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Essay on transferring knowledge
Multidisciplinary EVIDENCE BASED PRACTICE
Evidence based practice critique
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Knowledge Translation Introduction The ignorance of available research evidence, health care delivery loses opportunity to provide benefit to the patients and may harm significantly (Dawes et al 2005). Therefore, health care professionals are now adopting new innovative evidence based practices in addition to traditional practices. Moreover, evidence based practice (EBP) is rapidly gaining popularity because of its ability to manage clinical issues and deliver effective patient care (Majid et al 2011). EBP is the conscientious amalgamation of best research knowledge with clinician’s expertise and patient values and requirements in the delivery of better health care (Burns and Grove 2009: 16). Florence Nightingale initiated EBP in nursing practice since 150 years back (Burns and Grove 2009: 16) and it is “essential for nurses to establish who they are, what they do, and what effect they have on patient outcomes” (Richardson, Miller and Potter 2002: 44). Historically, knowledge gained from medical colleges, peer interaction and preferences of medical providers were driven nurses for clinical decision making (McKnight 2006). Knowledge is one of the dimensions for implementing EBP (Shaneyfelt et al. 2006) therefore, evidence based knowledge required to be transferred for the improvement of patient outcomes. Knowledge Translation (KT) defined as “the exchange, synthesis and ethically sound application of knowledge within a complex system of interactions among researchers and users to accelerate the capture of the benefits of research for citizens through improved health, more effective services and products, and a strengthened health care system” (CIHR 2006). It has been increasingly used in Public health research for the description... ... middle of paper ... ...the information, their experiences, queries and how new intervention can be used within their working context. Therefore, it can encourage the group for the interaction. 3. Clinical Rounds Melnyk and Fineout-Overhold (2005) suggest that during clinical rounds, the experts or clinicians make recommendations to the staff for clinical practice on the basis of the critically appraised evidence. Therefore, evidenced based clinical round is a method of knowledge transfer to the clinical staff by presenting evidence to guide their practice. Evaluation Methods- Clinical audit Evaluative reflective practice Quality improvement techniques such as PDSA (Plan, Do, Study and Act) cycle Clinical audit, evaluative reflective practice and quality improvement techniques are all systematic approaches to determine the effectiveness of practice (Le May and Holmes 2012)
Evidence Based Practice emerged in the late 20th century, becoming widespread in the 21st century. According to Research and Practice: The Role of Evidence-Based Program Practices in the Youth Mentoring Field ( 2009) “The concept of Evidence Based Practice (EBP) actually has its roots in the medical field, where the work of Archie Cochrane (1972) and others examined the key role that the substantial body of medical research and literature could play in how doctors make decisions in patient care” (para 6); Thus, a doctor’s decision would be an “educated” decision, based on evidence gathered (patient symptoms), history of cases they have overseen, or research of previous case diagnosed by another doctor, with a related case. Evidence Based Practices are defined as “ integration of: (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) client/patient/caregiver perspectives to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve” (“Evidence Based Practice (EBP),” 1997-2014); often described as the “Best Practices”. The evidence itself is not the basis of decisions made, but it does help support the process of care given to our clients.
When performing evidence based practice research, the Iowa Model uses a team or individual approach to assist nurses in the journey to quality care. The Iowa Model begins by offering a process of selecting a proper clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is formulated as a question to improve a technique or procedure. Once the researcher determines that an ample amount of reported investigation exists on the desired question, information may be gathered and presented for approval (Polit & Beck, 2012). The research may lead to a gradual change in nursing practice.
According to ASHA Evidence Based Practice is the combination of clinical expertise opinion, data, and patient’s perspectives, with the goal of providing high-quality services (2013). The process of evidence-based practice consists of formulating a research question, collecting evidence, including views, and then evaluating the entire process. This project introduces the research topic I’ve chosen, which identifies a researchable problem, and formulates an answerable question that is relevant to nursing and evidence-based practice.
Evidence-based practice (EBP) entails the use of explicit, reliable, and judicious evidence to make effective decisions about the care of patients. This DNP student will introduce EBP with the IOWA model. The IOWA model applies to this DNP proposal. The IOWA model is an EBP applicable in healthcare setting and implemented to show the applicability of evidence in nursing to give the best outcome. Doody and Doody (2011) noted that the IOWA model focuses on problem-focused triggers and knowledge in undertaking quality improvement study. The steps involved include topic selection, team formation, evidence retrieval, grading evidence, developing an EBP evidence, implementation of EBP, and evaluation of the progress. These steps apply to this DNP proposal, showing best practices, guidelines, procedures, and policies
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
(Journal of wound Care p . 11) Practitioners have a responsibility to ensure their practice is based on sound clinical evidence and that the care delivered is of a high quality. What are the best ways of achieving this in the reality of the modern NHS
In health care, evidence-based research is crucial. Nurses revolve their practice on evidence so that they may provide the best health care. Without research, there would be no evidence to prove health care related findings (Shmidt & Brown, 2012). With appropriate
Quality of care and patient outcomes rely heavily on practice based on evidence found in systematic reviews of randomized-control trials. While administration often-times implements core measures that involve EBP in their regulations, it is ultimately the nurse’s responsibility to include EBP into their care of patients. Nurses have an obligation to include EBP into their care because “it leads to the highest quality of care and the best patient outcomes” (Melnyk & Overholt, 2015). The nurse leaders really have a responsibility here because it is their responsibility to stress the importance of EBP as well as reviewing research to determine the best possible findings to implement into their unit’s care. Careful monitoring must be performed to assure compliance because “despite the multitude of positive outcomes associated with EBP and the strong desire of clinicians to be the recipient of evidence-based care, an alarming number of healthcare providers do not consistently implement EBP” (Melnyk & Overholt, 2015). Often times, I find seasoned nurses act putout with anything that changes their methods of care. The important thing to remember is that seasoned nurses, while often-times set in their ways, are great nurses and presenting EBP findings and their success during implementation will keep them involved with EBP because they ultimately want to do what’s best
Evidence-based practice is important to consider when researching for interventions, further knowledge, or help to guide a new idea in the health professions. Evidence-based practice is comprised of three significant concepts: respect and awareness for the targeted population’s values, previous clinical practice or experience with that population, and systematic research to establish a better understanding of what is already known about the study’s focus. These concepts are all taken into consideration when designing and conducting a study because it provides a more valid and credible source for others.
As a result, the institute published a classic report titled “Crossing the Quality Chasm” that still influences current thinking among health care decision makers. In fact, medial expert continue to publish “Crossing the Quality Chasm” reports as needed, with publication issued in 2003, twice in 2008, and 2011. It is with these reports that the IOM encourages utilization of the latest evidenced based practices while providing feedback about what patient desire.
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.
Evidence-based medicine (EBM) has been described as “the conscientious, explicit, and judicious use of current best evidence in making decision about the care of individual patients” . Evidence-Based Practice is a thoughtful integration of the best available evidence, coupled with clinical expertise. It enables one to address healthcare questions with an evaluative and qualitative approach. It is about applying the best available research evidence in provision of health, behavior and education services to enhance outcomes. Evidence-Based practice is about performing the best possible practice in order to provide the best possible care .
The importance of Evidence-Based Practice is to ensure the best possible care is provided for patients. Evidence-Based Practice functions by measuring the effectiveness of a treatment and differentiating findings between high-quality and low-quality. It also helps with health development and improves the reliability and facilitates students to become reflecti...
...es dealing with team building, activities that will help in diagnosing, feedbacks, activities for process consultation etc (Robbins, 2010).
831). Therefore, critical appraisal involves careful scrutinizing and evaluating of research to ensure its accuracy and reliability (Fingerhut & Lacaine, 2017, p.101). Consequently, it requires the ability to present a balanced discussion in terms of both the strengths and limitations of a study (Whiffin & Hasselder, 2013, p. 831). Critical appraisal tools such as the one in Appendix A can assist students in interpreting available research, determining its validity, reliability, and applicability to their clinical practice. The appraisal process involves three steps; the first is questioning study validity, then evaluating the reliability and clinical significance of the evidence, and the final step is synthesizing the evidence (O’Mathuna & Fineout-Overholt, 2015).