Evidence based practice
Evidence based practice
According to NIH, evidence based practice (EBP) is when health care professionals uses the best evidence possible from what has been practiced in the past, i.e. the most appropriate information available, to make clinical decisions for individuals patients (2019). The use of EBP allows health care workers to treat patients individually based on research since health care is forever changing, individualized and it involves uncertainties and probabilities.
1. Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
ANA-American Nurses Association is a national initiative foundation that leverages the combined strength of each to drive excellence in practice and ensure nurses’ voices and vision are recognized by policy leaders, industry influencers, and employers. The ANA Enterprise is the leading resource for nurses to equip themselves with the tools, information, and network they need to excel in their individual practices (www.nursingworld.org/ana-enterprise, 2019).
1. Explore the website to determine where and to what extent EBP is evident.
There was no evidence of EBP when I initially opened the website. I did not see any evidence in the vision or mission. I decided to use the search engine to locate any evidence of EBP use. I was able to pull up several topics that referenced evidenced based practice, about 808 references to EBP. It is evident that it is being encouraged and well-grounded using evidenced based practice. The information I received did not change my perception because it is not new to me. I have taken a class on this topic in the past and I try to use it as often as possible at work. Evidence based practice
American Nursing Association, 2019. Retrieved November 25th from https://www.nursingworld.org/search/?q=evidence+based+practice&p=2
National Institution of Health, 2019. Retrieved November 25th from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC226388/?page=1
Where in the World Is Evidence-Based Practice?
March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.
When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.
In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP. Evidence based practice
To Prepare:
1. Review the Resources and reflect on the definition and goal of EBP.
2. Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
3. Explore the website to determine where and to what extent EBP is evident.
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Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.
According to Melnyk, in order to implement evidence-based practice (EBP) consistently one must cultivate a spirit of inquiry, ask clinical questions, search for the best evidence, appraise the evidence, implement the evidence, evaluate outcomes, and then lastly share the results (Melnyk, 2010). This step by step process is very evident in the organization I chose to explore.
The organization that I chose to focus on is referred as the Center for Evidence and Practice Improvement (CEPI). CEPI, “conducts and supports research and evidence synthesis on health care delivery and improvement; advances decision and communication sciences to facilitate informed treatment and health care decision making by patients and their health care providers; explores how health information technology can improve clinical decision making and health care quality; catalyzes and promotes sustainability of improvements in clinical practice across health care settings through research, demonstration projects, and partnership development; and operates the National Center for Excellence in Primary Care Research (CEPI, 2014).” Evidence based practice
CEPI consists of five divisions:
1. Evidence-Based Practice Center Program
2. U.S. Preventive Services Task Force Program
3. Division of Decision Science and Patient Engagement
4. Division of Health Information Technology
5. Division of Practice Improvement
CEPI is also home to AHRQ’s National Center for Excellence in Primary Care Research (NCEPCR). This organization is grounded in EBP and has made me appreciate the organization for what it is and what it stands for.
References
Center for Evidence and Practice Improvement (CEPI). (2014, July 15). Content last reviewed January 2017. Agency for Healthcare Research and Quality, Rockville, MD. Retrived May 26, 2019. http://www.ahrq.gov/cpi/centers/cepi/index.html
Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2. Retrieved from http://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/NCNJ/A/NCNJ_165_516_2010_08_23_DGSODKGNM_1651_SDC516.pdf Evidence based practice
