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Evidence Based Practice

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Evidence Based Practice

Evidence-based practice is an approach that employs the most up-to-date research to improve the

quality and safety of care while minimizing overall costs and reducing disparities in medical

outcomes (Abu-Baker et al., 2021). It is a problem-solving approach that integrates the latest

medical findings with therapeutic experience and also the expectations and preferences of those

receiving care. Even though the evidence-based practice may have only lately become more

widely accepted in professional nursing, it has significant foundations in nursing history. This

paper will examine the criteria and process for evidence-based nursing practice, as well as the

significance of competent scholarship and expertise in this area. In addition, the paper will

explain a clinical question that can be answered with evidence-based patient care technology and

assess the ethical and regulatory implications of patient care technology adoption.

Evidence-based practice throughout nursing is a five-step process that requires knowledge

acquisition. The first step is posing a question (Larsen et al., 2019). The impetus for evidence-

based practice problem-solving is the formulation of a well-detailed, clearly delineated inquiry. It

specifies the final objective. Perhaps the focus is to create a process that will aid a patient

suffering from a specific ailment. The second step involves collecting the finest evidence (Larsen

et al., 2019). It is critical to look for the finest evidence available across the board, particularly

high-quality publications from reputable sources and additional relevant provisions with the

greatest degree of evidence. The third step is analyzing the evidence (Larsen et al., 2019). This is

done to guarantee that the evidence acquired is of the highest quality and that the material is

relevant to the clinical situation. The fourth phase is to put the evidence into practice in clinical

settings (Larsen et al., 2019). This phase is mostly about integration, which entails combining

additional knowledge with the nurse's practical expertise to make conclusions about how to
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implement study findings to patients. The last step is analyzing the results (Larsen et al., 2019).

If followed carefully and mindfully, these five steps have the ability to complete a cycle that will

enhance medical care and clinical management.

Efficient scholarship and evidence are key elements in evidence-based nursing practice. The

scholarship includes posing provocative questions that could improve patient outcomes,

investigating those questions or the area of interest, cooperating with the health professionals to

execute initiatives fully, and conducting ongoing evaluations. Scholarship within nursing can be

characterized as actions that use rigorous inquiry to promote nursing instruction, practice, and

research practice consistently. Nursing scholarship involves learning the basics as to how

evidence is created, along with the research method, clinical judgment, inter-professional

viewpoints, as well as patient preference in practice (Dols et al., 2017). The incorporation of

contemporary evidence into practice underpins professional nursing practice. Nurses are

expected to recognize practice difficulties, evaluate results, and appraise and incorporate

evidence. Evidence-based practice makes it possible to evaluate and apply scientific evidence to

practice difficulties systematically. Evidence-based practice is vital because it helps to provide

the best possible care to enhance health outcomes.

Evidence-based practice always starts with the formulation of a critical inquiry that needs a

solution. A good example would be how the healthcare system can integrate health records to

improve speed and efficiency in patient management. According to evidence-based research, the

most suitable solution to this problem in the health sector would be embracing and implementing

electronic health record systems. Electronic health records have been gradually replacing older

paper-based filing methods (Kutney-Lee et al., 2019). Nursing professionals can use electronic

health records to keep track of care and gather the information that will assist them in prioritizing
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treatments (Tsai et al., 2020). Furthermore, data uploaded into electronic systems can be

accessible by the medical team, comprising physicians and, in certain cases, patients themselves.

Electronic health records are a promising technology that will revolutionize the healthcare sector

by improving patient management efficiency and minimizing medical errors.

Despite numerous benefits that come with it, electronic health records technology has got a

number of ethical and regulatory hurdles that must be dealt with during implementation. Several

ethical principles are at odds with electronic health records. Electronic health records could be

beneficial since they are said to enhance healthcare access, improve treatment quality, and lower

costs (Layman, 2020). On the other hand, patients' autonomy is threatened when their health

information is distributed or shared without their knowledge (Layman, 2020). Vast numbers of

people's medical records have indeed been exposed as a result of human error or theft,

threatening their privacy. Patients may withhold critical information due to the absence of faith

in their healthcare data security, putting their treatment at risk. Therefore, security measures need

to be properly put in place to avoid any breach or theft of patients' health data when

implementing this technology.

To summarize, evidence-based practice is indeed a problem-solving technique that incorporates

the most recent medical research, clinical experience, as well as the expectations and desires of

those being treated. Steps of developing an evidence-based practice involve posing a question,

researching evidence, analyzing the evidence, implementing it, and evaluating the outcomes. The

scholarship is key in evidence-based practice since it enables proper understanding of diversified

essential knowledge needed for the process to be successful. Electronic health records

technology is key in the healthcare sector since it solves many of the hurdles that have existed

for a long. However, it is faced with a number of ethical concerns, especially the safety of patient
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data. Measures ought to be put in place to ensure the security of patient information during the

implementation of electronic health records within hospital settings.

References

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based

practice beliefs and implementations: a cross-sectional study among undergraduate

nursing students. BMC nursing, 20(1), 1-8.

https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-020-00522-x

Dols, J. D., Hernández, C., & Miles, H. (2017). The DNP project: Quandaries for nursing

scholars. Nursing Outlook, 65(1), 84-93.

https://www.sciencedirect.com/science/article/abs/pii/S0029655416301270

Larsen, C. M., Terkelsen, A. S., Carlsen, A. M. F., & Kristensen, H. K. (2019). Methods for

teaching evidence-based practice: a scoping review. BMC medical education, 19(1), 1-33.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6624945/#:~:text=In%20order%20to

%20fulfil%20the,with%20one's%20clinical%20expertise%2C%20patient

Layman, E. J. (2020). Ethical issues and the electronic health record. The health care

manager, 39(4), 150-161. https://pubmed.ncbi.nlm.nih.gov/33079766/

Kutney-Lee, A., Sloane, D. M., Bowles, K. H., Burns, L. R., & Aiken, L. H. (2019). Electronic

health record adoption and nurse reports of usability and quality of care: the role of work

environment. Applied clinical informatics, 10(01), 129-139.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382496/

Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of
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electronic health record implementation and barriers to adoption and use: a scoping

review and qualitative analysis of the content. Life, 10(12), 327.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7761950/