Evidence-Based Practice

Evidence-Based Practice and Family Preferences
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Evidence-Based Practice and Family Preferences
Evidence-based practice is a combination of well- researched mediations, client’s desire, and culture with clinical skills and ethics to guide and inform the delivery of healthcare services and treatment.
Models of Evidence-Based Practice
The models of EBP that are currently employed in most of the healthcare institutions include:
Stages of change- It entails going through a series of stages; majorly it is used to analyze how ready one is to change. This model gives room for evidence consideration and uses throughout the process.
John Hopkins Nursing Evidence-based model is an ideal problem-solving approach to clinical decision making which is escorted by tools that can guide an individual or a group. The model uses a three-step procedure: practice question, evidence, translation.
Parents as teachers- this is a model designed to meet the requirements of the consumer.
Evidence strength determines practice by the service provider/s, if, for example, in stages of change model a client/patient shows a progressive change towards the expected behavior or outcome, practice using the same is adapted to other patients who present with the same conditions. Misuse of antibiotics is a problem which can be solved through long chats on how they are to be used by the patients. Evidence-based practice, when incorporated with patient and family preferences, can increase the tone of change.

For example, an individual will tend to explain how he/she feels to a family member or workmate thus counsel from family members will agitate one to seek health care.
Failing of evidence-based approach and patient and family preferences call for the nurse to use his/her clinical expertise, which is not possessed by the family and didn’t come out in the evidence. At this moment knowledge acquired and experience of work will be put to the test.

References
Angel, B., F., Duffey, M. & Belyea, M 2000 Journal of Nursing Education. 219-288
Ciliska D., Dicenso A., Melynk B.M. Using models and strategies for Evidence-based practice Philadelphia 2005:185-219.