Evidence-Based Practice in Nursing

Evidence-BasedPractice in Nursing

Evidencebased practice is the application of the best available evidence inmaking the decisions that regard patient care. Nurses applyscientific evidence, clinical expertise and expert opinion in orderto give the highest level of quality services possible (Leufer andCleary 2). In the current nursing practice, there are two main areasthat the evidence-based practice has been successfully applied andimproved the patient outcomes. One of the areas is safecatheterization to reduce the rate of Central Line-AssociatedBloodstream Infections (CLABSI). The other practice is safe handlingof blood during diagnosis in order to reduce the contaminationof blood cultures.The application of the evidence-based practice in these two areas hassignificantly improved the patient outcome in terms of diagnosis,treatment and care.Theuse of evidence-based practice in the catheterization process helps anurse to use the new and practical evidence that seeks to present theCLABSI cases. The use of scientific research and expert informationabout catheterization helps nurses to gain practical knowledge aboutthe process, the safety guidelines and the risks of infectionsinvolved. Stephen(3) found out that around 3%of catheterization procedures result in CLABSI cases. Stephen(3) furtherreports that this statistic can increase by 16% if the process doesnot follow the right procedures and guideline. However, thestatistics can be lower if the procedures are handled properly(Stephen4).This way, the nurse acts with full knowledge of the verified studiesand evidence on how to carry out the procedure every time theyimplement the guidelines.Afterstudying the guidelines and the evidence provided by recent studies,I have personally improved my knowledge on the catheterizationprocedure and increased my confidence in practicing it safely. Myperspective about the catheterization process has been significantlychanged by the studies on the evidence-based practice about theprocess. The study about the application of evidence-based practiceto prevent cases of CLABSI improved my readiness to handle theprocess and increase the quality of service as well as patientoutcome.Thesecond area of practice is in the handling of blood samples duringthe diagnosis stage of patient care. Nurses apply the evidence-basedpractice in this practice to ensure objectivity in the test results.This is achieved by preventing any contamination of blood samples orblood cultures (Selfet al 2).This is because contamination of blood cultures after the collectionof the blood samples is a common source of false positive testresults (Selfet al 2).Such results may result in adverse patient outcomes as well as wastedresources for both the patient and the health care facility (Selfet al 2).Afterlearning the findings of evidence based studies, I have improved mypersonal perception about the process and increased knowledge aboutthe handling of blood samples and prevention of contamination of theblood cultures. The evidence-based practice brings to light the risksof the process and the evidence of the problem to the nurses (Leufer&amp Cleary, 2009). Therefore, nurses understand that the samples ofblood derived from the patient should be handled with the highestlevel of care.The findings on the two areashave significantly improved my practice and increased my readiness topractice the evidence-based practice. Proper application of theevidence-based practices and scientific knowledge would preventadverse cases and improve the patient outcome and care in health carefacilities. The application of evidence-based practice is importantand has increased my knowledge on the necessary measures to promotehigher and better patient outcomes. Moreover, I have understood theright guidelines and preparedness after studying the interventionmeasures.WorksCitedLeufer,Therese,and Cleary, Joanne.Evidence-based practice: improving patient outcomes. NursingStandard, 2013,23(32): 35-39.Self,WWesley.,Speroff, Theodore.,and Grijalva Carlos,et al. Reducing blood culture contamination in the emergencydepartment: an interrupted time series quality improvement study.AcadEmerg Med. 2013Jan20(1):89-97Stephen,Fletcher.Catheter-relatedbloodstream infection. ContinEduc Anaesth Crit Care Pain&nbsp2005,&nbsp5&nbsp(2):&nbsp49-51