Introduction. Evidence Based Practise Is Theintegrationofclinicalexpertise,Patient

Evidence-Base practice (EBP) is defined as: “based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach” (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-driven process, which involves the use, evaluation and application of research; identification of best evidence; evaluation of care; problem solving; decision-making; clinical expertise; and requires patient involvement. Evidence-based practice is made of evidence, clinical expertise, patient preference, the context of care (Barker, 2013). In brief, evidence-based practice is the parameter in the nursing practice that it requires that the nurses gather and use clinical evidence to make decision for the patients so that in the nursing process they can deliver the quality of care for the patients (Ellis, 2013). In the other words, in the nursing practice all the nursing procedures performed by the clinical evidence supported.

EBP is not only about research utilisation but also involves an integration of research evidence, scientific theories, clinical circumstances and setting, available resources, expertise clinical judgement, and patient preference (Satterfield et al., 2009). It

Evidence-based practice is defined as the “integration of best current evidence with clinical expertise and patient or family preferences and values for the delivery of optimal health care” (Quality and Safety Education for Nurses, 2012). It is “the use of research in clinical decision making” (Brower, 2017).With the tremendous changes in the healthcare landscape, many processes have to be evaluated for its relevance, reliability,

Evidence based practice is a practice that is based upon the best available evidence, patient preferences, and clinical judgments (Schmidt & Brown, 2012). According to Schmidt and Brown the nurse’s standpoint of patient care obliges nurses to form their own body of evidence through scientific research (Schmidt & Brown, 2012). A nurse encounters many patients with various disease processes throughout their careers. Overtime the nurse will be able to see which treatments work and which ones need improvements or can even do without. Nurses are key players when it comes to evidence based practice.

Evidence-based care makes use of current research in prescribing treatments for patients. While on the surface, this might seem like a good idea, in practice the implementation of this policy can be somewhat problematic, particularly in family nursing and other areas of the medical profession in which a close, lasting and personal relationship between patient and healthcare provider is warranted. "Arguments have been put forth that EBM represents reductionism by its narrow definition of evidence; ignores the legitimacy of clinical judgment, experience, and the time constraints of non-academic practice; fails to include and respond to patient values; fosters an inappropriate reliance on epidemiology and statistical methodology, particularly a dogmatic adherence to the RCT; lacks empirical justification; and is poorly specified for some aspects of clinical medicine such as primary care" (Shawn, Guilherme & Upshur 2003).

Evidence based practice is defined as the conscientious use of current best evidence in making decisions about patient care. (Melnyk, 2016) One of its main features is the reliance on the partnership among hard scientific evidence, clinical expertise, and individual patient needs and choices. EBP looks at research findings, quality improvement data and other forms of evaluation data, and expert opinion to identify methods of improvement. Evidence based practice challenges nurses to look at the “why” behind existing methods and processes in the search for improvement. EBP and research based practice have often been confused with one another. Research is generating new knowledge about a phenomenon or validation existing knowledge. “Although evidence-based practice may have opinion-expert opinion, but opinion still-woven in, research is built in such a way avoid bias.” (Melnyk, 2016) Evidence-based practice improves healthcare quality and patient outcomes while reducing costs.

Evidenced-based practice (EBP) is now considered to be best practice but, although great strides have been made in applying the research in practice, there is still progress to be made. EBP is central to delivering the highest quality healthcare and ensuring the best outcomes for patients. However, EBP guiding the practice in healthcare systems is not the norm in many healthcare systems across the United States (Melnyk & Fineout-Overholt, 2011). The most overwhelming evidence for using EBP in practice is that is provides better outcomes in patients and provides a higher quality of care. Therefore, patients are more satisfied, healthcare costs are reduced and there is a reduction in differences in delivery of care according to geographic area (Melnyk & Fineout-Overholt, 2011).

The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. It clearly elaborates on the meaning and definition of EBP as used by nurses as well as the importance of evidence based decision making as it relates to nursing care. It broadly examines the concept of EBP in nursing care and its relevance to nursing practice and to the delivery of quality patient care. Subsequently, the essay will also expound on the broad research methods that are used in evidence based nursing and conclusively show how this evidence can be applied in day to day health care practice.

EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996)

The Nursing and Midwifery Council (NMC) (2008) states that nursing care must be evidence or best practise based. In order to excellently provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their delivery of care on the most current, up-to-date health information available and rigorous nursing knowledge. According to Melnyk & Fineout-Overholt (2005) defines Evidence-based practise (EBP) as a problem solving approach to clinical practise that integrates: A systematic search for and critical appraisal of the most relevant evidence to answer a burning clinical question, one’s own clinical expertise and patient preferences and values. The benefits of EBP include resolving problems in the clinical setting; provide clinicians with evidence-based data, introducing innovation, Achieve excellence in care delivery and improves efficacy and reducing variation in clinical performance.

Evidence based practice (EBP) is a clinical practice method and it is described in the terms of a three legged stool combining three basic principles. The first principle is that the best existing research on whether the treatment works. The second principle is the practice of clinical expertise to identify each patient’s unique health state and diagnose their problems, while the third principle reflects what the

Sackett, et al. (1996) articulates that the three caveats to EBP is the use of the most current and relevant evidence, in conjunction with applying individual clinical expertise and taking into consideration that patient’s values and expectations to provide the best available practice to the patient. According to Muir Gray (2001) EBP is essential in providing the best available care to patients thereby improving their outcome.

I agree with you that evidence based medicine is dictating how we treat patients today. I believe it is important to rely on evidence-based medicine, as it can help you make an informed decision. EBM integrates clinical experience and patient values with the best available research information.1 Even though EBM is based on the analysis of large, well-designed trials, doctors still use their experiences and education to make an informed medical decision based on the research, at the same time making sure a patient is an active participant in the decision making.

Evidence based practice (EBP) is to offer the best care possible to individual patients and use professional judgement to determine nursing care in order to improve patient outcome and even save lives (Moule and Hek, 2011). The Nursing and Midwifery Council

Evidence-based practice (EBP) in nursing means making decisions about patient care on the basis of best, current, standardized practice and guidelines. According to an article, written by Dr. Kathleen Stevens, the development of evidence-based practice (EBP) is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care (Stevens, 2013). The author also mentioned in her article that the intended effect of EBP is to standardize healthcare practices to science and best evidence and to reduce illogical variation in care,