Discussion: Where in the World Is Evidence-Based Practice?

Health organizations deliver health care and promote quality care to a population. To provide quality care, health organizations based their decisions on research, and implement this information using evidence-based practice.

The healthcare organization named the Center for Disease Control and Prevention (CDC). CDC is “one of the divisions of the United States Department of Health and Human Services and the highest governmental health organization in the United States” (Forrest, 2019). The mission of the CDC is to “promote health and improve quality of life by preventing and controlling disease, injury, and disability” (Forrest, 2019, para.1). The organization is also “charged with protecting the public health by providing leadership and direction in the prevention and control of disease and other preventable conditions” (Forrest, 2019, para.1).

CDC’s mission is to protect the US population. To accomplish these, CDC “conducts critical science and provides health information to prevent expensively and dangerous health threats, and responds when this arises” (CDC.gov, 2019, para.2). One of the CDC’s pledge to the American people is to “base all public health decisions on the highest quality data that is derived openly and objectively” (CDC.gov, 2019).

CDC’s work is grounded on evidence-based practice (EBP), as they have stated on their website, all their decisions are based on scientific quality data. According to Melnyk, Fineout-Overholt, Stillwell, and Williamson (2010), the evidence-based practice uses seven steps: cultivate a spirit of inquiry, ask clinical questions, search for the best evidence, critically appraise the evidence, integrate the evidence with critical expertise, and patient preferences and values, evaluate the outcomes of practice decisions or changes based on evidence, and lastly, disseminate EBP results. These steps were all apparent in their mission statement.

The information gathered from their website has changed my perception of the organization as they provide information that is not biased, not based on opinion but facts. For example, they have a specific link to a journal that addresses chronic diseases entitled “Preventing Chronic Diseases.” This link also stated public health research, practice, and policy. According to the CDC (2019), the journal is a:

“peer-reviewed public health journal sponsored by Centers for Disease Control and Prevention authored by experts worldwide. Their mission is to promote dialogue among researchers, practitioners, and policymakers worldwide on the integration and application of research findings and practical experience to improve population health. The journal’s vision is to serve as an influential journal in the dissemination of the proven and promising peer-reviewed public health findings, innovations, and practices with editorial content respected for its integrity and relevance to chronic disease prevention”.

A healthcare organization that uses evidence-based practice to provide quality care follows a format that forms an inquiry, search, synthesize, implement, and evaluate the outcomes of the implemented principles.

References

Centers for Disease Control and Prevention. (2019). Preventing Chronic Diseases. Retrieved from https://www.cdc.gov/pcd/about_the_journal/index.htm

Centers for Disease Control and Prevention. (2019). Mission, Role, and Pledge. Retrieved from https://www.cdc.gov/about/organization/mission.htm

Forrest, K. Y.Z. (2019). Centers for Disease Control and Prevention (CDC). Magil’s Medical Guide (Online Edition). Retrieved from https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=4&sid=22b2cb3a-38ae-447a-bf2a-59d719e86629%40sdc-v-sessmgr02&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=89093368&db=ers

Discussion: Where in the World Is Evidence-Based Practice?
March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

Review the Resources and reflect on the definition and goal of EBP.
Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
Explore the website to determine where and to what extent EBP is evident.
By Day 3 of Week 1
Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

By Day 6 of Week 1
Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

RESPONSE
The Center for Disease Control and Prevention is an organization that is grounded in evidence-based practice. As an infection prevention specialist, the CDC is a crucial resource for information on preventing infections by providing health care providers with recommendations that are strongly supported by evidence-based practice. The CDC has extensive sources available on its website, where evidence-based practice is evident. The Program Performance and Evaluation Office (PPEO) a section on the CDC website is one that focuses on developing tools, promoting resources, and sharing best practices about how to achieve meaningful improvements in programs that maximize impact (CDC, 2018). The CDC does continually evaluate data and makes improvements to clearly and accurately disseminate data to further the work of preventing infections. It is estimated that it takes 17 years for 14 percent of original research to benefits patients (Tinkle, Kimball, Haozous, Shuster, & Grochowski, 2013). CDC evidence-based recommendations that do accomplish their mission in protecting the United States against expensive and dangerous health threats (CDC, 2020).

References

Center for Disease Control and Prevention. (2018). The Program Performance and Evaluation Office (PPEO). Retrieved February 26, 2020 from https://www.cdc.gov/program

Center for Disease Control and Prevention. (2020). CDC’s Mission. Retrieved February 26, 2020 from https://www.cdc.gov/about/organization/cio.htm

Tinkle, M., Kimball, R., Haozous, E., Shuster, G., Grochowski, R. (2013). Dissemination and implementation research funded by the US National Institutes of Health, 2005-2012. Nursing Research and Practice https://doi-org.ezp.waldenulibrary.org/10.1155/2013/909606

Week 1 Discussion Rubric

NURS_6052_Module01_Week01_Discussion_Rubric
Grid View
List View
Excellent Good Fair Poor
Main Posting
45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
35 (35%) – 39 (39%)
Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
10 (10%) – 10 (10%)
Posts main post by day 3.
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not post by day 3.
First Response
17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.
15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.
13 (13%) – 14 (14%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Second Response
16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.
12 (12%) – 13 (13%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Participation
5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100

The healthcare organization website reviewed for this discussion was, The Joint Commission’s (TJC) website. TJC was Founded in 1951, as an independent, not-for-profit organization and is the nation’s oldest standards-setting and accrediting body in health care (TJC, 2020). TJC is the largest accrediting body in the United States, evaluating and accrediting over 22,000 health care organizations and programs throughout the country (TJC, 2020). TJC was created with the intent of continuously improving health care for the public by evaluating health care organizations and driving them to excel in providing safe and effective care of the highest quality (TJC, 2020).

The term evidence-based practice does not appear in TJC’s mission or vision statement; however, it can be found in the, “Health Services Research” section under, “Resources”. According to Brown (2018) evidence-based practice is the utilization of care practices that have been recommended by an agency because the available evidence indicates they are effective. This description is reinforced by Melnyk and Fineout-Overholt (2018) who express that evidence-based practice is a lifelong problem-solving approach to clinical decision making that involves the use of the best available evidence combined with acquired experience and or expertise along with patient preference to improve outcomes.

Based on the previous descriptions of evidence-based practice, The Joint Commission’s work in the development of standards meet this criterion. According to TJC (2020) standards are developed with input from health care professionals and are informed by current scientific literature, expert consensus, must relate to patient safety or quality of care, and have a positive impact on health outcomes. After conducting research, the information provided on TJC’s website has changed my perception of the healthcare organization. Prior to being informed I assumed TJC’s role was to survey and penalize healthcare organizations for infractions. I did not fully comprehend that TJC conducted research and surveyed healthcare organizations to ensure best practice guidelines were being followed in order to achieve high quality care and improved outcomes across a variety of settings.

References

Brown, S. J. (2018). Evidence-Based Nursing: The Research-Practice Connection. Burlington: Jones and Bartlett Learning.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

The Joint Commission. (2020). History of The Joint Commission. Retrieved from https://www.jointcommission.org/about-us/facts-about-the-joint-commission/history-of-the-joint-commission/

The Joint Commission. (2020). Standards Development Process. Retrieved from https://www.jointcommission.org/standards/about-our-standards/