QStudent #4: Evidence Based Practice

Evidence-Based Practice (EBP) is the topic for our forth post. EBP can, and usually does, go hand in hand with Quality Improvement (QI), which was our topic in the last post.

Evidence-Based Practice is defined as “integrating best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care” (QSEN, 2003).

QI projects should be based off of evidence from the research that has been done on a particular subject. All guidelines and protocols found in all healthcare facilities are produced based on research. Medical associations, hospital QI teams/committees, and other healthcare officials only implement what will produce the most benefits and least amount of risks or harm to their patients. In order to meet these criteria, interventions must have been researched and there must be evidence to support their effectiveness.

An example of a newly researched topic is the nurse driven foley catheter removal protocol. The research has shown that when nurses are given permission to remove foley catheters, without a physician order, provided that the patient no longer meets the criteria for the foley and the nurse deems it necessary, the number of healthcare associated urinary tract infections (CAUTIs) drops significantly (Burase, B., 2013). Read the full article below!

Some questions:

Do you agree or disagree with the nurse driven foley catheter removal protocol? Why or why not?

What Evidence Based Practice topics have you learned about? How will you implement that research into your practice?