Evidence Based Practice
|
Evidence Informed Practice
|
o Foundation
of care
o Incorporating
nursing theories into practice (ie. Tanner’s model)
o Nursing
practice is based on the model/research; patients are treated based on what is found in the models or research
o Not
client-centered care
|
o Incorporating
nursing theories or research into practice where applicable
o Knowing
that each patient has his/her own needs; treating that specific need
o Drawing from experience and clinical judgement to provide best possible care
o Client-centered
care
|
In class, we were to incorporate the evidence-based model into a case scenario. The case scenario focused on a 56 year old woman who may have atrial fibrillation. She described that the symptoms were preventing her from completing her daily runs and having fun with her grandchildren. She also stated her concern about going under invasive procedures and heard about anti-arrythmic drugs or nodal ablation.
Based on the case scenario, the class discussed how to treat the woman based on her needs.
During the second part of class, we were shown a video clip from speaker Eli Pariser on TED Talks about "filter bubbles" (TED2011). Filter bubbles describe how search engines such as Google and Facebook can selectively filter out topics that they deem are irrelevant to a person "based on information about the user (such as location, past click behaviour and search history)" (Wikipedia, 2013).
Eli Pariser: Beware online "filter bubbles"
In response to Pariser's speech on TED Talks, I somewhat agree on the advantages and disadvantages of filter bubbles that were presented.
Filter bubbles allow users to efficiently search for topics since the more relevant topics will appear on the first few pages. Without filter bubbles, users will need to use multiple search engines and click through many pages in order to find what they want. Though the absence of filter bubbles may act as a disadvantage, it can also be seen as an advantage. For example, non-filtered out search results challenge individuals' level of media literacy. Media literacy is "the application of critical thinking in assessing information gained from the mass media" (Booth & Donelle, 2014, p. 541). A user who is media literate will be able to categorize what information is useful and what is not. A user who is NOT media literate will click on the first few links available to them without analyzing the relevance of the literature or source. Pariser also mentioned that filter bubbles can shelter people from issues or news that they are not comfortable with, and that is both an advantage and disadvantage. The advantage encourages people to search within their comfort zone; however, it can prevent people from growing and knowing what the world is really like. Filter bubbles act as a restriction in the society that will always show people the 'good' things as opposed to the 'bad' things, or vice versa. When people are not given two perspectives to look at, then they cannot weigh out what is right or wrong in a situation (if any). In addition, since search engines and social media sites can accurately predict what a user favours due to filter bubbles, it may cause the user to feel insecure or watched over.
In conclusion, filter bubbles can assist me to finding relevant information on the Internet; however, I believe that the cons do outweigh the pros. In addition, I am not completely disagreeing with the idea of the social media filtering out my dislikes.
Though, no one likes the constant feeling of being watched and judged for what they post or do on the Internet. Furthermore, no one enjoys being judged and shaped into someone he/she does not want to be. By restricting what a person can see or learn in a certain situation, the social media is shaping the person into another being.
What are strategies that you can implement with searching information to 'work around' filter bubbles?
I can work around filter bubbles when searching information by using more than one type of search engine to get accurate search results. I can also rephrase my words and sentences in order to obtain different results.
What are some misconceptions within nursing related to evidence-based nursing?
Misconceptions
|
Fact
|
o Evidence-based
nursing is a new approach
o Evidence-based
nursing is cookbook nursing
o Randomised
controlled trials and systematic reviews are over-emphasised in
evidence-based care
-
RCT is flawed and not effective in practice in
comparison to clinical experience
|
o Evidence-based
nursing has been known for more than 15 years. It has been working to identify its barriers and create solutions.
- “barriers
include time constraints, limited access to the literature, lack of training
in information seeking and critical appraisal skills, a professional ideology
that emphasises practical rather than intellectual knowledge, and a work
environment that does not encourage information seeking” (DiCenso, Cullum & Ciliska,
1998, p.38).
o Nurses
use clinical expertise to balance out the risk and benefits of caring for
each patient based on his/her needs
o Randomised
controlled trials are research studies that are “abstracted, quantified,
coded, and assembled” to present statistically analyzed data (DiCenso, Cullum & Ciliska,
1998, p.39). This procedure allows for accurate and more effective
results.
o Nurses
and other health care providers want to incorporate evidence-based care into
their practice, but there is a lack of research for them to work with
|
References
Booth, R., & Donelle, L. (2012).
Nursing Informatics and Technology, Chapter 25. In B. Kozier, G. Erb, A.
Berman, S. Snyder, M. Buck, L. Yiu, & L. Stamler (Eds.). Fundamentals of Canadian
nursing: Concepts, process, and practice, 3rd Edition (p. 541-545). Toronto: Pearson.
Wikipedia. (2013, October 7). Filter bubble. Retrieved from
http://en.wikipedia.org/wiki/Filter_bubble
Wikipedia. (2013, October 7). Filter bubble. Retrieved from http://en.wikipedia.org/wiki/Filter_bubble
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