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Health was once viewed as disease free and focused on illness. When unsanitary conditions improved, and vaccinations implemented health and diseases were manageable and preventable and focus shifted towards disease prevention. Health shifted focus from the environment and started concentrating on individuals and families. As health promotion grew, the definition of health became viewed as an accumulation of factors such as physical, mental, and spiritual wellness (GCU, 2018). Well- being is the state of being comfortable, happy, and healthy which is a component of health. Another component of health is illness in which is where a person feels unhealthy and may or may not be disease related. This spectrum portrays wellness as achievable through a combination of factors, including health promotion behaviors and healthy living choices, such as health screenings and proper nutrition, respectively (GCU, 2018). Health promotion measures will create a healthier population that will live longer. Health models help nurses learn of what a patient's health knowledge is then in turn implement health promotion interventions which will lead to improved patient outcomes.

Evidence-based practice in clinical practice is necessary in order to promote the highest quality care to patients and cost- effectiveness. "EBP is aimed at hardwiring current knowledge into common care decisions to improve care processes and patient outcomes" (Stevens, 2013). Nurses are required to play a variety of roles that are all equally important. It is the nurse whom the patients communicate with and trust. Using EBP has been proven to lower patient complications which has direct effect on healthcare costs. A patient who has complications require more care and longer stay which increases health care costs. For example, EBP promotes chlorhexidine treatments every 24hours to prevent CLASBIs in patients with central lines and foley catheters. When a CLASBI occurs, it can lead to death or sepsis which requires more care and costs.

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