Changing our Ways- Evidence Based Practice

Written by Professor Kirby

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Evidence-based nursing is used daily. However, some nurses are unaware that research studies have proven an approach or nursing intervention to be beneficial to practice. In other words, evidence-based practice plays an important role in the day to day care of our patients. We often perform our nursing duties as taught to us without a thought as to why we are using specific techniques. Oh, we may recognize a medical aseptic technique prevents hospital-acquired infections. However, do we recognize the history behind the discovery of aseptic technique? According to Wong and Myers (2016), evidence-based practice mandates that nurses use critical thinking skills to evaluate the nursing approaches and determine the origin of their interventions (p. 16).

Let’s evaluate the nursing philosophy of Patient-Centered Care. As nurses, we play a major factor in the healing process because we set the tone of the patient’s clinical environment. When a clinician focuses on the patient whole being they become a part of the healing process. This is considered holistic care and promotes wellness by acknowledging more than the physical need, but also, the psyhosocial, spiritual, and cultural needs. Both patient-centered care and holistic care are both considered best evidenced-based nursing practices and are derived from nursing research. Some nursing schools and health systems follow these models.

According to Emanuel et al. (2011), nurses need to ensure their practice is current and that they are equipped with the necessary skills to be flexible and adaptive. So, what happens when our practice becomes routine or ritualistic? How do you maintain patient-center care? We must not only critically evaluate our practice. But, we must be in tune with ourselves and realize when we find ourselves in a task-oriented mindset. Therefore, we can stepback and regroup to give the best of ourselves to our patients.

Reference
Emanuel V et al. (2011). Developing evidence-based practice among students. Nursing Times, 49(50), 21-23.

Wong, P., & Myers, M., (2015). Clinical competence and EBP: An educator’s perspective. Nursing Management, 15-18.

28 thoughts on “Changing our Ways- Evidence Based Practice

  1. “We as the nurse are a major factor in the healing process because we set the tone of the environment.”
    I think that’s a huge sentence because it sets the tone for the rest of the paragraph in helping aide the reader understand that centering the patient in patient-centered care is incredibly important rather than falling into the same routine everyday of just getting the job done. I’ve read elsewhere also that it’s important to focus your care based upon how the resident themselves asks to be taken care of. While evidence based nursing is essential in using the data to further care, it’s important to also focus on the patient’s individual needs over the needs the data shows, in the sense that not every one person is exactly the same.

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  2. I think it’s very unfortunate to hear that many nurses perform their duties without questioning why. As we read in the previous article, the medical field is constantly changing. I feel that it is important to ALWAYS questions why you are doing what you are doing and to realize the effects of what is being done. This will make for a better nurse to understand and comprehend the background information on a nursing intervention so the best plan of care can be provided.

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  3. I think this is a very insightful idea. I never knew about this topic but it makes a lot of sense. I think as humans we find something that works so, why change it? and we get into a routine. I think it is important for nurses to recognizes that you can fall into a pattern. We must make sure we adapt and change as new policies and procedures come along because we are learning new things every single day as a human race. There are so many things we do not know, therefore we need to make sure we are prepared to adapt to better care for patients as we learn more.

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  4. Nurses and clinician do play a huge role in the healing process of the patient, because if you are helping someone heal the environment you provide of them can also help speed up the healing process. i strongly agree with the used of evidence based practice.

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  5. New information that I’ve learned from this article is basically that ALMOST everything we do in the health-care field has been researched. Studies have been done on certain things to make it suitable for the task at hand. I also learned that if we aren’t in tune with ourselves and our own thoughts – the task at hand will be 10 times harder for a nurse to complete. We should be flexible and adaptive to the practices and make it become a routine. We as nurses are apart of our patients healing process and that’s super important.

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  6. I could see how a nurse could get into a routine and then go on auto-pilot but that’s not what is best for the patients in his/her care. I agree that attention needs to be paid to how we care for patients and even more care needs to be paid to how we as nurses care for ourselves. “You cannot pour from an empty vessel – Eleanor Brownn”

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  7. Nurses are the backbone to the healthcare system around the world. They go above and beyond for there patients. Patient centered care is all that nurses do, they care, comfort, teach, and like we talk about in class they can even be like a parent to their client. After all their hard work they also need to take care of themselves so that when they go to work. their patients can have the best care.

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  8. I do not work in the medical field yet so I didn’t think that nursing based practice could be so different from patient centered care. This blog has made me realize how wrong I was and how much better nurses would be using patient centered care as their go to. Patient centered care leaves the client so much better off instead of just doing something because that’s what was taught to you. Nurses need to fully understand their actions.

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  9. Nicely put article! It makes realize how important EVP is in nursing field. Research studies have proven an approach or nursing intervention able to confirm that some of the things we do actually improve outcomes for patients. In other words “Without evidence, you have no way to measure the outcome of a nursing action you’ve taken”. EVP certainly is “gold standard” for the delivery of quality care.

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  10. I did not realize that nurses perform their duties without a second thought because that is what they have been taught. I think it’s rational that they should have second thoughts about it, but not in a doubtful sense whatsoever. The second thought should be an understanding that in dire situations, if they were to make a mistake or an accident occurs, it could result in damaging the patient somehow, whether it leaves emotional or physical scarring. It is a job that is very serious and the second thought should be there, but the fortitude to carry on is a thankless habit that transcends success as a healthcare worker.

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  11. I was already aware of evidenced-based practice, what I did not know was that nurses or other healthcare workers just do and don’t ask why. Why we do what we do as nurses? That should be an ongoing question for healthcare workers, especially nurses. I as a student nurse want to better myself every day so I can provide the best care to my patients. I think that re-evaluating yourself is a great way to do that.

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  12. Evidence-based practice is research-based practice that has been shown effective through particular scientific evaluation. EVP throughout a nurse’s education and clinical experiences develops more advanced critical thinking and decision-making skills. I also learned EVP keeps nurses current, up-to-date, and provides the best care to patients for the best reasons. Evidence-based practice is a widely used problem-solving approach in the clinical setting, but it’s also crucial to delivering patient-centered care.

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  13. I knew that much of the nursing field was based on evidence-based practice, but I am now learning every through PPR how myself as a person will have a huge impact on the kind of nurse that I will be. How I treat people, how I maintain professionalism, and how I choose to give my patients a sense of belonging.
    These few words from the blog made me think “nurses need to ensure their practice is current and that they are equipped with the necessary skills to be flexible and adaptive.” This is a perfect way to summarize the job qualifications that it takes to be a nurse. So much insightful information in this short but to the point blog.

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  14. I am very bothered that some nurses have become rote in their care. I can see it happening though. If I evaluate my own care and caring of my current client I can see where I have become complacent. It is is exactly this action that is the problem. I am thankful for the article and it reminding me to perform my duties with the most current knowledge base and not just from what I know. A wonderful and pertinent read!

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  15. The important information that I pick from the article, is the importance of evidence based practice in the day to day care as a future practice nurse [PN] , which entails improving clinical practice, work environment as well the patient outcomes.

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  16. In the previous article, “Practices Can and Will Change,” I mentioned the saying, “If it ain’t broke, don’t fix it.” I said this in relation to myself and my way of thinking. After reading this article, I’ve learned that I will need to actively make sure I don’t fall into that way of thinking when it comes to the care of my patients. I believe that what would make a well-rounded nurse would be someone who is constantly educating themself and reevaluating the care they provide. The medical field is ever-evolving and we need to constantly evolve with it to be able to provide optimal care for our patients.

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  17. The information that i like is nurses play the main role of healing the patients , so as a nurse have to be ready for the challenges and passionate about the work.

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  18. Nurses do play huge role in the healing process, depending on where you work you could potentially thirty patients and you just want to get your meds passed and get your tasks done. But at the same time nurses forget that their patients are humans and not robots. This was also a reminder to be mindful of the way we care for patients, not just caring for them from what we know or were taught, but also caring for them from a holistic approach.

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  19. Indeed when we say “Evident – based” , it is largely because it was a careful thought and researched process that has yielded more positive result in a care(s) of patient(s) and in deed does not make it flawless .
    This is where our critical reasoning/thinking comes into play ( focusing on your thinking to get the results you need)..if there is anything constant in nature ,it is change .As a nurse we should strive for that positive change in our daily practice.
    No doubt , this article calls to mind the need for nurses and all healthcare worked at large ( especially in our world today when advent of apps in technologies is superseding researches in Medicine,)to always update our selves intellectually e.g through future studies , to always questions , to diversify , to run researches, always thinking of a “better option “,( hugely bearing in mind the safety of our patients ) .
    This is the only way we can be relevant in our duties to serve the environment , heal our community , solidify patients – care and sustain the goals of healthcare as whole .
    Always a good read , always a nudge to right direction via your blogs .Thanks for these blogs , Mrs K.

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  20. Nursing job is complex and multifaceted where the big importance is to react fast by navigating your knowledge towards the right directions. We have to think “outside the box”, use critical thinking that is essential for the successful nurse, know the ways how to adapt to the changing situations.

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  21. What I’ve taken out of reading this is as we may ask why we a certain thing this specific way, I know and understand that there’s a reason. I think with my background in working with home care helps a lot. We have ways of doing stuff down to a specific way of changing a client and there’s usually a reason to why you roll and not lift as an example. Always ask questions, no question is stupid, I really hope everyone can come to being open with questions!

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  22. I know how vital evidence-based practice is to nursing, however, I did not realize that nurses perform actions without thinking about the rationale behind it. It’s easy to do things because that’s what you were taught, but understanding why you’re doing that action is what makes you a better nurse. Using your previous article “Practices Can and Will Change” for example, it’s easy to say “oh, I’m changing this patient’s foley catheter because of the new guidelines” but, understanding why those new guidelines were put into place could make all the difference for your patient.

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    • Great Connection Ellie:) You get it! Always know the Why??? You would think this is common sense or practice. However, many nurses perform a task and never inquire about or investigate the rationale behind it. I believe knowing the “why” will keep people maintain proper protocol. When you don’t know why you don’t recognize the true importance and may be more likely to try a shortcut.

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  23. I think this is a very important topic as nurses to be aware of, We should never fall into a routine even if it is comfortable for us because medicine is constantly changing and so are the situations we are in. We need to assess every situation differently , as we grow everyday. I found this very insightful but as nurses we should always reevaluate our situations as they change.

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  24. I think it is very human to fall back on routine and what is familiar. That is what makes self-evaluation so important because you don’t want to fall back on that and just go through the motions. You need to realize when that is happening and wake up to what is happening. Every patient is an individual human, nurses aren’t fixing a machine or patching up a wall, and so every patient has to be treated differently. There can not be a set “routine”. There can be guidelines and steps to go off of but you have to keep your eyes and ears open. By falling back on routine we could miss important details or damage the nurse-client relationship and impede the care we provide.

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  25. The nurses and other healthcare providers plays a major role of the healing process with the patients. I feel as though depending on where you work, and how you where trained nurses perform their duties on the patients without thinking about the rationale or asking why.

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