Tuesday, 16 July 2019

Evidence-Based Practice


Description of the Research Method
The purpose of this study is to determine how evidence-based practice can ease the work of doctors and nurses while planning care for different patients. In order to answer all possible questions or test hypotheses, a systematic inquiry will be taken into consideration. The research is primarily based on exploration, but it also requires a basic understanding of the philosophy of science. I have decided to opt for the qualitative method rather than quantitative, as the data will be collected using online surveys.
The process will start with a list of compelling questions, such as what is evidence-based research, how does it help nurses plan care, what kinds of gaps need to be remembered and should all nurses and doctors opt for evidence-based research or not.
In the first part of the investigation, a systematic or comprehensive review of the literature will be done to provide the basic answers to these and other similar research questions. Then we will identify gaps and send survey links to the participants so that they can get their responses recorded as soon as possible. In the next stage, a decision will be based regarding whether to use a theory or not in order to prove the arguments.
The two primary study methods are qualitative (verbal) and quantitative (numeric), and I have chosen the first method in order to ease the whole work and to collect and organize data as soon as possible. It should be noticed that the quantitative study tends to explore the relationship between two or more variables related to the phenomenon; on the other hand, the qualitative study seeks to understand the deeper meaning of involved variables.
Summary of the Research Studies
In the article titled Practice-Based Evidence, it is clearly mentioned that nurses need to take into consideration the evidence-based practice as it always helps them come up with quality care plans (2012). In addition, valid and reliable conclusions can be drawn instantly and proficiently, depending on which practice has been opted for in order to plan care.
In an article titled Review: Evidence for Major Benefits and Harms of Antidiabetic Agents for Diabetes with Heart Failure is Limited, V. Lingegowda mentions that the foundation of evidence-based practice in medicines can be traced to the work of Archie Cochrane in the 1970s (Lingegowda, 2008). He was the first to come up with the idea that the use of scientific studies was needed in order to improve the quality of care provided to people with both major and minor illnesses. His movement gained ground in the 1990s, right after the availability of computer databases that made it possible for healthcare experts to access data both offline and online.
In Using Client Feedback in Psychotherapy - The Research, it has been written that there are six core steps of practicing evidence-based medicines (2012).
1.      Formulating a research question
2.      Collecting the best evidence
3.      Evaluating the situation critically
4.      Merging evidence with the medical expert’s own experience and patient’s condition
5.      Coming up with a clinical decision
6.      Evaluating the results using different methods or techniques
            In Transtibial Prosthetic System Design and Benefits for the Amputee, Service Providers and Society: An Evidence Based Clinical Study, I have studied that clinicians or nurses should use their personal experiences or expertise while providing care or medications to patients (Mchugh, 2012). They should make the best use of available resources and need to take the patient's values and their own preferences into consideration before coming to a clinical decision. If they do not do so, then it will become impossible to strengthen the healthcare system, and this may impact the health and wellbeing of various patients.
According to the information provided in Family Support Benefits Caregivers but Has No Impact on Stroke Sufferers, decisions made on the basis of evidence-based practice allow nurses to contribute research to the field of science and to apply the recent research or practices while discarding all unproven methods (Langhorne, 2001). We can also say that it provides a sense of authority to nurses who, once feel empowered, will be able to come up with the expectations of patients.
In an article titled Treatment with Metoprolol CR/XL Benefits Patients with Heart Failure, Michael B. Fowler writes that nurses and doctors who embrace evidence-based practice enjoy a greater level of satisfaction and can play their integral role in bringing positivity to the patient’s life (Fowler, 2000).
The Validity of Internal and External Research
The core difference between internal and external validity is that the internal validity sheds light on the relationship between two or more variables and the external validity is concerned with the universality of the conclusion or results.

Evaluation Table
Authors/Year of Citation
Research Design
Data Collection Methods
Sample Characteristics
Key Findings
2012
Qualitative Research Design
Primary Data Collection
Degree of Variability
Nurses should take evidence-based practice into consideration in order to ensure that patients receive timely and reliable care.
V. Lingegowda (2008)
Qualitative Research Design
Primary Data Collection
Low Sampling Error
The use of scientific studies is always needed to ensure patients’ health and wellbeing.

2012

Quantitative Research Design
Primary Data Collection
High Confidence Level
While practicing evidence-based research, health experts should evaluate the situation thoroughly and critically.
Mchugh, B. (2012)
Qualitative Research Design
Primary Data Collection
Degree of Variability
Nurses can contribute to the wellbeing and health of patients by practicing evidence-based research.

Langhorne, P. (2001)

Quantitative Research Design
Primary Data Collection
Low Sampling Error
Positive impacts can be left of patients and their families if decisions are made wisely and carefully.
Fowler, M. B. (2000)

Quantitative Research Design
Primary Data Collection
High Confidence Level
Evidence-based practice urges medical experts to collaborate with each other.

References
Practice-Based Evidence. (2012). Maximising the Benefits of Psychotherapy, 87-108. doi:10.1002/9781119967590.ch5
Lingegowda, V. (2008). Review: Evidence for Major Benefits and Harms of Antidiabetic Agents for Diabetes with Heart Failure is Limited. Evidence-Based Medicine, 13(1), 9-9. doi:10.1136/ebm.13.1.9
Using Client Feedback in Psychotherapy - The Research. (2012). Maximising the Benefits of Psychotherapy, 109-127. doi:10.1002/9781119967590.ch6
Mchugh, B. (2012). Transtibial Prosthetic System Design and Benefits for the Amputee, Service Providers and Society: An Evidence Based Clinical Study. Http://isrctn.org/. doi:10.1186/isrctn23271752
Langhorne, P. (2001). Family Support Benefits Caregivers But Has No Impact on Stroke Sufferers. Evidence-based Healthcare, 5(2), 41. doi:10.1054/ebhc.2001.0403
Fowler, M. B. (2000). Treatment with Metoprolol CR/XL Benefits Patients with Heart Failure. Evidence-based Healthcare, 4(4), 91. doi:10.1054/ebhc.2000.0365