The current grave state of the economy has had a significant impact on health care across The United States. Massive budget cuts, reduced services, and limited access to care significantly have affected Medicaid patients. Hennepin County Clinic (HCC), a facility that provides health care to Medicaid patients, is dealing with an additional 15% budget cut that will force management to make decisions about which services must be changed or eliminated while still meeting the basic needs of the clients.…
Another definition of evidence based practice is that it is a process within which clinical decision…
A number of studies reveal that the advantages of implementing evidence-based practice by nurses and other health professional’s results in the advancement quality of care that leads to enhanced patient outcomes. Furthermore, the current use of evidence-based in the clinical setting would result in increased patient outcome since the evidence-based practice includes multidisciplinary recommendations that could facilitate all nurses in addressing questions related to the best patient care.…
Clinical Decision Support (CDS) is not a new concept, it has been around for more than 30 years (Brino, 2014). Brino (2014) reports that even with the most sophisticated information technology (IT), reasoning is difficult for computers. Computers operate best with a set of standard rules. CDS tools should not diagnose; diagnosing should remain in the purview of the physician due to the complexity inherent with diagnosing.…
Using the strategy of collaborative decision-making, decisions are made in the patient’s best interest based on successive comparisons that place the patient at the centre of the care system (Boykins, 2014). Nurses develop professional relationships as they interact with the patient when gathering relevant information and focus on the patient goals (Politi& Street 2011). Through effective communication during the health interview and physical assessment nurses use an active behaviour for patient and families (Boykin, D. (2014)).The nature of the therapeutic relationship provides comfort and reduces anxiety. Patient participate in many activities when a shared decision–making approach is followed (Donahau et al., 2008).…
Evaluation may be developmental, intended to deliver direction for the development and implementation of an outcome-oriented (Billings & Halstead, 2012). Evidence-based practice (EBP) is decision- making on the care delivery to patients, which is based on current identified and validated research evidence, consumers’ preferences, expert opinions and society expectation(Adams & Barron, 2010). This requires the baccalaureate nurses to make clinical decision pertaining to patient’s care. Therefore, the best clinical decision -making should be based on EBP with the intention to achieve quality patient…
professionals use the best evidence possible to make clinical decisions (Blais and Hayes, 2011). It involves complex and conscientious decision-making based not only on the available evidence but also on patient characteristics, situations, and preferences.…
1. What is Clinical Decision Support and how does it benefit and/or limit the use of information when caring for patient? Clinical Decision Support provides specific information to health care staffs regarding a patient health care record, and this support system will help provide good quality care to the patient. This system has many different tools to help the health care provider an easy ways to care for the patient such as alert system, clinical guidelines, templates, and even more. With this system, I think it benefit the patient care by simply an easy communication for the staffs that are caring for that patient.…
Kortteisto, Komulainen, Mäkelä, Kunnamo, and Kaila (2012) stated that since the dawn of information technology in healthcare, the ultimate goals have been to help clinicians in their decision making process to prevent errors, to maximize efficiency, to enable evidence-based care, and ultimately to improve health and healthcare. Gradually, tools that support the clinical decision making process have been generally designed as clinical decision support systems (CDSS). According to O'Connor et al. (2011), the informatics nurse specialist (INS) understand the concepts and technology of nursing information management and can provide operational and strategic benefits to nursing organizations, such as seen through the implementation of the electronic…
The definition of Evidence Based Practice (EBP) is “professional understanding and action that is based on the thoughtful use of knowledge and information from available, reliable, and dependent sources” (Brown, 2002). The definition also includes the balance of clinical experience, proven evidence from scientific studies with patient input. This input from patients will incorporate their culture, values and other preferences.. Evidence Based Practice is a fluent process that requires nurses to be current and correct on information as it pertains to their daily practice. The intent of EBP is to improve the quality of the care that is delivered to the client. This increased knowledge, whether it is correct or incorrect, is a motivating factor for nursing professionals to have current and correct information available when working with clients in making healthcare decisions. Healthcare professionals, especially nurses, are the touch point of health care and are the key to cost effective quality care. To ensure that decisions are based on sound information nurses must utilize EBR.…
As the healthcare industry is making rapid advance, many health organizations are faced with new methods and procedures in regards to quality care. Evidence-based practice can be defined as decisions that are made based off of previous knowledge and research. The combination of clinical expertise and evidence gained through clinical research results in the method of evidence-based practice (Atkins, Fink & Slutsky 2005).…
Patient-centered care is globally becoming the focus in the health care system, resulting in the integration of evidence-based practice to improve care. Evidence-based practice has been introduced to the health care industry to incorporate clinical expertise, scientific research, and the values as well as preferences of patients to ensure that the patient is the focus of care. Nurses play a crucial role in the implementation of evidence-based practice to ensure that clinical decisions based on current evidence, patient values, and clinical expertise guide the care provided to the patient. To improve care, nurses must consider what decisions should be made for the care of a patient through careful assessment of patient preferences while also…
Evidence-based practice (EBP) is an interdisciplinary approach to clinical practice that has been gaining ground following its formal introduction in 1992. It started in medicine as evidence-based medicine (EBM) and spread to other fields such as dentistry, nursing, psychology, education, library and information science and other fields. Its basic principles are that all practical decisions made should 1) be based on research studies and 2) that these research studies are selected and interpreted according to some specific norms characteristic for EBP. Typically such norms disregard theoretical and qualitative studies and consider quantitative studies according to a narrow set of criteria of what counts as evidence. If such a narrow set of…
To recapitulate, this essay has demonstrated that EBP is research base practice and patient should receive care based on optimal scientific knowledge. However patient’s preferences and resources should be considered. It is responsibility of nurse to provide high quality of care to patient. It is important to have evidence in practice to save time, money and unexpected complications in patients. Although…
It is the use of the current best evidence in making decisions about patient care that may include research findings, evidence based theories, opinions of clinical expertise, patients assessments and information about a patients values and preferences.…