Sample Evidence Based Practice

Running head: EVIDENCE-BASED PRACTICE 1

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EVIDENCE-BASED PRACTICE

Evidence-based practice (EBP) is a management approach where decisions are made

based on adequate and most recent research findings. It promotes careful, precise and judicious

healthcare choices when taking care of the patients (LoBiondo-Wood & Haber, 2017). The

incorporation of the patient expectations, the individual skills, and knowledge together with the

available evidence promotes a patient and outcome dominant approach and allows the provider

to reflect on the healthcare interventions. The day to day healthcare activities is based on

guidelines which rely on research findings. Consequently, EBP becomes an essential technique

while handling patients since it is the only way that gives room for assessing and justifying our

actions while managing the patients (LoBiondo-Wood & Haber, 2017).

Evidence-based practice involves the active implementation of research findings in

practice. It is, therefore, a valuable skill for all nurses to be in a position to analyze every

research. In as much as the focus remains on the research findings, it is vital to consider the rigor

of the research, a step that is achieved by measuring validity and reliability (LoBiondo-Wood &

Haber, 2017). Validity is the extent to which an idea has accurately been measured in a study

while reliability is the accuracy of the used instrument. The two, therefore, demonstrate the

consistency extent of results if they are used in the same situation on many occasions.

In the initial discussion, an observation was used as a data collection tool. Selecting a tool

for research is one of the most critical steps, and the researcher has to ensure that the chosen

instrument is valid and reliable. The appropriateness of instruments informs in no small extent

the validity and reliability of any research. Observation as an instrument of collecting tool is

often subjective. There is a possibility of someone trying to prove a point, and it is an essential

process for each observer to be aware of his or her interests and biases for the information

observed to be as reliable and valid as possible (LoBiondo-Wood & Haber, 2017). If research

EVIDENCE-BASED PRACTICE

does not meet standard reliability and discriminant validity criteria, then it will have little

contribution to the research field and hence rule out the need for the research itself in the first

place

The increasing number of surgical procedures has increased the postoperative

complications. Postoperative complications prevention is a medical priority. Preoperative

education to the patients could reduce the risks (Fink et al. 2013). The aim of PEDUCAT trial is,

therefore, to look at the impact of preoperative education on the postoperative mortality,

morbidity, and quality of life. During PEDUCAT various PICO clinical questions are asked or

taken into consideration. Patients are supposed to take an hour-long seminar for them to

understand the process they are supposed to go through. In the seminar, the patient will get

information on acute pain therapy, peridural anesthesia, and different coping strategies.

The importance of postoperative mobilization to prevent thrombosis will be emphasized.

Careful coughing should be taken into consideration. Exercises should be done regularly to

ensure there is proper blood circulation. Patients are informed about the advantage of avoiding

muscle degeneration. Research has shown the importance of preoperative education that is given

to patients (Fink et al. 2013). Emotional inoculation will be achieved in patients who are facing

stress; the patients should be given preparatory information containing warnings of what they

expect (Miake-Lye et al. 2013). Patients who have received the preoperative information require

less analgesia and recovers faster.

Psycho-education intervention has a positive impact on the preoperative patient on

psychological well-being, anxiety reduction, and less post-surgical pain. Lack of education

before operation causes fatigue and unexpected pain (Watt-Watson et al. 2016). Providing

EVIDENCE-BASED PRACTICE

education is important as it has a positive impact on psychological wellbeing and increases the

patient’s feelings of control. Preoperative education increases the patient understanding and

removes the anxiety and fear about the operation (Fink et al. 2013). The patient can remain calm

and remain positive about the operation.

Predictive and prescriptive studies test a particular theory in different ways. Whereas

prescriptive research focuses on possible outcomes of a scenario, predictive study targets the

future as it gives what might happen if a particular theory is true. For instance, the outcome of

the previously discussed PICOT question is the reduction of pain after surgery can be reduced by

education the patient (Hilscher et al. 2017). During the literature search, the predictive study

explored the correlation of call light response time, and the reduction of the patient falls in the

USA.

The PICOT query layout is a dependable “method” for creating accountable, study

questions. The PICOT format is significant when it comes to focusing on what kind of clinical

problem is needed in an evidence-based-practice. The initial step of the evidence-based practice

is to create a query from the practical problem that that has been created. It can be argued that the

PICOT format is a useful approach for shortening research questions that influence therapy

(what is your research question? In this case, the problem involves complications occurs after

surgery.

EVIDENCE-BASED PRACTICE

Reference

Fink, C., Diener, M. K., Bruckner, T., Müller, G., Paulsen, L., Keller, M., ... & Knebel,

P. (2013). Impact of preoperative patient education on prevention of postoperative complications

after major visceral surgery: study protocol for a randomized controlled trial (PEDUCAT trial).

Trials, 14(1), 271

Watt-Watson, J., Stevens, B., Costello, J., Katz, J., & Reid, G. (2016). Impact of

preoperative education on pain management outcomes after coronary artery bypass graft surgery:

a pilot. Canadian Journal of Nursing Research Archive, 31(4).

Hilscher, M. B., Niesen, C. R., Tynsky, D. A., & Kane, S. V. (2017). Pre-procedural

patient education reduces fall risk in an outpatient endoscopy suite. Gastroenterology Nursing,

40(3), 216-221.

Miake-Lye, I. M., Hempel, S., Ganz, D. A., & Shekelle, P. G. (2013). Inpatient fall

prevention programs as a patient safety strategy: a systematic review. Annals of internal

medicine,

LoBiondo-Wood, G., & Haber, J. (2017). Nursing Research-E-Book: Methods and

Critical Appraisal for Evidence-Based Practice. Elsevier Health Sciences. 158(5_Part_2), 390-

396

EVIDENCE-BASED PRACTICE

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