Evidence Based Practice
#1 Evidence based practice refers to a collection, assessment and incorporation of valid research results, combined with clinical expertise and an understanding of patient and family values and preferences to inform clinical decision making (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000, p. 7). Research studies are gathered from literature and assessed so that decisions about the application to practice can be made, leading in nursing practice that is evidence based. Evidence based practice when used in the nursing field is relevant as it translates into a more efficient decision-making process that ensures that the resources used are minimal, costs are controlled, and the quality of services offered is enhanced. For example, from an organizational point of view, cardiac surgery policies and procedures based on research are written, the evidence-based information is incorporated into the clinical information systems, and adoption of these practices by nurses and other practitioners is systematically promoted in the organization. This includes ensuring that practitioners have the required knowledge, skills, and equipment to carry out the evidence-based cardiac surgery practice.
#2a Performance measurement tracks an organization’s output using standardized methods. It is the routine collection of data to evaluate whether proper procedures are followed and whether the preferred outcomes are achieved (LoBiondo-Wood & Haber, 2014). It is important to document nurse sensitive care outcomes using the standardized performance measurement systems because documentation makes it easy to access the information when needed in future, that is, for future reference. Documenting using the standardized performance measures also ensures that the quality of services offered is managed and maintained at a high level. An example of documenting nurse sensitive care outcomes using the standardized performance measurement systems is by using the management by objectives performance measurement tool. The focus here is on the alignment of the individual’s goals and organization’s goals. Employees and their supervisors work together to establish performance goals and to identify the resources employees need to meet their goals. They create alignment by identifying employee goals that contribute to organizational success, like whether a nurse’s objectives are in line with the organizational objectives.
#2b Quality improvement refers to the methodical use of information to monitor the outcomes of care processes as well as the use of improvement methods to design and test changes in practice for constantly improving the quality and safety of health care systems (Cronenwett, Sherwood, Barnsteiner, Disch, Johnson, Mitchell, & Warren, 2007, p. 7). Performance measurement relates to quality improvement activities, in that when you manage the performance of individuals, it results to them improving the quality of their services. Measuring performance can indicate what is being done well. It also reveals areas that require corrections. Measuring performance reveals whether the objective of improving patient welfare is being achieved or not. For example, when you measure a nurse’s performance, this will directly affect the quality of their work positively. The quality of their work will advance.
LoBiondo-Wood, G. & Haber, J. (2014). Nursing research: Methods and critical appraisal for evidence- based practice (8th ed.), St. Louis: Mosby.
Sackett, L. D., Straus, E.S., Richardson, W. S., Rosenberg, W., & Haynes, B.R. (2000). Evidence-Based Medicine: How to Practice and Teach EBM. Edinburgh. Churchill Livingstone.
Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., … Warren, J. (2007). Quality and Safety Education for Nurses. Chichester, West Sussex, UK: Wiley-Blackwell.