Evidence-Based Program (EBP)

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.

According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information

Research, quality improvement (QI), and evidence-based practice (EBP) all play an important role in the field of healthcare and are essential for the delivery of quality patient care. While each involves teamwork, critical thinking, and creativity there are distinct differences between them.

What are ways to connect research and practice? How might counselors use research in marriage, couple, and family counseling?

Jeremy, nice posting about continuing to advance evidence-based practice (EBP). Stevens (2013) wrote that clinical leaders have the chance to advance ahead and change healthcare from a systems view, thus directing their efforts on evidence-based practice (EBP) for proven effectiveness, patient commitment, and patient safety. I see that through this program that this is only the beginning, I have the sturdy foundation from which I can build from the bottom up. Now that my eyes are open more and I challenge the organization or leaders more with the data to support my claims, I am now the squeaky wheel that grates on your nerves.

Evidence based practice (EBP) is using the most current scientific evidence when making decisions about patient care. Evidence based nursing uses the best evidence available, combined with nursing expertise and preferences of the patient/family to create the best patient care possible (Stanhope & Lancaster, 2014). The definition of EBP continues to broaden in scope in order to include every approach to practice, and now includes both external and internal evidence involving clinical questions to achieve the desired patient outcome (Stanhope & Lancaster, 2014).

I have been working in community based services for three years now and one of the topics that I thought would be interesting to research would be the efficiency of evidence based practices within a community setting. I have myself been trained in several evidenced based practices which I have implemented with families. However, it has been a common experience among my colleges that many of these practices do not fit well within CBHI services. I would like to explore the issue and propose date to my field placement on how to better implement these evidenced based mental health practices within the community. I realized that this is a broad topic but I will work on refining this idea as I believe it will be valuable for my clients.

Evidence-based practice is one of the strategies that has been applied in various aspects of social studies and social work. Researchers have associated this approach of social work with various benefits as well as challenges. However, there are various facets of evidence-based practice ranging from published case studies and the use of empirical studies. The process of selecting a particular evidence-based practice in social work depends on availability of resources, scope of the study and the goals of the study. This discussion will focus on a case study of a social worker Ajia Meux, who narrates her story on how she uses evidence-based practice to perform her duties as a social worker. It will also provide a case study on how the evidence-based practice indicated by Ajia could be used to solve certain social problems of an anonymous client. Consequently, this paper provides the benefits of applying evidence-based studies on social work.

The American Association of Colleges of Nursing (AACN) outlines fundamental essentials for the Doctorate of Nursing Practice (DNP) student to further develop and advance the nursing profession. DNP Essential III, Clinical Scholarship and Analytical Methods for Evidence-Based Practice, focuses on the importance of translating research into clinical practice (American Association of Colleges of Nursing [AACN], 2006). Evidence-based practice is the hallmark goal of research studies and DNP graduates are in a position to assist in the generation of new knowledge and affect evidence-based practice (EBP) from the practice arena (Chism, 2013). In order for research to be translated into practice, the data collected, analyzed and interpreted needs to be the result of proper use and translation of the statistics utilized throughout studies.

Jennifer, these are all great points. Nursing practice has come a long way since Florence Nightingale, but still struggle when it comes to implementing evidence based practice. As discussed in chapter two (Walker & Advant, 2011), many nurses have misunderstood the term evidence based practice and its underlying intent and believe the focus should be more on practice based evidence (PBE). They state “PBE attempts to capture in-depth, comprehensive information about patient characteristics, processes of care and outcomes while controlling for patient differences” (Walker & Advant, p. 43, 2011). In recent years, I have seen a push to help nurses return to school for degree enhancement, and to provide more tools for them in the workplace such

The effect of evidence-based practice (EBP) has resonance across nursing science, education and practice. EBP has called for quality improvement and healthcare transformation which emphasizes the need for reshaping care that is effective, safe, and efficient (Stevens, 2013). In healthcare settings, the heightening complexity of medical care and the need to increase quality, safety and cost control for better patient outcome have led to the use of clinical guidelines in practices (Cecamore, et. al., 2013). Brown and Ecoff, (2011), report that Evidence-based decision making becomes the process for achieving evidence-based practice. In decision making process, it involves asking focused answerable questions, obtaining evidence, and

According to Friedman (2014), the quality and productiveness of clinical care have become most important in many Western countries as the cost of health care continues to rise. Public facilities such as clinics are advice to assess and improve their treatment services as well as tools to target evidence-based practice interventions (Levy et al., 2014). On the other hand, treatment effectiveness, clinical accountability, higher standardization, and cost-effectiveness is another important factor to the administrators, policymakers’, clinicians, and patients alike, complexities comes when controlling what evidence is contemplate acceptable. Some researchers in the field of psychotherapy have suggested that clinicians are not well-enough trained

Evidence-based practice is defined as the best and recent available scientific research that has been clinically tested. Most healthcare providers use practice that is supported by evidence to provide their patients with high-quality services to improve patients’ outcome.

Evidence-based practice (EBP) guidelines are important in practice because they answer clinical questions after a rigorous review and grading process. (EBP). The guidelines support interventions that will help the patient and discourage

A quasi-experimental study is a subcategory of experimental design where randomization of participants is not possible or not needed (Wildemuth, 2009). These studies occur in natural settings when limited control over the variables is possible. The independent variable (treatment) is manipulated to see if a causal relationship exists (Haas & Kraft, 1984). Naturally occurring groups such as classes are generally used. The goal is “to produce reliable causal knowledge” (Haas & Kraft, p. 229). Internal and external validity are important to this design. Internal validity is determined when