Do you agree or disagree? Explain. Support your position with one or two examples and one or two references.
Do you agree or disagree? Explain. Support your position with one or two examples and one or two references.
Topic 1 DQ 2
Assessment Description
Some consider the integration of evidence-based practice a “cookbook” approach. Do you agree or disagree? Explain. Support your position with one or two examples and one or two references.
Resources
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Read Chapter 2 in Washington Manual of Patient Safety and Quality Improvement.
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Read “10 Easy Design Tips to Improve Your Visual Content,” by French, located on the Column Five Media website.
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Read “Development and Implementation of a Model for Research, Evidence-Based Practice, Quality Improvement, and Innovation,” by H
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Read “Clostridium Difficile: Reducing Infections Using an Evidence-Based Practice Initiative,” by Nielsen, Sanchez-Vargas, a
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Read “Using the PDSA Model Correctly,” by Connelly, from Medsurg Nursing (2021).
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DQ 2
I do not like the idea of EBP, which shows this approach as a ‘cookbook.’ EBP is a complex process using clinical expertise, patient preferences and values, and current research evidence. It increases thinking processes and caters to patients’ needs instead of providing standard solutions. Research shows the three fundamental pillars form EBP: patient preference, physician expertise, and data outcomes (Barnsteiner et al., 2023). It allows medical professionals to make logical decisions depending on the circumstances each patient is in. For instance, EBP can provide specific pain treatment based on research findings. Nonetheless, the doctor must consider the patient’s history, contraindications, and preference for medications to recommend.
Another example is physical treatment. Proven treatments are a general therapy framework, but therapists constantly adapt based on specific patients’ development, comments, and goals. Such flexibility is evidence that EBP is not a rote process where one follows recipes for problem-solving (Mudge et al., 2023). EBP encourages medical practitioners to remain updated with current studies and continue evaluating their practices. This constant learning and adaption process further undermines the idea of a set, standard approach.
Emphasizing the complex character of EBP, Bolgeo et al. (2023), in their article, underline the necessity of including many elements in clinical decisions. On the other hand, Mudge et al. (2023) identify what EBP is and what it is not, and the authors note that EBP involves integrating individual clinical skills with the external clinical evidence base derived from rigorous research. Therefore, EBP is a deliberate, multifaceted approach that incorporates evidence-based knowledge, clinical reasoning, and patient preferences to provide the best treatment possible for every patient.
References
Barnsteiner, J., Beebe, S. D., Dicker, R., Halm, M. A., Hirsch, M., Taulbee, R. L., & Troy, D. (2023). Facilitating a culture of evidence-based practice and quality improvement excellence. Journal for Nurses in Professional Development, 39(4), 207–213. https://doi.org/10.1097/nnd.0000000000000995
Bolgeo, T., Matteo, R. D., Betti, M., Desperati, G., Megna, I., Piceni, G., Farotto, M., Roveta, A., Maconi, A., & Timmins, F. (2023). The importance of dedicated, supportive research infrastructure in the hospital setting to support clinical nursing research and evidence‐based practice. Journal of Advanced Nursing, 79(12). https://doi.org/10.1111/jan.15669
Mudge, A., McRae, P., Young, A., Blackberry, I., Lee‐Steere, K., Barrimore, S. E., Quirke, T., & Harvey, G. (2023). Implementing a ward-based program to improve care for older inpatients: Process evaluation of the cluster randomized CHERISH trial. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09659-2