Evidence Based Practice In The Nursing Profession

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Evidence based practice is a decision. A decision to use the best and most current evidence to create a safe, patient centered environment. Evidence-based practice is performed by evaluating research and guidelines from high quality resources and using this information to benefit each patient’s wellbeing (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000).
Evidence-based practice (EBP) is similar to the nursing profession, specifically the nursing process. There are six systematic steps that must be performed during the EBP process. The first step is asking important clinical questions. This can be related to a nursing assessment; asking the patient questions about his or her history. The next step in EBP is finding the best evidence
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During the Crimean War, in the 1850s, she recognized the relationship between the unsanitary conditions and the increase in patients dying from diseases like cholera, dysentery, typhus, and typhoid rather than from battle wounds. She used the evidence-based practice process of asking questions, finding evidence, and implementing these practices for improvement. She ordered new linens, clothes, eating utensils to be brought and cleaned up the hospitals and kitchens (Fee & Garofalo, 2010). Florence Nightingale documented extensive lists, guidelines, and procedures that were implemented to decreased the rate of infections and death in the soldiers. She created what was the beginning of evidence-based practice.
Nursing care uses EBP directly while they may not even realize it. They begin with objectively assessing the patient. The nurse asks the patient questions about his or her background, situation and problem that cannot be obtained by assessing. The nurse then acquires information that he or she may not know by obtaining critically appraised literature to implement the care. He or she then applies this information to the patient for a better outcome. The nurse uses this process with every patient and may use it more than once on each patient (Wallace & Vanhook,
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The SBAR technique was developed using evidence-based practice to improve patient safety. This involves the nurse stating specific information about a patient to the physician so he knows the situation. It has improved patient safety by not leaving information out. Handoffs allow the nursing leaving the floor to tell the nursing coming on about the patient, how he or she responded during the nurse’s shift, any pertinent information about the patient. Hourly rounds are another way EBP has been applied to nursing care. Nurses and other medical personnel recognized a need to improve patient safety. They then implemented a process where you visit patients hourly and speak to them about their pain, comfort, restroom needs, and if they needed anything within their reach. Pain control decreases falls because the patient is more aware of his or her body position and mobility. Asking the patient hourly whether they need help using the restroom also decreases falls because they can count on the nurse to be back hourly to assist them. Simply grabbing the tissue box from the side table or turning the light on can reduce falls as well. EBP has also been used to reduce errors and increase patient safety by using the three checks and five rights. When a nurse administers medication she checks that she has the right patient, right drug, right dose, right route, and right

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