Replies from nursing peers to discussion boards
You are right to say that evidence-based care is essential for the highest quality of patient care. I find it encouraging to learn that Shands Hospital has made a big push to implement evidence-based care and each unit now has a leader who ensures that practices are evidence-based. As you have mentioned, the fact that research findings are not always compatible with clinical reality is one obstacle to the implementation of evidence-based practices.
The modified early warning scores (MEWS) were adjusted to suit the higher acuity levels of the cardiac intensive care patients. The importance of not blindly applying evidence-based approaches without understanding the context they are being applied in is highlighted by this. To ensure they are effective and feasible, it is important to adapt the evidence-based practice to the specifics of the clinical environment.
This discussion will be based on the ethical principle of beneficence. It requires that healthcare professionals act in the interest and well-being for the patients. Healthcare professionals are able to improve the quality of patient care by using evidence-based practices. It is important, though, to take into account the autonomy of patients and their preferences when you implement evidence-based methods. Patients need to be told about evidence-based methods and have the chance to contribute in the process of decision-making.