For example, installation of normal saline before endotracheal suctioning is one among many evidence based practices that have proved harmful (Rauen, et al, 2014, p.102). The practice has an effect on oxygenation, removal of secretions, thinning secretions, and risk of bacterial…
Evidence alone is not sufficient to complete health recovery of the patient. Consultation on the patient’s preference coupled with nursing ethics and core values have been known to yield better results (CNA Centennial, 2008, p. 2).
Evidence based practice assumes that scientific knowledge is used in the context of a particular problem affecting a number of people in a population (Beyer & Slattery, 2006, p. 1; Houser, Oman, 2011, p. 4).
This is regardless of whether these are resent or past results. Newly established health problems may not benefit from the research when the treatment is depended on past research (NCIRD, 2014, p. 1). For example seasonal research studies on how well flu vaccines work has registered varied result based on study design applied (NCIRD, 2014, p. 1). The differences thus make it impossible to use an old research finding as a solution to the recently discovered type of flu. When old evidence is used, the patient’s healing process is hence compromised since it requires real-time solutions that uphold core values to solve newly developed problems (Thomas, Burt, Parker, 2014, p. 14). The core values are related to the basis on which nursing profession was formulated.
The core values to a holistic response to the patients and family needs safety, competence, and ethical care, respect for the patient’s rights, decisions, dignity, right to privacy and confidentiality (Nelligan, et al., 2002, p.64).
For example treatment care for patients with cancer involves ethical care and respect for patients decision (Nelligan, et al., 2002, p.66). The nurses are guided by the intention of the patient to achieve good health. They therefore identify and respect the patient’s rights likely to be affected by the treatment decision taken. Some patient may prefer never to go for chemotherapy especially when the disease is at an advanced stage. ...
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