Evidence-based practice: a model for clinical application.
Health care reform authorized by the Affordable Care Act is based on the belief that evidence-based practice (EBP) generates cost savings due to the delivery of more effective care. Published meta-analyses and systematic reviews provide clear, unbiased evidence on the effectiveness of specific interventions. Yet translating the interventions into the practice setting requires additional clinical skills and judgments extending beyond the scientific assessment of the EBP literature. Effective use of EBP interventions requires clinicians effectively answering an additional set of questions specific to the case and clinical context. These questions focus on correctly identifying the problem and increased level of specificity for any given situation. Using a clinical application of the PICO model, the clinician and the patient should be able to achieve a higher level of clinical outcomes.
College of Nursing, Anschutz Medical Center, University of Colorado, Aurora, CO 80054, USA. mjrice@unmc.edu
Michael J
MJ
Rice
D002983:Clinical Competence; D017046:Cost Savings; D003937:Diagnosis, Differential; D055318:Evidence-Based Nursing / Q000191:economics / Q000458:organization & administration*; D018166:Health Care Reform / Q000191:economics / Q000458:organization & administration; D001523:Mental Disorders / Q000175:diagnosis / Q000451:nursing / Q000628:therapy; D016294:Models, Nursing; D009733:Nursing Diagnosis; D010043:Outcome and Process Assessment, Health Care; D058991:Patient Protection and Affordable Care Act / Q000191:economics / Q000458:organization & administration; D011568:Psychiatric Nursing / Q000191:economics / Q000458:organization & administration*; D014481:United States
PICO; clinical application; evidence based; psychiatric care