The goal is to quickly incorporate the best available research, clinical experience, and patient preference into clinical practice so that nurses can make informed patient-care decisions. It is an approach to medicine that combines the most up-to-date research, clinical expertise, and patient values. Engaging in a model of care that includes all three factors ensures that nurses can provide high-quality, individualized care (Galbraith & Heneghan, 2017). This integrative approach offers a solid framework to base patient care, grounding it in best practices to improve patient outcomes. EBP approaches healthcare from a problem-solving perspective, factoring in every aspect of care necessary to make informed decisions and provide the best patient-centered care. The goal of EBP is to “improve the quality, effectiveness, and appropriateness of health care by synthesizing the evidence and facilitating the translation of evidence-based research findings,” according to Agency for Healthcare Research and Quality (AHRQ). To highlight and advance clinical effectiveness and evidence-based practice (EBP) agendas, the Institute of Medicine set a goal that by 2020, 90% of clinical decisions will be supported by accurate, timely, and up-to-date clinical information and will reflect the best available evidence to achieve the best patient outcomes. To ensure that future healthcare users can be assured of receiving such care, healthcare professionals must effectively incorporate the necessary knowledge, skills, and attitudes required for EBP into education programs (Galbraith & Heneghan, 2017). Using relevant research informed by a practitioner’s experience and knowledge of the patient demonstrates how EBP focuses squarely on delivering “the right care at the right time to the right patient,” notes the AHRQ. Moreover, the Institute of Medicine, now the National Academy of Medicine, has long believed that EBP is key to delivering the most effective, high-quality care possible. Promoting EBP requires a healthcare infrastructure committed to supporting the organization’s culture and an efficient education system supporting healthcare professionals in acquiring EBP competencies. Incorporating EBP activities into routine clinical practice can promote consistent participation and implementation of EBP. Such incorporation can be facilitated at various levels and settings. At a health service level, the provision of computer and internet facilities at the point of care with associated content management/decision support systems allowing access to guidelines, protocols, critically appraised topics, and condensed recommendations was endorsed. At a local workplace level, access to EBP mentors, implementation of consistent and regular journal clubs, grand rounds, audits, and regular research meetings are essential to embedding EBP within the healthcare and education environments. This, in turn, can nurture a culture that practically supports the observation and actualization of EBP in day-to-day practice and could, in theory, allow the coherent development of cohorts of EBP leaders. Agency for Healthcare Research and Quality (ahrq.gov) Galbraith, K., Ward, A. & Heneghan, C. A real-world approach to Evidence-Based Medicine in general practice: a competency framework derived from a systematic review and Delphi process. BMC Med Educ 17, 78 (2017). https://doi.org/10.1186/s12909-017-0916-1 Institute of Medicine. The future of nursing: Focus on education. 2010. http://iom.nationalacademies.org/Reports/2010/The- Future-of-Nursing-Leading-Change. Accessed October 14, 2022
DNP 820 What is the ultimate goal of evidence-based practice? Re: Topic 7 DQ 1