Evidence-based practice (EBP) is the combination of the latest best evidence, the expertise of the clinician, and the patient preferences.
How do we get to the latest EBP?
The very short version
The video graphic shows that evidence-based practice is the combination of the latest best evidence, the clinician’s expertise, and the patient values. But before we even get to common agreed upon evidence base practice recommendations, we have to start somewhere.
Anyone working in healthcare can begin the evidence-based practice chain and often do without knowing it! The first step is having a spirit of inquiry. What better way to begin an investigation than to ask WHY is something done? Nurses often identify current clinical practices related to the care they deliver that don’t make sense, just like in the video.
Nurses are natural innovators. They often see solutions to problems encountered with equipment they use or with how they perform key interventions that impact patient outcomes. They are our best resource to drive new evidence-based practice recommendations.
The video shows Dr. Cameron Kyle Seidel asking crucial questions, analyses current EBP, and uses his clinical expertise to explore treatments that may have a better outcome for patients.
What about the patient values?
We are happy you asked! The patient is the third part of the triangle that makes up the evidence-based practice model.
The patient preferences are important to “getting to the goal” the healthcare team desires. The patient is a member of the team! Take for example the COVID crisis, researchers are investigating thousands of interventions and medications that may alleviate symptoms of this virus. Investigation into the effects anti-Malarial drugs have on COVID are underway. Does that mean populations who have high incidence of Malaria may have a higher resistance to it?
We will learn as the next part of the EBP cycle continues. Once the question is asked and literature reviewed, key stakeholders prioritize how to implement new recommended interventions, safely test and evaluate their effectiveness scientifically, and disseminate their findings with recommendations for future research.
The process is normally slow, but when a global pandemic hits, collaboration becomes cooperation which leads to coordination of resources, dissemination of knowledge, and improved patient outcomes.
-Well we can hope, stay safe everyone.