Evidence-Based Practice in Nursing Assignment
Respond to the post bellow (positive comment), using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, and evidence.
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Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.
Validate an idea with your own experience and additional sources.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Evidence-Based Practice in Nursing Assignment
In order to improve patient outcomes and ensure appropriate decision making, it is essential that evidence-based practice (EBP) be incorporated into patient clinical experiences (Polit & Beck, 2017). EBP should be a priority in this current day and age of healthcare. Patient healthcare decisions should be designed according to the most up to date available clinical evidence. This clinical evidence should be focused on safe and efficient patient care. In many facilities, my own included, EBP is encouraged to be incorporated into daily clinical practice. Unfortunately, the practical process and resources that are necessary for achieving EBP are frequently not available or successful (Aitken et al., 2011). In order to improve and increase EBP utilization in healthcare, nurse-led EBP programs have been put in place. My current institution is currently trialing a nurse-led EBP in the ICU. This program consists of 3 nurses that complete daily rounds in the ICU to evaluate the efficacy of specific protocols or products such as oral care on ventilated patients being completed every 2 hours.
According to Cullen & Adams (2012), nurse-led research is increasingly recognized as an essential pathway to effective and practical was of improving patient outcomes. The dissemination of EBP should be a top priority. Effective dissemination strategies provide a pathway for knowledge to be shared and inspire further innovations. In order to disseminate EBP findings, my institution uses its website to post the most current and up to date clinical findings. The healthcare staff members are expected to review newly posted information on a weekly basis. When it comes to instituting an excellence-focused culture in healthcare, nursing research and EBP are required along with the integration of a professional practice model (Aitken et al., 2011). In order to achieve this great feat, nurses and all healthcare staff alike need to be encouraged to participate in scholarly activities (Aitken et al., 2011). Healthcare institutions should also have readily available resources for nurses and staff members to investigate the most current EBP methods.
Aitken, L. M., Hackwood, B, Crouch, S., Clayton, S., West, N., Carney, D., & Jack, L. (2011). Creating an environment to implement and sustain evidence-based practice: A developmental process. Australian Critical Care, 24(4), 244–254.
Cullen, L., & Adams, S. L. (2012). Planning for implementation of evidence-based practice. Journal of Nursing Administration, 42(4), 222–230.
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.
Evidence based Practice is using information and practices obtained from prior research and preferences (Polit & Beck, 2017). When I think of evidenced based practice, I think of current practice utilizing certain practices and procedures because they have been tested and proven in the past. Evidenced based practice can be derived from literature, healthcare workers and patient experiences (Polit & Beck, 2017). There are many practices that we utilize around the hospital today that come from evidenced based practice. We use them so lightly daily and many times not understanding the meaning behind them and that others have tested them making it safe for us to use them. The one thing that came to mind was the use of off label drugs to treat various mental health issues. In Behavioral health it requires various combinations of drugs to gain the warranted effect (Narsa, 2018). When treating bipolar disorder and other mood instabilities there are the well-known medication like lithium, but evidence as presented itself showing that various seizure medicines can elicit the intended result (Narsa, 2018). In Psychiatry they utilize antiepileptic medications such as Depakote, Tegretol and Topamax to stabilize a patient with mood disorders (Demland, 2017). This is many times used in combination with the popular medications such as Lithium. Patients are many times very stunned to find out that they will be placed on such a medication. Many times, these medications will be introduced if the patient has a difficult time adjusting to the medication dosage changes or the intended effect is not seen (Demland, 2017). Many patients have testified to the benefit of these medicines. I think about how evidence-based practice comes in to play here because prior to this medication healthcare providers were only using antiepileptics for seizures only.
Another medicine being used as an off-label drug is Lorazepam. Many in healthcare know this drug as an anxiolytic and never think about its other uses. In Behavioral health this drug is actually used for the opposite effect in patients who are catatonic. When one first thinks of prescribing a drug that is meant to calm a person down and many times sedate them to a patient that is not talking, moving or interacting is seems somewhat bizarre. How will this work? Will it make the patient even more disengaged and possibly sedated? These are all questions myself and many of my coworkers had. In this case, the physicians relied on evidenced based practice to assist them in making such a decision. They utilized such an unpopular treatment but it gained the intended effect. The catatonic patients respond well to this treatment. They can be seen becoming more engaged with peers and staff and taking part in their care.
Demland, J. (2017). Use pattern and off-label use of atypical antipsychotics in bipolar disorder,
1998-2002. American Health & Drug Benefits, 2(4), 184–191.
Nasra, K. (2018). An analysis of the high psychotropic off-label use in psychiatric disorders:
The majority of psychiatric diagnoses have no approved drug. Asian
Journal of Psychiatry, 2(1), 29–36.
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for
nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.