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multidisciplinary EVIDENCE BASED PRACTICE
atitesting evidence based practice quizlet
quizlet evidence based practice
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Recommended: multidisciplinary EVIDENCE BASED PRACTICE
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or registered nurse) to be aware of the all of the latest research findings since present knowledge becomes outdated in a short period.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.
In conclusion, clinical decision support systems provide a mechanism for improving the quality of care services when integrated with evidence-based practice and clinical guidelines. These systems would particularly improve health care quality when combined with evidence-based medicine. This process may also include the use of databases and condition-specific clinical guidelines to improve their effectiveness and efficiency.
Jackson, J. P., Clements, P. T., Averill, J. B., & Zimbro, K. (2009). Patterns of knowing:
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
Razmus, I. (2008). What you need to know about ebp. Nursing Management, 39(7), 10. doi:10.1097/01.NUMA.0000326560.16296.69
Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder
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.
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,
Looking back in time over the last 40 years even computers were huge, bulky, and unsightly. Few homes had them and individuals had no idea what capabilities could arise. After the evolution of the internet, and computers becoming more popular, physicians had been able to use these tools to improve the quality of patient care. However with the recent mandate the government has put on electronic health record systems (HER), one key objective is to optimize the use of Clinical Decision based support systems (CDSS). By utilizing such systems, better care at a cheaper rate can be provided to patients saving both time and money.
[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.
Kim, Oliver. "What Are the Four Ways of Knowing(WOK)?" Tok talk. N.p., 6 Dec. 2009. Web. 26 Sept. 2015. .
Evidence-based decision-making entails the process when a practitioner integrates the best research evidence in combination with clinical expertise and patient values to enhance the treatment outcomes. The three fundamental components of evidence-based decision-making include individual clinical expertise, scientific evidence and patient values and preferences (Peterson, Becker, Treasure, Shafran, & Bryant-Waugh, 2016). Scientific evidence entails the adoption of clinically relevant research conducted applying acceptable methodology. Clinical expertise is about the clinician’s cumulated education, skills, and experience in execution of the tasks. Patient values or preferences regard the concerns and expectations
The general concept of ‘information’ is used in a confused manner. By some it is seen as something we distil from data in order to make decisions, and to a point this could be a true observation. By others it is seen in terms of the understanding that we gain from messages or the knowledge that one person communicates to another and the meanings we create and exchange.
Knowledge consists of behavioral attitudes, and those experiences and skills that are developed in individuals that cause them to be consistent and effective when performing functions in the workplace (Seidman. W & ...
We gain knowledge in through our ways of knowing which are mainly perception, reason and language. We use them to find knowledge because we justify our claims and beliefs by their use, thus, our evidences, because they get us closer to the truth. To accept something as knowledge, it must be considered true, one must believe it and there must be justification why the person knows it, therefore these ways of knowing aid in the process for our quest for knowledge. In conclusion, in order to obtain knowledge all of these three attributes have to be integrated in some type of way, and due to the changing nature of all three of them, knowledge is always changing and it is dynamic, leading to the fact that knowledge can be discarded. The questions b...