The purpose of evidence-based practice is to enhance care and the results of the patients (“The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas," n.d.). The implementation of evidence-based practice in the field of nursing has resulted in the development of the results and patient’s safety. The two areas of nursing practice that have improved the client’s outcomes are diabetes and wound care. The rapid prevalence of diabetes and wounds in the United States has resulted in increasing the death rates. The Center for Disease Control introduced the concept of using the antimicrobial prophylaxis as an evidence-based practice for treating patients with wounds (Berríos-Torres et al., 2017) . The self-management approach as an evidence-based practice has been effective in increasing knowledge among the diabetic patients on handling their diabetic condition (Powers et al., 2017) .
The studies on the management of diabetes and wounds focus on the method of managing the conditions during treatment and the steps that should be implemented daily by the patients. A 2016 study that was carried out by Chrvala Sherr and Lipman found out that the diabetes self-management evidence-based practice was effective in enhancing the patient’s knowledge, experience and their ability to handle their diabetic condition. The evidence-based practice enables the patients to make decisions that are beneficial to the improvement of their condition. The research carried out by Powers et al. (2017) supported the implementation of the self-management evidence-based practices. The scholars claimed that the methods assisted in the proper management of the patient's diabetic condition. Powers et al. (2017) stated that the ways enhanced the patient's behavior, intellectual levels, psychosocial, and medical condition. The self-management practice has assisted the healthcare professionals to handle their diabetes conditions.
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According to the study carried out by Berríos-Torres et al. (2017), the practice of administering antimicrobial prophylaxis an effective method of treating the patients who have wounds of surgical procedures. The authors claimed that the process protected the patients from surgical site infections which enhanced their safety. The practice can be integrated into the surgical development modules to improve the medical safety of the patients. The research carried out by Welsh (2018) indicated that the underpinning wound technique needs further improvement for it to be effective in improving the safety and results of the clients.
The diabetes educator gets an easier time in addressing the education needs of the patients after the implementation of the self-management methods. The self-management methods enhance the knowledge of the clients about their condition. The diabetic patients can make decisions on their own without the help of the educator (Powers et al., 2017) . The wound care nurses do not spend time in managing the patients’ safety as a result of using the antimicrobial medication (Berríos-Torres et al., 2017) . Some facilities use antimicrobial prophylaxis before carrying out the caesarian procedures, and the study indicated that it is useful than the other practices. The nurses should realize the significant roles they play in the results of their patients (Berríos-Torres et al., 2017).
In conclusion, the nursing practice has been impacted positively because the patients can take care of their conditions. Further, the management of the patient's wounds has become more comfortable for the nurses. The patients can receive quality care and safety due to the improvements made in the nursing practice.
References
Berríos-Torres, S. I., Umscheid, C. A., Bratzler, D. W., Leas, B., Stone, E. C., Kelz, R. R., ... & Dellinger, E. P. (2017). Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017. JAMA surgery , 152 (8), 784-791.
Chrvala, C. A., Sherr, D., & Lipman, R. D. (2016). Diabetes self-management education for adults with type 2 diabetes mellitus: a systematic review of the effect on glycemic control. Patient education and counseling , 99 (6), 926-943.
The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. (n.d.). Retrieved July 14, 2018, from http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/ TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., & Vivian, E. (2017). Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. The Diabetes Educator , 43 (1), 40-53.
Welsh, L. (2018). Wound care evidence, knowledge, and education amongst nurses: a semi ‐ systematic literature review. International wound journal , 15 (1), 53-61.
