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Multidisciplinary EVIDENCE BASED PRACTICE
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Evidenced-based clinical practice approaches health care decision making by using the best relevant evidence available from systematic research with the incorporation of the provider’s clinical expertise and the patient’s values and expectations to decide on the most suitable treatment option (Cochrane Collaboration, 2014). However, it is impossible for an individual provider (physician, nurse practitioner, or registered nurse) to be aware of the all of the latest research findings since present knowledge becomes outdated in a short period. Health information technology (HIT) allows health care providers to make the best possible decisions utilizing clinical decision support (CDS), health information and data, results management, and public health management. However, providers use knowledge, understanding, and wisdom when making clinical decision in addition to HIT technology. Bellinger, et al. (2004) and Thompson (2009) describe the levels data, information, knowledge, and wisdom hierarchy as the following: • Data is raw or a symbol or set of symbols that have minimal independent meaning and information transpires when data becomes pertinent or develops a purpose. • Information requires the processing and understanding of data by placing it into context, categorizing, calculating, correcting, or condensing. • Information transforms into knowledge with the application of data and information by becoming meaningful. • Knowledge is applied with the processing of information and data to answer the “how” questions and is influenced by intelligence and education. Past experiences, judgments, values, and beliefs, which allows the individual to categorize knowledge. • Understanding occurs with the processing of knowledge; ... ... middle of paper ... ...ries of healthcare utilizing CDS, approximately 14 percent of the studies demonstrate improved outcomes. Works Cited Bellinger, G., Castro, D., & Mills, A. (2004). Data, information, knowledge, and wisdom. Retrieved from Mental model musings: www.systems-thinking.org/dikw/dikw.htm Cochrane Collaboration. (2014). Evidenced-based healthcare ans systematic reviews. Retrieved from http://www.cochrane.org/about-us/evidence-based-health-care Garg, A. X., Adhikari, N. K., McDonald, H., Rosas-Arellano, M. P., Beyene, J., Sam, J., & Haynes, R. B. (2005). Effects of computerized clinical decision support systems on pratitioner performance and patients outcomes: A systematic review. Journal of the American Medical Association, 1223-1238. Thompson, T. (2009). Are they all data? Understanding the work of organizational knowledge. Clinical Nurse Specialist, 23(4), 185-186.
Chapter one is an examination of different definitions of ‘information’ to support the concept of ‘informa...
Similar to Global Positioning Systems (GPS) provide drivers with directions, detours, alternative routes, and alerts, Clinical Decision Support (CDS) systems provide health care professionals with guidance for important decisions associated with patient care. These systems have many capabilities including synthesizing patient information, suggesting diagnostic tests, providing alerts for life-threatening situations, recommending treatment options, and providing relevant evidence and best practices. Nonetheless, just as GPSs, CDS systems are not usually perfect as evident in the ongoing evolution of their design specifications and functionalities. Some of the major issues that are still evolving for CDS systems include alert fatigue and integration of evidence-based practice (EBP) resources and clinical guidelines. One of the major areas that can benefit from the adoption and integration of clinical decision support systems is community health nursing. These systems can be used together with evidence-based medicine to help improve the quality of health and patient care in community health nursing.
Introduction “Health informatics is the science that underlies the academic investigation and practical application of computing and communications technology to healthcare, health education and biomedical research” (UofV, 2012). This broad area of inquiry incorporates the design and optimization of information systems that support clinical practice, public health and research; understanding and optimizing the way in which biomedical data and information systems are used for decision-making; and using communications and computing technology to better educate healthcare providers, researchers and consumers. Although there are many benefits of bringing in electronic health systems there are glaring issues that associate with these systems. The
[15]Garg AX, Adhikari NK, Mcdonald H, (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 293(10): 1223-1238.
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
Evidence-based practice is giving apt and effective care to patient based on integration of best evidence supporting the practice, clinical experience and patient’s preference (8). Studies has shown that health care workers are aware of the benefits of evidence bases practice such as ensuring quality and providing consistent care, practicing updated interventions or techniques and giving effective services but there is a mismatch in actual practice. This part of the paper will looked at barriers anticipated in adopting evidence based parctise among healthcare workers and will end with recommendations that could manage this problems.
The purpose of this paper is to describe the role and functions of the Director of Health Information Management and the Supervisor of Medical Records Coder. I will provide a synopsis of what I observed and the activities I participated in during the learning experience. In addition I will provide an analysis of their primary roles and functions as they relate to nursing and patient services. Additionally, I will provide insights I have gained into the leadership behaviors or style as a result of my observations and interactions. Finally I will summarize my learning experience by comparing my observations to sources from the literature that present evidence, best practices, or standards related to this specific role.
Norbert, B., Bennett, L., Carnahan, L., Decker, V. B., Grady, B., & Holden, D. (2011). Evidenced-base Practice for Telemental Health. Telemedicine and e-health, 17(2), 131. doi:10.1089/tmj.2010.0158
Over the last 10 years evidence-based practice (EBP) has grown substantially and is changing the nursing care delivered to patients along with the nursing work environment. Nurses are more involved in the decision making process, and are making clinical decisions with better patient outcomes (Good, Fink, Krugman, Oman, & Traditi, 2011). With technology growing at such a fast pace, new and more effective medicines, medical devices, and procedures are developed daily. Digestible sensors that monitor your bodily systems and 3D printing of embryonic stem cells, blood vessels, and sheets of cardiac tissue that actually beat like a real heart, are significantly impacting the future of healthcare (Honigman,
information. This is when, when a material is manipulated and no longer matches the cognitive image that a child has made, that child believes the amount of material has been altered instead of just its shape. (Jarvis, Chandler 2001 P.
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
8.) Data - means facts or information. People use data as a basis for drawing conclusions about the topic or theme they are studying.
Journal Title: Impact of Health Information Technology on the Quality of Patient Care. Introduction: Our clinical knowledge is expanding. The researchers have first proposed the concept of electronic health records (EHR) to gather and analyze every clinical outcome. By the late 1990s, computer-based patient records (CPR) were replaced with the term EHR (Wager et al., 2009).
Roy, C. (October 2013). Nursing Knowledge: A Transforming Energy. The Third Annual Alumni Nursing Reunion and Distinguished Lecture Program. Lecture conducted from Holy Family University, Philadelphia, PA.