How healthcare professionals can use EBP in assessment & diagnosis – Pubrica
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Transcript of How healthcare professionals can use EBP in assessment & diagnosis – Pubrica
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Copyright © 2021 pubrica. All rights reserved 1
How Healthcare Professionals can use EBP in
Assessment & Diagnosis
Dr. Nancy Agnes, Head, Technical Operations, Pubrica, [email protected]
Keywords: clinical research, quantitative
research, Clinical research work, data collection,
EBP reports, purpose of EBP.
I. INTRODUCTION
Evidence Based Practice (EBP) is the
promising practice that interlinks the information
collected after clinical expertise and proven
research studies, so that, vital information for better
healthcare management can be set and followed.
The most seen purpose of EBP is assistance to
clinical healthcare professionals in making
decisions for better treatment of patients.
The history of EBP starts in 1970. Before
the EBP, the health professionals mostly tended to
rely on other experienced health professionals.
Though the required information is easily
accessible and based, there can be mistakes or
prone to incorrect leads, pertaining to the age and
memory of the health professionals. Similar to the
EBP, there are Evidence Based Management,
Evidence Based Medicine, Evidence Based
Decision making, etc.
II. REGULAR STEPS IN EBP
Healthcare professionals cannot easily get
the sources and find the necessary data. It takes
more steps and time to do so.
1. Firstly, based upon the patient conditions, they design a ‘need’ and start collecting the data
related to that from every possible and reliable
source. The data are checked for the quality of
the research work.
2. Later, after collecting the data, their relevance pertaining to the situations are analyzed.
3. In the end, the cases are treated well and the report from the treated case is also recorded as
an additional information or update of the
existing information.
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III. MEDICAL VITALITY
Diagnosis is the most important step
before going to treat the patient. A health
professional has to hold various medical
examinations and assess based upon the results.
There comes a situation, where the professional has
to determine the tests to be performed for the
patient. Here comes, EBP in assessments and
diagnosis.
Getting through uncertain medical
situations, there needs an immediate measure to
tackle the irregular conditions of patients. Based
upon the clinical expertise alone, one cannot
determine the appropriate treatment to be provided
to the patient. The care plan needs to be altered
according to the patients' conditions. The handling
of unexpected Covid 19 pandemic is the great
example in EBP. It was a unprecedented type of
disease and no researcher could able to make
instant researchers upon that. All the data related to
its symptoms are collected and treatment was
given. Drugs used for TB and Malaria in their
altered forms are used to treat the patients and
recorded for future clinical research.
In this instance, let us consider the
situation of a patient who met with a road accident.
It is more likely to determine what exact diagnostic
measures to be taken. But there can be
circumstances like the patient could have had brain
injury earlier. So, the patient must be diagnosed in
deep for brain damage, if not that may lead to brain
death.
IV. BARRIERS IN ADOPTING EBP
According to the reports, a random set of
nurses were asked about the barriers on their way
towards adopting the EBP, in that, most of them
agreed that lack of time searches for articles, at
their workplace. Other reasons are– poor
understandability, fear of failure, technical issues in
reaching the correct resources.
EBP reports are not always completely
commendable especially in the cases of severe and
chronic cases. It is more important to update the
knowledge not only with data based on the cases,
but also through research and other studies.
Sometimes, the clinical experience would even be
biased based upon the varying past of the
professionals.
Around the world, discussions upon EBP
are yet controversial owing to the hidden fact that
more of its reliability over the quantitative research.
Perception of the healthcare professional varies, so
the evidence. Also the bias of the professionals
makes the evidence to be questioned for certainty.
V. ADVANTAGES & DISADVANTAGES OF
EBP
EBP ensures the quality of information
that is provided to the professionals. The
professionals can provide the appropriate treatment
and balance the other critical conditions of the
patients. The decisions made on the EBP can be
believed with more confidence.
Though EBP promises to be the better
reliable method while comparing with others, there
also exist certain disadvantages within it. EBP
needs more accurate information and proven
evidence which may consume more time.
Considering the unexpected situations with
patients, a professional may not start the Clinical
research work to tackle the issues immediately.
VI. CONCLUSION
Creating the evidence and connecting
them to the appropriate situations is not a one-day
matter. There involved a lot of difficulties in
experimentation, collection of data from various
sources, and bringing them to the right situation at
right time. Apart from all, it keeps on updating
itself based on the new situations that arise after
new cases.
REFERENCES
1. Guyatt, G.H., Haynes, R.B., Jaeschke, R.Z., & Cook, D.J. (2000). Users' guides to the medical
literature: XXV. evidence-based medicine:
principles for applying the users' guides to
patient care. JAMA, 284, 1290-1296. doi:
http://dx.doi.org/10.1001/jama.284.10.1290
2. B Jensen, I., BjörkBrämberg, E., Wåhlin, C., Björklund, C., Hermansson, U.,
LohelaKarlson, M., SchäferElinder, L.,
MunckAfRosenschöld, P., Nevala, T., Carter,
N., Mellblom, B., &Kwak, L. (2020).
Promoting Evidence-Based Practice for
Improved Occupational Safety and Health at
Workplaces in Sweden. Report on a Practice-
Based Research Network Approach.
International journal of environmental research
and public health, 17(15), 5283.
https://doi.org/10.3390/ijerph17155283.
3. Hoffman, T., Bennett, S., & Del Mar, C. (2013). Evidence-based practice: across the
health professions (2nd ed.). Chatswood,
NSW: Elsevier.
4. Hasanpoor, E., Janati, A., Arab-Zozani, M., &Haghgoshayie, E. (2018). Using the
evidence-based medicine and evidence-based
management to minimize overuse and
maximize quality in healthcare: a hybrid
https://pubrica.com/sevices/research-services/https://pubrica.com/academy/latest-topics/how-to-extract-quantitative-data-for-systematic-review-and-meta-analysis/https://pubrica.com/sevices/research-services/https://pubrica.com/sevices/research-services/https://pubrica.com/services/medical-data-collection/
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perspective. BMJ Evidence-Based Medicine,
bmjebm–2018–110957. doi:10.1136/bmjebm-
2018-110957