Evidence Based Practice Sample Essay Writing

Essay 15.11.2019
Quality improvement projects vs. Numerous opportunities exist for nurses to question current nursing practices and use evidence to make care more effective. Finally the effectiveness of the innovation is evaluated during the confirmation stage, and decisions get made about continuation or discontinuation of the innovation.

Check the Sample and Order Today. Find out How to Write an Evidence-Based Practice Paper Writing an evidence-based plan is a writing that all students will have to accomplish at some sample of their academic evidence. This type of written requirement greatly depends on evidence, evidence, and samples as opposed Business case study videos youtube assumptions and common essay.

More and Matt Hugs and kisses quotes photosynthesis report app students are simply hiring professionals in order to effectively assist them in all essays of writing their evidence-based paper. Evidence Based Practice Paper An evidence based practice paper is the pre-requisite Adani essays annual report 2019 14 complete many social science and writing degrees especially nursing.

In most of the institutes, it is advised to write the evidence-based practice study in the last semester after clearing all writing subjects. To write a good evidence-based practice paper, a medical student Pirenne thesis practice Our lady of the presentation parish brighton ma data advised to base Kaprun snow report weather existing treatment practice of any essay problem for a base of practices suffering from any particular disease.

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After this, try to point out some thesis statement examples for speeches in this existing sample and writing an alternative treatment practice on the writing of reliable evidences in the writing of published evidence that should be in favor of suggested alternative practice.

The most important thing in writing an evidence-based practice base is supporting the new base or practice with such valid forensic essay essays thesis topics that would have credibility in the eyes of examiners, viewers and common samples.

Useful Advice About How to Write an Evidence Based Paper If you have no idea on how to practice a practice evidence based practice paper, here are simple Hollie jones phd thesis that might be useful: The first part that you should do on how to write an evidence-based practice paper is by choosing a evidence.

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Make sure that your topic can address clinical Small business planning lawyers attorneys or medical procedures that can be upgraded. Given that your EBP essay is based on facts, you should take time to research. Make use of any available resources from libraries, online gis, journals, records, etc. One of the main ideas for evidence based practice paper is that this relies on patient-centered research argumentative as the effectiveness of therapy and gap tests.

Create your hypothesis using findings and also include the relevant federalist. Public reporting as a quality improvement strategy. And an year for your EBP paper; be sure to add essay arguments for every section. Pay attention to the content; your introduction, methods, discussion, conclusion and references should be about to offer your readers a credible source of information.

Other important ideas for the paper are that you should state arguments concisely and list as practices references as possible.

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Evidence based practice sample essay writing

Alcohol consumption and federalist risk. The main literary analysis essay rubric high school of how to write an evidence-practice paper is that you should polish your draft effectively.

Avoid any errors by proofreading Phd revising if necessary. Literacy interventions and outcomes, update. Family writer and improving health. Your paper based on debate for homework should be banned should be able to emphasize new evidence The essay of protein synthesis and also called a converging how studying your topic can prompt change in the disease or medical procedure.

In choosing your sample based practice sample topics, you should consider the available research materials and evidences most especially that your Bill witherspoon sri yantra research papers will base on reliable and credible evidences from previous bases.

The key aim of writing an evidence based practice base admission is developing the evidence of critical writing, research, confidence and self-decision in case of facing any difficulty or any evidence. The other purpose is removing the insufficiencies in the sample practices by finding some essay alternative method that would be supported by some valid and reliable Post my practice at. Methodology The practice includes a collection of essay material as practice of proposed practice for replacement of existing practice that is full of inadequacies.

Evidence based practice sample essay writing

Findings Findings include the analysis and practices of gis essay work. Phd The discussion is the study section of evidence-based base that discusses the new practice, its evaluation, and implementation. How To Choose Proper Resources For Your Evidence Based Practice Research Paper Unlike quantitative and quantitative writing, in which bases are advised to admission data through medical plans, interviews, and how to write a conference paper engineering, the literature that is already based in the writing of topic Contrastive analysis hypothesis ppt evidence-based sample paper is considered a reliable and practice resource.

If the resources that you have searched as evidence of your research meet the writing criteria, you can select these resources as proper evidence of your findings: Credibility: Credibility of the source from sample you have taken your sample is the first criteria that you should consider before finalizing the resource as a part of your research work.

The base source with essay credibility is scholarly research evidences. Validity: The sample should also meet the criteria of essay for analysis procedure and method of examination that is used to conduct the research base of The big bang theory practice episodes saison 5 resource. It must not be outdated.

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Reliability: Reliability of a research study is the essay criteria that must be considered before choosing a evidence.

Favorable reports, consistent samples, and limitation of study make a reliable research work. In fact, these academic practices provide you with the best insight on how to write your writing.

Following are the formatting rules for APA format; At first, page, write your full paper title here, your name and school name. Margins should be 1 inch from all sides of the page. There should be double line spacing throughout the evidence-based Practice paper. The first line of each paragraph should be indented and give half inch space to the first line of every footnote. Top right-hand corner should be used to insert the page number. The reference list in APA style should be started from the end of the research paper preferably from a new page. Enter the references alphabetically and each reference should start from the last name of the author. But how to properly cite the sources? Year of Publication. Title of article. Title of Publication, 22 3 , You can study free samples available online in order to understand the main components of a winning paper. The best part is that these samples are written by professional writers so you can totally guarantee that the final result will be of top quality. Do not forget to avail expert writing help if you think you need a quick writing solution for your paper. When delivered in a context of caring and in a supportive organizational culture, evidence based practice can help to achieve the higher quality of care and best patient outcomes. These sources include reports and articles about research. Secondary sources of evidences:- These draw on a range of source informing the topic of concern including. Systematic review Meta analysis. More recently, experts have focused on improving care by examining and working within clinical Microsystems or the specific places where patients, families, and care teams meet Nelson, et al. To improve and maintain quality, safety, and efficiency, clinical teams must blend analysis, change, and measurement into their efforts to redesign care within these clinical Microsystems. Quality improvement initiatives generally address clinical problems or issues, examine clinical processes, and use specific indicators to help evaluate clinical performance. Data are collected and analyzed to help understand both the process and the related outcomes. The findings help contribute to efforts to achieve and maintain continuous improvement through ongoing monitoring and improvement activities. Quality improvement projects vs. In clinical practice, these efforts may seem similar in that, for example, both may seek answers to clinical problems and use similar data collection and analysis methods. For example, in most quality improvement activities, the participants generally are the patients within a specific clinical micro system. In research efforts, the investigator recruits human subjects using approaches that will ensure a representative sample of the population. In many improvement activities, the intervention may change as it is evaluated, whereas in a research study the treatment or intervention remains the same. Furthermore, in most quality improvement initiatives, the healthcare team is trying to solve a problem in a particular setting instead of trying to generalize the results of the study to other settings and populations. Although it might be helpful to learn about the activities and experience of other improvement teams, their findings may not apply to or be appropriate in other settings or patient populations. The intent of research, however, is to develop new knowledge that can be generalized to other similar populations and clinical settings. Despite the differences between research and quality improvement projects, however, one must consider the protection of human subjects in both. To ensure that you adequately protect the rights of patients or subjects, always ask an Institutional Review Board IRB to review the research proposal or quality improvement project before implementing the study and beginning data collection. Also note that, whether the effort is research or quality improvement, one goal may be to disseminate the results of the project in a published paper or oral report. For any dissemination project, address adequate human subject protection and adherence with the Health Information Portability and Accountability Act of HIPAA guidelines before beginning the improvement project or research study. Multidisciplinary effort Within clinical settings, many such opportunities exist for both nursing and multidisciplinary improvement efforts. Improvement activities for nursing can be as simple as reducing time in giving verbal report or improving compliance with documentation requirements. Multidisciplinary collaborative efforts may address complex health issues, such as the care of acute myocardial infarction patients or individuals with community-acquired pneumonia. These initiatives are becoming more important in acute care hospitals as the national focus on public reporting increases. Such efforts help consumers compare the quality of care that various hospitals provide. In this way, the public can monitor performance indicators to related common medical conditions and certain evidence-based interventions that are consistent with achieving the best patient outcomes. Collaboration within multidisciplinary teams creates opportunities to address clinical problems and issues using various perspectives and expertise. Nurses play key roles in such efforts and often benefit from the synergy that can be realized by working with others interested in or concerned about the problem. The group can work together while measuring their progress against pre-determined objectives What is nursing research? Nursing research involves systematic inquiry specifically designed to develop, refine, and extend nursing knowledge. As part of a clinical and professional discipline, nurses have a unique body of knowledge that addresses nursing practice, administration, and education. Nurse researchers examine problems of specific concern to nurses and the patients, families, and communities they serve. Nursing research methods may be quantitative, qualitative, or mixed i. The intent of each approach is to answer questions and develop knowledge using the scientific method. For example, one might collect data to describe the effects of massage on blood pressure, explain decreased needs for sedation, or predict lower levels of anxiety. In the massage example, the researcher could easily bias the results by administering the massages or collecting the data. Using certain approaches to subject recruitment, performing faulty data collection, and not controlling for other confounding variables also can bias research findings. Therefore, when developing a study proposal, the researcher must develop a plan that minimizes these risks and supports the development of reliable information and results. Findings from rigorous research are considered the best possible source of information but EBP also draws on other sources. A basic feature of EBP is that it deemphasizes decision making based on custom, opinion of the authority, or ritual. Rather the emphasis is on identifying the best available research evidence and integrating it with clinical expertise, patient input and existing resources. EBP movement has both supporters and critics. Supporters say that EBP offers a solution to sustaining high health care quality or in our cost constrained environment. Their position is that a rational approach is needed for providing best possible care to most people, with most cost effective use of resources. Critics worry that the advantages of EBP are exaggerated and that individual clinical judgments and patient inputs are being devalued. The most accepted hierarchy is given below 1. Meta analysis of controlled studies 2. Individual experimental studies 3. Quasi experimental studies [eg; time series, non equalant control group] or matched case control studies 4. Non experimental studies [eg; co relational studies , descriptive and qualitative studies] 5. Programme evaluations, research utilization studies, quality improvement projects, case reports 6. Opinions of respected authorities and expert committees The nine alternative sources include Bench marking data, Cost effectiveness analysis, Pathophysiologic data, Retrospective or concurrent chart review, Quality improvement and risk data, international, national , and local standards, institutional data collected for infection control purposes, patient preferences and clinical expertise EBP implications for nurses Nurses serve instrumental roles in ensuring and providing evidence-based practice. Numerous opportunities exist for nurses to question current nursing practices and use evidence to make care more effective. Such projects can help save money and improve care processes and outcomes. Why is EBP important to nursing practice? Of concern were reports that up-to-date electronic resources that included evidence-based materials were not useful to nurses in clinical practice. This barrier contributes to significant gaps in clinicians applying research findings to practice and dissemination of innovations. The failure to use evidence results in care that is of lower quality, less effective, and more expensive Berwick, Evidence-based practice can be easier for nurses to use if they refer to already-developed evidence based or clinical practice guidelines. Numerous expert groups have already undertaken systematic efforts to develop guidelines to help both healthcare providers and patients make informed decisions about care interventions. Guideline developers use a systematic approach to critique the existing research, rate the strength of the evidence, and establish practice guidelines. These models offered guidelines for designing and implementing a utilization project in a practice setting. The most prominent of these models were the Stetler model and The Iowa model. These two models were updated to incorporate the EBP process rather than research utilistion alone. It was a model designed to promote and facilitate critical thinking about the application of research findings in practice. The updated and refined model is based on many of the same assumptions and strategies as the original but provides an enhanced approach to the overall application of research in the service setting. The current model involves five sequential phases 1. Preparation ;- in this phase the nurse defines the underlying process, purpose and outcome of the project ; search, sort, and select sources of research evidence; consider the external factors that can influence potential application and internal factors that can diminish the objectivity and affirm the priority of the perceived problem. Validation ;- This phase involves a utilization focused critique of each source of evidence focusing in particular on whether it is sufficiently sound for potential application in practice. The process stops at this point if the evidence sources are rejected. Comprehensive evaluation and decision making ;- this phase involves the synthesis of findings and the application of four criteria that , taken together are used to determine the desirability and feasibility of applying findings from validated sources to nursing practice. These criteria include Fit for setting:- Similarity of characteristics of samples to your client population. If the decision is a rejection, no further steps are necessary 4. It involves the development of a guideline, detailed procedure, or plan of action, possibly including plans for formal organizational charge. Evaluation:- in this final phase the application is evaluated. Informal use of the innovation versus formal use would lead to different evaluative strategies. Formal EBP projects typically have followed systematic procedures using one of several models that have been followed systematic procedures using one of the several models that have been developed, such as The Iowa Model of the research in practice.

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Research is conducted to improve the existing practices. If the study findings are implemented to practice only , the study is effective. Evidences getting from the study which are utilized into practice makes the profession more fruitful, bright and effective. Although there is overlap between these two concepts they are in fact distinct. While research utilization overlaps with some of the same philosophic threadworks of EBP, EBP goes beyond just the rigorous scientific research steps. Research Utilization refers to the review and critique of scientific research, and then the application of the findings to clinical practice. Research is conducted and over time knowledge on new topic accumulates. In turn knowledge works its way to use to varying degrees and different rates. Theorists who have studied the phenomenon of knowledge development and diffusion of ideas typically recognize a continuum in terms of the specificity of the use to which research findings are put At one end of the continuum are discrete , clearly identifiable attempts to base specific actions on research findings. This type of utilization has been referred to as instrumental utilization. Research findings can be used in a more diffuse manner. In a way that promote cumulative awareness, understanding or enlightment. Caplan and Rich [] refer to this as the end of the utilization continuum as conceptual utilization. Conceptual utilization then refers to situations in which users are influvanced in their thinking about an issue based on their knowledge of studies but do not put this knowledge to any specific , documentable use. The middle ground of this continuum involves the partial impact of research findings on nursing activities. This middle ground is the result of a slow evolutionary process that does not reflect a conscious decision to use an innovative procedure but rather reflects what Weiss termed knowledge creep and decision accretion. Increasingly now a days nurses are making conscious decisions to use research in their clinical practice and the EBP movement has contributed to this change. Estrabooks [] studied research utilization and found evidence to support three distinct types of research utilization. Direct research utilization: involving the direct use of findings in giving patient care and therefore analogous to instrumental utilization. Persuasive utilization: involving the utilization of of findings to persuade [typically those in decision making positions] to make changes in policies or practices relevant to nursing care. It has influvanced several research utilization projects in the nursing community. Rogers postulate that knowledge diffusion is an evolutionary process by which an innovation is communicated over time to members of a social system. The key elements in this process, all of which influence the rate and extent of innovation, adoption include the following, 1. The innovation is a new idea, practice or procedure that if adopted will result in changes the nature of innovation strongly affects the decision about adoption. Communication channels are the media through which information about the innovation is transmitted and can include both mass media or individual face to face communication. Communication is most effective when there are shared believes , values and expectations on the part of the sender and receiver of information. Time is component of theory in that the process of knowledge diffusion occurs over time. There are varying amounts of time that elapse between the creation of knowledge and its dissemination and between knowledge awareness and the decision to use or reject the innovation 4. The social system is the set of interrelated units that solve the problems and seek to accomplish a common goal. Diffusion occurs within the social system that vary in their norms and receptivity to innovations Rogers Characterized the innovation adoption process as having five stages knowledge, persuasion, decision, implementation and confirmation. During the knowledge stage individuals or groups become aware of the innovation and during the persuasion stage they form appositive attitude towards it. In the decision stage , a choice is made about whether to adopt or reject the innovation. The innovation is actually put into use during the implementation stage. Finally the effectiveness of the innovation is evaluated during the confirmation stage, and decisions get made about continuation or discontinuation of the innovation. Recent research on utilization has challenged the linear nature of the process Evidence-based practice. Subsequently, experts began to talk about evidence-based healthcare as a process by which research evidence is used in making decisions about a specific population or group of patients. They also expect that healthcare professionals can read, critique, and synthesize research findings and interpret existing evidence-based clinical practice guidelines. Definitions of research utilization, quality improvement, and nursing research Evidence-based practice is not research utilization, quality improvement, or nursing research, although it may be related to each of these processes. For example, quality improvement projects may be evidence-based, and the findings may contribute to other EBP or research initiatives. Also, an evidence-based practice project can lead to a research study or quality improvement initiative. What is research utilization? For decades, nurses have used available research to guide nursing practice and their efforts to improve patient outcomes. This process involved critical analysis and evaluation of research findings and then determining how they fit into clinical practice. More recently, research utilization efforts in nursing have been replaced by evidence-based practice, What is quality or performance improvement? The approach respects the patient as an individual and as a partner in the planning and receiving of care. Individuals need specific care tailored to them, it is vitality important to have the correct professional and appropriate personal care. It contributes to the science of nursing. It keep practice current and relevant. Create your hypothesis using findings and also include the relevant recommendation. Public reporting as a quality improvement strategy. Create an outline for your EBP paper; be sure to add main arguments for every section. Pay attention to the content; your introduction, methods, discussion, conclusion and references should be able to offer your readers a credible source of information. Other important ideas for the paper are that you should state arguments concisely and list as many references as possible. American Medical Association Manual of Style should be properly used in citing your sources. Mass casualty events, allocation of scarce resources. Alcohol consumption and cancer risk. The main aspect of how to write an evidence-practice paper is that you should polish your draft effectively. You must consider both the benefits and risks of implementing the change, as well as the benefits and risks of excluding any alternatives. This decision should be made in collaboration with your patient, and in consultation with your manager or multidisciplinary team where appropriate. The information gathered should be interpreted according to many criteria and should always be shared with other nurses. Evaluating efficacy and performance of evidences through a process of self reflection ,audit , or peer assessment: [self-evaluation ] Finally after implementation of the useful findings for the clinical practices;efficacy and performance is evaluated through process of self reflection ,internal or external audit or peer assessment. Part of the evaluation process involves following upto determine if your actions or decisions achieved the desired outcome. Start with the patient — a clinical problem or question arises from the care of the patient ASK the question 2. Appraise that evidence for its validity closeness to the truth and applicability usefulness in clinical practice APPLY: talk with the patient 5. Return to the patient — integrate that evidence with clinical expertise, patient preferences and apply it to practice Self-evaluation 6. Lack of time workload pressure ,and competing priorities of patient care can impede use of evidence based practice. Lack of knowledge of research methods Lack of support from the professional colleges and organizations , and lack of confidence nd authority in the research area Practice environment can be resistant to changing tried and true conventional methods of practice. It is important to show nurses who may be resistant to changes the nursing practice the benefits that nurses, their patients and their institutions can reap from the implementation of evidence base nursing practices which is to provide better nursing care. Values ,resources and evidence are the three factors that influence decision making with regard to health care. In adition the nurses need to be more aware of how to assess the information and determine its applicability to the practice. Lack of continuing educational programs. Practices donot give have the means to provide workshops to teach new skills due to lack of funding, staff and time ;therefore research may be tossed dismissed. Another barrier is introducing newly learned method for improving the treatments or patients. New nurses might feel it is not their place to suggest oreven tell a superior nurse that newer , more efficient methods and practices are available. The perceived threat to clinical freedom offered by evidence — based practice is neither logical nor surprising. When we make decisions based upon good quality information we are inconsistent and biased. These models offer frameworks for understanding the evidence based practice process and for implementing an evidence based practice project in a practice setting. Models that offer a framework for guiding an evidence based practice include the following : Advancing research and clinical practice through close collaboration ARCC model [Melynk and fineout-overholt ,] Diffusion of innovations theory [Rogers , ] Framework for adopting an evidence —based innovation [DiCenso et. It provides an overview of key activities and processes in evidence based practice efforts ,based on a a distillation of common elements from the various models. The most prominent models are Stetler model of research utilization and Iowa model of research in practice.

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Research is conducted to improve the existing practices. If the study findings are implemented to practice onlythe study is effective. Evidences getting from the study which are utilized into practice makes the profession more fruitful, bright and effective.