Defining the Evidence Based Practice Decision-Making Model: Difference between revisions
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'''Original Editor '''- [[User: | '''Original Editor '''- [[User:Wanda van Niekerk|Wanda van Niekerk]] | ||
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== Introduction == | == Introduction == | ||
<ref>Dusin J, Melanson A, Mische-Lawson L. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230988/ Evidence-based practice models and frameworks in the healthcare setting: a scoping review.] BMJ Open. 2023; 13(5): e071188. | <ref>Dusin J, Melanson A, Mische-Lawson L. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230988/ Evidence-based practice models and frameworks in the healthcare setting: a scoping review.] BMJ Open. 2023; 13(5): e071188. |
Revision as of 11:15, 8 October 2023
Original Editor - Wanda van Niekerk
Top Contributors - Wanda van Niekerk, Jess Bell and Angeliki Chorti
Introduction[edit | edit source]
Satterfield et al. in 2009 [2] further developed the evidence-based practice model and provided it with a transdisciplinary perspective by adding each discipline's efforts towards addressing deficiencies and making advances. This model had a new external frame that provided environmental and organisational context. The three inner pillars of the model are:
Best available research evidence
Client or population’s characteristics, state, needs, values and preferences
Resources including practitioner’s expertise
At the center of this evidence-based model is clinical decision-making
Seven steps
Step 1: Determining the patient’s needs to formulate a clinical question
Step 2: Locating the knowledge resources
Step 3: Appraising the quality of the knowledge resources
Step 4: Discussing the options with the patient
Step 5: Formulate the treatment plan
Step 6: Implementing the treatment plan
Step 7: Evaluate the effectiveness of the treatment plan and the evidence-based practice process
5 A’S of EBP
Ask
Acquire
Appraise
Apply Assess
Table showing steps and five A’S of EBP ?
Terminology
Evidence-based treatment
Best practice –
Research-informed practice
Evidence-based practice applications
Levels of evidence questions
And link to page
Challenges of EBP
Lack of time to search for and apply the best available evidence – mostly due to heavy patient case loads Naghibi D, Mohammadzadeh S, Azami-Aghdash S. Barriers to evidence-based practice in health system: a systematic review. Evidence Based Care. 2021 Jul 1;11(2):74-82.
Not enough or not good enough research available on all conditions and scenarios Sadeghi‐Bazargani H, Tabrizi JS, Azami‐Aghdash S. Barriers to evidence‐based medicine: a systematic review. Journal of evaluation in clinical practice. 2014 Dec;20(6):793-802.
Finding the right resources between the masses is difficult H, Tabrizi JS, Azami‐Aghdash S. Barriers to evidence‐based medicine: a systematic review. Journal of evaluation in clinical practice. 2014 Dec;20(6):793-802.
Accessing the resources Ibikunle PO, Onwuakagba IU, Maduka EU, Okoye EC, Umunna JO. Perceived barriers to evidence‐based practice in stroke management among physiotherapists in a developing country. Journal of Evaluation in Clinical Practice. 2021 Apr;27(2):291-306.
Lack of administrative support Naghibi et al
Not skilled in critical appraisal Naghibi
Not enough role models who practice evidence-based practice regularly
Advantages
It offers the surest and most objective way to determine and maintain consistently
high quality and safety standards in medical practice.
It can help speed up the process of transferring clinical research findings into
practice.
It has the potential to reduce healthcare costs significantly.”
Reduce variability of care
Increases healthcare provider empowerment and role satisfaction
Meets expectations of an informed public
Sub Heading 2[edit | edit source]
Sub Heading 3[edit | edit source]
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
References[edit | edit source]
- ↑ Dusin J, Melanson A, Mische-Lawson L. Evidence-based practice models and frameworks in the healthcare setting: a scoping review. BMJ Open. 2023; 13(5): e071188.
- ↑ Satterfield J, Spring B, Brownson R, Mullen E, Newhouse R, Walker B, Whitlock E. Toward a Transdisciplinary Model of Evidence-Based Practice. Milbank Q. 2009 Jun; 87(2): 368–390.