What is Evidence-Based Practice?

Summary

In this video, Dapper Woods, Chief Nurse of Walter Cloyd Health Medical Research Division, emphasizes the importance of evidence-based practice in healthcare. She discusses the global challenge of providing cost-effective, quality care and the significant gap where only 20% of healthcare practices are evidence-based. Woods highlights the Joanna Briggs Institute's role in promoting evidence integration to improve patient outcomes. The video also covers the history of evidence-based practice, starting with Archie Cochran in the 1970s, and the importance of combining research evidence with clinical expertise and patient preferences. It addresses common misconceptions and the benefits of using evidence-based practice, including improved quality of care, reduced healthcare costs, and better staff satisfaction. The Joanna Briggs Institute's methodology and tools for evidence generation, appraisal, implementation, and evaluation are also discussed.

Takeaways

• 🌟 Evidence-based practice (EBP) is crucial for improving healthcare outcomes and is a top global challenge in the industry.
• 🔍 Only 20% of healthcare practices are currently based on evidence, indicating a significant gap in the quality of care provided.
• ⏱ It takes 15-20 years for evidence to be integrated into practice, which is an unacceptably long time frame for patients to receive the latest standard of care.
• 🌐 The Joanna Briggs Institute (JBI) is a global leader in promoting EBP and offers tools and resources to facilitate its implementation.
• 📚 EBP combines the best research evidence, clinical expertise, and patient preferences to enhance patient care and outcomes.
• 🏥 Healthcare institutions that use EBP have better staff satisfaction and lower turnover rates, indicating its positive impact on the workplace.
• 📈 The use of EBP leads to cost reductions in healthcare, which is a critical factor given the financial pressures faced by many institutions.
• 📊 Qualitative research, such as phenomenology and ethnographic studies, is essential for understanding patient experiences and improving care delivery.
• 📚 Systematic reviews and meta-analyses represent the highest level of research evidence and are foundational for clinical practice guidelines.
• 🛠 Clinical decision support tools are vital for healthcare providers to quickly apply research findings at the point of care, enhancing patient treatment.
• 🌐 JBI's global network of collaborating centers ensures that the latest and most relevant evidence is collected and made available for healthcare improvement.

Q & A

What is the main challenge faced by healthcare providers globally?

The main challenge is to provide evidence-based, cost-effective, quality care that will improve practice and patient outcomes.

What percentage of healthcare practices are currently based on evidence?

Only 20% of healthcare practices are based on evidence.

How long does it take for evidence to be incorporated into practice, according to the transcript?

It takes 15 to 20 years for evidence to be incorporated into practice.

What is the Joanna Briggs Institute and why is it significant in evidence-based practice?

The Joanna Briggs Institute is a global institution that develops tools and resources for evidence-based practice, focusing on the integration of evidence into practice to improve patient outcomes.

Who initiated the concept of evidence-based practice and why?

Arie Cochrane, an epidemiologist from the United Kingdom, initiated the concept after realizing that patients were not receiving the quality of care they needed.

What are the two main types of research evidence discussed in the script?

The two main types of research evidence are quantitative research, which includes clinical trials and statistical analyses, and qualitative research, which focuses on understanding human behavior.

What is the highest level of research evidence according to the Joanna Briggs Institute?

The highest level of research evidence is considered secondary research, such as systematic reviews or meta-analyses.

Why is it important for healthcare providers to use clinical decision support tools?

Clinical decision support tools are important because they allow healthcare providers to read and immediately put evidence into practice, which is crucial given the time constraints at the bedside.

What does the Joanna Briggs Institute consider in addition to the levels of evidence when evaluating healthcare interventions?

In addition to the levels of evidence, the Joanna Briggs Institute considers feasibility, appropriateness, meaningfulness, effectiveness, and economic evidence of healthcare interventions.

What are the four main components of the Joanna Briggs Institute's methodology for evidence-based practice?

The four main components are healthcare evidence generation, evidence synthesis, evidence knowledge transfer, and evidence utilization.

How does the Joanna Briggs Institute ensure that its tools and resources are applicable globally?

The Joanna Briggs Institute ensures global applicability by having collaborating centers around the world that supply the information needed for their resources and tools.