1 Evidence-Based Practices to Guide Clinical Practices Marilaura Mieres Miami Regional University Dr.Mercedes 03/28/2021 Evidence-Based Practices to Guide Clinical Practices 2 Introduction Evidence best practices is an approach that translates excellent scientific research evidence to enhanced practical decisions aiming at improving health. EBP involves using research findings obtained from systematic data collection that is achieved through observations and analyzed experiments. The connection of research, theory, and EBP are interlinked in that the delivery of one results in another aspect's discovery. Through research findings, a theory is discovered, and through various experiments and observations, evidence-based practices are identified. Interrelationship Between the Theory, Research, and EBP. According to Cannon & Boswell (2016), health professionals require standards to analyze behavioral treatments in the behavioral sciences. Through complete incorporation and implementation processes, health professionals must value EBP processes, health theories, and research. Through experience, health practitioners must learn to integrate research results to determine the best treatment plans suitable for patients. Through this research results, experiments, and evidence, health practitioners with academicians ally to discover a theory. The treatments are offered according to patients' values, interests, and preferences (Cannon & Boswell 2016). The values increase practitioners' skills and knowledge to analyze research outcomes effectively. Nurses are expected to think critically after being taught and encouraged, which corresponds with evidence-based practices. Nurses' critical thinking skills require a foundation on which proven research and tested data can be based. The proven research, evidence-based practices, and a good foundation all connect to form a theory that research can rely on and nurses can use to prove their practices. 3 Additionally, health professionals at all levels must identify challenges and arising questions to address patients' needs and offer quality practices to discover appropriate interventions suitable for every challenge. Health professionals are directly involved in research projects that allow them to understand the best methods to publish for evidence-based practices. Through different researches and publications, health professionals like advanced practice nurses use research to solve health dilemmas. Nurses find platforms centered on tested clarifications through nursing practices and methodical examinations from research to build a base for procedures and care. Moreover, research is a scientific procedure that anticipates outcomes through the use of fundamental expertise. Research processes enhance the capacity of discipline through clarity and visualized aspects. The discipline's ability to put i ...

1. 1
Evidence-Based Practices to Guide Clinical Practices
Marilaura Mieres
Miami Regional University
Dr.Mercedes
03/28/2021
Evidence-Based Practices to Guide Clinical Practices

2. 2
Introduction
Evidence best practices is an approach that translates excellent
scientific research
evidence to enhanced practical decisions aiming at improving
health. EBP involves using
research findings obtained from systematic data collection that
is achieved through observations
and analyzed experiments. The connection of research, theory,
and EBP are interlinked in that
the delivery of one results in another aspect's discovery.
Through research findings, a theory is
discovered, and through various experiments and observations,
evidence-based practices are
identified.
Interrelationship Between the Theory, Research, and EBP.
According to Cannon & Boswell (2016), health professionals
require standards to analyze
behavioral treatments in the behavioral sciences. Through
complete incorporation and
implementation processes, health professionals must value EBP

3. processes, health theories, and
research. Through experience, health practitioners must learn to
integrate research results to
determine the best treatment plans suitable for patients.
Through this research results,
experiments, and evidence, health practitioners with
academicians ally to discover a theory. The
treatments are offered according to patients' values, interests,
and preferences (Cannon &
Boswell 2016). The values increase practitioners' skills and
knowledge to analyze research
outcomes effectively. Nurses are expected to think critically
after being taught and encouraged,
which corresponds with evidence-based practices. Nurses'
critical thinking skills require a
foundation on which proven research and tested data can be
based. The proven research,
evidence-based practices, and a good foundation all connect to
form a theory that research can
rely on and nurses can use to prove their practices.
3

4. Additionally, health professionals at all levels must identify
challenges and arising
questions to address patients' needs and offer quality practices
to discover appropriate
interventions suitable for every challenge. Health professionals
are directly involved in research
projects that allow them to understand the best methods to
publish for evidence-based practices.
Through different researches and publications, health
professionals like advanced practice nurses
use research to solve health dilemmas. Nurses find platforms
centered on tested clarifications
through nursing practices and methodical examinations from
research to build a base for
procedures and care.
Moreover, research is a scientific procedure that anticipates
outcomes through the use of
fundamental expertise. Research processes enhance the capacity
of discipline through clarity and
visualized aspects. The discipline's ability to put into practice
required evidence relates to
anticipation, transparency, and guidance that controls and
governs the findings. The discipline's
capacity ensures the quality of research is achieved. Once the

5. analysis is completed, the
evidence-based practices can be realized. The realization of the
EBP results in discovering a
theory based on practices, evidence, foundation, and research.
Furthermore, research leads to the discovery of theories that
have become a growing
expectation in healthcare provision. The research results are
used to determine and distinguish
appropriate quality care to offer patients, which translates to
forming a constant feature that can
be used to base patient's characters like behavioral theory.
Research Questions, Sampling and Sampling Size, Research
Designs, Hypothesis, Data
Collection Methods, And Research Findings from Each Study
From Cannon & Boswell (2016) journal, it is evident that
qualitative and quantitative
research designs are used in scenarios where nurses use
observation and personal experience
4
with patients to determine the best treatment to use on a patient.
Whereas quantitative research

6. designs are used by health professionals when researching a
health product or treatments. The
statistical data collected is evaluated through experiments to
weigh information with the highest
loads. The collected data with high loads are then taken for
further piloting and analysis to
determine the information's authenticity. The data is used to
advocate for a clinical method.
On the other hand, research questions from Cannon & Boswell
(2016) evaluate patients'
health literacy and how evidence-based practices help clinical
practices and patients. Research
questions focus on identifying and analyzing the effectiveness
and clarity of theories, research,
and evidence-based practices with their relationship to
improving healthcare delivery services to
patients. According to mick (2017), health professionals must
identify questions and analyze
challenges facing patients to help recognize appropriate
interventions to use for quality practices.
Additionally, health professionals engaging in the invention of
theories and advanced
knowledge for health policy changes use data collection
methods like surveys, observations,

7. planned interviews, and focus groups. The data collection
methods and research findings from
Cannon & Boswell (2016) determine health professionals'
critical thinking processes to provide
the right settings for primary care. Through research findings,
nurses' knowledge and skills are
improved and enhanced through positive attitudes towards
providing value on evidence-based
practices to improve quality care and increase patient outcomes.
Research methods use techniques and methodical examinations
to provide a platform to
base clinical practice. The research findings from the study of
Cannon & Boswell (2016) indicate
that conclusions from research studies are used to solve clinical
dilemmas that form the basis of
quality research. The anticipation, clarity, and guidance
required in scientific processes are put
into practice through sound evidence from research findings.
5
Moreover, health professionals' satisfactory evidence while
conducting their research

8. adds up to hypothesis testing. Mick (2017) indicates that the
evidence achieved by health
professionals is fueled into practice after tests and experiments
have been designed. The
evidence is tested to understand the variability and the deepness
of the data collected. Through
different observations and conclusions, a research finding is
invented.
Furthermore, the steps in the clinical study involve having an
appropriate setting for
research. The study to be conducted requires the health
professional and researchers to sample
several patients or individuals to ask research questions related
to the sample size. Once the
sampling process is achieved, the data collection methods are
used to accomplish the research
findings. The findings are then evaluated to determine the
effectiveness of the samples.
According to Mick (2017), the research aims to generalize
research goals from a sample
and relate it to larger populations. The sampling process is
accomplished through statistical
methods centered on the perspectives of a theory. A sample is a
small proportion of a population

9. that is representative of a larger population. Therefore,
researchers use sampling methods free
from errors to determine the study and purpose of the research.
Goals, Health Outcomes, And Implementation Strategies in The
Healthcare Setting (EBP)
Training and support strategies, according to Mathieson et al.
(2019), results in
successful adoption. Engaging nurses in training before
implementing an innovation boost
nurse's confidence to use the innovation skills acquired through
training. Offering practical
training on how to use a particular treatment or how to handle a
scenario suggests that training
plays a significant role in successful adoption. Support
strategies involve receiving support from
6
staff members, having enough and safe space for nurses to share
their experiences, physical
contact with researchers, and management support through
resource allocation.

10. According to Mathieson et al. (2019), Roles' allocation
enhances nurses' ability to
monitor implementation processes. The roles allocation process
involves appointing nurses into
leadership positions, giving them the chance and time to follow
practice guidelines and develop
quality-required solutions. By allocating roles, health
professionals enhance their knowledge,
skills, and courage to handle health problems effectively
without fear. They are also able to think
critically in times of urgency and make prompt decisions. The
allocation of roles improves the
delivery of healthcare services and increases patient
satisfaction. Allocation of roles aims to
create responsible and accountable health professionals who can
collaborate to foresee positive
implementation.
Through evidence-based practices, patients' trust is enhanced
since the interactions
between them are created. The research incorporated with
evidence-based practices increases
patients' satisfaction since assisting patients on their recovery
process motivates nurses to
implore more quality techniques to reduce costs of healthcare

11. services to accommodative levels.
Conclusions
Evidence-based practices promote overall professional
development as it also provides
elements and data that guide nurses to recognize interventions
and strategies to use to improve
daily practices. Evidence-based practices incorporated with
theories and quality research
promote nations' healthy well-being since a healthy country is
the first realization of economic
development. Healthcare teams should, therefore, encourage
nurses' roles through evidence-
based practices and research to allow efficient management of
cost-effective resources
7
References
Cannon, S., & Boswell, C. (2016). Evidence-based teaching in
nursing: A foundation for

12. educators. Jones & Bartlett Publishers.
Mathieson, A., Grande, G., & Luker, K. (2019). Strategies,
facilitators and barriers to
implementation of evidence-based practice in community
nursing: a systematic mixed-
studies review and qualitative synthesis. Primary health care
research & development, 20.
Mick, J. (2017). Funneling evidence into practice. Nursing
management, 48(7), 27-34.
SOAP NOTE
Name: V.N
Date: 8/23/2020
Time: 0800
Age: 53 years
Sex: Male
SUBJECTIVE
CC: “I am having pain in my right leg”
HPI: The patient states that the pain started four days ago and
it is in the right lower leg. The patient states that his right leg
feels tight and he rates the pain as 7/10
Medications:
None
PMH

13. No past medication history indicated by the patient
Allergies: NKDA
Medication Intolerances: Denies any intolerance to the
medication
Chronic Illnesses/Major traumas Denies having any chronic
diseases
Hospitalizations/Surgeries: Denies any surgical procedure or
hospitalization
Family History
Father is having cardiac heart failure related disease while the
mother is having high blood pressure
Social History The patient is a university graduate and he is
married with two children. He denies taking alcohol or smoking.
ROS
General
The patient denies weight change, fatigue, fever, chills, and the
night sweats.
Cardiovascular
The patient denies pain in the chest, no orthopnea, no
palpitations.
Skin
Denies any delayed process of healing, bruises, rashes, bleeding
or discoloration of the skin, and any moles or lesions
Respiratory

14. No coughing, no pneumonia, no wheezes, no dyspnea, no
hemoptysis
Eyes
Denies corrective lenses, no blurring, no changes in her vision.
Gastrointestinal
Denies abdominal pain, no constipation, no history or present
hepatitis, no ulcers, denies black tarry stools
Ears
Denies pain of the ear, hearing problem, ringing of the ears, or
any ear discharge
Genitourinary/Gynecological
Patient denies the presence of the urge or frequency burning,
denies change in the urine color and any menstrual issue.
Admits to be sexually active. Denies having been diagnosed
with STDs
Nose/Mouth/Throat
Denies sinus issues, dysphagia, nose bleeding, discharges,
dental illness, hoarseness, pain.
Musculoskeletal
Admits swell near his right leg which is painful and tight.
Denies history of fracture or osteoporosis.
Breast
Denies any changes or bumps
Neurological
The patient denies syncope, seizures, short-lived paralysis,
weakness, paresthesias, or black-out spells.
Heme/Lymph/Endo
The patient is HIV negative. He denies bruises, has undergone
blood transfusion, no night sweats, has swollen glands,
increased hanger, denies thirst, cold and heat intolerance.
Psychiatric
Denies sleeping problems, anxious, and suicidal thoughts or
attempts.

15. OBJECTIVE
Wt 68kg BMI 18.7
Temprature 97
Blood Pressure 122/62
Ht 6’3’’
Pulse 68 beats/min
Respiration 16
General Appearance The patient looks well in no acute distress.
He is alert and oriented and is responding to the questions in
appropriate manner.
Skin
The patient is brown, warmer, clean, and intact. Absence of the
lesions or rash
HEENT
Normocephalic, atraumatic and with no lesions of the head. The
hair of the patient is evenly distributed.
Eye is having intact EOMs with no injection of the conjunctival
or scleral.
Ear is having patent canals, easily visualized landmarks, and the
bilateral TMs
Nose pink mucosa with normal turbinates
Neck is supple without palpable lymphadenopathy, there is no
occipital nodes, nodules, nor thyromegaly.
There is moist and pink oral mucosa. The pharynx is non-
erythematous with no exudate. The teeth is in good shape with
normal dental arrangement
Cardiovascular Normal S1 and S2 with regular rate and rhythm.
No splitting in the heart sounds heard. No murmur. No friction
rub, no edema.
Respiratory
There is stable, regular, and easy respiration. The auscultation
of the bilateral lungs is clear.
Gastrointestinal
No obese, active BS in all the four quadrants, soft and non-
tender abdomen, and no hepatosplenomegaly.

16. Breast
No masses or tenderness of the breast. Absence of the discharge
and dimpling, wrinkle, and skin color is the same
Genitourinary
Both testes are palpable, no masses or lesions, no hernia, no
urethral discharge. prostrate is smooth, non-tender and free
from nodules, is of normal size, sphincter tone is firm
Musculoskeletal
There is no full ROM in the patient’s extremities. The
movement is limited
Neurological
The patient is having clear speech, good tone with no erect
posture. There is unstable balance and abnormal gait.
Psychiatric
He is alert and oriented, clean, able to maintain eye contact,
soft speech, and appropriately responding to the questions
asked.
Lab Tests
Urinalysis – pending
Urine culture – pending
Wet prep - pending
Special Tests
Complete blood count: to help in the knowing the number of
leukocytes
MRI: to detect the presence of thrombus
D-dimer: to help in excluding thromboembolic illness
Diagnosis
Differential Diagnoses
Deep Venous Thrombosis: it is characterized by pain and the
swelling of the limb that is non-specific. The patient have
warm, swollen, and tender leg.
Cellulitis: this is a non-necrotizing inflammation of the skin and
the subcutaneous tissues. It has symptoms such as swelling,

17. warmth, pain, and erythema
Pulmonary Embolism: occurs as a result of the blood clot
clogging in an artery in the lung and blocking the flow to the
lung.
Diagnosis
o Deep Venous Thrombosis
Plan/Therapeutics
o Plan:
· Further testing: ultrasound to see clear picture of the arteries
and the veins to monitor how the blood flows. Venogram can
also be ordered to be followed by the x-ray to determine the
location of the DVT
· Medication: Painkillers such as acetaminophen; heparin,
lovenox, arixtra, and warfarin to help in the thinning of the
blood. Thrombolytic drugs are also prescribed to help in the
breaking of the clots.
· Education: The patient is advised not to sit for long to reduce
the development of the blood clots. The patient is advised to
adopt exercise such as knee pulls that involves the bending of
the leg and raising of the knee towards the chest. The patient is
also taught on the importance of ankle circles exercise where
the feet are lifted off the floor while the patient tries to draw
the circle with the toes in one direction for a few seconds
· Non-medication treatments: Keeping of the arm elevated
through the use of the stool or chair. Wearing compression
stockings to help in the prevention of pooling and swelling. It
also helps in increasing the blood flow.
Evaluation of patient encounter: The patient is evaluated based
on the reduction of the pain and the ability to make movement
with a lot of ease after discharge from the facility
References
Murrell, D. (2019, November 13). Everything You Want to

18. Know About Deep Vein Thrombosis (DVT). healthline:
https://www.healthline.com/health/deep-venous-thrombosis
Ouellette, D. R. (2019, October 16). Pulmonary Embolism (PE).
Medscape: https://emedicine.medscape.com/article/300901-
overview