Evidence-Based Care

Evidence-Based Care

What is the main aim of evidence-based health care?

When offering healthcare, it is important to make sure that the care being provided works.

Myhomecare builds a culture and environment that supports implementation of evidence-based care by initially starting the process with an in-depth assessment of every client by using the five steps of evidence based care. Followed by regular reassessments and spot checks, and an ongoing open line of communication with Clients, families, and staff. After assessment the staff then have access on all information on myhomecare onetouch system that pertains to the client they are caring for.

All professional practice is guided by the NMBI guidelines, the HSE and NICE (National Institute for Health and Care Excellence)

What are the 5 steps of evidence-based care?

Steps in the Process

1. Ask patient-centred, focused questions about the care of individuals, starting with the assessment of the client. Start with the Client to determine a clinical problem or question that arises from the care of the patient.

2. Acquire the best available evidence relevant to your question.

3. Appraise the evidence for validity and applicability to the problem at hand.

4. Apply the evidence by engaging in collaborative decision-making with individual patients and families. Appropriate decision-making integrates the context, values and preferences of the care recipient, as well as available resources, including professional expertise.

5. Assess the outcomes and disseminate results.

Evidence based care also involves integrating the best available evidence with clinical knowledge and expertise, while considering patients’ unique needs and personal preferences. If used consistently, optimal patient outcomes are more likely to be achieved.

Why is Evidence-Based Practice Important?

EBP is important because it aims to provide the most effective care that is available, with the aim of improving patient outcomes.

Evidenced-based practice (EBP) is applying or translating research findings in our daily patient care practices and clinical decision-making. EBP also involves integrating the best available evidence with clinical knowledge and expertise, while considering ‘ unique needs and personal preferences.

Regulations and standards for nurses and midwives
Regulations and standards of care play an important role in nursing. As a practising nurse, regulations and standards:
• outline your professional expectations
• serve as a guide on protocols and procedures
• provide a baseline for those with responsibility for providing care
• promote accountability for the quality and safety of services provided
• promote healthcare that is up to date, evidence-based, effective, and consistent
• provide a baseline for planning and measuring improvements
• ensure that care provided is patient centred
• promotes best possible outcomes and minimises exposure to risk of harm

All professional practice is guided by the NMBI guidelines. Nursing as a profession in Ireland is governed the Nurses and Midwives Act 2011. This legislation underpins the development of the nursing profession, while adherence by nurses to standards and guidance issued by Nursing and Midwifery Board of Ireland (NMBI) ensures safe and high-quality nursing care. Their role is to protect the health and safety of the public, by setting standards, ensuring that nurses and midwives are competent to practise. Nurses and Midwives Act, 2011 (Government of Ireland 2011). ‘Scope of practice’ is a concept that several professions use in the context of professional regulation. The scope of practice sets out the procedures, actions, and processes that the registered or licensed professional is allowed to perform. The purpose of the Scope of Nursing and Midwifery Practice Framework (the Framework) is to provide nurses and midwives with professional guidance and support on matters relating to the scope of their clinical practice. It incorporates a flowchart to help nurses and midwives to define and make decisions about their own scope of practice.


Professional practice is also guided by the NICE guidelines which are evidence-based recommendations for health and care They set out the care and services suitable for most people with a specific condition or need, and people in particular circumstances or settings. Our guidelines help health and social care professionals to prevent ill health.

Myhomecare.ie is a community-based Homecare company that provides care to the most vulnerable in our society. Our mission statement is to: “deliver the highest quality of safe, person-centred care, meeting each service user’s individual needs using a holistic approach in accordance with the National Standards of Safer Better Healthcare