The integration of best research evidence with clinical expertise and patient values, which when applied by practitioners will ultimately lead to improved patient outcome
Fundamental components of evidence based practice
Bestevidence
Clinicalexpertise
Patientvalues
Evidence-basedpractice (EBP)
The idea that occupational practices ought to be based on scientific evidence
5 Steps of Evidence-Based Practice
1. Formulateananswerablequestion
2. Findthebestavailableevidence
3. Appraisetheevidence
4. Implementtheevidence
5. Evaluatetheoutcome
Formulateananswerablequestion
Fundamental skill required for Evidence-Based Practice, to focus efforts on what matters
Findthebestavailableevidence This step involves identifying search terms
Appraisetheevidence
Be skilled in critical appraisal to filter out weak studies
Implementtheevidence
Combine best available evidence with clinical expertise and patient values, implement into practice
Evaluatetheoutcome
Evaluate effectiveness and efficacy of decision, consider how to improve the process
Outcomes
Changes expected to result from a program, in individuals, systems, policies, or institutions
Conscientious and judicious use of evidence is only one competency element of health promotion, necessary but not sufficient for effective health promotion
Effective health promotion often uses a combination of behavioral,social, and environmental strategies that work in synergy
Findthebestavailableevidence
This step involves identifying search terms
5 A’s of evaluation
ask
acquire
appraise
apply
audit
EthicalPrinciples are tenets that direct or govern actions.
Beneficence
The duty to do good to others and to maintain balance between benefits
Nonmaleficence
The principles of doing no harm
Justice
The principles of fairness that is served when an individual is given that which he or she is due, owed, deserves, or can or legitimately claim.
Autonomy
Respect of an individual’s right to self-determination; respect for an individual liberty.
Fidelity
The principles of promise keeping; the duty to keep one’s promise of word.
Veracity
The obligation to tell the truth
Values: are freely chosen, enduring beliefs or attitudes about the worth of a person, object, idea, or action
Values are learned and are greatly influenced by person’s sociocultural environment
Ethicaldilemma occurs when an individual must choose between two unfavorable alternative
Morals: similar to ethics and many people use the two words interchangeably
GiverofInformation term that was identified in 1948 by US educational theorist Kenneth D. Benne, 1908-1992 and 20th-century US social psychologist Paul Sheats following studies of discussion groups conducted at the National Training Laboratories.
FacilitatorofLearning is a teacher who does not operate under the traditional concept of teaching, but rather is meant to guide and assist students.
Coordinator of Teaching in Nursing - the patient coordinator is responsible for educating patient about their health condition. Giving health teaching is part of the nursingresponsibilities.
AdvocatefortheClient - a client advocate is broadly an employee or a centralized office which advocates for the clients wants and needs. They can assist client directly, but their more essential functions are in forming a bridge between customers and organization team members.
Wellness is the act of practicing healthy habits on a daily basis to attain better physical and mental health outcomes
SocialConnectedness Connecting with friends or loved ones is a great way to help improve your physical and mental health. Take 10 minutes out of your day to call someone you’ve been thinking about. This is a great way to connect and catch up with the people that matter the most to you.
Exercise Even 20 or 30 minutes of daily exercise can have a positive impact on your overall sense of well-being and help improve your mood. Don’t know where to start? Try a brisk walk on your lunch break or opt for the stairs instead of the elevator when you can.
Nutrition By adding wholesome ingredients to your plate, you’ll be taking steps towards becoming a healthier you. Some food for thought: pack an apple and some raw veggies in your bag to keep as a handy snack. This may help you avoid vending machines or fast food when you’re on the go.
Sleep Consider your sleep hygiene. Avoid caffeine after 12pm, include quiet and calm activities before going to bed, and wake up at the same time every day – these are simple ways you can begin your journey towards becoming a successful sleeper.
Mindfulness Did you know that practicing mindfulness is good for the body and mind, helps with focus and also changes the brain?