Beyond the Evidence-Based Practice Paradigm to Achieve Best Practice in Rehabilitation Medicine: A Clinical Review

PM&R ◽  
2009 ◽  
Vol 1 (10) ◽  
pp. 941-950 ◽  
Author(s):  
Suzanne L. Groah ◽  
Alexander Libin ◽  
Manon Lauderdale ◽  
Thilo Kroll ◽  
Gerben DeJong ◽  
...  
Keyword(s):  
Clinical Review ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Rehabilitation Medicine ◽  
Evidence Based

Evidence-Based Practice: The Cochrane Collaboration, and Occupational Therapy

1998 ◽  
Vol 65 (3) ◽  
pp. 144-151 ◽  
Author(s):  
Robyn L. Hayes ◽  
John J. McGrath
Keyword(s):  
Systematic Reviews ◽  
Randomised Controlled Trials ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Cochrane Collaboration ◽  
Controlled Trials ◽  
Evidence Based ◽  
Randomised Controlled ◽  
The Cochrane Collaboration

This paper describes how occupational therapists can become involved in the Cochrane Collaboration — a well-developed tool for facilitating the involvement of health professionals and lay people in evidence-based practice. The Cochrane Collaboration is a growing international project intended to systematically locate, conduct systematic reviews (including metaanalyses) of, and disseminate information on all available randomised controlled trials of interventions in any area of health. In particular, occupational therapists can use the Cochrane Collaboration to become better informed about best practice and evaluate research in their areas of interest, and learn skills related to conducting randomised controlled trials, systematic reviews, and meta-analyses.

Tele-ICU Partners Enhance Evidence-Based Practice

2012 ◽  
Vol 23 (3) ◽  
pp. 312-322 ◽  
Author(s):  
Carol Olff ◽  
Cynthia Clark-Wadkins
Keyword(s):  
Health Care ◽  
Length Of Stay ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Care Delivery ◽  
Health Care Team ◽  
Evidence Based ◽  
New Members ◽  
Management Protocol ◽  
Information Research

Evidence-based practice (EBP) has become more than just a trendy buzzword in health care; EBP validates care delivery methods and grants satisfaction to nurses in knowing the care they provide is based on valid, current information. Research-based enhancements are paramount to the advancement of nursing practice and prompt the implementation of creative methods to improve care. The advent of the tele–intensive care unit (ICU) introduces new members of the health care team to assist with implementation of EBP initiatives. This new partnership results in improved length of stay, mortality rates, and ventilator times for critical care patients. Current literature suggests that a clinician-driven, standardized ventilator management protocol is of significant benefit. Tele-ICU clinicians provide an interactive element to coordinate interdisciplinary team efforts. Enhanced communication, data evaluation, and timely intervention expedite the weaning process and reduce ventilator length of stay. Consistent collaboration between tele-ICU and bedside clinicians successfully improves patient outcomes through standardized adherence to best-practice initiatives.

scholarly journals An exploration of the factors that impact on clinical practices of Nurses in applying evidence-based practice

2021 ◽  
Vol 1 (2) ◽  
pp. 34-41
Author(s):  
Fathimath Shifaza ◽  
Mohammad Hamiduzzaman
Keyword(s):  
Best Practice ◽  
Evidence Based Practice ◽  
Nursing Profession ◽  
Evidence Based ◽  
Clinical Practices ◽  
Positive Correlation ◽  
The World ◽  
Belief Scale ◽  
Ebp Implementation ◽  
Descriptive Survey

While healthcare institutions around the world strive to adopt evidence-based practice (EBP) as the new standard in best practice, the nursing profession still faces multiple barriers and limitations in implementation. The aim of this paper is to present the analysis of EBP from the perspective of nurses working within two major South Australian hospitals, assessing their implementation and beliefs and exploring avenues for further research-based upon their feedback. A descriptive survey using the EBP beliefs (EBP-b) and the EBP implementation (EBP-I) scales were developed by Melnyk and Fineout-Overholt. Nurses scored high in the EBP belief scale reflecting significant positive readiness towards EBP. A positive correlation was observed between EBP beliefs and implementation, yet implementation rates were very low. More research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem. Based on the evidence it appears that more research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem.

Limitations and Optimizing Applications of Evidence in Evidence-Based Practices in Organizational Change and Development

2019 ◽  
pp. 713-723
Author(s):  
Gary N. McLean ◽  
Sehoon Kim
Keyword(s):  
Organizational Change ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Business People

The purpose of this chapter is to offer an overview of evidence-based practice's (EBP) limitations and applications in identifying evidence in OCD. While the concept of EBP is growing rapidly in many fields, there are problems with such an approach. Best practice is a widely used term in business that does not take into account questions like, Best for whom? Where? When? In what organization? In what context? Such questions may be more applicable to some modes of research than others, though business people and OCD professionals may be even less convinced by some modes than others. This chapter explores the limitations of identifying evidence while at the same time identifying ways to apply evidence in spite of its limitations. Accepting the resulting ambiguity will enable practitioners to find value in evidence-based practice.

Recipe for Success: Stories of Evidence-Based Practice Implementation

2012 ◽  
Vol 18 (1) ◽  
pp. 37-44
Author(s):  
Susan M. Rugari ◽  
Lynette Alcorn ◽  
Theresa Baird ◽  
Basnot E. Phillips-Williams ◽  
Wendy F. Spagnuolo ◽  
...  
Keyword(s):  
Best Practice ◽  
Evidence Based Practice ◽  
Nurse Leaders ◽  
Evidence Based ◽  
Collaborative Partnership ◽  
Local Hospital ◽  
Success Stories ◽  
Practice Implementation

Through a collaborative partnership with administrators at a university, nurse leaders at a local hospital worked to create a culture in which nurses could provide evidence-based practice (EBP). The Best Practice Series was started, and two participants’ experiences of implementing EBP in their units are described with encouraging results.

Evidence-based Practice: Improving Outcomes for Patients with a Central Venous Access Device

2011 ◽  
Vol 16 (2) ◽  
pp. 64-72 ◽  
Author(s):  
Dorothy Mathers
Keyword(s):  
Health Care ◽  
Continuing Education ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Central Venous Access ◽  
Relevant Literature ◽  
Venous Access ◽  
Positive Pressure ◽  
Evidence Based ◽  
Central Venous

AbstractPurpose: To apply evidence-based practice when flushing central venous access devices (CVADs).Background/Introduction: There is a lack of standardized flushing protocols for CVADs among health care institutions. Identifying best practice and assuring skillful implementation of evidence-based practice protocols is essential to maintaining catheter patency.Review of Relevant Literature: Evidence supports the use of nonheparinized saline flush, positive-pressure valve caps, and proper flushing technique to maintain CVAD patency (Bowers, Speroni, Jones, & Atherton, 2008; Hadaway, 2006; & Jasinsky & Wurster, 2009). Reinforcement of proper flushing techniques has demonstrated improved patency rates of CVADs (Feehery, Allen, & Bey, 2003).Methods: Corporate and individual in-services were conducted to improve nurses' skill and knowledge of evidence-based practice related to flushing CVADs. Outcomes were measured by comparing baseline data with data collected in the same manner post-education. Data was obtained by means of a questionnaire and direct observation of nurses' flushing technique.Outcomes: The evidence-based practice project demonstrated a significant improvement (p <0.05) in both the nurses' knowledge and skill in flushing CVADs.Conclusion: Continuing education and reinforcement of proper flushing technique is an appropriate strategy to increase knowledge of and compliance with evidence-based practice protocols.Implications for practice: Providing continuing education and periodic reinforcement of nursing skills can lead to improved patient outcomes. These strategies, along with changing flushing protocols to non-heparinized saline, can also reduce health care costs. Future studies are needed to determine the appropriate frequency of in-service education.

scholarly journals Evidence-based practice for young people who self harm: can it be sustained and does it improve outcomes?

2002 ◽  
Vol 25 (4) ◽  
pp. 178 ◽  
Author(s):  
Stewart L Einfeld ◽  
John Beard ◽  
Margaret Tobin ◽  
Richard Buss ◽  
Michael Dudley ◽  
...  
Keyword(s):  
Young People ◽  
Service Provision ◽  
Policy Development ◽  
Best Practice ◽  
Service Management ◽  
Evidence Based Practice ◽  
Successful Implementation ◽  
Evidence Based ◽  
Self Harm ◽  
Attitudinal Changes

In 1998-1999, two Area Health Services in NSW conducted a project to implement evidence-based service enhancements for the clinical management of young people who present with Deliberate Self Harm (DSH) behaviour. The present study examined what structures and procedures were required to implement and sustain evidence-based practice in different health care settings for patients with DSH behaviour. Service provision was assessed at three points during the initial project to assess the degree of change that occurred, and 9 months after the completion of the project to allow an assessment of sustainability of the service provision. We examined staff perceptions of the importance of education, management directives, policy and procedure changes, and cultural/ attitudinal changes, in implementing clinical best practice. Results indicated that support from both service management and clinical staff is necessary for successful implementation of service enhancements. High levels of staff education and policy development were also associated with high levels of service performance. The best sustained enhancements were those that were developed by the services themselves.

Sign in / Sign up

Export Citation Format

Share Document