Change in Nursing Practice to Evidence Based Practice

Change in Nursing Practice to Evidence Based Practice

Introduction

The main purpose of this paper is to make an analysis on the evidence based practice followed by American Heart Association for pre op patients and their need for prophylactic antibiotic treatment or not. The issue chosen in this paper is make an analysis on the evidence based practice followed by American Heart Association for pre op patients and their need for prophylactic antibiotic treatment or not. Evidence-Based Practice (EBP) has its origins in medicine, beginning its development in Canada since the discipline of clinical epidemiology, where the group Sackett, in the late 70's is trying to incorporate research clinical decision making for patients. Another Canadian group led by Guyatt in the 90's promoted the use of mathematical-based research and statistical evidence. At the same time, the gap between books and periodical literature facilitated the birth of this new paradigm. Evidence-Based Nursing (EBN) develops later in English-speaking countries, initially taking a positivist framework of medicine. This paper will follow the systematic review.

Background Info

Guerney (1977) identified in his research that the Evidence-Based Nursing (EBN) has become recognized as a part of nursing practice in the Anglo world, as indicated by the standards of the American Nursing Association (ANA) and the curriculum of the American College Nursing Association (AANC), that include within their key indicators (Guerney, 1977). On the other hand Rhodes (2003) has argued that this terminology has begun to incorporate in the area of Latin America, both in publications and in the Pan American Colloquia in Nursing Research and Quito (2008) (Rhodes, 2003). According to its promoters, the principle of health care based on evidence has resulted in limited economic conditions which are generally health institutions. It is expected that a practice of BSE, a nurse combines the best research evidence with clinical Expertise, considering patient preferences and the status of available resources in different health contexts. This paper aims to update EBE, identifying their phases and their characteristics and what their problems and limitations. Nurses are expected to consider its implications in their local settings.

According to Holland (1991), in the EBP process is as follows: the information needed in practice becomes structured or targeted questions, the questions are used as a platform for appropriate literature search to identify relevant external evidence comes from research, the research evidence is critically exposed and relevant in terms of validity and generalizability, the best available evidence is used in the plan of care through clinical experience and patient's perspective, and finally, the execution is evaluated through the process of self-reflection, audit or peer review (Holland, 1991).

According to its proponents like Price (2008), an evidence-based practice is necessary to provide health care in an equitable and effective for the entire population, as determined by the circumstances of a restricted economic climate (Price, 2008). Other reasons are the continued pressure from health organizations, public or private, who say they have few resources available, as well as technological development and pharmacological evidence ...