In the past, health care managers tended to focus on cost and quality, thus “doing things right” and leaving “doing the right things” to other forces and chance. This situation is rapidly changing and everyone involved in decision making must use evidence to enable them to make decisions about “doing the right things.” These skills are necessary for provision of health care in the 21st century .
INTRODUCTION
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 .
Nowadays the practice of dentistry is becoming more challenging and complex because of the information explosion regarding dental materials and equipment, increasing need for continuous professional development and an increasingly litigious society. Hence there has been a paradigm shift towards evidence-based healthcare .
Evidence-based dentistry has been gaining even more importance in recent years in order to reduce the gap between clinical research and actual dental practice. It aims at the systematic literature review which collects the best evidence and forms the basis for clinical practice guidelines. Clinical research, which is the basis for EBD, allows us to make decisions about causes of and treatments for disease, while allowing for the natural differences between people.
NEED FOR EVIDENCE-BASED
Evidence Based Practice (EBP) is useful to practice because it aids practitioners development and widens their knowledge and insight, therefore enhancing the experience of the practitioner. This ensures that the best quality of care is given to the patient (Duncan, 2006).
As I started my new journey of becoming a dental hygienist, I came into the program with no background of dental. I came into this program with an open mind and willing to embrace new concepts as well as develop new skills. During my time at the Canadian Academy of Dental Hygiene (CADH), I learned that as a dental hygienist that I am committed to promoting and helping each individual achieve their optimal oral health goals. In support of my client’s goals, I may assume any or all of the roles included in the dental hygiene scope of practice. My goal throughout this program was to help my clients achieve their optimal oral health goals through education, health promotion and providing preventive and clinical therapy.
Dentistry as a profession over the years has evolved rapidly in light of new scientific evidence. Rapidly evolving science and technology have implemented changes within dentistry as evidenced by new standards and guidelines being produced by nationally recognised associations including National Institute for Health and Clinical Excellence (NICE), Faculty of General Dental Practice (FGDP) and Scottish Intercollegiate Guidelines Network (SIGN) in Scotland, in provision of new scientific evidence. The latest standards and guidelines produced, endorse everyday clinical practice through evidence based dentistry (REF). All dental professionals as part of continued professional development are expected to keep to date on relevant guidelines and knowledge related to their practice (REF). This is supported by the General Dental Council who state all clinicians must maintain their professional knowledge and competence throughout their working career (REF).
Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.
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.
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 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.
I decided to do my research report on dentistry because it is a perfect blend of science and art. It is a science in that you must fully comprehend on the different types of diagnostic and procedures you are doing. It is an art in that you are constantly working with your hands to create a beautiful smile. The impact you make on helping a person achieve an impeccable smile is not one to compare with materialistic things like money or cars. People often mistake dentist as only doing practices when in fact they could do more, like research. I was fortunate enough to have been given the opportunity to interview Dr. Sarah Pham, DDS, a close family friend who practices dentistry in her own private office in Los Angeles, California. Dr. Pham was
“At its core evidence based ‘anything’ is concerned with using valid and relevant information in decision making” “high quality research is the most important source of valid information”. Psychological Association (2006, p. 273) defines EBP as "the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences. " When caring for patients it is fundamentally important to have a good selection of up to date evidence Based Practice clinical articles to support research strategies, this allows professionals to assemble the most recent and accurate information known which enables them to make decisions tailored to the individual’s plan of care. It is essential to have clinical expertise and have the involvement of the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.... ... middle of paper ...
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.
There are many oral practitioners, like general dentists, orthopaedic surgeons, and orthodontists. Orthodontists practice many ways of techniques to rearrange many gapped teeth to a reimagined smile. There were much evidence of metal bands and catgut that were used a thousand years ago by people trying different methods to straighten teeth founded by archaeologists. It was not until the 1800s that orthodontia began emerging as an area in the science of dentistry department. Orthodontia was officially recognised as the first practice of dentistry with the founding of the American Association of Orthodontists (AAO) in the 1900s (Dentists). In today's society, many are occupied with licenses of dental practice, because oral practice is very important in our society. Every year, orthodontic practice is developing to improve tec...
Most responses will be coded as yes or no, and don’t know responses will be identified as incorrect. Overall oral health knowledge will be measured as the percentage of questions answered correctly based on a range of 0–100%. The survey questionnaires will be tested in the pilot study, revised and reviewed for clarity and comprehension. Questionnaire forms will be distributed and collected by a dental professional who will conduct the survey and data collection. Lastly, Univariate and bivariate analyses (Student's t-test and ANOVA) will be
Walshe,K. & Rundall,T. 2001, Evidence based management:From theory to practice in health care ,Milbank Quarterly, Vol.79, PP.429-457
Pursuing a career in the dental public health field was a decision influenced by many factors starting by my passion for research. One of the main reasons for applying for my dental public health residency at Columbia University is the fact that it has a great research program, which is ranked among the top research facilities in the world. Columbia university’s dental public health residency department possess ample opportunities for research for those motivated to take advantage enough to r...
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...