Proposal Essay Example | Topics and Well Written Essays - 1000 words

Proposal - Essay Example Therefore, evidence-based practice means combining clinical experience of an individual with the external clinical evidence and this will be able to produce the best evidence, one that is effective in patients care. In this case, the nursing problem uncovered is whether using IVs for procedures gives a positive patient experience compared to the numbing agent. In evidence-based practice, the use of new knowledge and being able to access that knowledge is essential (Mulhall, 1998). Despite several models being developed for the healthcare givers during practice, they still have difficulties in combining the empirical evidence with evidence based changes into practice. To solve this problem practitioners have been provided with a model that guide them through the entire process of being able to change to evidence-based practice and this begins with the assessment of the need for the change to the integration of an evidence-based protocol (Mulhall, 1998). Change plan overview According to Rosswurm and Larrabee (1999), we have six steps that are considered. The first step to be considered is assessing the need for change. Practitioners may only be interested in change if only they become aware of patients preferences, dissatisfactions, quality improvement data, their questions and the evaluation data. In this step, practitioners are required to collect internal data and then be able to compare with external data. When this data indicate a problem, then they will be forced to choose a stakeholder who will be involved in identifying clearly where the problem is. After which the practitioners will examine the internal data and use it to assess the requirement for a change in practice. If information is inadequate, it will be necessary to collect extra data so as to identify a problem (Titler., Kleiber, Stelman, Goode and Buckwalter, 1994). The second step involves linking problem with interventions and outcomes. In this step, practitioners are required to explain the problem using the language of standardized classification and then be able to link this problem with classification of interventions and outcomes. These classifications help to identify the concepts of science and knowledge that is organized. In this case, the use of Lidocaine or normal saline intradermally will be considered as an intervention and English language will be used to explain the process. According to research done by Beck et al (2011) who was comparing pain perceived during intravenous catheter insertion after injection with various local anesthetics, his major aim being to find out whether the anesthetics are effective. This study would then help the researcher to quantify data. This step also helps in facilitating communications between practitioners, and setting standards for showing the effectiveness and cost of care and being able to identify resources needed (Rosswurm and Larrabee, 1999). The third step is simply synthesizing best evidence. This step involves ref inery of selected interventions and outcomes. This is whereby the best research evidence is synthesized, and then it is combined with clinical judgment data. According to the research done, the best evidence is according to Brown (2003) who was using Lidocaine for peripheral IV insertions and the purpose of this research was to find out the patients preferenc