Using the EBP approach to nursing practice, nurses can provide the greatest quality and most cost-effective patient care. We will discuss how evidence-based practice is utilized in nursing and the benefits it provides to patients and nurses in this article.
What is EBP in nursing?
Evidence-based practice (EBP) in nursing is a blend of research findings, clinical experience, and the preferences of a patient. It is a problem-solving approach that incorporates best practices from the most recent medical literature, clinical experience, and the values and preferences of the people being treated.
Nurses are urged to use this problem-solving approach in clinical practice to provide individualized patient care. Although there isn’t a precise definition of what constitutes evidence-based nursing practice, there are five key procedures to follow.
Why is EBP important?
EBP consistently improves healthcare delivery, increases outcomes, reduces geographic disparities in treatment, and lowers costs. Nurses can use EBP to stay current on new medical techniques in order to provide better patient care. Nurses can help their patients recover by seeking therapies that are documented and match their patients’ profiles.
EBP has been shown to improve overall job satisfaction, which helps to decrease burnout. Besides, patients can express their worries, share their values and preferences, and offer ideas on how they wish to continue, allowing them to take an active role in their own treatment.
Levels of evidence
In its search for quality improvement in the healthcare system, the EBP framework incorporates four levels of evidence.
Level A: Because the evidence comes from randomized control trials, Level A is the most dependable level of evidence.
Level B: Quality-designed, non-randomized control trials, clinical cohort studies, case-controlled studies, uncontrolled investigations, epidemiological studies, and qualitative/quantitative studies are used to gather evidence.
Level C: Consensus viewpoints, expert opinion, and meta-synthesis are used to gather evidence. When there is a lack of both quality and quantity data on a certain situation, this term is commonly employed. Experts reach a consensus based on the scant facts provided.
Level ML (multilevel): Evidence is collected from multiple levels of evidence as indicated by the rating system. This level is typically used in more complicated scenarios.
What types of research are used in EBP?
According to how reliable the information is, levels of evidence in the study can be divided into four categories. The following are the four categories, from most believable to least credible:
- Randomized controlled trials.
- Cohort, case-control, and observational studies were used to acquire evidence.
- Clinical expert opinions are backed up by experiences, studies, or committee reports.
- Personal experience.
Any of these sorts of studies can provide important information, but you should aim to make conclusions based on the most trustworthy evidence available.
The five steps of evidence-based practice
Evidence-based nursing practice is a lifelong learning strategy based on the principles below.
Ask a question: Formulate clinical questions that can be answered about a patient, a condition, an intervention, or an outcome. Because the keywords inside the question will assist clinicians to pinpoint a course of treatment, this stage is critical to the EBP process.
Collect the most convincing evidence: To find answers to queries, look for relevant evidence. It’s critical to look for the finest available evidence across the board, including high-quality papers from credible sources and other supporting resources.
Gather the best evidence: Determine whether the evidence is of good quality and worth. This stage also aids in determining whether the data or information is relevant to the patient a nurse is treating and/or the clinical setting in which they operate.
Apply the evidence to clinical practice: This step is all about integration, and it entails combining new information with the nurse’s clinical knowledge. As a result, nurses can draw judgments about how to apply the findings of the research to patients.
Examine the outcome: This final phase completes a cycle aimed at continuously improving clinical care and practice quality.
Nurses need to be up to date on modern approaches in order to manage patients with complex and debilitating illnesses. Nurses and other clinicians can provide the highest-quality and most cost-effective patient care by using this EBP strategy. To improve the fundamental components of your function and work environment, share these discoveries with your healthcare team.