HCA 699 Topic 1 DQ 1
What is the difference between research and evidence-based practice
(EBP) projects? Provide an example of each one and the reason for the
difference. Why should health care workers be interested in learning
about EBP?
Reply
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Jan 31, 2018 11:59 PM
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Whitney Black
2 posts
Re:Re:Topic 1 DQ 1
Sarai,
I found similar studies that suggest that health care providers avoid
evidence-based research due to its "cookbook" nature. Mullen and
Streiner (2004) outline that providers dislike the feeling of
mindlessness in order to meet the standards of insurance companies.
Both authors are proponents of evidence-based research and practice
but believe it should be met with a "healthy dose of skepticism" (pp.
112). Evidence-based practice has its limitations due to shortages in
research and understanding of specific topics. It is often believed to
ignore the patient's values and personal preferences and ignores the
need for individualized care.
Mullen, E.J. & Streiner, D.L. (2004). The Evidence For and Against
Evidence-Based Practice. Brief Treatment and Crisis Intervention, 4(2),
pp. 111-119.
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Jan 31, 2018 11:56 PM
0 Like
Whitney Black
2 posts
,Re:Re:Re:Topic 1 DQ 1
Aggregate evidence should be reviewed every 5-10 years depending
on the subject. In health care, new innovations and medical advances
are being made on a continous basis. True students of medicine should
be researching and learning about the innovations and advances as
often as possible.
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Jan 31, 2018 11:10 PM
0 Like
Christopher Sun
3 posts
Re:Re:Topic 1 DQ 1
I agree the assumption is that the providers are up to date of medical
procedures and trends to treat their patients. Additionally this would
have to correlate with their knowledge upbringing and if what they
were taught is up to date as well. Research is the process of generating
knowledge and collaborating with peers to drive society forward with
new advancements. The only issue is that maybe a new process gets
created and is observed as state of the art. However it can only be as
good as it is applied, meaning that doctors depending on the field can
stick to the ways that works best for them. Thus going against the
evidence based practice and evolving with your field of interest. The
extent of the matter has to be proven with clinical research and a
conscious effort of an easier method to change the standard.
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Jan 31, 2018 11:02 PM
0 Like
Christopher Sun
3 posts
Re:Re:Re:Topic 1 DQ 1
According to Daniel Leonard who wrote the article The Health Care
Paradigm Shift: Moving From Volume to Value thehealth care payment
and delivery system have been shifting from a volume-based to a
value-based health care system gradually over the past few years as
,society shifts. Recently the movement observed a big boost from the
U.S. Department of Health and Human Services because of the
implementation of the new system. Additionally the focus from a
quantity of services performed to the patient transition to more of
health outcomes and the quality of care provided which is observed by
companies, like OneMedical or more patient oriented practices.
https://morningconsult.com/opinions/the-health-care-paradigm-shift-
moving-from-volume-to-value/
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Jan 31, 2018 10:55 PM
0 Like
Sarai Miller
4 posts
Re:Re:Topic 1 DQ 1
Hey,
Great post! Evidence-based practice (EBP) has become a key concept
in nursing and nursing education. Nurse educators teach the concept
of EBP in all nursing programs from prelicensure programs right up to
the doctoral level. Also evidence based practice (EBP) is an educational
paradigm that espouses that clinical decision making should be made
through the judicious and conscientious use of best evidence. EBP is
predicated on a fundamental principle that therapeutic knowledge is
appraised and applied into practice with the ethical imperative to use
such knowledge for the good of patient care. Despite the nature of EBP
in health care little is known about how physiotherapists use clinical
decision making process and it is not clear as to which theoretical
frameworks of practice and knowledge paradigms.
However, evidence based practice education programmes is an
important area of study and is warranted for two reasons: first, it is not
known how clinicians put into practice EBP after receiving formal
education; and second, it is not known how they connect their EBP
knowledge with clinical practice.
Reference
, Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J.,
Mitchell, P., ... & Warren, J. (2007). Quality and safety education for
nurses. Nursing outlook, 55(3), 122-131.
Reply | Quote & Reply | Report Abuse
Jan 31, 2018 10:43 PM
0 Like
Sarai Miller
4 posts
Re:Re:Topic 1 DQ 1
Hey
I enjoyed reading your post. Evidence-based Research (EBR) is a way
of approaching decision making about clinical issues. It is more than
just the EBR process it is a worldview. The decision must be made with
the best knowledge possible from science and from practice for
example, quality improvement or core measures data as it is
interpreted by a clinician who fully collaborates with the patient,
valuing what they want as the outcome for this decision and why.
Patient preferences, as they are called, sometimes change when
clinicians explain the science as interpreted through their expertise it is
known to be called informed patient preferences. This enables the best
outcome to be achieved for that patient.
However, with EBP challenges may be is how can health care workers
implement that study if it may seem impossible to others or making
sure they are taking the right steps in the right direction. Also practice
evaluation is quite different in that takes place at the start of
treatment, during treatment and after treatment. Practice evaluation
also uses single case methods rather than large sample, experimental
research designs. EBP and practice evaluation work together very
well, but they have different purposes and use very different methods.
Reference:
Chiappelli, F., Prolo, P., Rosenblum, M., Edgerton, M., & Cajulis, O. S.
(2006). Evidence-Based Research in Complementary and Alternative
What is the difference between research and evidence-based practice
(EBP) projects? Provide an example of each one and the reason for the
difference. Why should health care workers be interested in learning
about EBP?
Reply
Ascending | Descending
My Posts | Substantive |Flagged | All
Jan 31, 2018 11:59 PM
0 Like
Whitney Black
2 posts
Re:Re:Topic 1 DQ 1
Sarai,
I found similar studies that suggest that health care providers avoid
evidence-based research due to its "cookbook" nature. Mullen and
Streiner (2004) outline that providers dislike the feeling of
mindlessness in order to meet the standards of insurance companies.
Both authors are proponents of evidence-based research and practice
but believe it should be met with a "healthy dose of skepticism" (pp.
112). Evidence-based practice has its limitations due to shortages in
research and understanding of specific topics. It is often believed to
ignore the patient's values and personal preferences and ignores the
need for individualized care.
Mullen, E.J. & Streiner, D.L. (2004). The Evidence For and Against
Evidence-Based Practice. Brief Treatment and Crisis Intervention, 4(2),
pp. 111-119.
Reply | Quote & Reply | Report Abuse
Jan 31, 2018 11:56 PM
0 Like
Whitney Black
2 posts
,Re:Re:Re:Topic 1 DQ 1
Aggregate evidence should be reviewed every 5-10 years depending
on the subject. In health care, new innovations and medical advances
are being made on a continous basis. True students of medicine should
be researching and learning about the innovations and advances as
often as possible.
Reply | Quote & Reply | Report Abuse
Jan 31, 2018 11:10 PM
0 Like
Christopher Sun
3 posts
Re:Re:Topic 1 DQ 1
I agree the assumption is that the providers are up to date of medical
procedures and trends to treat their patients. Additionally this would
have to correlate with their knowledge upbringing and if what they
were taught is up to date as well. Research is the process of generating
knowledge and collaborating with peers to drive society forward with
new advancements. The only issue is that maybe a new process gets
created and is observed as state of the art. However it can only be as
good as it is applied, meaning that doctors depending on the field can
stick to the ways that works best for them. Thus going against the
evidence based practice and evolving with your field of interest. The
extent of the matter has to be proven with clinical research and a
conscious effort of an easier method to change the standard.
Reply | Quote & Reply | Report Abuse
Jan 31, 2018 11:02 PM
0 Like
Christopher Sun
3 posts
Re:Re:Re:Topic 1 DQ 1
According to Daniel Leonard who wrote the article The Health Care
Paradigm Shift: Moving From Volume to Value thehealth care payment
and delivery system have been shifting from a volume-based to a
value-based health care system gradually over the past few years as
,society shifts. Recently the movement observed a big boost from the
U.S. Department of Health and Human Services because of the
implementation of the new system. Additionally the focus from a
quantity of services performed to the patient transition to more of
health outcomes and the quality of care provided which is observed by
companies, like OneMedical or more patient oriented practices.
https://morningconsult.com/opinions/the-health-care-paradigm-shift-
moving-from-volume-to-value/
Reply | Quote & Reply | Report Abuse
Jan 31, 2018 10:55 PM
0 Like
Sarai Miller
4 posts
Re:Re:Topic 1 DQ 1
Hey,
Great post! Evidence-based practice (EBP) has become a key concept
in nursing and nursing education. Nurse educators teach the concept
of EBP in all nursing programs from prelicensure programs right up to
the doctoral level. Also evidence based practice (EBP) is an educational
paradigm that espouses that clinical decision making should be made
through the judicious and conscientious use of best evidence. EBP is
predicated on a fundamental principle that therapeutic knowledge is
appraised and applied into practice with the ethical imperative to use
such knowledge for the good of patient care. Despite the nature of EBP
in health care little is known about how physiotherapists use clinical
decision making process and it is not clear as to which theoretical
frameworks of practice and knowledge paradigms.
However, evidence based practice education programmes is an
important area of study and is warranted for two reasons: first, it is not
known how clinicians put into practice EBP after receiving formal
education; and second, it is not known how they connect their EBP
knowledge with clinical practice.
Reference
, Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J.,
Mitchell, P., ... & Warren, J. (2007). Quality and safety education for
nurses. Nursing outlook, 55(3), 122-131.
Reply | Quote & Reply | Report Abuse
Jan 31, 2018 10:43 PM
0 Like
Sarai Miller
4 posts
Re:Re:Topic 1 DQ 1
Hey
I enjoyed reading your post. Evidence-based Research (EBR) is a way
of approaching decision making about clinical issues. It is more than
just the EBR process it is a worldview. The decision must be made with
the best knowledge possible from science and from practice for
example, quality improvement or core measures data as it is
interpreted by a clinician who fully collaborates with the patient,
valuing what they want as the outcome for this decision and why.
Patient preferences, as they are called, sometimes change when
clinicians explain the science as interpreted through their expertise it is
known to be called informed patient preferences. This enables the best
outcome to be achieved for that patient.
However, with EBP challenges may be is how can health care workers
implement that study if it may seem impossible to others or making
sure they are taking the right steps in the right direction. Also practice
evaluation is quite different in that takes place at the start of
treatment, during treatment and after treatment. Practice evaluation
also uses single case methods rather than large sample, experimental
research designs. EBP and practice evaluation work together very
well, but they have different purposes and use very different methods.
Reference:
Chiappelli, F., Prolo, P., Rosenblum, M., Edgerton, M., & Cajulis, O. S.
(2006). Evidence-Based Research in Complementary and Alternative
