Discussion: Where in the World Is Evidence-Based Practice

NURS 6052 Discussion: Where In the World Is Evidence-Based Practice?

Discussion: Where in the World Is Evidence-Based Practice

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

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The American Medical Informatics Association (AMIA) (2022) is a scientific organization that was formed in 1988 after the merging of three organizations;  the American Association for Medical Systems and Informatics (AAMSI); the American College of Medical Informatics (ACMI); and the Symposium on Computer Applications in Medical Care (SCAMC). The primary mission of the AMIA is to help lead the way in transforming healthcare by building a bridge of knowledge and collaborations in relation to basic and applied research, consumers, and public health arenas. The AMIA (2022) states five core purposes for their organization; advancing the science of informatics, promoting education of informatics, assuring the new technology is being utilized effectively to promote health and health care, advancing the profession of informatics, and providing services and support for members.

Informatics, especially nursing informatics, is a large part of gathering and deciphering data to help develop evidence-based practice (EBP). The AMIA achieves this by supporting five different domains. These domains include translation bioinformatics, clinical research informatics, clinical informatics, consumer health informatics, and public health informatics. The two domains that support translational research are translation bioinformatics and clinical research informatics. Translation bioinformatics “is the development of storage, analytic, and interpretive methods to optimize the transformation of increasingly voluminous biomedical data, and genomic data, into proactive, predictive, preventive, and participatory health (AMIA, 2022)” and clinical research informatics “involves the use of informatics in the discovery and management of new knowledge relating to health and disease (AMIA, 2022)”. In addition to gathering the data and helping care providers understand the data, they also help with the application of new knowledge and technologies delivered to the healthcare system derived from informatics.

Nursing informatics is not a subject matter I am extremely knowledgeable about, which is why this healthcare organization interested me. The continually evolving technology, emerging of new diseases, and an increase in public health awareness show how important informatics is along with evidence-based practice. We can not achieve the best evidence-based practice without the availability and access to research and data, and informatics is what helps to collect those things. The combination of nursing informatics and evidence-based practice is helping to continue to move health research more so to the bedside, which only helps to continue to deliver results of patient-centered care based on evidence. Looking into the AMIA’s website, along with the science behind evidence base practice, has led me to a deeper appreciation of nursing informatics and its engagement with a multitude of different disciplines within the different healthcare arenas to achieve the overall goal of helping providers be able to provide the most current best practice available for our patients.

References:

American Medical Informatics Association (AMIA). (2022). AMIA Mission and History. Retrieved

on November 29, 2022, from https://amia.org/about-amia/amia-mission-and-historyLinks to an external site.

American Medical Informatics Association (AMIA). (2022). About AMIA. Retrieved on

November 29, 2022, from https://amia.org/about-amiaLinks to an external site.

Walden University, LLC. (Producer). (2018). Introduction to Evidence-Based Practice and

Research [Video file]. Baltimore, MD: Author

To Prepare:

· Review the Resources and reflect on the definition and goal of EBP.

· Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

· Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Christiana Care Health System

Christiana Care Health System is in Delaware and comprise of three hospitals. Headquartered in Wilmington, the trauma center in Newark, and the community hospital in Cecil County, Maryland. It is a level 1 trauma center with 1,340 beds, a level 3 neo-natal intensive care unit and a free-standing emergency department, (Christiana Care Health System [CCHS], 2022).

Evidence-Based Practice 

Evidence based practice is evident through the organization’s website. Within their professional practice model, it illustrates a tree with roots, a trunk, branches, and leaves. One of the leaves represents evidence-based practice. Christiana Care also established a professional governance structure with emphasizes on research and evidence-based practice, and it is overseen by a council comprised of registered nurses and nurse practitioners. According to CCHS (2022), “relationship-based care and interdisciplinary collaboration best benefit the patients and families we serve by encouraging the formulation of evidence-based clinical care standards leading to quality outcomes.”

Also, within the Christiana Care newsletters, CCHS (2022) states their focus on evidence-based practice is demonstrated throughout the correspondence and stresses the importance of following evidence-based best practices recommended by the Centers for Disease Control (CDC) and the support of the Delaware Division of Public Health.

Christiana Care’s work in clearly grounded in evidence-based practice, and their nurses are at the forefront of the research and practice initiatives. Their passion for research and what is learned from the results and drives their continuity of care. According to Crabtree et al. (2016) “staff nurses are a critical link in bringing evidence ‐ based changes into clinical practice, it occurs when they ask questions about treatments and care, have the resources and skills necessary to search for and appraise research evidence, implement the evidence in practice, and evaluate its effectiveness.”

Knowledge Gained     

The knowledge gained from the information I received from the CCHS (2022) website is not what I expected. It changed my perception for the better and I have a deeper appreciation for the organization, and a greater respect with their openness on evidence-based practice.

Before the Covid 19 pandemic, their website did not go into detail, nor did it feel user friendly, welcoming, or informative; it was very bland. Now, the website is very welcoming, vibrant, and family centered. While going through the website, it is evident that CCHS valued the feedback of their patients and families, and they truly care about their community, and employees.

References

Christiana Care Health System. (CCHS) (2022). Who are we. https://christianacare.org/about/whoweare/

Christiana Care Health System. (CCHS) (2022). Professional Practice Model. https://christianacare.org/forhealthprofessionals/professional-practice-model/Links to an external site.

Christiana Care Health System. (CCHS) (2022). Protecting our caregivers. https://news.christianacare.org/2020/04/protecting-our-caregivers/Links to an external site.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126. https://eds.p.ebscohost.com/eds/detail/detail?vid=0&sid=9482d28f-d7dc-498b2f121e625d2e%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=114436496&db=rzhLinks to an external site.

RESOURCES

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126.

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171.

http://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/NCNJ/A/NCNJ_165_516_2010_08_23_DGSODKGNM_1651_SDC516.pdf.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021. Retrieved from https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12021.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf

Discussion: Where Is Evidence-Based Practice

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