Introduction
In the realm of rapid advancements in the healthcare sector, clinical professionals have started to rely on evidence-based practice. The term evidence-based practice (EBP) encompasses the application and translation of findings in the regular practice of patient care, assisting in clinical decision-making. It involves the integration of the best available evidence with clinical knowledge and expertise while considering patients’ unique needs and personal preferences.
The usage of EBP refers to the selection and application of the most effective treatment and care delivery practices. Healthcare providers need to be proficient and well-trained in the use of EBP in the workplace. The process of applying evidence-based practice can be performed in six general steps by the professionals, and those steps are as follows: by asking questions in PICO and evaluating the process of a workflow (De Vries et al., 2021).
Next, the knowledge about the current shreds of evidence is gathered by reviewing the existing literature. Then, the clinical professionals have to apply their findings to make decisions and make recommendations where required. The data of the outcomes and the approach of the intervention are recorded for future evaluation.
Finally, the entire work with accurate results must be shared with other healthcare practitioners to provide an overview of similar practices in the future. According to Kar and Dwivedi (2020), the practice of research on any subject may assist in generating new knowledge or validating existing knowledge based on theory.
On the other hand, evidence-based practice is used to obtain the best available evidence to make informed patient-care decisions. The application of the best research evidence about the patient-centered relevant clinical research provides accuracy and efficacy with safety and therapeutic advancements. The clinical experts receive assistance in using clinical skills from their past experiences and can rapidly recognize the health condition of the patient, followed by a quick diagnosis. This approach values the opinions and expectations of the patients and their families when integrating clinical decisions.
This particular study will delve into the importance of EBP and link the gap between scientific research and practice in order to gain clinical interventions. By incorporating this intervention, the patient can be benefitted from a better cure plan with fewer incidents of errors. The implementation of EBP helps the professionals in enhancing their competency with continuous growth and uplifting their professional skills. The EBP approach assists in the optimization of the usage of resources by increasing efficacy and reducing waste.
Clinical professionals get the confidence to make any decisions by relying on the available evidence or similar patient cases. The primary objective of this study is to provide an overall concept of the “evidence-based practice” in the healthcare industry by clinical professionals. This study will recognize the potential obstacles faced by the professionals during the implementation of EBP.
The impact of the practice of evidence-based healthcare by using case studies and real-world examples depends on the outcomes of patients’ health. The knowledge acquired about the methods of this practice is acquired through literature review, surveys, case studies, and training sessions, along with personal and professional experiences. The project will foster improvement in the patient care system and positive changes in healthcare organizations.
Discussion
Identification of Evidence Methods
The evidence-based practice is the method of integrating clinical experience with the best scientific evidence for clinical decision making. The association of “interpersonal communication channels”, the process of communication, and influence among social networks of users affect the adoption of EBPs. This practice requires “Interactive education” to involve reinforcing strategies for EBP at healthcare services. The help of opinion leaders from the peer groups acts as a respectful and trustworthy source of shreds of evidence associated with other efficient members. According to the report of Degu et al., (2022), the Clinical professionals and nurses may follow the following methods step-wise to identify the evidence-based practices [refer to figure 1].
Figure 1: Steps for practicing evidence-based treatment
(Source: Degu et al., 2022)
The basic principles of the evidence-based practices for patient safety include the consideration of the context and engagement of the health care personnel in the treatment of specific diseases. They are concerned about taking care and selecting the proper approach to treatment by prioritizing patient safety initiatives. The first step of EBP initiate the interaction with clear and focused clinical questions by using the framework of PICO. The term PICO stands for the studied ‘patient’ or ‘population’, considered ‘intervention’ of their disease, alternatives of the intervention, and desired outcomes (Liu et al., 2021). These questions for communication need to be carefully designed and targeted to each stakeholder user group. The illustration of the review of the existing works of literature follows this step. This comprehensive literature review of relevant studies includes searches from databases such as PubMed, Google Scholar, and Cochrane Library.
The professionals might use medical field keywords and terms called Medical Subject Headings (MeSH) for a sterner search (Fernandez-Llimos et al., 2024). After all data is collected on the relevant topic, then proof checks are carried out for its quality and validity as well as applicability. For this use, the professional can make use of some instruments such as CASP. GRADE and PRISMA are other such instruments that can be used as well. According to Wang and Ji et al., (2020a) the CASP (Critical Appraisal Skills Programme), is respectively used, as a checklist for varying types of research articles. GRADE (Grade of Recommendations Assessment Development and Evaluation) provides more reliable quality evidence subsequently considered for recommendations in this instrument (Bousquet et al., 2020). The instrument known as PRISMA (preferred reporting items for systematic reviews and meta-analysis) provides reliability measures that only work on extracted nodes as permutations.
Step four in the Healthcare System in the case of Evidence-based practice interventional hierarchy involves ranking different shreds of evidence gathered after the third step.
According to the study of Lorem et al., (2020), Cohort studies include information about the observations of various studies over time about the background and history of the discussed disease. In the case of case control literature, the data offers a comparison between two groups of people. Here, one group with the disease or condition under study is termed a case, and a similar group of people without the disease or condition is referred to as control (Cancer.gov.com, 2024). The field of RCT (Randomized Controlled Trials) in the context of evidence-based practice refers to the measurement of the effectiveness of new pathways of interventions for specific diseases.
Clinical professionals must be careful while designing RCTs as it is the gold standard for clinical trials. The entire process of evidence-based practice includes the maintenance of guidelines and protocols of different health care organizations. For example, the medical practitioners may follow the guidelines provided by NICE (National Institute for Health and Care Excellence), and WHO (World Health Organization). The final step of the incorporation of EBP is the application of the knowledge in clinical experiments. The conceptual framework of the methods of EBP is shown in Figure 2.
Figure 2: An overview of the process of Evidence-based practice
(Source: Perinatalqi.org.com. 2024)
The translation of PICO questions for gathering evidence from the scientific works of literature on clinical interventions involves several PICO elements and keywords. For an example regarding the evidence-based treatment the study of the role of cognitive rehabilitation for improving cognitive skills in adults with brain injury is taken. This is shown in the following table:
| PICO Elements | Description | Keywords |
| P (Patient or Population) | Adults with traumatic brain injury | Adult AND Traumatic brain injury OR TBI OR Brain injury |
| I (Intervention) | Cognitive rehabilitation | Cognitive rehabilitation or cognitive treatment or training |
| C (Comparison) | Not applicable | Not applicable |
| O (Outcome) | Improved cognition | Cognition OR Cognitive skills OR Memory OR Attention OR Executive function OR Problem solving |
Table 1: PICO for evidence-based practice for studying Cognitive rehabilitation for improving cognitive skills in adults with brain injury
(Source: Self-developed)
Similarly for preparing curing plans for other diseases from real life examples, the PICO is prepared by the medical professionals prior to the whole process. Another example from exerts ions the PICO questions regarding different medical conditions can be arranged in the following ways:
PICO questions
| Population | Intervention | Comparison | Outcome | Example of PICO questions |
| Young adults who experienced a stroke | Cognitive rehabilitation | Not applicable here | Back to normal personal and professional life | What impact does cognitive rehabilitation have on the vocational outcomes of young adults who have had a stroke? |
| Children with severe to profound hearing loss | Cochlear implantation | Hearing aids | Development of speech and language | A number of children suffer from hearing loss. This context requires knowledge about how Cochlear implantations assist in hearing aids in the case of improving speech and language development. |
Table 2: Example of PICO questions
(Source: self-prepared)
To continue the evidence-based practice for clinical conditions appropriately, the information must undergo some basic features. Those are as follows: The search for the best pieces of evidence must include valid information with high-quality data. These data must be relevant to the patient’s condition under discussion for clinical application. The nature of the gathered shreds of evidence from the real world must be comprehensive, which must not be harmful but rather beneficial for all possible interventions. The selected examples from previous case studies or research articles must be user friendly to provide easy access. All the information has to be current and up to date with the time of treatment by prioritizing the condition of the patients. Along with the interventions, the medication in the clinical trials involves example-oriented treatment, which can be exerted through a pyramid based on the relative strengths and weaknesses of the study design.
Evaluating appropriate evidence
The validity of the appropriate shreds of evidence is evaluated with internal and external pieces of evidence. According to Khan et al. (2021), the internal evidence, or the data and observations collected on an individual client, is collected for the accountability of the study. The external evidence refers to scientific research literature and answers clinical questions such as how the assessment measures. As per the suggestions of Physio-pedia.com. (2024) that evidence can be included in three different sources: scientific research, clinical expertise, and patient values with circumstances. The examples of scientific research reflect the empirical evidence gathered through systematic testing of a hypothesis. Clinical expertise can be defined as the knowledge of physical therapies, diagnosis, treatment plans, and preventive measures for taking care of patients. The values provided to the patients and their families are the most trustworthy and reliable evidence for deciding the similar clinical conditions. Woolner et al. (2020) suggests that CASP is used for the evaluation of the systematic reviews and meta-analysis of the observational studies. Table 3 explains the Criteria for application of the Critical Appraisal Skills Programme in the context of RCTs (Randomized Controlled Trials).
The elements involve in CASP application in Evidence-Based Practice
| Elements of CASP checklists | Required Criteria |
| 1. Clear Research Question | The study should address a focused question or issue. |
| 2. Randomization | Participants should be randomly assigned to intervention or control groups. |
| 3. Allocation Concealment | The process of allocation should prevent foreknowledge of treatment assignment. |
| 4. Blinding | Investigators, participants, and outcome assessors should be blinded to the intervention assignment. |
| 5. Follow-Up | This follow-up session needs to be completed with an explanation describing valid reasons behind the withdrawal. |
| 6. Similarity in the baselines | The control groups and the intervention groups must be similar at the beginning of the trials. |
| 7. Outcome measures | It must be clearly explained to check the reliability of the applied controls. |
| 8. Statistical Analysis | The collected information has to be analyzed through proper statistical methods, and the results need to be kept within confidence intervals and p-values. |
Table 3: The elements involve in CASP application in Evidence-Based Practice
(Source: self-made)
The CASP tool can be used in a similar way as other study methods, such as case-control studies and qualitative studies, working with different elements of the checklist. It offers a systematic approach to investigating qualitative research articles and academic journals. Together, these comprise CASP, and for this purpose, the GRADE approach (Grading of Recommendations Assessment, Development and Evaluation) functions similarly. It is used to assess the certainty of evidence and the strength of recommendations in health care. As opined by Bezerra et al. (2022), “Grading of Recommendations Assessment, Development, and Evaluation (GRADE)” is a tool for “evidence quality assessment and strength-of-evidence recommendation”. This system was designed to provide transparency and structure the evidence synthesis development process by maintaining the guidelines regarding systematic reviews and economic analysis. Table 4 will describe the components of Grading of Recommendations Assessment, Development, and Evaluation (GRADE).
Criteria of Grading of Recommendations Assessment, Development, and Evaluation (GRADE)
| Components | Details |
| Quality of evidence | This is done to assess the confidence that the available evidence reflects the true effect. |
| Study design | Evaluation as per the type of study |
| Risk of biasness | Considerations of the possibility of the study for mitigating bias |
| On point discussion | PICO is assessed for direct and on point evidence |
| Bias in publications | Positive outcomes are more likely to be considered |
| The gradient of dose and response | It is examined for strengthening the evidence of the rate of response within specific dosages |
| Effect of the control | The magnitude of the effect after control and its clinical significance is evaluated |
| Recommendations | The comprehensive analysis evaluates the quality of the gathered contemporary pieces of evidence. |
Table 4: Criteria of Grading of Recommendations Assessment, Development, and Evaluation (GRADE)
(Source: Self-prepared)
Depending on the outcome of the application of GRADE for quality checking, the information sources are classified into four types: high, moderate, low, and very low. The high-quality pieces of evidence provide strength to the researchers and assist them in not changing the estimation. The moderate level of research is important to recheck and review the secondary research for real-life evidence to bring improvements. The low quality of the gathered data requires changes in the estimation of evidence-based practices in clinical trials (Wang and Ji, 2020b). However, in most cases, PRISMA is applied to evaluate systematic reviews and meta-analysis to obtain rigorous reporting and methodologies. The practice of PRISMA (Preferred reporting items for systematic reviews and meta-analysis) assists in measuring the transparency and quality of the accumulated evidence (Salameh et al., 2020). It helps to reduce bias in the information and to maintain regulatory compliance. Clinical professionals can implement “the PRISMA flow diagram” as a tool to evaluate the methodological quality of the systematic review or meta-analysis. The process of PRISMA has six major steps, including identification, screening, eligibility, selection of inclusion and exclusion criteria, and data extraction, followed by synthesis of the findings.
Figure 2: Flowchart of PRISMA
(Source: Aje.com.2024)
Although evidence-based practice offers a powerful approach to introducing improvements in the healthcare industry, it has a number of limitations as well. The basic challenge in the case of incorporating EBP is the unavailability of sufficient high-quality data about real-life pieces of evidence (Tucker et al., 2021). There are several clinical conditions, especially rare cases, which lack evidence from RCTs or systematic reviews. In those situations of complex interventions, healthcare professionals are not able to follow the usage of EBP.
At some points, the opinions and experiences of experts are not available to guide the researchers, which leads to unreliability. Another obstacle to implementing evidence-based practices in healthcare settings is the unavailability of proper infrastructure and support along with sufficient resources. Clinical professionals require a significant amount of practice, training, and adequate knowledge to apply EBP (Kaseka and Mbakaya, 2022).
In the field of a rapidly changing domain of knowledge with new findings from various research, the impact of the practice of evidence-based study is a matter of question. The clinical professional may need help in adopting new practices for a variety of diseases, which may result in delays in suggesting suitable treatment for the patients. Feroz et al., (2022) explains that the dependency on examples describing the clinically relevant research may lead to overloading of the information.
This situation can be misleading to the false intervention of patients in critical conditions. This time-consuming method may require enough financial sources to establish information resources from journals or research articles. There may be several gaps present within the previously published works of literature that need to be recovered which can be handled with efficient computer skills. For practicing the evidence-based practice the Indian Council of Medical Research (ICMR) helped by providing funds for the Advanced Centre for EBM (KAMAT et al., 2024).
This study added that it was hosted in the South Asian Cochrane Network and Centre (SACNC) at the Christian Medical College in Vellore. By utilizing the advantages of the practice such as getting updated knowledge of routines and health status of the patients with better problem-solving skills in emergency conditions the clinician’s benefit. This practice can be performed even by the non-clinicians and health care workers as well as having knowledge and skill of operating computers and understanding. The application of EBP enhances the confidence level of clinical medical practitioners in making quick management decisions with increasing computer literacy and database handling technology.
Impact on Clinical Practice
EBP (Evidence-based practice) in healthcare practices ensures a reduced stay in hospitals, better healthcare outcomes, higher job satisfaction, high employee motivation, and optimum resource use. Evidence-based practices are critical components of the nursing and disease diagnosis process (Alowais et al., 2023). EBP provides a holistic approach to providing quality care based on up-to-date knowledge about healthcare practices.
The PICO framework is an evidence-based model that is widely used in healthcare organizations. This helps medical practitioners make informed decisions. Healthcare industry organisations can use this framework to identify what type of treatments and medicines are required for a particular population. The PICO framework segments the population based on gender, age, lifestyle, and many other categories (Wang et al., 2023). This framework can be used in medical practices to segment patients into different categories before deciding what type of diagnosis will be implemented for the several healthcare systems of a healthcare organization. I would like to recommend this framework to healthcare industry leaders as an effective tool for segmenting patients. COPD can be diagnosed and what type of medication will have more efficacy that can be accomplished by implementing the PICO framework.
Patients belonging to different demographical backgrounds have different levels of endurance against diseases. The impact of medicines and side effects varies based on the immunity level. I prefer this framework as people from different demographical and racial backgrounds go to hospitals for their medical treatment. It will not be a prudential idea for healthcare leaders to treat patients by following a single parameter. This is my opinion that healthcare leaders and medical practitioners need to use different parameters to take care of tier patients. The PICO framework is based on the idea of segmenting a huge population of patients into multiple segments. This segments the health issues of those patients and helps to identify patterns. This framework has been widely used in understanding the pattern of diabetic patients.
Previously this framework was used to know why people living in South Asia or the Indian subcontinent are more diabetic than people living in other areas of the world (Mostepaniuk, Akalin and Parish, 2023). I had gone through several studies in conducting this research study and got to know that lifestyle and food habits are the cause of making it the world’s largest diabetic patient population. Intaking high-fat, high-calorie, and high-sugar content foods makes it a kind of diabetic capital in the world. In the PICO framework, four components are critically analyzed segmenting patients. Those are patient population, intervention process, comparison, and the overall outcome. The framework is used to compare in between different patient categories based on their case histories, cultural backgrounds, and vulnerabilities against diseases. This framework I would like to recommend to healthcare institutions as it provides possible and effective ways of intervention in medical treatment.
Implementation of the PICO framework in cardiovascular diseases
COPD (Chronic obstructive pulmonary disease), Stroke, Heart attack, and Cardiomyopathy are the most common diseases that cause the highest fatalities in comparison with other chronic diseases. All these diseases are cardiovascular health issues, and these kinds of health issues are increasing with the rapid industrialization and urbanization (van Hoogstraten et al., 2023). This is my opinion that reducing the air quality index is the primary cause of cardiovascular diseases. Cardiovascular diseases can be treated effectively by implementing the PICO framework. PICO framework can recommend what types of medicines are to be implemented on patients from different categories. People who are aged more than fifty years old are more vulnerable to cardiovascular diseases. PICO framework provides the possible different intervention processes to ret health issues of patients who have cardiovascular disease symptoms.
Critical appraisal skill programs (CASP)
CASP (Critical Appraisal Skill Program) is a comprehensive training initiative that is designed for healthcare professionals. The CASP program is recommended for health care professionals to identify and detect their skill gaps and areas of skills improvement. This is important for healthcare professionals and healthcare leaders. I would like to implement the framework of CASP to enhance the skills of my subordinate staff in my professional career.
The framework of CAPS is intended to foster the necessary skills for healthcare professionals that I discussed in this research study. CAPS helps enhance the understanding of research evidence as it is based on comprehensive methodologies and statistical analysis. This framework is recommendable to healthcare ladders and professionals for effectively distinguishing low-quality and high-quality research studies (Lazarus et al., 2024).
I like to include this framework to gather the best of the best evidential research practices. This can save a lot of time in distinguishing high-quality and low-quality research studies in my medical practices and can enhance the efficacy.
The CASP framework is effective in detecting skill gasps. Therefore, it is recommendable for training and development sessions of healthcare organizations. I would prefer to include this practice in my clinical practice to enhance the efficacy of the training and development initiatives in organizations where I have the position of making and implementing decisions. The implementation CASP model helps promote evidence-based practices and improves patient care.
The CASP framework provides a more systematic and effective way of improving patient care. Issues such as readmission and complicacy in detecting diseases can be reduced by implementing the CAPS framework. The CASP framework helps in enhancing the skills of medical professionals. It provides healthcare organizations with many opportunities for professional growth. Therefore, it is effective in staff motivation and job engagement, which is necessary for healthcare organizations (Cascella et al., 2023). The quality of healthcare services is also enhanced by implementing the CASP framework in the operational management processes.
PRISMA framework for medical practitioners
The Prisma framework is used in healthcare organizations for meta-analysis of data and systematic reviews. This framework is important in promoting reproducibility, transparency, and systematic review of collected data and information. The structured reporting features are effective and that’s why I prefer to use this framework in my organization where I will be provided a healthcare leadership role. The flow diagram of the Prisma framework visually presents all the processes of selecting data in research studies (Balogun et al., 2024).
The Prisma framework improves the quality of reviews of data and reviews. This framework increases the accessibility of data review. There are a total of four stages that have been included in the PRISMA framework. Those dates are identification, screening, eligibility, and inclusion. This framework is highly recommendable for medical professional leaders and healthcare leaders. I would like to use this framework in my later professional career.
This framework is effective in identifying the quality, productive staff in organizations. The HRM uses the PRISMA framework (Hyan resource management) department in organization selecting competent employees (Joglarn et al., 2024). This framework is effective in selecting and retaining productive and qualified staff.
This framework is effective in maintaining the databases of healthcare organizations. Data theft and other issues with data security are a matter of concern for healthcare organizations. Implementation of the Prisma framework can effectively mitigate the issues of Data theft, piracy, and data security in healthcare organizations. I will use this framework in my future professional career to ensure the safety and security of data in an organization where I will have to fulfill the responsibility of a healthcare leader.
The PRISMA framework is not only used in the healthcare industry organization in securing confidential data but also in other organizations that have research and development wings (Levenson,Craig and Austin, 2023). The research and development wings are important for healthcare organizations to provide a better quality of service and medical facilities to their patients. Effective implementation of the PRISMA can accomplish a high level of consumer satisfaction in organizations. Therefore, this is important that this framework be implemented effectively. This provides a seamless consumer journey with the services
Based on the overall discussion, I would like to convey that evidence-based practice is effective in getting recommendations or suggestions in a better way that cannot be accomplished in traditional methods of clinical practice. EBP is significant in accomplishing effective impact in clinical practices. All the models and frameworks that I would like to implement in my future professional life as a medical practitioner are intended to improve patient outcomes significantly. Improving patient outcomes will help enhance the reliability and credibility of healthcare organizations.
The PICO framework, PRISMA model, and CASP framework are all intended to enhance the patient experience and to improve the reliability and credibility of my medical practices. The PICIO framework is effective in segmenting consumers into different categories so that this can be easily included in medical practices and what type of treatment is needed for which category of patients.
The CASP framework is intended to enhance the productivity and efficiency of employees. This framework is effective not only for the productivity of the organization but also for a high degree of employee engagement and a high level of employee satisfaction. Additionally, the PRISMA framework I have chosen for securing the data of patients as data security is a matter of concern for healthcare industry organizations. This framework is also effective for implementing efficient policies to recruit and retain productive employees in the organization.
Conclusion
From the above context, it can be concluded that Evidence-Based practice (EBP) in healthcare incorporates clinical expertise with the best available scientific evidence, which is significant for the process of informed decision-making. The process undertakes certain potential prospects that articulate the precise vision for the queries raised in the clinics through the utilization of the framework named PICO, which was conducted through the reviews of the literature and utilization of the datasets such as PubMed and Google Scholar, and gaining assessing the quality of the evidence with the tools such as CASP and GRADE (Delcea et al. 2020).
The sequence and the hierarchy formulated for the evidence involve certain determinants such as Randomized controlled trials (RCTs), studies of the coherent factors, and studies related to controlled cases. Each of the aspects offers a diversified level of reliability and viability, all aimed to enhance the informative effectiveness of the treatment.
The guidelines provided by organizations such as NICE and WHO additionally offer roadmaps that are aligned well with the standards being practised. The conclusive step requires significant knowledge of the clinical settings to gain the optimal utilization of patient care and safety.
The key to this process is the extensive evaluation of the evidence through the utilization of tools such as CASP and GRADE, which ensure reliability and applicability. CASP targeted gaining access to academic methods that further explore RCTs. At the same time, GRADE comprehensively demonstrates the certainty and the strength of the recommendations that are entirely based upon the quality of the evidence. Regardless of the underlying advantages, EBP encounters certain limitations in maintaining the superior quality of the datasets for particular conditions related to clinical aspects (Badnjevic, 2023).
The EBP must maintain an extensive and rigorous nature of 9 infrastructure setups, materials, and continuous training plans for evaluating healthcare professionals. Thereby, EBP enhances the consequences of the clinical prospects by encouraging informed decision-making approaches. It highlights the overall effectiveness and hinges on counteracting the barriers such as scarcity of the datasets and gaining accessibility of the expertise guidance. Consistency in assisting with research and technological advancements is pivotal to transforming the activities performed by EBP’s applicability across healthcare setups. Such practices assure optimal care for the patients and devise crucial operational strategies for effective management.
Moreover, the utilization of the PIC, PRISMA, and CASP enhances the process of decision-making by sophistically evaluating the evidence pertained from the research work and conducting the data analysis and evaluation while appraising the methodological studies conducted. The tools offer dual benefits. Firstly, they craft the treatment of the approaches based on patient demographics and disease characteristics and ensure openness and dependency in the analysis of the datasets and their review (Al-Worafi, 2020).
From the study, it’s evident that the PICO framework offers allows healthcare leaders to classify patients comprehensively, which ensures personalized measures for adopting care. It further comprehends the divergent demographics and requirements for healthcare. The framework designed as per CASP enhances the professionals associated with healthcare needs through the enlightenment of the appraisal practices of research work. It further promotes the decision-making process, which is entire evidence, and reduces the diagnostic for the error comprehensively.
Overall, integration of the frameworks into the practices performed in healthcare streamlines the efficiency of the organizations and improves, therefore, the patients, thus encouraging consistency in improvement and innovative measures. The methodologies guiding the evidence-based modules explore the healthcare complexities, navigate the underlying challenges, and assure comprehensive supervision of the practices.
Top Assignment Samples
Recommendations
SMART Objectives
References
| S (Specific) | Comprehensive training for healthcare staff is mandatory to harness the potential of the PICO framework for performing precise clinical queries. This ensures a determined and concentrated approach to patient care and helps recognize the most prospectus ideation for analyzing specific conditions. |
| M (Measurable) | Integrating the utilization of the CASP and the GRADE to evaluate the quality and the oll applicability of the evidence formulated in the research paper. It litates comprehending and classifying the standard quality of the studies from those of the potential biases and alignments. |
| A (Actionable) | It is crucial to apply the PRISMA model to exemplify the transparency and quality assurance of the systematic reviews of the articles and meta-analysis, through the utilization of the flow diagram used by PRISMA to document the selection of the evidence and process it comprehensively. |
| R (Relevant) | A platform for continuous learning and training programs on the principles set up by EBP is required to prevail. Adoption of certain initiatives such as organizing workshops and seminars to keep the clinical staff aware of the emerging practices and technologies on potential decisions and best practices in evidence-based medicines. |
| T (Time Bound) | Capitalizing on Electronic Health Records (EHR) and clinical assistance decision systems (CDSS) to incorporate the guidelines set for evidence-based practices into daily work assures that the decisions made by clinical approaches are informed by the latest evidence. It is necessary to complete the training plan in 6 months and comprehend the entire technological prospect within 8 months. |
Aje.com.(2024). Available at: https://www.aje.com/arc/how-to-create-prisma-flow-diagram/ [Accessed on: 04.07.24]
Alowais, S.A., Alghamdi, S.S., Alsuhebany, N., Alqahtani, T., Alshaya, A.I., Almohareb, S.N., Aldairem, A., Alrashed, M., Bin Saleh, K., Badreldin, H.A. and Al Yami, M.S., (2023). Revolutionizing healthcare: the role of artificial intelligence in clinical practice. BMC medical education, 23(1), p.689.
Al-Worafi, Y.M., (2020). Evidence-based medications safety practice. In Drug safety in developing countries (pp. 197-201). Academic Press.
Badnjevic, A., (2023). Evidence-based maintenance of medical devices: Current shortage and pathway towards solution. Technology & Health Care, 31(1).
Balogun, O.D., Ayo-Farai, O., Ogundairo, O., Maduka, C.P., Okongwu, C.C., Babarinde, A.O. and Sodamade, O.T., (2024). The role of pharmacists in personalised medicine: a review of integrating pharmacogenomics into clinical practice. International Medical Science Research Journal, 4(1), pp.19-36.
Bezerra, C.T., Grande, A.J., Galvão, V.K., Santos, D.H.M.D., Atallah, Á.N. and Silva, V., (2022). Assessment of the strength of recommendation and quality of evidence: GRADE checklist. A descriptive study. Sao Paulo Medical Journal, 140(6), pp.829-836.
Bousquet, J., Schünemann, H.J., Togias, A., Bachert, C., Erhola, M., Hellings, P.W., Klimek, L., Pfaar, O., Wallace, D., Ansotegui, I. and Agache, I., (2020). Next-generation Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines for allergic rhinitis based on Grading of Recommendations Assessment, Development and Evaluation (GRADE) and real-world evidence. Journal of Allergy and Clinical Immunology, 145(1), pp.70-80.
Cancer.gov.com, (2024). Available at: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/case-control-study [Accessed on: 04.07.24]
Cascella, M., Montomoli, J., Bellini, V. and Bignami, E., (2023). Evaluating the feasibility of ChatGPT in healthcare: an analysis of multiple clinical and research scenarios. Journal of medical systems, 47(1), p.33.
De Vries, R.B., Angrish, M., Browne, P., Brozek, J., Rooney, A.A., Wikoff, D.S., Whaley, P., Edwards, S.W., Morgan, R.L., Druwe, I.L. and Hoffmann, S., (2021). Applying evidence-based methods to the development and use of adverse outcome pathways. Altex, 38(2), p.336.
Degu, A.B., Yilma, T.M., Beshir, M.A. and Inthiran, A., (2022). Evidence-based practice and its associated factors among point-of-care nurses working at the teaching and specialized hospitals of Northwest Ethiopia: A concurrent study. PloS one, 17(5), p.e0267347.
Delcea, C., Rusu, O.D., Matei, V.H., Vica, M.L. and Siserman, C., (2020). The evidence-based practice paradigm applied to judicial psychological assessment in the context of forensic medicine. Rom J Leg Med [28], pp.257-262.
Fernandez-Llimos, F., Negrão, L.G., Bond, C. and Stewart, D., (2024). Influence of automated indexing in Medical Subject Headings (MeSH) selection for pharmacy practice journals. Research in Social and Administrative Pharmacy.
Feroz, H.M.B., Zulfiqar, S., Noor, S. and Huo, C., (2022). Examining multiple engagements and their impact on students’ knowledge acquisition: The moderating role of information overload. Journal of Applied Research in Higher Education, 14(1), pp.366-393.
Joglar, J.A., Chung, M.K., Armbruster, A.L., Benjamin, E.J., Chyou, J.Y., Cronin, E.M., Deswal, A., Eckhardt, L.L., Goldberger, Z.D., Gopinathannair, R. and Gorenek, B., (2024). (2023) ACC/AHA/ACCP/HRS guideline for the diagnosis and management of atrial fibrillation: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, 149(1), pp.e1-e156.
KAMAT, S.K., MARATHE, P.A., KESARI, H.V., ELDHOSE, M., AITHAL, Y., REGE, N.N. and KSHIRSAGAR, N.A., (2024). Assessment of the Need for Training in Clinical Pharmacology Research on Traditional Medicine among Modern Medicine Practitioners: A Questionnaire-based Study. Journal of Clinical & Diagnostic Research, 18(4).
Kar, A.K. and Dwivedi, Y.K., (2020). Theory building with big data-driven research–Moving away from the “What” towards the “Why”. International Journal of Information Management, 54, p.102205.
Kaseka, P.U. and Mbakaya, B.C., (2022). Knowledge, attitude and use of evidence based practice (EBP) among registered nurse-midwives practicing in central hospitals in Malawi: a cross-sectional survey. BMC nursing, 21(1), p.144.
Khan, G., Kagwanja, N., Whyle, E., Gilson, L., Molyneux, S., Schaay, N., Tsofa, B., Barasa, E. and Olivier, J., (2021). Health system responsiveness: a systematic evidence mapping review of the global literature. International Journal for Equity in Health, 20(1), p.112.
Lazarus, M.D., Truong, M., Douglas, P. and Selwyn, N., (2024). Artificial intelligence and clinical anatomical education: Promises and perils. Anatomical Sciences Education, 17(2), pp.249-262.
Levenson, J.S., Craig, S.L. and Austin, A., (2023). Trauma-informed and affirmative mental health practices with LGBTQ+ clients. Psychological Services, 20(S1), p.134.
Liu, X., Anstey, J., Li, R., Sarabu, C., Sono, R. and Butte, A.J., (2021). Rethinking PICO in the machine learning era: ML-PICO. Applied clinical informatics, 12(02), pp.407-416.
Lorem, G., Cook, S., Leon, D.A., Emaus, N. and Schirmer, H., (2020). Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time. Scientific reports, 10(1), p.4886.
Mostepaniuk, A., Akalin, T. and Parish, M.R., (2023). Practices pursuing the sustainability of a healthcare organization: A systematic review. Sustainability, 15(3), p.2353.
Perinatalqi.org.com. (2024). Available at: https://www.perinatalqi.org/page/BinghamEBP_QIFlowChart [Accessed on: 04.07.24]
Physio-pedia.com. (2024). Evidence-Based Practice (EBP) Available at: https://www.physio-pedia.com/Evidence_Based_Practice_(EBP) [Accessed on: 04.07.24]
Prill, R., Karlsson, J., Ayeni, O.R. and Becker, R., (2021). Author guidelines for conducting systematic reviews and meta-analyses. Knee Surgery, Sports Traumatology, Arthroscopy, 29, pp.2739-2744.
Salameh, J.P., Bossuyt, P.M., McGrath, T.A., Thombs, B.D., Hyde, C.J., Macaskill, P., Deeks, J.J., Leeflang, M., Korevaar, D.A., Whiting, P. and Takwoingi, Y., (2020). Preferred reporting items for systematic review and meta-analysis of diagnostic test accuracy studies (PRISMA-DTA): explanation, elaboration, and checklist. bmj, 370.
Tucker, S., McNett, M., Mazurek Melnyk, B., Hanrahan, K., Hunter, S.C., Kim, B., Cullen, L. and Kitson, A., (2021). Implementation science: Application of evidence‐based practice models to improve healthcare quality. Worldviews on Evidence‐Based Nursing, 18(2), pp.76-84.
van Hoogstraten, L.M., Vrieling, A., van der Heijden, A.G., Kogevinas, M., Richters, A. and Kiemeney, L.A., (2023). Global trends in the epidemiology of bladder cancer: challenges for public health and clinical practice. Nature reviews Clinical oncology, 20(5), pp.287-304.
Wang, T., Tan, J.Y.B., Liu, X.L. and Zhao, I., (2023). Barriers and enablers to implementing clinical practice guidelines in primary care: an overview of systematic reviews. BMJ open, 13(1), p.e062158.
Wang, X. and Ji, X., (2020). Sample size estimation in clinical research: from randomized controlled trials to observational studies. Chest, 158(1), pp.S12-S20.
Wang, Y.Y., Liang, D.D., Lu, C., Shi, Y.X., Zhang, J., Cao, Y., Fang, C., Huang, D. and Jin, Y.H., (2020). An exploration of how developers use qualitative evidence: content analysis and critical appraisal of guidelines. BMC medical research methodology, 20, pp.1-28.
Woolner, A.M., Nagdeve, P., Raja, E.A., Bhattacharya, S. and Bhattacharya, S., (2020). Family history and risk of miscarriage: A systematic review and meta‐analysis of observational studies. Acta obstetricia et gynecologica Scandinavica, 99(12), pp.1584-1594.
Gallagher‐Ford, L., Koshy Thomas, B., Connor, L., Sinnott, L.T. and Melnyk, B.M., 2020. The effects of an intensive evidence‐based practice educational and skills building program on EBP competency and attributes. Worldviews on Evidence‐Based Nursing, 17(1), pp.71-81.
Skela-Savič, B., Gotlib, J., Panczyk, M., Patelarou, A.E., Bole, U., Ramos-Morcillo, A.J., Finotto, S., Mecugni, D., Jarosova, D., Patelarou, E. and Dolezel, J., 2020. Teaching evidence-based practice (EBP) in nursing curricula in six European countries—A descriptive study. Nurse Education Today, 94, p.104561.
Guerra-Farfan, E., Garcia-Sanchez, Y., Jornet-Gibert, M., Nuñez, J.H., Balaguer-Castro, M. and Madden, K., 2023. Clinical practice guidelines: The good, the bad, and the ugly.
Injury, 54, pp.S26-S29.
Cusi, K., Isaacs, S., Barb, D., Basu, R., Caprio, S., Garvey, W.T., Kashyap, S., Mechanick, J.I., Mouzaki, M., Nadolsky, K. and Rinella, M.E., 2022. American Association of Clinical Endocrinology clinical practice guideline for the diagnosis and management of nonalcoholic fatty liver disease in primary care and endocrinology clinical settings: co-sponsored by the American Association for the Study of Liver Diseases (AASLD). Endocrine Practice, 28(5), pp.528-562.
Okada, A., 2023. The health insurance system and psychoanalytic psychotherapy in Japan: The association with evidence-based practice. In The State of the Psychoanalytic Nation, Volume II (pp. 6-17). Routledge.
Douglas, J. and Bigby, C., 2020. Development of an evidence-based practice framework to guide decision making support for people with cognitive impairment due to acquired brain injury or intellectual disability. Disability and rehabilitation, 42(3), pp.434-441.