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The next step in the evidence-based practice process is to evaluate whether the treatment was effective in terms of patient outcomes. It is important to evaluate the outcomes in a real-world clinical setting to determine the impact of the evidence-based change on healthcare quality. [4]
The Users' Guides come in two book versions: the Essentials introduces the concepts of evidence-based medicine (EBM), with which every practicing clinician should be familiar, while the Manual provides a more comprehensive, in-depth exploration of EBM concepts for clinicians seeking a deeper understanding, or for those who wish to teach EBM.
[2] The model was developed by Dr. Kathleen Stevens at the Academic Center for Evidence-Based Practice located at the University of Texas Health Science Center at San Antonio . [ 3 ] The model has been represented in many nursing textbooks , used as part of an intervention to increase EBP competencies, and as a framework for instruments ...
Evidence-based practice is the idea that occupational practices ought to be based on scientific evidence.The movement towards evidence-based practices attempts to encourage and, in some instances, require professionals and other decision-makers to pay more attention to evidence to inform their decision-making.
The JBI Model of Evidence-based Healthcare was developed in 2005 and updated in 2016. [4]It is described by reference to a pictogram, with one circle inside another. [5] The 'inner circle' represents the pebble of knowledge while the 'inner wedges' provide the organisation's conceptualization of the steps involved in the process of achieving an evidence-based approach to clinical decision-making.
Furthermore, it provides decision-makers (e.g. clinicians, other health care providers, patients and policy makers) with a guide to using those recommendations in clinical practice, public health and policy. To achieve simplicity, the GRADE approach classifies the quality of evidence in one of four levels—high, moderate, low, and very low:
The PICO process (or framework) is a mnemonic used in evidence-based practice (and specifically evidence-based medicine) to frame and answer a clinical or health care related question, [1] though it is also argued that PICO "can be used universally for every scientific endeavour in any discipline with all study designs". [2]
A study of 2,600 patients at two hospitals determined that between 26% and 60% of patients could not understand medication directions, a standard informed consent, or basic health care materials. [132] This mismatch between a clinician's level of communication and a patient's ability to understand can lead to medication errors and adverse outcomes.