Expanding Evidence-Based Practices in Care Delivery

Evidence-based practice denotes the careful, explicit, and heady application of present best substantiation in forming assessments regarding the well-being of patients (Aarons, Cafri, Lugo, & Sawitzky, 2012). This practice incorporates medical knowledge and patient ideals with the best accessible research proof. Nurses can expand the application of evidence-based practice in care delivery by leading professional teams in the enhancement of care provision systems and bumping up the need for new evidence-based proficiencies that are essential as they transform health care. Individual nurses and teams should design such proficiencies to center on the application of knowledge in medical decision-making and generate study evidence on interventions that facilitate uptake and utilization. In this regard, nurses ought to focus evidence-based practice on hardwiring present understanding into common care resolutions to enhance the provision of care and patient results.

The anticipated impact of the expansion of the use of the evidence-based practice is the standardization of medical practices to science and the reduction of unreasonable deviations in care, which have proved to create unpredictable medical results. The rising public and professional demand for responsibility drive the expansion of evidence-based practice for safety and quality advancement in medical care (Middleton, Grimley, & Alexandrov, 2015). Nurses can expand the relevance of evidence-based practices in care delivery through the incorporation of best research facts with medical expertise and patient values. Through their expansion of the evidence-based practice in the provision of care, nurses unify the research process with medical expertise and promote individualization of healthcare through the inclusion of patient inclinations. In the extensive endeavor of expanding the evidence-based practice in the provision of care, the policymakers are a different considerable player.

For the expansion of the evidence-based practice to be fruitfully implemented and maintained, nurses, as well as other medical professionals, should determine that it has to be employed by individual practitioners and teams. Nurses should also implement innovative, evidence-based practices and push for local, national, federal, and other regulatory and recognition endeavors that are vital for the adoption of such processes. Despite numerous considerable developments, nurses have a lot to carry out to expand the evidence-based practice in the provision of care (Fater, Weatherford, Ready, Finn, & Tangney, 2014). Studies in the expansion of evidence-based practice establish that while nurses have constructive approaches toward its application in health care, they still encounter considerable hindrances, which necessitate assistance from other stakeholders. One way of effective expansion of evidence-based practice by nurses in the provision of care is rising above the present challenges successfully.

Nurses encounter difficulties in the translation of best evidence into the provision of care (Fater et al., 2014). For instance, suitable research-anchored knowledge is not inclusive in numerous areas. In addition, there is an unremitting increase in the quantity and kind of accessible information. Time limitations are intrinsic in medical practice and are intensified by the rising stipulations for nursing care. In this regard, to ensure the expansion of the application of evidence-based practices in the provision of care, nurses should seek precise and methodical means of making implications concerning the care given to each patient. Moreover, nurses should make sure that evidence-based programs, policies, and instruments of enhancing performance carry verified efficiency in the facilitation of patient safety and are obtainable with advanced training and education materials.

Attributable to the transformations needed to expand, completely execute, and maintain an evidence-based practice in care delivery across the operations backed by the culture in health institutions, a sophisticated execution strategy is necessary before the adoption of different interventions. Even with the efforts of nurses alone, the expansion and execution of evidence-based practice will remain challenging and necessitates the contribution of nurse leaders and other caregivers (Middleton et al., 2015). On this note, the joint effort of the stakeholders in the nursing field ensures that the expansion of evidence-based practice determines the best means of identifying and centering on the techniques of critically evaluating and employing accessible information and studies to comprehend and inform better medical judgments. Though it is not the only means of delivering quality care, the expansion of evident-based practice offers a means of framing and tackling questions regarding the manner of enhancing the performance of nurses.

Nurses can ensure the expansion of the evidence-based practice in the delivery of care through merging the best accessible information with medical decisions and undertake a fundamental role in patient-centered care (Middleton et al., 2015). This will necessitate continued addressing of nursing culture concerning the value and application of evidence. For example, nurses should adopt the practice of posing clinical inquiries or seeking responses through research. In conclusion, nurse leaders should take part in the generation and backing of a culture of evidence-based practice by backing nurses in the provision of care. Nurses in health facilities have to put efforts to become role models in the provision of quality care based on research. Though cultural transformation in the expansion of evidence-based practice is slow, the understanding of the existence, purpose, and application of such endeavors will play a key role in the facilitation of the desired change.


Aarons, G. A., Cafri, G., Lugo, L., & Sawitzky, A. (2012). Expanding the domains of attitudes towards evidence-based practice: The evidence based practice attitude scale-50. Administration and policy in mental health and mental health services research, 39(5), 331-340.

Fater, K. H., Weatherford, B., Ready, R. W., Finn, K., & Tangney, B. (2014). Expanding nurse of the future nursing core competencies across the academic-practice transition: A pilot study. The Journal of Continuing Education in Nursing, 45(8), 366.

Middleton, S., Grimley, R., & Alexandrov, A. W. (2015). Triage, treatment, and transfer evidence-based clinical practice recommendations and models of nursing care for the first 72 hours of admission to hospital for acute stroke. Stroke, 46(2), 18-25.