The Treatment And Research Institute For Autism Spectrum Disorders ( Triad ) Presentation

Evidence-based practice is extremely important in health care. It is not only important to know how to perform a certain skill, but why it should be done. There needs to be a standard of care and providers need to know the best way of doing things based on evidence. The article mentions that in the 20th century, many medial decisions were made on doctor assessment and preference (Brower, 2017). Many physicians were practicing dramatically different when compared with one another, which led to the realization that changes needed to be made and Evidence-based practice began to develop. Even though Evidence-based practices have been in play for a while, there is a gap between understanding and applying evidence-based

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

A significant increase in the prevalence of autism spectrum disorders (ASDs) has been observed over the past decade. Specifically, the prevalence has increased from 1 in 110 children to 1 in 88. The 2011 Interagency Autism Coordinating Committee (IACC) described the increase in prevalence of ASDs as a national medical emergency. To address this emergency, the IACC developed a strategic plan. Successful implementation of the plan could improve the quality of life of children with ASDs and their families. Evaluation of cost-effectiveness of evidence-based services is one of the long-term objectives in the IACC strategic plan, and this proposal addresses it. According to PA-10-159 entitled Research on Autism and Autism Spectrum Disorders (R03),

The foundation of the evidence-based practice paradigm according to Barkham & Mellor-Clark (2003), relies on efficacy research that focuses on and assesses the measurability of specific interventions. It also addresses questions about safety, and capability. The goal is to provide the best practices possible in reducing possible harm or threat to the client through practice intervention. Through evidenced based practice, potential harm can be minimized, and potential benefits maximized. According to Drisko (2011), EBP, improves clinical practice outcomes, informs treatment planning and helps to better serve our clients. It also helps identify procedures that are cost-effective resulting in the best practice and the best use of resources.

Evidenced-based practice (EBP) originated in Canada from a new form of medical school which was launched during the 1970s at an institution called McMaster University (Hoffmann, Bennett, & Del Mar, 2010). This new medical program was uncommon in a variety of its methods. The primary variation was the abbreviated three year medical program which is very brief in comparison to other medical school framework (Hoffmann, Bennett, & Del Mar, 2010). Instructors conceded that the ideal concept of teaching medical students everything they would possibly need to know in regards to practicing medicine with in this program was an unattainable undertaking (Hoffmann, Bennett, & Del Mar, 2010). In response to this epiphany, instructors at this institution transformed their educational approach and focused on instruction that would provide students with the skills and tools they would need to effectively locate health information while practicing as healthcare professionals (Hoffmann, Bennett, & Del Mar, 2010). This scientific approach to healthcare is now known as evidence-based practice (Hoffmann, Bennett, & Del Mar, 2010). In the past, healthcare practitioners made decisions for patients based on personal and professional experience, hearsay, and lack of scientific evidence (White, 2004). An evidence-based practice links the

According to Lewis, Dirksen, Heitkemper & Bucher (2014), “Evidence-based practice is a problem-solving approach to clinical decision making. It involves the use of the best available evidence in combination with clinical expertise and patient preferences and values to achieve desired patient outcomes.” Using evidence based practice in nursing is extremely important, because evidence-based practice is the result of others trying a practice one way but needing to change some of the guidelines to make the practice safer and over all better for patients.

Rosswurm, M. A. and Larrabee, J. H. (1999), A Model for Change to Evidence-Based Practice. The Journal of Nursing Scholarship, 31: 317–322.

Satterfield, J. M., Spring, B., Brownson, R. C., Mullen, E. J., Newhouse, R. P., Walker, B. B., & Whitlock, E. P. (2009). Toward a transdisciplinary model of evidence-based practice. The Milbank Quarterly, 87(2), 368–390.

Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.

Evidenced-based practice (EBP) originated in Canada from a new form of medical school which was launched during the 1970s at an institution called McMaster University (Hoffmann, Bennett, & Del Mar, 2010). This new medical program was uncommon in a variety of its methods. The primary variation was the abbreviated three year medical program which is very brief in comparison to other medical school framework (Hoffmann, Bennett, & Del Mar, 2010). Instructors conceded that the ideal concept of teaching medical students everything they would possibly need to know in regards to practicing medicine with in this program was an unattainable undertaking (Hoffmann, Bennett, & Del Mar, 2010). In response to this epiphany, instructors at this institution transformed their educational approach and focused on instruction that would provide students with the skills and tools they would need to effectively locate health information while practicing as healthcare professionals (Hoffmann, Bennett, & Del Mar, 2010). This scientific approach to healthcare is now known as evidence-based practice (Hoffmann, Bennett, & Del Mar, 2010). In the past, healthcare practitioners made decisions for patients based on personal and professional experience, hearsay, and lack of scientific evidence (White, 2004). An evidence-based practice links the best available scientific evidence with clinical expertise (White, 2004). EBP proponents assert that while clinical

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

I like how you link evidence based practice to critical appraisal, it brought a new way of understanding the evidence practice to me. Critical appraisal enables the researcher to identify the documents that have reliable and unbiased evidence and whose proposed action or change will lead to the desired goals. Great

Evidence-based practice will be extremely helpful among the hospital setting because it will allow for me to learn from reliable resources. Using evidence-based practice thus far has helped for me to learn about different cultures and become more prepared when meeting with patients. I will continue to work within the hospital setting and need to be sensitive of how different cultures feel about the medical system as well as treatment options. At times, I have found myself wondering why my patient does not want to go a certain treatment route and many times I can use evidence-based practice to get a better understanding. Many times evidence-based practice has allowed for me to share articles with coworkers and have dependable evidence to fall back on when advocating for my patient within team meetings.

I easily found all articles on evidence based practice through scavenging Touro Library; and through sharing my thoughts with my fellows’ and teacher’s and by exploring their estimation on evidence-based practice, I had the opportunity to diverse and express my philosophical and critical thought in positive and negative angles. I was also able to enhance my knowledge by studying many previous peer review literature on evidence based practice. I also increased my ability of reading, writing, and thinking skills which would help me to be confident to use any type of model and method to establish evidence based practice in my

“Evidence based-practice is a research-to-practice gap that exists in which some practices shown are to be effective by scientific research are seldom used on applied settings, but some commonly implemented practices are not empirically validated and may be ineffective or even harmful” (Cook et al, 2012).