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Essentials of evidence-based practice
Essentials of evidence-based practice
Evidence based practice relating to health care
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For starters, HCOs must build a foundation that fosters on patient engagement since this is a key success factor in coordinated care. Patients are educated to understand their condition and the steps they should take to help manage it by using an evidence-based care plan (Sawardekar, 2015). This value-based HIT platform follows patients across services provided, the sites where care was given, and the time for the full episode of care, including hospitalization, outpatient visits, testing, physical therapy, and other interventions (Porter & Lee, 2013). With this in mind, the data collected are then aggregated around patients in a given population. Additionally, the terminologies and data fields related to diagnoses, lab values, treatments,
In the southeast region of the United States (US), at a local church is the location to address the practice problem identified in this design-only DNP proposal development, because the church lacks a FCN, who can provide healthcare services to the church senior’s citizen center. Van Dover and Pfeiffer (2011) explains there is an urgent need for a FCN, who can play an integral role by linking faith and health. For example, the ANA and HMA (2012) acknowledged that FCNs promote, and optimize health and abilities, aid in the prevention of injury and illness, and help parishioners in suffering (American Nurses Association & Health Ministries Association, 2012). FCN in this context can enhance better health practices and values of a faith community
With clinicians and CEHRT, the ONC plans to improve healthcare quality through interoperability (Office of the National Coordinator for Health Information Technology, n.d.) The ONC will promote more appropriate healthcare decisions in real-time, patient-centered care, and prevention of medical errors (Office of the National Coordinator for Health Information Technology, n.d.). The ONC’s goal is to reduce healthcare costs by addressing inefficiencies (Office of the National Coordinator for Health Information Technology,
...pital setting and by office managers in a physician office setting, will look at effectiveness- through evidence based data emphasizing on preventing disease and early detection through the use of the right testing. The monitoring will be done using the framework developed by the Agency for Healthcare Research and Quality (AHRQ), which serve “as an indexing system to map the landscape of available measures and measurement gaps for care coordination. The goal of this framework is to start from the top, by achieving care goals through adhering to patient needs and their preferences. Mechanisms vary from communication to creating a proactive plan and they are used to facilitate the goal of care coordination. Overall, this framework serves as a well to assist care coordination. To monitor it, healthcare providers must check off that all of these requirements are met.
The federal government has taken a stance to standardized care by creating incentive programs that are mandated under the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009. This act encourages healthcare providers and healthcare institutions to adopt Meaningful use in order to receive incentives from Medicare and Medicaid. Meaningful use is the adoption of a certified health record system that acquires or obtains specified objectives about a patient. The objectives or measures are considered gold standard practices with the EHR system. Examples of the measures include data entry of vital signs, demographics, allergies, entering medical orders, providing patients with electronic copies of their records, and many more pertinent information regarding the patient (Friedman et al, 2013, p.1560).
Patient Credentialing identifies people who have a certain diagnosis and have achieved certain levels of competency in understanding and managing their disease (Watson, Bluml, & Skoufalos, 2015). Patient Credentialing (PC) was developed to meet 3 core purposes: (1) enhance patient engagement by increasing personal accountability for health outcomes, (2) create a mass customization strategy for providers to deliver high-quality, patient centered collaborative care, and (3) provide payers with a foundation for properly aligning health benefit incentive (Watson et al., 2015). The goal is for patients to achieve a proficiency in managing their chronic conditions to promote chronic conditions competencies and self-management.
Evidence-based practice (EBP) is a process, a clinical master tool, so to speak, used by the nurse who is focused on positive outcomes in patient care. Registered Nurses (RNs), that assume a leadership role, continuously assess their practice in order to find out what is working and what is lacking or in need of more information (Barry, 2014). The RN who uses EBP strives to prevent healthcare errors, critically thinking through processes and anticipating obstacles, methodically drawing upon clinical research and expertise, including their own knowledge and drawing upon the individual patient experience toward improving safety and quality care (Barry, 2014). This systematic approach sets the RN apart from others, who may otherwise be tempted to remain stuck in old ineffective routines, and allows the RN the unique opportunity to affect change, most importantly, change that is directed toward keeping patients safe and receiving the best quality care (Barry, 2014).
With Stage 2 Meaningful Use the amount of data collected on patient’s increases as well as its use for coordinating and communicating care with the patient and other providers.
The ability of healthcare to provide patients with a well rounded care process that integrates various services and tracks them over time is becoming more crucial to patients as new approaches using alternative interventions and new technology become more available. The ambulatory care continuum consists of many disciplines including outpatient testing, outpatient surgery, home healthcare, physical therapy service, and more. Patients are gaining access to new information within the ambulatory care continuum and with the advent of e-health, it is important that providers give patients the opportunity to utilize all new methods of care that organizations may provide.
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
Counselors are very dependent on the research of others. Counselors are among many who are responsible for producing evidence based practice. Counselors have a responsibility to be eager and capable of locating and using evidence based interventions. Research reports are used to help summarize the findings of different types of research in the counseling profession. The results of a research report should summarize the findings of the research. According to Sheperis, Young, and Daniels 2010, “it should be easy for the reader to connect the findings with the stated research questions and to determine whether the finding support or refute your hypothesis” (p.239). The following are two challenges that the counseling profession is faced with when it comes to outcome research: (1) producing sufficient volumes of evidence and (2) being able to find, interpret, and use the evidence from previous research. These challenges place a limit on the variety of interventions that are available to the counseling profession. One intervention that works for one child, might not produce the same results for another child. So it is very important that research provides information that is useful and effective. The lack of studies makes it more challenging to determine whether or not an intervention is an effective solution that will improve a student’s behavior or academics. “Ultimately, regardless of how effective a counselor may be, if the problems are not properly measured and assessed, intervention is disadvantaged and treatment is comprised” (Sheperis, Young, & Daniels, 2010, p. 3). In order to best serve clients we have to complete comprehensive research and use the results to the advantage of the client.
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
Research in nursing is an important concept in which information is gained to increase the efficiency and effectiveness of nursing practice (Bjørk et al., 2013). One way in which research can be deciphered and utilized is through the application of research translation models. These models are frameworks for the development and application of evidence-based practice in various health-care settings (Polit & Beck, 2012). Numerous models are in existence and they all offer a variety of methods in which to translate topics of interest and issues into research-based evidence for the use in clinical practice (Polit & Beck, 2012). One such model is the Iowa model of evidence-based practice to promote quality
Evidence based practice (EBP) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research" (Sackett et al, 1996). This definition takes into consideration the need to delve into the professional’s clinical knowledge (Burns, 2007) as well as looking into the best evidence to support the professional. Clinical practices may become out dated if new evidence is not sourced and professionals should be aware of appropriate evidence that can be integrated into their practice (Aveyard & Sharp, 2013). EBP is important
Patients can be partner in many ways. In the work of Pomey et al. (2015), in health care patients-as-partners interact and share the knowledge, acquired by their experience of living with the illness and its impact on their lifestyle, with multidisciplinary teams. This allows for patients to become more willing and open with their experience to improve and work with the health system. Patient involvement will continue to influence the health care system as a whole and in CQI for years to
Nurses use evidence based practice and research to develop knowledge needed to practice in the nursing profession. Nurses use practical knowledge and theoretical knowledge in the many roles that nurses perform. As a provider of care and manager of care, nurses should use evidence based practice, research, and theoretical knowledge to ensure the best possible outcome for the patient. Lifelong education in nursing is necessary to keep up with the changes in nursing practice and to reinforce ethical knowledge and the core values that nurses use in their everyday practice. The professional value of caring as a nurse is one of the most important values. The caring attitudes of nurses will carry over to all other values that nurses should possess,