Essential nursing

Essential Nursing

Evidence-based practice is a problem-solving strategy for providing health care,
combining scientific expertise and patient needs and importance with the best evidence from
the trials. EBP is critical, and it aims to provide the best possible therapy for patients to get
the best outcomes possible. The EBP is essential. Patients want the most up-to-date
information about their condition and the best treatment options. The advantages of hospital
therapy for patients include patient functioning, patient safety, and patient pleasure. As a
result of their treatment, patients are seen as their care. Improved patient results lead to
improved practice, which leads to better outcomes.

Part One

The steps of Integrating Evidence-Based Practice

Step 1: Selection of the care population and selection of an expert panel.

Patients with COPD exacerbation were designated as the study's focus group. An
expert panel oversaw each stage of the development process to confirm the product's clinical
validity and viability (Greenlee et al., 2017). The panel consisted of the clinical and scientific
skills in the treatment of exacerbations of COPD by three globally acknowledged doctors

Step 2: Literature review and extraction of clinical activities.

Researchers CL and KV did a comprehensive literature analysis to discover all
available evidence for inclusion in the evidence-based COPD care pathway. As part of the
Delphi research, in April 2008, a preliminary literature search was conducted

Step 3: International Delphi study for the rating of content validity.

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Panelists were asked to rank the usefulness of the process and outcome indicators in
the care pathways for COPD exacerbations for follow-up monitoring. At least 75 percent of
the panel members agreed that an indication should be followed up.

Step 4: Final selection of the clinical activities and grading of evidence.

In the second step, a list of 58 clinical activities was sent to the panel's clinical
experts, along with the Delphi results in the third step (MD, TT, and CL). Any additional
clinical activity they believe is necessary but is missing from the current list of clinical
activities must be proposed (Greenlee et al., 2017). The clinical activities were narrowed
down in a meeting of the complete expert panel by agreement.

Step 5: Clustering of clinical activities into key interventions

The 77 clinical actions were divided into main interventions and their subcomponents.
Consequently, 38 major interventions were developed from 77 clinical activities, with 9 of
those treatments including two to fifteen subcomponents. A process flow diagram was then
used to show how the three primary processes (diagnostic, pharmacological, and non-
pharmacological treatment) were organized.

Step 6: Detailed description of the key interventions.

Detailed descriptions of each major intervention covered the following elements: I
justification, which explains why the major intervention is so important and outlines the
predicted influence on patient outcomes; (ii) description, which outlines the specifics of the
key intervention; (iii) in-text references and a reference list; and (iv) evidence grade.

Step 7: Translation into a set of process and outcome indicators.

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An additional set of indicators were required to ensure that the main interventions
were implemented and that the results were monitored. Before settling on a final set of
indicators, the experts agreed on those that would make the most sense. Second, we
conducted an updated literature search.

Step 8: Piloting by multidisciplinary teams.

Nine Belgian experimental COPD teams piloted the 38 main interventions, 24 process
indicators, and 15 outcome indicators as part of the EQCP project. Patients were treated by
multidisciplinary teams that comprised pulmonologists, nurses, therapists, dietitians, and
social workers. A few modest modifications to the patient record analysis process were
necessary to make data collecting practicable.

Possible Barriers

One of the biggest barriers to implementing evidence-based practices (EBP) is a lack
of understanding of its application. It has been shown that most nurses cannot apply study
results to their practice. Findings from the research suggest there is minimal evidence that
most nurses understand EBP implementation in their practices, particularly inexperienced
nurses (Melnyk et al., 2017). Second, misunderstandings and misperceptions about research
and evidence-based practices