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Essay / Nursing and Evidence-Based Practice - 870
Evidence-based practice (EBP) is the use of the best contemporary research available in the management of individual patient care (Sackett et al. 2000) . Combined with the healthcare professional's personal experience, EBP facilitates problem solving that takes into account the patient's preferences and values (Melnyk and Fineout-Overholt 2005). The approach respects the patient as an individual and as a partner in planning and receiving care. EBP aims to reduce the use of ineffective healthcare interventions and encourage clinical decision-making based on credible modern evidence (Stevens 2013). In short, it aspires to achieve the best outcomes for patients, thereby increasing the quality of care that nurses provide to their patients. EBP is a value that underpins nursing practice in Ireland (An Bord Altranais 2000). Furthermore, EBP is an essential part of modern nursing education and nursing students must demonstrate safe, evidence-based clinical skills to obtain their qualification (An Bord Altranais 2005). An example of using EBP in a clinical setting is obtaining pH aspirates from a nasogastric tube to confirm tube position before feeding or drug administration. By checking gastric placement, the nurse can safely initiate feedings knowing that the tube is not positioned in the airway or esophagus, reducing the risk of aspiration and possible pneumonia. In this example, safe practices are determined by evidence. The chosen article is the Swedish research article by Karlsson, Arman and Wikblad (2008), published in the International Journal of Nursing Studies. The article followed the research process and used a qualitative phenomenological paradigm that explored...... middle of the article ......s (2014) the interpretive phenomenological study was consistent with the confidence of the original sample in their peers' ability to cope. This study used a group of samples that were similar in age profile, gender composition, and disparities in glycemic control to the original study sample; explore the impact of social environments on self-management issues. Furthermore, they agreed that supportive peers facilitated self-management activities. Conversely, adolescents in Spencer, Cooper, and Milton's (2014) survey described experiences where their diabetes caused them to feel different from their peers. Unwanted attention due to independent care practices and giving injections are two examples of how adolescents feel different. It is interesting to note that these examples come from the school environment which was not explored in the text by Karlsson, Arman and Wikblad (2008)..