Discussion Response

Discussion Response

Response GuidelinesMD

Read the post and respond. In your response, explain why you decided to respond to this particular post. You may pose a question, propose possible gaps in understanding, or build upon foundational knowledge to continue the discussion thread to further conversation. Your response must be a minimum of 200 words in length. If your response offers an alternative viewpoint or refers to the ideas or work of others, it must be supported by citing an outside scholarly source, using APA style.

EBP

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The state of healthcare in the United States today is geared to value- based purchasing and standardized practices that can help control rising healthcare costs. In order to improve quality and improve patient safety, evidence- based practice (EBP) is the basis for this reform. EBP is defined as “a problem- solving approach to the delivery of healthcare that incorporates the best available evidence, clinician’s experience, and patient values and outcomes” (Warren, McLaughlin, Bardsley, Eich, Esche, Kropkowski, & Risch, 2016, p.15). The Institute of Medicine (IOM) has stated that 90% of all clinical decisions be supported by EBP by 2020 (p. 16).  

The Institute of Healthcare Improvement has implemented the Triple Aim initiative to improve the healthcare system through implementing quality measures that improve patient health, increase quality of care, reduce overall costs, and the recently added fourth goal of improved clinician satisfaction through EBP (Zimmerman, 2017). There are barriers to implementing EBP into policy and procedure and change process. The translation of EBP into policy and procedure and change process requires that a culture of improvement and implementation from beginning to end. Collaboration between policymakers and researchers is needed to facilitate EBP into practice. With more focus on managing chronic illness, improving health outcomes, and controlling healthcare costs, EBP will be the influential deciding factor in policy and procedure writing. 

Qualitative methods in research focuses on the experiences and understanding of attitudes of the patient, the community, or the healthcare worker. Quantitative methods in research uses statistical models to attempt to explain what is observed (McCusker & Gunaydin, 2015). The use of these two methods has validity in EBP. To use a qualitative method, one must take the time to research previous research done on the subject and compare the findings. Utilizing qualitative methods can allow a researcher to extract from large volumes using standardized methods. Quantitative methods allow the researcher to create a hypothesis and collect statistical data for validity.  Qualitative methods are limited in research because the researcher can impose bias into the results with assumptions that are believed to be the truth. Quantitative methods rely solely on statistical data and that data can be more influential for policy making. In EBP, using a mixed methodology in some research would be more useful when collecting data and determining validity, but this needs to be based on the subject being researched.

References

McCusker, K. & Gundaydin, S. (2015). Research using qualitative, quantitative, or mixed methods and 

     choice based on the research. Perfusion, 30(7), 537- 542.

Warren, J., McLaughlin, M., Bardsley, J., Eich, J., Esche, C., Kropkowski, L., & Risch, S. (2016). The 

     strengths and challenges of implementing EBP in healthcare systems. Worldviews on Evidence- Based

     Nursing, 13(1), 15- 24.

Zimmerman, K. (2017). Essentials of evidence- based practice. International Journal of Childbirth 

     Education, 32(2), 37- 43.

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apa 335 words