Evidence based practice (EBP) is a process of integrating high quality evidence into practice or care provided by health professionals and decision makers in health care. This discussion will explore the meaning of the term Evidence Based Practice further and discuss its origins. EBP requires finding the best available evidence to inform practice, its greatest benefit being the best possible care for a client. Other benefits and limitations will be further discussed below. EBP demands the client be seen as an individual and their unique circumstances be considered in the application of evidence based care. This tailored care fits well with my current work as a midwife and my studies in Child and Family Health where partnership models of care …show more content…
This definition then agrees with David Sacketts in that evidence is sought firstly by asking a question. Then there is a conscientious examination of the evidence so that it is known to be the best quality (accessing & appraising evidence). Evidence is judiciously used or used in context and with clinical expertise informing the options (after appraisal information is then applied). Importantly the patient or client is recognised as an individual with their own unique values and circumstances. Also included in the process of EBP is the reviewing (auditing) of the effectiveness and efficiency of the steps above. The context of practice and a conscientious use of evidence would include the above definitions allude to this also. These definitions then point the major steps in EBP that can be easily remembered using the 5 A’s (asking, accessing, appraising, applying and auditing) (Hoffmann et.al, 2013). The major benefit to clients is that EBP aims to “provide the most effective care that is available” (Hoffman et.al. …show more content…
Some questions do not lend themselves to clinical trials or research at all due to ethical limitations. EBP requires a question to be asked clearly, tools to help define a question such as the PICO tool may help (Hoffmann et al., 2013). While anyone can perform EBP, there is a limitation in that it does require training, experience and practice (Hoffman et al. 2013). Due to its’ relatively new arrival EBP training has not been accessible to all health professionals currently working. EBP has its own language and concepts, that some health professionals have not had the opportunity to understand. However there are tools available to assist. Databases such as Medline which is available on the internet via the PubMed interface provide tools to enhance knowledge and decision making as information may be reviewed and classified for you. Melnyk et. al.,(2015) cite McGinty and Anderson(2008) in relating the benefits of EBP, improving health care quality, improving reliability of health care, better patient outcomes and reducing the variation in care and costs, However Melnyk et. al., (2015) relate that despite the benefits of EBP it is still not the standard of care adopted worldwide by health care
They should be hold accountable for any breach in protocols. • Present format for electronic documentation does not allow for comprehensive clinical documentation during follow-up visit. Efforts should be made to upgrade the electronic medical record system to the standard of that expected for a medical center and research institute. This is to allow for proper documentation according to the industrial standard, and easy retrieval of patient’s information for clinical research. There is a need to employ a clinical documentation improvement specialist (CDIS) in this
It was a privilege to work with Laura on a team rehabilitating a severely impaired brainstem CVA patient. She uses evidence based practice to modify treatment approaches to promote positive outcomes for both her patients physical needs as well as cognitive-communicative needs. A perfect example of this was scheduling her PT session prior to an SLP comm/cog session with increasing cardiovascular effort to promote improved cognitive
EB: Clients who have an extended follow up and social supports are less likely to experience a lapse in their regimen and are less likely to readmission. 2.2. PP: Patient will be more likely to contact assistance if the numbers and contact information are readily available and easy to
Evidence Based Practise. There are many definitions of Evidence-Based Practice (EBP) and has been described as the integration of research evidence, Clinical expertise and patient values which all inform best practice (Sackett et al, 2000) What does EBP mean
This ensures that the care provided is tailored to the individual and their unique circumstances. Monitoring, observation, reporting and recording can be demonstrated by observing and noting any changes in an individual's condition or behavior, and reporting any concerns to the appropriate individuals. This includes reporting any signs of abuse or neglect. By doing so, practitioners can identify any potential issues and take action to rectify them. Partnership working can be demonstrated by working closely with other professionals, such as doctors, nurses and social workers, to provide the best care possible for the individual.
The definition for “appropriate medical screening examination” and “necessary stabilizing treatment” were not adequately delineated within the act and lead to many different interpretations on what services encompassed compliance (Rosenbaum & Kamoie, 2003). The definition of what was acceptable medical screening and necessary treatment varied between healthcare professionals from brief and simple, to complex. This became an issue for many organizations and physicians in endeavoring to remain compliant with the law. Another result of the implementation of EMTALA was the increase of patients utilizing ER services. A number of critics have pointed to EMTALA as the cause of over-utilization of ER services, even though there have not been any conclusive studies proving that the law is the cause of increased costs and congestion within hospital ERs (Rosenbaum & Kamoie, 2003).
By taking a person centred care approach and involving both the patient and family in the development of the plan, it ensures that the plan is specific to the patients’ needs and preferences and it increases the success rate of the implemented plan as discussed by the Department of Education, Employment and Workplace Relations (2012). Implementing a care based plan for Bruce, will aim to overcome the issues he raised throughout the interview and in turn improve his physical, mental and emotional health and improve his quality of life (Aged and Community Services NSW and ACT
This information is used to appropriately implement prevention and treatment for patients. The second outcome integrates analysis of information gathered by healthcare personnel to identify trends and inconsistencies within the healthcare population. Through this the origin of problems can be ascertained, and preventive measures can be instituted. Subsequently prevention will decrease incidences and ultimately the cost to
They are able to use secure messaging to ask point related questions and receive shorter response times than waiting on a phone calls. This method is efficient with the doctors as well, they are not being overloaded with incoming phone calls and patients avoid miscommunication or missed phone calls. Once they leave their doctor they are able to review doctors' notes in the case the patient did not remember what was discussed. Health information exchange has many benefits, however there are many challenges as well. HIEs have to select one or more vendor to deliver services in a successful manner.
The goal is to improve the health and safety of patient while also providing care in a cost-effective manner to improve the outcome for both the patient and the health care system at large. According to Melyn and Fineout-overholt(2005)Evidence-based practice should be a problem-solving approach to clinical practice that integrates a systematic search for critical appraisal of the most relevant evidence to answer a burning clinical question.
The ability to use various resources is an important aspect of providing safe care, while simultaneously basing the care on an evidence based practice. In this regard, it allows the student FNP to become confident in making decisions in the interest of the patient. This is a great learning experience to carry forth in the subsequent courses. As we continue to build the necessary knowledge base, there will be times of frustration that will get translated into success. In this class, we had the opportunity to gain value information that has provided a substantial foundation as an FNP.
The Importance of the Six Aims of Quality Patient Care (STEEEP) Since the addition of Crossing the Quality Chasm six aims of quality patient care was created by the Institute of Medicine (IOM), there has been a significant change in the effectiveness and condition of patient care. Before this report came out in 2001, health care providers did not realize that they were not providing proper care to patients in addition to disorganization and complexity of standards of care. The IOM was able to determine that, “failure of system processes, poor communication, and unhealthy work environments contribute to medical errors, ineffective delivery of care, and stress among health professionals” (Winterbottom 2012). It is essential for patients to feel
EBP developed by incorporating scientific research with clinical experience and patient preferences in order to reach they highest form of care possible with modern mediction. Today,
Putting the client as the expert, understanding her story instead of attempting to judge it, in the therapist’s point of view. The therapist must in any point display with utmost care, interest, respectful curiosity, openness, empathy, and fascination. Once this collaborative relationship has been established, the counsellor and the client can move forward and work on how to improve the outcomes of the
Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016).