Evidence-Based Practice in the Clinical Setting

There is no doubt that organizational factors have a significant effect on the quality of care. In order to improve the quality of care, it is important to recognize the role evidence-based practice models play in today’s healthcare settings. An evidence-based practice model which fits the clinical settings will ensure the improvement of quality through evidence review and practice change (Schaffer, Sandau, & Diedrick, 2012, p. 1197).

Evidence-based practice means using best available clinical evidence to make informed diagnostic and treatment decisions. While evidence-based practice is the foundation of today’s healthcare, various evidence-based practice models have been created to accommodate a variety of different clinical settings. One such model is the Johns Hopkins Model which can be used to guide the process of applying research and non-research evidence into clinical practice (Newhouse, Dearholt, Poe, Pugh, & White, 2007).

This evidence-based practice model is based on three concepts: practice, education, and research (Buchko & Robinson, 2012, p. 260). According to the Johns Hopkins Model, evidence-based practice should be organized in three stages: outlining a question, searching for research and non-research evidence, using this evidence in a pilot study to measure the outcomes and determine its viability (Buchko & Robinson, 2012, p. 260).

This model is focused on the way evidence can be applied through research and views this process as an individual, rather than organizational issue. As such, this model emphasizes such approach to finding, reviewing, and synthesizing evidence which will be most appreciated by nursing educators (Schaffer, Sandau, & Diedrick, 2012, p. 1197).

Another model is the Promoting Action on Research Implementation in Health Services (PARiHS) framework. This model is relevant for “public health practitioners devising a knowledge translation strategy to implement research into practice” (National Collaborating Centre for Methods and Tools, 2011, par. 5The three concepts are making the foundation of this model: evidence, context, and facilitation (National Collaborating Centre for Methods and Tools, 2011, par. 5).

This evidence-based model emphasizes the need to consider the clinical setting where the new evidence is implemented and as such, will be more likely to work in my work environment, emergency department. An emergency department is a setting of high activity which accepts patients with unanticipated conditions. This unit provides medical care to patients with varying severity of medical conditions and as such, actions of practitioners prioritize securing available beds (Kirk & Nilsen, 2016, p. 555). Such organizational culture is described by researchers as “a flow culture” and it requires medical personnel not to do such activities which will stop patient flow (Kirk & Nilsen, 2016, p. 556).

This organizational culture necessitates a degree of flexibility in the implementation of evidence-based practices. Such practices should not be used if they stop patient flow (Kirk & Nilsen, 2016, p. 555). The PARiHS framework takes into account the context and as such, allows for a degree of flexibility not included in the Johns Hopkins Model. The emergency department necessitates applying evidence-based practice only in those cases when it will not interfere with the flow culture, putting patients’ health at risk.

Evidence-based practice models were created to describe the process of evaluating the evidence and implementing it in the clinical setting. The Johns Hopkins Model is focused on using evidence in a clinical trial to determine whether it can be applied in a clinical setting. The PARiHS framework takes into account evidence, context, and facilitation.

References

Buchko, B. & Robinson, L. (2012). . Urologic Nursing Journal, 32(5), 260-264. Web.

Kirk, J. & Nilsen, P. (2016). Implementing evidence‐based practices in an emergency department: contradictions exposed when prioritising a flow culture. Journal of Clinical Nursing, 25(3-4), 555-565. Web.

National Collaborating Centre for Methods and Tools (2011). . Web.

Schaffer, m., Sandau, K., & Diedrick, L. (2012). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209. Web.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with My Homework Geeks
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

escort

-
eskişehir escort

escort

-
eskişehir escort
Live ChatWhatsApp

escort

-
eskişehir escort