Evidence Based Practice In Nursing

Evidence based practice is a systemic and problem solving approach to find the answers of burning clinical question as well as it helps to make evidence- informed decisions to improve patient care. Field of nursing is expanding day by day as varieties of technological changes are taking place. Evidence based practice, helps to prove current practices and make rationalized recommendations to change. During my practice as Assistant Head nurse in Emergency Department, I with other health care professionals identified delay in patient’s transfer time to nursing units after receiving hospital admission. The process goes in a way that when a patient came in emergency room, his plan of care decides from the time of his arrival. For e.g.: xyz …show more content…
This would make emergency room beds available more quickly and would reduce waiting time. We started with the first conceptual phase of research process, which was delimiting the problem and formulating a hypothesis. The second phase was designing and planning. We selected a descriptive study design for our project. Our identified population was patients of emergency department. After designing, finalizing and reviewing, we started a pilot study. The third step was empirical phase which included data collection and tabulation of data for analysis. We collected data for two months and used direct observation, interviews and questionnaires as our data collection methods. I with my team members was assigned as TTF (thorough put task force) in every shift. I am the one who made a document (which was approved by our department manager) which was used before every shifting and that document includes: time of admission received, shifting time of patient, reasons for delays, last vital signs, and few recommendations to check and perform with each patient to make safe transfer process and to identify warning signs before a patient gets sick. The form also had a separate section for documenting the …show more content…
For example, in our hospital, many years ago, nurses were recapping needles after using it but now it’s not allowed, previously it was a practice in patients with diagnosis of hyperthermia to put some cloth or cotton dipped in spirit under patients arm pits as its reduces the fever but now this practice is not allowed. Moreover, to make our hospital mercury free as it’s dangerous for health so we shifted from manual blood pressure machine and thermometers to electronic machines and advanced thermometers. In addition to it, to make our hospital fire free, we previously used spirit swabs for cleaning purpose before inserting intravenous cannula and blood sampling but now we had switched to alcohol swabs. These changes in nursing trends come after a lot of evidence based