I NEED A GOOD COMMENT BASED IN THIS ARGUMENT TO POST IN MY ONLINE CLASS.   I am currently treating a child that is immobile.  I provide care to her in multiple ways, but one specific way is ulcer prevention.  When I first started treating her, she had a stage 1 ulcer.  Treatment included wound care with antiseptics.  When I treated her, I was given a prescription and I investigated what the benefits of this ointment was on ulcers. I always like to inform myself and make sure the doctor has prescribed what is best and most effective for my patients.  An example of implementing EBD and its effects on ulcers, would be the article Antibiotics and antiseptics for pressure ulcers by Christie, Dumville, Goto, Tanner, Moore, and Norman. When applying EBP practice, I can consider whether to use antiseptics and/or antimicrobial treatment. In doing so, I research the effects and outcome on both types of treatments.  Per Christie, Dumville, Goto, Tanner, Moore, and Norman (2016) when comparing both of ointments on ulcers, “There was no consistent evidence of a benefit to using any particular antimicrobial treatment for pressure ulcers. However, there was some limited evidence that more ulcers healed when treated with some types of alternative dressings without antimicrobial properties than when treated with povidone iodine”. This research can be used by myself and nurses to treat ulcers, avoid unnecessary procedures, be a voice to our patients and physicians, and explore other possibilities of treatments of ulcers.      According to Youngblut and Brooten (2001) “Evidence-based practice (EBD) provides opportunities for nursing care to be more individualized, more effective, streamlined, and dynamic, and to maximize effects of clinical judgment.” Evidence based practices are the latest advances and knowledge developments, not supporting existing practices. In addition, it includes nurses being active and taking part in the clinical data and application of evidence.  In my opinion, applying EBD in practice will increase the value and reputation of nurses.  One way nurses can promote evidence based research is to be an “opinion leader” (Flodgren , Parmelli , Doumit , Gattellari , O’Brien , Grimshaw , Eccles 2011).

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“As a healthcare provider, I firmly believe in the importance of incorporating evidence-based practices in my approach to patient care. EBD principles have been used to treat one child who has an immobile condition. I’ve also researched the antiseptic and antimicrobial effects. Christie et. al. The findings of the study by Christie et al. (2016) highlight the need to consider alternative dressings that do not have antimicrobial properties. They showed better results for healing ulcers than povidone-iodine.

EBD offers healthcare providers the chance to provide individualized, effective care. By being an active participant in the research and application of evidence, nurses can increase their value and reputation, and play a crucial role as an “opinion leader” in promoting EBD practices. As a nurse, I am committed to providing the best care for my patients by staying informed and utilizing evidence-based practices in my approach.”


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