Evidence Based Management Essay

Evidence-based practice is extremely important in health care. It is not only important to know how to perform a certain skill, but why it should be done. There needs to be a standard of care and providers need to know the best way of doing things based on evidence. The article mentions that in the 20th century, many medial decisions were made on doctor assessment and preference (Brower, 2017). Many physicians were practicing dramatically different when compared with one another, which led to the realization that changes needed to be made and Evidence-based practice began to develop. Even though Evidence-based practices have been in play for a while, there is a gap between understanding and applying evidence-based

According to Warren et al. (2016), numerous barriers exist for implementation of evidence-based practice (EBP) within hospitals. In a study conducted evaluating the strengths and opportunities for implementing EBP in hospitals, lack of autonomy, lack of leadership support, and lack of inclusion in clinical practice decisions, were noted as the top barriers to the implementation of EBP (Warren, et al., 2016). The study revealed that while the majority of respondents’ beliefs

A model is a representation of concepts which are used to help people know, understand or simulate a subject matter. Moreover, a model is used to create the various hypothesis which can be tested in the laboratory or utilized for explaining a case study. The goal of this assignment is to explore three models of evidence-based practice (EBP) that interest the authors and give a summary. Although several models used in research, this paper will highlight three specific models and provide a summary, strengths, weaknesses and a model that can be implemented in a particular practice.

Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.

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

The author’s intention is to identify an aspect of clinical practice which lends itself to change at a micro level. The definition of a micro-change is an intervention of change aimed at the individual or the way small teams work. The micro-level change is not to be confused with a service change (Walsh, 2009).

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,

However, there are some barriers to EBP. One barrier is lack of time, lack of resources, and the difficulty in understanding statistical analysis. Another barrier for nurses is the lack of time in being able to implement these new practices and the lack of authority the nurses have to be able to change the patient care procedures. “Implementation of EBP places additional demands on nurses to apply credible evidence to individual client situations through searching related evidence, using clinical judgments, and considering client values and system resources” (Majid, 2011). In order to make EBP successful it has to be adopted by nurses and other health care professionals.

Research and best-practices are an integral part of evidence-based management(EBM) and allow an organization to successfully implement EBM into their facilities. HSHS-EWD is a group of four hospitals that work with several clinics and healthcare providers to promote the health and well-being of many local communities. Connie Dorn, manager of central scheduling and prior authorization, is located within the revenue department and oversees registration and scheduling of the four different hospitals. During her 10-year tenure with the hospital systems she has seen many changes occur that have been beneficial to the hospitals, patients, and staff. Management meets on a continuous business to discuss areas that need improvement in order to stay on top of the latest advancements in the medical community. Connie currently sits on many boards, teams, and groups within the hospital system and is very experienced in the utilization of research and best-practices in regards to EBM. She recently utilized these skills while seating on a team that was trying to find a solution to denial of claims and poor customer satisfaction due to lack of authorization being in place. During the research phase it was discovered that the authorization team was obtaining authorization, however, physician offices were ordering the test incorrectly causing the radiologist to update the orders. Her team eventually found a solution that is in the process of being rolled out system wide called ACR-Select.

Rheumatoid Arthritis has been subject of numerous studies and researches in the look for a better understanding of how it effects the individuals diagnosed with it. There is a higher incident of females diagnosed with RA than male as well as a relationship with genetic and environmental factors involved. Around one percent of the world population is affected by RA; therefore, diverse studies have been performed to understand how the lives of the diagnosed patients can be impacted by the disease. For example, how RA affects the mobility, safety and activities of daily living in general as well as the development of interventions to better approach RA. On

Evidence - Based Nursing, An introduction (2008, p. 285 ) “ The rapidity of change and the reorganization of nursing services within the health care sector presents challenges for the advancement of EBP. Managers and administrators should facilitate the uptake of practice based on current, high-quality research by formalizing the expectation that nurses care be Evidence Based”.

Evidence- based practice is a trend both within the occupational therapy field and in the medical profession as a whole. It was first introduced in 1971 when Archibald Cochrane published “Effectiveness and Efficiency” where he suggested that because resources are limited clinical evaluation and treatment should be made based on sound evidence (Katsikis, 2014; Shah & Chung, 2009). The definition of EBP written by Sacket (1996) is still frequently quoted today; he defined EBP as "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."

Evidence-based practice is defined as the “integration of best current evidence with clinical expertise and patient or family preferences and values for the delivery of optimal health care” (Quality and Safety Education for Nurses, 2012). It is “the use of research in clinical decision making” (Brower, 2017).With the tremendous changes in the healthcare landscape, many processes have to be evaluated for its relevance, reliability,

Melynk and Fineout-Overholt (2011) propose that support for evidence-based practice (EBP) is a necessity in every healthcare organization. Leaders must partner with providers in an effort to facilitate a system-wide culture of clinical inquiry. One method of assessing an organization’s culture towards EBP is to complete an Organizational Culture and Readiness Survey. The aim of this paper is to analyze the readiness of a specific organization, using such a tool to identify barriers and facilitators to the integration of clinical inquiry.

This literature is used to provide high quality care through the implementation of evidence based care. Moreover, gaps in past research on health care have been identified by practitioners through electronic based research which is used to implicate on future research on improving quality of health care. Through such research, the current and future health care services are likely to demonstrate an increase in the safety, accuracy and efficiency of health care as measures of quality (Goyen & Debatin, 2009).