Research & EBP

 

downloadAAHINC.org is committed to promoting Excellence in healthcare professionals in the area of Clinical Research through  networking,  collaboration,  education, certification review courses and workshops. The courses/ workshops targeted to healthcare professionals will assist  clinical nurses, administrators, managers, clinical AMNT-Oct14_Research-624x295research nurses, and other researchers to improve their understanding of the responsibilities of  Research process.

Research Process

Ch2_Im3

What is Evidence-Based Practice?

Evidence-based (EBP) is key to delivering  the highest quality of healthcare

and ensuring the best possible outcomes.

EBP_plaatje

Why Evidence-based Practice?

With the complexity of healthcare environment today, the call for an EBP

in the provision of care and management

of healthcare consumers is multi-factorial:

Healthcare consumers are demanding higher quality care

Third -party payers  wants evidence-based interventions and treatment

The need to contain health care cost

The existence of Pay-for-performance( P4P)

Components of Research Process

As shown in the diagram below,when best evidence from best research

meets clinical information and patient

values, needs, characteristics,preferences, and expectations,optimal

decision is possible – translating to best                        11_0324_01

patient outcome. This Venn diagram shows the relationships

among 5 concepts. Three circles in the middle of

the graphic overlap with each other: 1) “Best available

research evidence,” 2) “Resources, including practitioner

expertise,” and 3) “Populations characteristics, needs,

values, and preferences.” Overlapping these 3 circles

                          Source: Satterfield JM et al.,2009

and in the center is the circle “Decision-making.” This group of 4 circles is surrounded by “Environment and

organizational context.”

The Steps of Evidence-Based Practicecontact-us-BOD

0. Cultivate a spirit of inquiry

1. Ask the burning question in PICOT format

2. Search for and collect the most relevant best evidence

3. Critically appraise the evidence( i.e., rapid critical appraisal, evaluation, & synthesis).

4. Integrate the best evidence with one’s clinical expertise and patience preferences,

     expectations, needs  and values in making a practice decision or change

5. Evaluate outcomes of the practice decision or change.

6. Disseminate the outcomes of the EBP decision or change

Levels of Evidence for Intervention/Treatment:Quantitative Questions

Level I: Evidence from a systematic review of all relevant randomized controlled trials (RCT’s),

or evidence-based clinical practice guidelines based on systematic reviews of RCT’s                                                      IMG_2197publications-BOD

Level II: Evidence obtained from at least one well-designed Randomized Controlled Trial (RCT)

Level III: Evidence obtained from well-designed controlled trials without randomization,

quasi-experimental

Level IV: Evidence from well-designed case-control and cohort studies

Level V: Evidence from systematic reviews of descriptive and qualitative studies

Level VI: Evidence from a single descriptive or qualitative study

Level VII: Evidence from the opinion of authorities and/or reports of expert committees

Source:  Melnyk & Overholt., 2005

 

The Difference among QI, Research, and EBP  

Some are confused by the difference among Quality improvement,

research, and evidence-based practice.  To view the difference,  click here

 

Sources to Find Evidence

research-BOD

– For Systematic research review – can be found at:
 Cochrane Library, PubMed, Joanna Briggs Institute

 

– For Clinical practice guidelines – can be found at 

National Guideline Clearinghouse (NGC) http://www.guideline.gov or choose “guideline”or “Practice Guidelines” within the Publication Type limit in PubMed or CINAHL.

 

– Current Practice Guidelines in Primary Care (AccessMedicine)
Contains information from several sources of the latest guidelines  for preventive services, screening methods, and treatment approaches commonly encountered in the outpatient setting.

 

–  Original research articles
Where are they found? CINAHL, MEDLINE, Proquest Nursing & Allied Health, PsycINFO

 

To join AAHINC.org click here