week 7 dq 2 replies 3

Hi!!!

please reply to the following discussions with 100-150 words each. Thank you!

Chiamaka,

Health professionals are expected to use current best evidence in their clinical practice. Evidence-based practice (EBP) is an approach that integrates three components in clinical decision-making: current best evidence, clinical expertise, and patient perspective. Evidence-based practice requires a different skill set of the clinical practitioner, namely, the ability to identify, access, appraise, and integrate research or scientific evidence into clinical decisions.

One of the most important but often challenging steps in the evidence-based practice (EBP) process is ensuring that the change we wanted to happen occurred. After a practice change has been implemented, it’s important to apply the ability to integrate the research evidence with patient perspectives and clinical expertise and apply it to clinical practice.

One way to evaluate if a project made a difference in a practice is by systematically monitor learner outcomes and the purpose of monitoring progress is to determine whether individuals are improving. One of the best ways to measure improvement is progress monitoring, a type of formative assessment in which learning is evaluated on a regular basis.

Reference

Gardner, A., Lahoz, M. R., Bond, I., & Levin, L. (2016). Assessing the Effectiveness of an Evidence-based Practice Pharmacology Course Using the Fresno Test. American journal of pharmaceutical education, 80(7), 123. doi:10.5688/ajpe807123

Diana,’

Carrying out Impact Evaluations, here you assess short term objectives which generally suggest that your larger goals are being achieved. They are much easier to measure since they consider benefits in terms of changes in beliefs and attitudes, behaviour,skills and/or policies, structures and systems.

One example is that you can look at rate of hospitalization and compare with the previous or mortality rate and compare with previous data, mostly ER consider clinical sigificance which is the treatment effect.the results may be statistically insignificant but clinically significant for instance loosing one patient may be insiginificant in terms of statistics but significan clinically.

Melissa,

After educating all of the staff through NDNQI and implementing the two-person skin assessment and documentation at shift change, I will review the medical records of all of the patients identified as having hospital acquired pressure injuries. I have created a table to categorize the manual data that I receive from the medical record. I want to see if the staff are identifying/staging the pressure injuries correctly, documenting, providing appropriate interventions, and what the outcomes are for each patients. From this data, I can analyze the previous 6 months of pressure injuries reported in the confidential reporting of occurrence (CRO) system and identify improvements. This will either substantiate my claim that early assessments and interventions decrease hospital acquired pressure injuries or not. “Scientific knowledge is built on empirical data, and the details of the data (what sort of data is relevant to the question at hand, what kind of data can we actually collect, what techniques are better or worse for collecting the data, how we distinguish data from noise, etc.) can vary quite a lot in different scientific disciplines, and in different areas of research within those disciplines” (Stemwedel, J., 2011).

References

Stemwedel, Janet. (2011). Evaluating scientific claims (or, do we have to take the scientist’s word for it?). Retrieved from https://blogs.scientificamerican.com/doing-good-sc…

 

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