then.
Practical implementation of evident based practice:
The first and the most crucial part to execute the evidence based practice process is to
create a culture for incorporation of the process in the healthcare centers or organizations.
Implementation of evident based practice in the clinical setups is a difficult scenario to find.
It is found to be either partially successful or fail to exist (Royse, Thyer & Padgett, 2015).
The outlines that the practice recommends the nurses to follow has a number of restrictions
and amendments added to it, these rules and regulations need the nurse to learn certain
theories and implement it. The process of learning is considered as a burden by some of the
caregivers, which makes the process of implementation difficult (Melnyk et al, 2014).
Significance of the knowledge of evidence based practice in the field of nursing:
The nurses handling the patients of the critical care units, play a vital role in the
recovery process of the sufferer. The knowledge of the evidence based practice is crucial for
such caregivers because the critical patients do not have the time required to assess the
information in a reluctant manner (Francis et al, 2012). If the nurses do not have the
understanding of the situation, the consequences can be inimical (Dearholt & Dang, 2012).
The nurses who supervise the outdoor patients have to have the experience of handling a
large number of patients at the same time, this practice helps to comprehend and reduce the
time of examination.
Issue of lack of knowledge among the non- trained nurses:
There have been many cases of nurses who provide care without proper training to the
patients in several parts of Australia. There are many nurses who are in this profession

6MANIFESTATION OF EVIDENT BASED PRACTICE
without any formal training, for a long time at many hospitals in the country (Schneider &
Whitehead, 2013). The scenario was acceptable in the earlier days as the population was not
so high then. The caregivers had ample amount of time to dedicate to a certain patient. In the
present scenario, the caregivers do not have the time to explore and then react, they have to
retaliate in a restricted period of time, which needs the knowledge of the ailment, the patient
is suffering from and work accordingly in fraction of moments.
Feasibility of implementation of evident based research practice by registered nurses,
without formal training:
Registered nurses are the ones, who practice caregiving by implementing their
knowledge about illness and give personalized care to the patients. They are supposed to
work by building a professional as well as therapeutic relationship with the patients
individually. The nurses who are registered in Australia have to deal with a diverse number of
cultures and respond accordingly (Hamric et al, 2013). The need for them to have the
knowledge of the rule of practice is pivotal as they do not have the luxury of spending time to
analyze a patient’s situation. They have to manage many cases at the same time, they have to
have the expertise of handling various patients suffering from different ailments, the
knowledge assists them to commemorate about each case in a rapid manner. The Nursing and
Midwifery Board of Australia (NMBA) has also set several standards for the registered
nurses to practice. According to the NMBA standard 2016, there are seven basic standards
that should be followed. First standard being, thinking and analyzing the practice to be
implied, second standard being, making professional and therapeutic relationships with the
case, third being maintenance of their capability for practicing by being updated. Fourth
standard is to conduct assessments comprehensively. Fifth is, to develop personalized plans
for practicing nursing. Sixth standard deals with providing appropriate safe and quality

7MANIFESTATION OF EVIDENT BASED PRACTICE
caregiving. Seventh and the final standards deals with the evaluation of the outcomes that the
nursing practice results in (Hockenberry, Marilyn & Wilson, 2014).
The presence of untrained registered nurses in Australia is common. The nurses who
are untrained are mostly above forty years of age. They have been in the profession, before
the strict implementation of the evidence based practice. The administrations of various
hospitals have reported that the efficiency of the trained and the untrained nurses vary. The
nurses lacking the knowledge of theoretical evidence based practice, take longer time to
determine the approach they have to give to a certain case than the trained ones. The
feasibility of untrained nurse in the clinical settings is the least. The need of highly
professional caregivers is in the rise with the increase in diversity and number of people in
the population (Lewenson, 2014). The lack of expertise increases the chances of discrepancy
in the process of nursing. The risk factors exponentially increase, when the patients are
subjected to such caregivers.
The scenario cannot be changed abruptly, although the situation of the untrained
nurses in critical care units can be strengthened and developed by imposing compulsory
attendance of nurses in the caregiving programs (Stanhope & Lancaster, 2013). This will
create an understanding among the nurses and help them to tackle the complex situations in a
better way.
Implementation of the NMBA standards (2016) in the context of evidence based
caregiving:
According to the set ups that are found to inculcate evidence based caregiving, three
standards are important to be implemented for significant improvement in the set ups. The
standard 1.1 (the registered nurse accesses, analyses and uses the best available evidence, that
include research findings for safe quality practice) is significant for implementation, it deals

8MANIFESTATION OF EVIDENT BASED PRACTICE
with assessment of the presently available evidences, then analyzing and using it as per the
needs of the patient. Evidence based nursing also requires the caregivers to practice by
reflecting on the knowledge and experience they have inculcated since the beginning of their
career, this requires the incorporation of the standard 1.2 (develops practice through
reflection on the experience, knowledge, actions, feelings and beliefs to identify how these
shape practice) in the working environment of the clinicians. The practices based on evidence
as discussed in the previous sections requires a caregiver to assess the cultural background of
the patient and evaluate the behavioral aspect and give care accordingly, this requires the
inculcation of the standard 4.1 according to the NMBA standards 2016, it emphasizes on the
assessments of the cultural aspect and give them holistic approach (the registered nurse
conducts assessments that are holistic as well as culturally appropriate). Holistic approach
helps to build a relationship with the patient, it enlightens the sufferers to approach the
caregivers without any hesitation (Karna, et al., 2012).
Conclusion:
Therefore, from the above report, it can be concluded that, the nursing based on
evidences raises the understanding between the caregiver and the patient. It highly increases
patient outcome and helps in creating a professional relationship with the patient. The need of
commemorating the practice process is on the rise because of increase in the diversity of the
population, so, the issue should be given the attention it needs. The professional and
theoretical implementation together enhances the process of care giving, it eases the task of
the nurse as well as the practitioner. Inculcation of the NMBA standards enhances the
conditions of the set ups. Untrained nurses present should be given crash courses to increase
their efficiency, it minimizes the ambiguity that the nurses previously dealt with. Clinical
manifestation of the practice is on the rise across the globe. The practice based on evidences
gives an insight of the present scenario of the nursing profession, it has not only minimized

9MANIFESTATION OF EVIDENT BASED PRACTICE
the care giving process but also helped the professionals to work in a systematic way. Further
development of the process should be taken care of, for advancement of the process.
References:
Dearholt, S., & Dang, D. (2012). Johns Hopkins nursing evidence-based practice: Models and
guidelines. Sigma Theta Tau.
DiCenso, A., Guyatt, G., & Ciliska, D. (2014). Evidence-Based Nursing-E-Book: A Guide to
Clinical Practice. Elsevier Health Sciences.
Francis, J. J., O’Connor, D., & Curran, J. (2012). Theories of behaviour change synthesised
into a set of theoretical groupings: introducing a thematic series on the theoretical
domains framework. Implementation Science, 7(1), 35.
Greenhalgh, T., Howick, J., & Maskrey, N. (2014). Evidence based medicine: a movement in
crisis?. Bmj, 348, g3725.
Hall, H. R., & Roussel, L. A. (2016). Evidence-based practice. Jones & Bartlett Publishers.
Hamric, A. B., Hanson, C. M., Tracy, M. F., & O'Grady, E. T. (2013). Advanced Practice
Nursing-E-Book: An Integrative Approach. Elsevier Health Sciences.
Hockenberry, M. J., & Wilson, D. (2014). Wong's Nursing Care of Infants and Children-E-
Book. Elsevier Health Sciences.
Hoffmann, T., Bennett, S., & Del Mar, C. (2013). Evidence-Based Practice Across the Health
Professions-E-Book. Elsevier Health Sciences.
Karna, K., Sharma, S., Inamdar, S.., & Bhandari, A. (2012). Study and evaluation of
medication errors in a tertiary care teaching hospital–a baseline study. Int J Pharm
Sci, 4(5), 587-593.

10MANIFESTATION OF EVIDENT BASED PRACTICE
Lewenson, S. B. (2014). Taking charge: Nursing, suffrage, and feminism in America, 1873-
1920. Routledge.
Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The
establishment of evidence‐based practice competencies for practicing registered
nurses and advanced practice nurses in real‐world clinical settings: proficiencies to
improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on
Evidence‐Based Nursing, 11(1), 5-15.
Royse, D., Thyer, B. A., & Padgett, D. K. (2015). Program evaluation: An introduction to an
evidence-based approach. Cengage Learning.
Rubin, A. (2012). Statistics for evidence-based practice and evaluation. Cengage Learning.
Schneider, Z., & Whitehead, D. (2013). Nursing and midwifery research: methods and
appraisal for evidence-based practice. Elsevier Australia.
Stanhope, M., & Lancaster, J. (2013). Foundations of nursing in the community: Community-
oriented practice. Elsevier Health Sciences.