Evidence Based Practice Evidence Based Practice

Evidence Based Practice Evidence Based Practice

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page 1Defining evidence-based practice (EBP)Evidence-based practice or evidence-
based (decision-making is based on: External evidence – systematic reviews,
randomized control trials, best practice, and clinical practice guidelines that
support a change in clinical practice Internal evidence – health care institution
based quality improvement projects, outcome management initiatives, and clinical
expertise Patient preferences and values – what does the patient really want
Evidence-based care improves quality of life
page 2Hierarchy of evidence-based information (adapted from Haynes, 2007)
page 3Why healthcare providers use evidence-based practiceLeads to highest quality
care and patient outcomes Reduces health care costs Reduces geographic
variations in the delivery of care Increases healthcare provider empowerment and
role satisfaction Reduces healthcare provider turnover rate Increases
reimbursement from 3rd party payers Reduces complications and payment
denials Meets the expectation of an informed public
page 47 steps of EBP 0: Cultivate a spirit of inquiry 1: Ask the question in the PICOT
format 2: Search for and collect the most relevant and best evidence 3: Critically
appraise the evidence 4: Integrate the best evidence with the healthcare
provider’s experience/ expertise and patient preference 5: Evaluate outcomes of
the practice decision 6: Disseminate the outcomes of the EBP decision
(Melynk,B., Fineout-Overholt,E. Evidence-based practice in nursing & healthcare.
2010, 2nd Edition)
page 5Barriers to implementing EBP in health care institutionsLack of EBP skills or
knowledge Misperceptions or negative attitudes about research and EBP Lack of
belief that EBP improves outcomes Too much information in journals – information
overloadLackoftimeandresourcestosearchforandappraiseevidence
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Summary
Evidence-based practice (EBP) integrates external evidence, internal evidence, and patient preferences to
enhance healthcare quality and outcomes. It follows a structured process and faces barriers like lack of
skills and organizational support. Institutions can foster EBP through leadership support, resources, and
mentorship, ultimately improving patient care and reducing costs.
Highlights -??????
1. Definition of EBP: Combines external, internal evidence, and patient preferences.
2. Benefits of EBP: Enhances care quality, reduces costs, and improves outcomes.
3. EBP Process: Involves a 7-step approach starting with inquiry and ending with outcome dissemination.
4. Barriers to EBP: Includes skill gaps, negative perceptions, and organizational constraints.
5. Institutional Support: Leaders should foster EBP culture and provide resources.
6. Role of Librarians: Essential in teaching search strategies and appraising evidence.
7. Outcome Improvement: EBP leads to better patient care and lower healthcare costs.
Key Insights -??????
1. Holistic Approach: EBP’s integration of diverse evidence types ensures patient-centered care, reflect-
ing the importance of individualized treatment and decision-making. ??????
2. Quality of Care: Utilizing EBP consistently correlates with enhanced patient outcomes, showcasing its
role in modern healthcare as a standard practice rather than an option. ??????
3. Organizational Culture: Establishing a supportive environment for EBP encourages continuous quality
improvement, demonstrating that leadership commitment is vital for effective implementation. ??????
4. Skills Development: Addressing the skills gap in EBP is essential; training healthcare providers on re-
search interpretation can significantly enhance care quality. ??????
5. Resource Allocation: Providing access to evidence-based journals and databases empowers health-
care professionals to make informed decisions, highlighting the need for adequate resources. ??????
6. Mentorship Role: Librarians and EBP mentors play a crucial role in guiding healthcare staff, bridging
the gap between research and practice. ??????
7. Cost Efficiency: EBP not only improves patient care but also leads to reduced costs, emphasizing its
dual benefit in healthcare systems. ??????
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SUJITHA MUKKIRI
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