The Core Values And Practices Of Evidence-Based Practice

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Strategic initiatives should be formulated using evidence-based practice [“EBP”] that enhances the opportunity to achieve optimal patient outcomes. Patients and families expect to receive quality care when seeking healthcare services. Dr. David Sackett and colleagues defined EBP as “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research” (Sackett, Rosenberg, Muir Gray, Haynes, & Richardson, 1996, para 2). Sustaining evidence-based change can be difficult when individual clinical expertise and practice …show more content…
Communicating the core values and expectations of professional practice to all associates guides the daily business and clinical behaviors and decisions that affect the quality outcomes of the organization. Evidence-based practice must be a shared, culture-driven philosophy of practice. Therefore, improvement project team members must promote EBP, thus, the clinical team needs education to understand the definition of EBP and the value it brings to improving quality patient care and professional practice. There are numerous models and frameworks of EBP (i.e., Stetler Model, Iowa model, Advancing Research and Clinical Practice through Close Collaboration [“ARCC”] model, etc.) that provide systematic approaches to guide clinical decisions. The figure listed in this table illustrates the components of EBP ( research evidence, clinical expertise, patient preferences and values) and its relationship to clinical decision-making and quality patient outcomes. Interdisciplinary teams are important to process improvement work and their purpose is to find evidence-based solutions to broken systems that produce less than optimal …show more content…
In order to do this work, team members need: 1) sufficient time to attend improvement meetings; 2) access to online professional libraries; 3) time to research the literature, and 4) skills necessary to evaluate research evidence. Policies and procedures are developed to guide consistent practice of evidence-based solutions, thus standardizing processes to ensure that every patient, every time receives the highest quality of care. The project will be responsible for developing the policies and procedures relevant to the processes of this project. Electronic health record [“EHR”] systems have embedded tools that either link to evidence-based medicine websites or provide alerts/reminders to support clinical decision-making and documentation needs. Utilization of alerts could be beneficial in reminding staff about pain reassessment, medication times, and discharge information discussions. Hardwiring best practice ensures practice consistency, thereby reducing the potential for variable outcomes. Skills and practices that

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