Evidence Based Practice Decision Making.


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What is evidence based practice?

Evidence-based practice (EBP) refers to a problem-solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preferences and values.

Evidence-based decision-making (EBDM) is a model you can use to ensure you’re considering the relevant facts.

The following are the 4 sources of data to use when performing an evidence-based decision-making process:

  • Empirical studies from academic journals
  • Internal company data
  • Professional expertise from practitioners
  • Values and concerns of stakeholders

This process has 6 steps but the process can be broken down into the following three main steps:

  1. Gathering data from relevant sources.
  2. Processing and interpreting the evidence and,
  3. Applying what you have learned. (This step also includes evaluation of whether your decisions are valid according to results from your application).

3 Components of Evidence based Practice.

There are 3 components of evidence-based practice. These are namely:

  1. Best Available Evidence
  2. Patient’s wants and needs.
  3. Clinician’s knowledge and skills.

Best Available Evidence

Although evidence-based practice entails more than simply using the best available evidence, many of the issues and hurdles to implementing evidence-based practice focus around identifying and applying research.

Patient’s wants and needs.

In order to give best practice services, it is vital to incorporate a patient’s cultural concerns, requirements, and values since the wishes and requirements of the patient are an important aspect of evidence-based care.

Clinician’s knowledge and skills.

The knowledge and abilities of the physical therapist and physical therapist assistant are critical components of the evidence-based procedure. Thus, it is crucial for the clinician to possess a unique body of knowledge where the individual is educated, trained, and competent to perform that activity.

Step-by-step Process of Making Evidence based practice Decisions.

Before starting the evidence-based practice process, you have to get ready to get your hands dirty deep in research (cultivate a spirit of inquiry).

The evidence-based decision-making process has the following 6 steps:

Step 1: Ask medical questions in PICOT format.

Step 2: Look for the best evidence.

Step 3: Evaluate the evidence.

Step 4: Combine evidence with clinical competence, as well as patient choices and values.

Step 5: Assess the outcomes of the practice decisions.

Step 6: Distribute EBP findings.

Step 1: Ask medical questions in PICOT format.

During the first step, find the aspect that needs to be improved and make an accurate evaluation of the circumstance. At this point, you must create a nursing PICOT question, which is a question that refers to the population, intervention, comparison, outcomes, and time spent on your initiative.

Step 2: Look for the best evidence.

The second stage of the evidence-based practice decision-making process involves looking for relevant evidence in research literature such as peer-reviewed and reliable journals, articles, or books.

Step 3: Evaluate the evidence.

After you have gathered enough evidence, the next step encompasses processing and assessing the evidence to grade its relevance. During this stage, ensure that you have used only relevant literature and sources to support your idea.

Step 4: Combine evidence with clinical competence, as well as patient choices and values.

Research evidence alone is not enough to justify a change in nursing practice. Therefore, you should incorporate all the data you have gathered with data about the patient’s preferences and values to make your decisions.

Step 5: Assess the outcomes of the practice decisions.

After the implementation of EBP, you should monitor and assess any changes in outcomes in order to encourage beneficial impacts and correct bad ones. Additionally, monitoring the impact of an EBP adjustment on health care quality and outcomes can assist doctors in identifying implementation faults and determining which patients are most likely to benefit. This will help to ensure that you provide a better quality of nursing care to your patients.

Step 6: Distribute EBP findings.

Clinicians can accomplish fantastic results for their patients with EBP. However, they often fail to communicate their findings with colleagues, as well as their own or other health care organizations. This results in unnecessary duplication of effort and the perpetuation of treatment practices that are not evidence-based. Distributing your EBP findings helps to prevent your colleagues from performing the same evidence-based practices or trying out nursing practices that will not work out.



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