Overview In this continuously evolving healthcare industry research is important in all aspects of patient care. As Balgrosky (2015) posits, research fueled by data, takes place in myriad academic and professional settings with the goal of making actionable improvements in the outcomes and value of health care (p. 218). Results or evidence from conducted research is communicated and shared with healthcare providers helping shape the health information systems [HIS] (Balgrosky, 2015, p. 218). There are several methods of interpreting evidence to provide the best patient care, in the following paragraphs I will discuss comparative effectiveness (CER) and evidence-based practice (EBP).
Comparative Effectiveness Research The premise of CER is that it is based on the comparison of benefits and risk of existing evidence of one method of treatment to alternative methods of treatment to determine which would yield the best outcomes for the right patients, at the right time, while still being cognizant of the economic impact (Balgrosky, 2015, p.232; Hastings-Tolsma, Matthews, Nelson, & Schmiege, 2013). CER is described as an observational study and several defining
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According to Florczak (2016) research evidence is the overwhelming driver in evidence-based decision-making and therefore must be the best and most relevant evidence meeting the gold standard of being incorporated into a randomized clinical trial (RCT). The aim of EBP is to standardize healthcare practices and therefore improve care processes and patient outcomes (Stevens, 2013). Hindrances to the use of EBP may be situations where RCTs are not feasible or appropriate due to ethical situations or lack of funding (Hastings-Tolsma et al.,
"Evidence-based medicine (EBM) involves caring for patients by explicitly integrating clinical research evidence with pathophysiologic reasoning, caregiver experience, and patient preferences." (Cook and Levy, 1998) .According to Potter and Perry (2011), strategies
Evidence-based practice is the practice of making clinical decisions based off the best available research evidence coupled with the nurse’s own expertise, while also taking into account, the patient’s assessments and own personal preferences. This use of research has proven effective at providing better outcomes and lower healthcare costs, yet there are several barriers, such as time, education, and support, which prevent nurses from consistently using evidence-based practice (AJN, 2012). The top three barriers to the use of evidence-based practice are lack of time, education, and support in implementing new practices and using them consistently.
Over the past two decades, EBP has expanded on Florence's theories. EBP constitutes the combination of clinical expertise, patient values, and research evidence when making decisions about patient care. In the 1990's, it was determined that just increasing knowledge was not sufficient for improving patient outcomes. To obtain better patient outcomes "new knowledge must be transformed into clinically useful forms, effectively implemented across the entire care team within a systems context,
Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.
According to Dr. David Sackett, Evidence Based Practice (EBP) is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It is a clinical decision-making process in which clinicians use theory-derived, research-based knowledge to inform their decisions about care delivery. Most importantly, consideration of individual needs, preference and resources must be included.
Evidence-Based Practice (EBP) was initially a movement in medicine, dating back to early 20th century (Spring, 2007). It was described as a careful decision making process about the care of individual patients using best available evidence by Sackett, Rosenberg, Gary, Haynes, and Richardson (1996). Greenhalgh (2010) gave a similar definition but with more emphasis on the mathematical assessment of the potential benefit and harm. By now, EBP has been widely adopted by many health disciplines, including psychology. In 2005, the American
Indeed, "new and validated knowledge that forms the basis j Y for evidence-based practice (EBP) most commonly is discovered in academic settings. But findings need to be translated into a protocol or guideline that can be used to guide practice," according to Conner, (2014, p.40). Evidence-based projects have lead to many improved clinical practice changes at the bedside and healthcare in general; and they are highly promoted and supported by different healthcare organizations.
Evidence-based practice is a formulation of ideas, research and conclusions to formulate the best possible health care choice (Hood, 2014). In health care the process of utilizing current information begins with a question can something be done better, can the patients benefit as a result and is it cost effective, EBP seeks new information to replace old or outdated information. When there are doubts if something can be done better a research team collects data on the subject using unbiased information they analyze the data, design interventions that are based on the new evidence and makes their final recommendations on their findings (Hood,
The following principles establish a framework to help ensure government-supported health outcomes research, including research on comparative effectiveness, meets patients’ needs and supports continued improvement in medical care. Research that meets these principles can improve health care decision-making, while research inconsistent with these principles in how it is designed or used will make it more difficult for patients to obtain the best and most efficient medical care.
Aveyard and Sharp (2013, citing Sackett et al. 2000) interpret evidence-based practice as the reliable and sensible use of the most recent evidence together with clinical knowledge and patient values to guide health care decisions. This suggests that we must use the best up-to-date evidence to make decisions about care delivery to patients, acknowledging individuals needs and preferences to optimised patient outcomes. By considering patient’s opinion and the clinician’s experience with the supporting significant evidence from research and expert report, we can give the best results for the patient () . However, nurses must always use their clinical judgement and decision making alongside with EBP as sometimes evidence may not applicable and
EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996)
The EBPP is an essential tool in diagnosing and helping treat clients to the best of clinician’s ability and expertise. It is important when diagnosing a patient and coming up with an effective treatment plan, to understand the treatment you are using and why you chose that specific one for this specific client. Methods that are empirically supported have much more ground to stand on as opposed to winging it or coming up with your own treatment plan. There is a reason that certain treatment plans have been tested and used so much, because they work. Which is why the EBPP calls for the best available research evidence to form strong footholds for treatments. I applaud where the task force wants to see the EBPP go in the future with cultural
Evidence based practices are important to explore for various diseases so that their efficacy level can be determined and medical staff can be trained accordingly. Particularly speaking in the context of chronic diseases, evidence based practices are to be evaluated with the joint efforts of multiple healthcare institutions so that it can bring benefits to the overall healthcare industry.
Evidence-based practice (EBP) offers a framework utilization of systematic high-quality research, an analysis which consistently enhances measurable client outcome and clinical decision-making grounded in rationality; EBP depends on data collected through experimental research and accounts for individual client characteristics and clinician expertise. The potential benefits of EBP comprise of increased service delivery and quality of care, heightened accountability, and a bridging of the research-practice gap (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000). It is imperative that research scholars are cognizant of research outcome dependability and validity prior to implementing results
Evidence-based practice (EBP) in nursing means making decisions about patient care on the basis of best, current, standardized practice and guidelines. According to an article, written by Dr. Kathleen Stevens, the development of evidence-based practice (EBP) is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care (Stevens, 2013). The author also mentioned in her article that the intended effect of EBP is to standardize healthcare practices to science and best evidence and to reduce illogical variation in care,