I need a paper about how evidence-based nursing practice has influenced nursing care in the ICU. 3 pages APA style.
Nursing is a practice that dates back years ago. This practice is not complex although it requires a large application of best-practices and evidence-based approaches. These approaches ensures that there is the use of the right information in the treatment of various ailments as well as in decision-making. EBP practices in nursing practice began a long time ago. Their implementation has however not been wholly adopted up to current.
Evidence-based practice refers to the judicious and conscientious use of the existing best evidence together with the clinical expertise as well as the patient values so as to provide guidance to the decisions being made in the healthcare systems (Sackett, Straus & Richardson, 2000). These practices entails the empirical evidence from the randomized controlled trials, the evidence from the scientific methods like the qualitative and the descriptive research and the application of information from the case reports, expert opinion as well as the scientific principles. When the research based evidence is available, the practice ought to be guided by the research based evidence together with the clinical expertise (Titler, 2006).
Evidence-based nursing is very essential in the delivery of the high-quality care which leads to the optimization of the patients’ outcomes. Scholars have continually shown some improved outcomes especially in the event that best evidence based practices are used in the delivery of the patient care. Nursing is largely used in critical intensive care. ICU is an area where patients depend on breathing machines and some intravenous medications in order to stabilize them. Such patients usually have suffered from some injuries and life-threating illnesses and as well have dependence on critical care nurses so as to care for them and medications or equipment which is required for their sustenance.
Evidence-based practice is being used in ICU care in different aspects. Robots are being used in the operating rooms and also by the perioperative team. Even if it is quite expensive to be used in each of the surgeries, they have been proven to be effective for the complex procedures especially those that require the manipulation of tight areas. These robots have also been proven to enable the nurses spend much time with their patients.
Research has also proven some tools that nurses do wear in order to improve their communication as well as remotely monitor their patients. The tools do help the nurses and the team members in getting information that is needed in order to make decisions. Majority of the devices have some in-built safety checks in order to have some smart infusion pumps.
In the ICU, some beds that have an ability to detect the blood flow within the patient’s legs and to alert nurses of any possible vein thrombosis that may be available have also been proven to be useful. These special beds collect the patients’ physiologic data and do transmit it to personal digital assistant of the healthcare workers. This smart technology is also used in the promotion of medical safety.
Researchers have also developed evidence on data-gathering and communication devices in ICU. These devices ensure that there is a continuous flow in the patient information within the patient’s room and spend time while doing observations, coordinating care and providing education as opposed to the collection of data.
Mobility programs have been developed to assist the ICU patients on mobility such as raising and supporting themselves on the bed. This has reduced the convectional nursing role of the nurse having to assist the patient by themselves. In the treatment of ulcers, evidence-based practice has also been largely applicable. The ICU patients are greatly at the risk of developing pressure ulcers as a result of increased use of different devices and some vasoactive medications.
The development of stage III or IV pressure ulcers is currently considered a crucial occurrence. Critical care patients are at high risk for development of pressure ulcers because of the increased use of devices, hemodynamic instability, and the use of vasoactive medications. Acute-stage light exposure has been proven effective when it comes to the prevention of postoperative delirium among ICU patients (Hiroshi, Toyoe, Yoshihiro, Yuji & Yuichiro, 2011).
Evidence-based practice has further been used in the decision-making by the nurses in the ICU. After observing the patients within the ICU, they are further able to decide on the other step to follow, i.e. whether to put the patient under more intensive care or whether to release the patient to another department.
In conclusion, it is clearly evident that nurses largely use evidence-based practice in ICU care. This is not only through the different ICU equipment being developed but also through the use of identified information being proven as being applicable in intensive care. It is however important to find out which evidence-based practices result in positive impact and those which result to negative impact or those whose impact is not documented. This will however be made possible through continuous research in order to keep up with the current trends and new innovations in the market.
Hiroshi, O., Toyoe, T., Yoshihiro, K., Yuji, F., & Yuichiro, D., (2011). The usefulness of bright light therapy for patients after oesophagectomy, 27 (3), 158-166.
Sackett, D., Straus, S., Richardson, W., (2000). Evidence-based medicine: how to practice and teach EBM .London: Churchill-Livingstone.
Titler, M., (2006). Developing an evidence-based practice. 6. St. Louis, MO: Mosby
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