Improving Quality Care Internally And Internally

Evidence-Base practice (EBP) is defined as: “based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach” (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-driven process, which involves the use, evaluation and application of research; identification of best evidence; evaluation of care; problem solving; decision-making; clinical expertise; and requires patient involvement. Evidence-based practice is made of evidence, clinical expertise, patient preference, the context of care (Barker, 2013). In brief, evidence-based practice is the parameter in the nursing practice that it requires that the nurses gather and use clinical evidence to make decision for the patients so that in the nursing process they can deliver the quality of care for the patients (Ellis, 2013). In the other words, in the nursing practice all the nursing procedures performed by the clinical evidence supported.

Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.

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.

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

Over the course of decades medical treatment has advanced causing an increase in the wellness of patient clinical outcomes. A large portion of the improvement is due to the vital role nurses play in the delivery of safe and quality care to their patients. For many years different methods of treating patients have evolved due to the continued research for the best practice. Nurses, researchers and people with questions have always tried to find better and efficient solutions to treat their patients detailing the best possible evidence-based practice. Evidence-based practice is an important tool to use for clinical decision making however one must understand it first. Interpreting Evidence-based practice allows nurses to comprehend the steps to determine if new evidence is needed and realize there are some benefits to utilizing up to date research and obstacles that may impeded the research into practice. .

Nicola Whitmore PI: C6394626 TMA 05 1) is evidence-based care an effective way of getting care right??? 2) The definition of evidence-based care is when making decisions about a patient’s health care, health care professionals who can perform evidence-based practice can use research evidence along with clinical expertise and patient references. 3) There are many strengths of evidence-based care which include finding better procedures, for legal protection, learning from mistakes other people have made, and legal protection, preventing negative procedures from happening and for best clinical practice.

Evidence-based practice is becoming an imperative and integral part of the clinical setting upon healthcare professionals. Evidence-based practice is considered to increase patient outcomes due to evidence-based implementation and successful facilitation and training of the staff.

I agree with you. In order to improve quality care, it is important to evaluate outcomes, structure and process. The six aims from the IOM should be considered when planning quality care and that is done in process and structure. There are times when outcome are positive but the process or structure might be poor.

Evidence-based care is providing clinically competent care that is based on the latest scientific evidence in the ever growing field of medicine. Such evidence are from outcome research that acre used and analyzed for the improvement of client care. The continual process is the practice of quality improvement that work hand in hand with quality assurance – the maintenance.

Models that fall under this thematic area aim to enhance patient care and outcomes through appraisal of evidence. Most use a step-by-step approach of identifying a healthcare issue, seeking out appropriate evidence, evaluating that evidence, and then applying it to the issue at hand to improve healthcare outcomes.7 These models also take into consideration the appropriateness of certain types of evidence and, if lacking, provide a process for obtaining new and relevant information.7 Methods for transforming this evidence into practice, such as a new practice standard, are also emphasized in these

Looking at the main focus areas of CareNational, Quality Management is in many ways seen as most multifaceted and complex of the Medical Management disciplines. On the surface, its missions seem simple and serves as a consistent philosophy across the wide variety of supporting roles: ensure the overall quality of patient care. However, navigating through the variety of tools, position functions, and organizational structures internal to the department, it becomes significantly hazier. Additionally, many of the foundational elements are based on the general business concept of this department that has its own four main components: quality control, quality assurance, quality planning, and quality improvement. The question is now raised of how

Achieving quality outcomes from health services organizations are now becoming the joint responsibility of clinical and management professionals. Healthcare leaders create the shared definition of quality by considering perspectives from quality knowledge, lessons, and methods. **Managers can understand the philosophy

In health care, the industry is facing tremendous challenges from rising costs and larger demand for a variety of services. To help address these issues requires establishing a strategy for organizational leadership. This will serve as foundation for developing a quality management program. To achieve these objectives there will be a focus on: understanding the purpose of quality management in health care, examining three key concepts, outlining three of the organization's long / short term goals, identifying five internal / external factors that can influence quality, discussing three quality management policies and highlighting the differences between risk management / quality assurance. Together, these different elements will illustrate how our health care organization can achieve different benchmarks over the long term. ("Why Are Health Care Costs Rising," 2010)

Nurse leaders have an ethical responsibility to review and enhance the practice models used by their organization in order to deliver optimal patient care outcomes (Huber, 2014). One of the best ways to evaluate, improve, and update the delivery of patient care is via evidence-base practice (EBP) (Wood, 2013). The role nurse leaders have is to provide the results of the latest EBP to the organization’s nursing management team, and change or improve patient care practices. Strategies to implement EBP are to show a need to change current practice with firm proof to experienced clinicians. The evidence must be demonstrated in a way that it

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,