Positive Relationships Evidence-Based Practice Across the World – Health System Example

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"Positive Relationships Evidence-Based Practice Across the World" is a perfect example of a paper on the health system. Clinical practice is an area of great importance to all forms of life, especially with human beings. In contemporary times, there have been drastic changes in the way people suffer from health challenges and others that are related to health, in this regard, there has been a great need for the clinical practice to be better positioned to tackle many of these health challenges. Therefore, these developments have seen a rise in the demand for deep research activities, which is aimed at understanding some of the important trends.     The need for an understanding of ways of proper clinical practice has brought the need for evidence-based practice (EBP) as the answer to many of the clinical-based challenges and problems.

In the recent past, the advantages of evidence-based practice have been growing, which has seen it become an integral part of clinical practice. This paper presents an examination of the implementation of Evidence-based practice (EBP) in clinical practice, focusing on how it has been applied in providing medical intervention for cardiovascular complications. Evidence-based practice Evidence-based practice, better abbreviated as (EBP) can be described as one of the commonly used interdisciplinary approaches in clinical practice, which has been gaining popularity since its inception in 1992.

According to Steelman (2006), the practice began in medicine, where it was known as evidence-based medicine. Thereafter, its success made it reach other fields like nursing, education, psychology, and even dentistry among others. Steelman (2006) explains that EBP is often traditionally defined with respect to the “ three-legged stool” where it integrates three main principles. The first principle is that EBP works towards delivering the best and effective research evidence that is based on ensuring that treatment plans for diseases and ailments work to the best of their expectations.

Secondly, EBP is aimed at ensuring the best clinical expertise (clinical experience and judgments) towards the identification of the unique health diagnosis for every patient. This includes the particular benefits and risks of potential interventions. The third principle involves the development of client values and principles        According to Roffey (2012), EBP involves making decisions on ways of promoting better health and providing healthcare through the integration of available evidence using expertise and other related resources.

In this regard, it incorporates the varied needs, characteristics, preferences, and values of the affected persons. In doing this, it is important to ensure that the process is done in a manner that is highly compatible with the particular organizational and environmental context. Steps in implementing evidence-based research Framing the clinical question One of the first important steps in the application of evidence-based research is framing the particular question which is to be used in developing evidence.

In this approach, the best and most commonly used strategy is referred to as PICO, meaning Population, Intervention, comparison as well as Outcome. In this regard, this approach ensures that the clinical question developed addresses the key areas identified thus ensuring that the challenges faced by clinicians are effectively addressed. Finding the evidence Finding evidence is essential in providing answers to the clinical question that had earlier been identified. This process can be undertaken using systematic reviews as well as individual studies. Systematic reviews can be described as formal assessments done on the body for purposes of gaining scientific evidence that is associated with the particular question.

It also describes the degree to which different diagnosis processes and treatments are supported by the particular evidence identified. The reviews do not stop at making particular recommendations that are associated with clinical practices. According to Poell (2010), when systematic reviews are missing, evidence finding process can be achieved using individual studies. The initial place for finding this information includes online bibliographic databases. One of the best places to begin is MEDLINE, which is one of the largest databases that provide health-associated studies. Assessing the evidence After collecting the evidence using systematic reviews and individual studies, it is important that the information be properly assessed for finding its ability to provide answers to the identified question.

Assessment of evidence requires that the clinicians look into the qualitative aspects of the information gathered. This includes checking at their particular resources used in getting the information, examining how it has been used by other researchers, if the information is found to be credible, then the information is accepted for application. Making the clinical decision In making the clinical decisions, it is important to combine all the clinical expertise, perspectives of patients as well as the scientific evidence collected in the entire process.

In making the clinical decisions, one has to rely on the guidelines developed, which provides answers to the clinical questions that are developed for the evidence-based practice. Parra-Medina et al (2011) explain that three important factors should be put in mind when making clinical decisions. For instance, if the patient suffering from a cardiovascular disease originates from a linguistic or cultural minority, then the application of the clinical decisions is supposed to be done regardless of these factors. Moyer (2012) explains that the experience and expertise of the particular clinician are very essential in evidence-based practice.

The second important consideration relates to the degree to which the clinical practice guidelines can be said to be wholly evidence-based. Several guidelines are based on the expert consensus processes, but can also be done using different related systematic approaches. Therefore, the clinical practitioner is expected to ensure that a lot of credible information is made available for the decision making process. Conclusion   In conclusion, it is important to acknowledge the fact that clinical practice is one of the fields that have benefited immensely from evidence-based practice.

So far, many of the practitioners in this field have been finding it easy to handle many diseases like cardiovascular among others. Lin et al (2014) explain that in this process, counseling should also be used by clinicians for collecting information on the patient history before deciding on the necessary intervention mechanisms. According to LeFevre (2014), nowadays, the success with evidence-based practice is being adopted with better outcomes in other fields like education, something that is bound to see the approach being adopted in many disciplines that deal with various human socioeconomic aspects.    


LeFevre, M. L. (2014). Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors: U.S. Preventive Services Task Force recommendation statement. Annals of Internal Medicine, 161(8), 587-593. DOI:10.7326/M14-1796

Lin, J. S., O’Connor, E. A., Evans, C. V., Senger, C. A., Rowland, M. G., & Groom, H. C. (2014). Behavioral counseling to promote a healthy lifestyle for cardiovascular disease prevention in persons with cardiovascular risk factors: An evidence update for the U.S. Preventive Services Task Force. Rockville, MD: Agency for Healthcare Research and Quality.

Moyer, V. A. (2012). Behavioral counseling interventions to promote a healthful diet and physical activity for cardiovascular disease prevention in adults: U.S. Preventive Services Task Force recommendation statement. Annals of Internal Medicine, 157(5), 367-372.

Parra-Medina, D., Wilcox, S., Salinas, J., Addy, C., Fore, E., Poston, M., & Wilson, D. K. (2011). Results of the heart-healthy and ethnically relevant lifestyle trial: A cardiovascular risk reduction intervention for African American women attending community health centers. American Journal of Public Health, 101(10), 1914-1921. doi:10.2105/AJPH.2011.300151

Poell, R. (2010). Supporting workplace learning towards evidence-based practice. Dordrecht: Springer.

Roffey, S. (2012). Positive relationships evidence-based practice across the world. Dordrecht: Springer.

Steelman, V. (2006). Evidence-based practice. Philadelphia: Saunders.

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