What is Evidence based practice?

role of evidence-based practice in nursing?

how nurses used this evidence?

journal critique: (maximum of 100-150 words)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6641093/?
fbclid=IwAR0wj4KZhQjMPjYp_fFqwnxnXFvvSuAzFpVlRAdLm1ZV9tPmy6x1BB4LU78

or

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775415/?fbclid=IwAR1OKwWvKfqA-
Htu8vB9i3LzHuCjhOLmA1GwWy2_GMFKwubo8ShAty78-MM

Evidence-Based Practice

An approach that integrates available research evidences to better clinical practices and improve
the probability of achieving patient outcomes and meeting a patient’s needs, expectations and
concerns. Professionals who wish to use evidence-based practice requires a keen sense of weighing the
values of each factor, namely, research evidence, clinical experience and expertise, and the patient’s
expectations to reach the correct clinical decision. An evidence-based practice usually follows these
steps:

1.) Create a clinical question.

2.) Find evidences from researches and studies that answer that question.
3.) Examine and appraise the evidences.
4.) Implement evidence on clinical decision.
5.) Evaluate and document clinical decision.

Three elements of Evidence-Based Practice:

1.) What do the research articles say about the best practice for addressing or treating a disease?
2.) Patient’s values and preferences
3.) Clinicians consider their experiences and judgement

Levels of Evidence-Based Research:

We use PICO format to extract the information from a clinical situation to focus on a particular
question. This is will also help EBP to formulate a clinical question to search for evidence.

 P – describes the population or problem.

 I – is for the intervention planned
 C – is the comparative intervention
 O – is the outcome of the intervention

In nursing, the use of evidence-based practice can help guide nurses to determine the optimal
decisions to take better care their patient. The value of evidence-based practice is in its inherent
proactivity, which allows nurses to not only assess their preferences and practices but to also correct
flaws by analyzing research data to make better clinical decisions. As current and new clinical researches
around the world progress, nurses can stay updated on new medical discoveries with the help of
evidence-based practice.
Journal Critique: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551685/
doi: 10.3390/nu12092550

The journal article wishes to highlight the use of “immunonutrition” or the

supplementation of vitamins and minerals as a viable treatment for COVID-19. Using a self-
developed systematic search strategy, Jovic et al. looked and reviewed various literatures from
Medline, EMBASE, Cochrane Trials Register, WHO International Clinical Trial Registry, and Nexis
media databases. Their goal was to identify if any of these literatures contain any information
about the benefits of vitamins and minerals in less recent respiratory diseases and infections,
and use that information as evidence for the viability of immunonutrition for the treatment of
COVID-19.
The article relays its findings based on evidence by highlighting the immune-mediating,
antioxidant and antimicrobial roles of Vitamins A through E and then specifying their relevance
to combating COVID-19. Vitamin A (retinoic acid) is proven to hinder the development of ARDS
(acute respiratory distress syndrome), as well as improving pulmonary regeneration. It is also
be responsible in improving immunity by protecting cells from subsequent viral replication.
Vitamins B1, B2, B3, B9, and B12 have shown evidences that can potentially benefit in combating
COVID-19, ranging from reducing mortality rates, and for its potential binding affinity on SARS-
CoV-2 protease. Aside from its antioxidant and antiviral properties, Vitamin C has evidence
supporting its potential role in treating sepsis and ARDS. This could mean that Vitamin C can
also be relevant in combating COVID-19, much like the two former diseases. In some studies,
Vitamin D is shown to lower the cases and mortality rate of COVID-19. Vitamin E is known for its
ability to enhance bodily immune functions, especially for the elderly whose immune systems
are crippled due to age.
For what it tries to do, the journal article did a great job in compiling and synthesizing
the information it has gathered from 204 different narratives and literatures. One possible
critique is that the researchers can add non-English articles in their systematic search strategy.
It can be possible that there is useful information in these articles that it would be a waste
when it not looked into otherwise.
 Excellent Good Unsatisfactory
Summary The article's author, Several of the article's The authors' abstract
title, and purpose are primary ideas and has been rewritten.
all explained. The essential material are
paper's goal is identified and
straightforward, and it presented concisely.
mentions the areas
that are being
criticized.
Analysis Displays a deeper Displays a thorough Displays a lack of effort
comprehension of the comprehension of the in understanding the
article's general article's general general content of the
significance and its meaning and its material and its
relationship to course relationship to course connection to course
themes. themes. themes.
Conclusion The critical analysis Conclusions are logical, Conclusions are too
leads to a logical although they may not broad and
conclusion, and specific be entirely related to unconnected to the
recommendations on the analysis. critical analysis to be
how to improve the Incomplete suggestions useful.
study are made. for improving the study Recommendations for
are provided. improving the study
are unconnected to the
critical analysis and too
general to be
meaningful.
For this rubric, you will (File:Research design and evidence.svg, n.d.)evaluate and critique your chosen
research article.