Foundations in Evidence based Practice Essay Example | Topics and Well Written Essays - 500 words

Foundations in Evidence based Practice - Essay Example Clinical expertise and patient preference are the overriding components of this model with clinical expertise coming to the forefront, when patients are too frail to provide adequate patient preferences Nursing professionals are taught the means of collecting clinical evidence through the evaluation of information from clinical research. However not always is pertinent and adequate information available on a timely basis. In addition clinical evidence may be at odds to patient preference and the clinical experience for the given clinical problem. Thus mere adherence to clinical evidence does not contribute to evidence based practice. (Steinberg & Luce, 2005). Patients are individuals with their individualistic desires in the treatment and management of their clinical problems. Quality of life and quantity of life are two perspectives in clinical problems. Clinical evidence may focus on one of these aspects, while patient preference may be for the other. Clinical evidence cannot be imposed through a paternalistic attitude ignoring the dignity and autonomy of the patient. Clinical experience provides the means in such situations to respect the preferences of the patient. It is this blending of clinical evidence with clinical experience and judgment that provides the means to respect patient autonomy and deliver evidence based practice. (Cody, 2003). Support and information, attentiveness and respect for the individual contribute to patient autonomy (Proot, Crebolder, Abu-Saad, Macor & ter Muelen, 2000). Care in the critical care units involves high costs due to the involvement of expensive life supporting devices like the mechanical ventilator. Clinical evidence suggests that three to six percent of patients in critical care units would require extended use of the mechanical ventilator and the prognosis is such cases is a high rate of mortality and poor quality of life in the rest. Thus clinical