Topic 6 DQ 2 Mediating EBP Components Paper
Topic 6 DQ 2 Mediating EBP Components Paper
Topic 6 DQ 2: Mediating EBP Components Sample
Patient care is multidimensional and incorporates many practices, principles, and values to achieve the desired outcomes. As nurse practitioners strive to offer safe and quality care, evidence-based practice (EBP) remains indispensable in health care delivery. Its primary components, including clinical expertise, patient preferences, and best evidence, should dominate and guide patient care. Nurses should also understand possible conflicts between these components and how to handle such situations competently.
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Patients’ choices often trigger scenarios where patient preference and clinical expertise are at odds with each other. A suitable scenario is when a depressed mother refuses to take antidepressants and opts for complementary and alternative medicine. The mother’s fear is founded on the principle that alternative medicine provides holistic care and antidepressants only control symptoms temporarily before the condition reemerges. As Wieten (2018) noted, clinical expertise obliges health care professionals to balance circumstances, the patient’s health state and preferences, and the essential actions for delivering successful outcomes. Health care professionals should also remember that outcomes could be successful and not satisfying to all parties involved. As a result, they must sort through tradeoffs, make informed decisions, and consult as much as possible.
Mediating this issue would require a nurse to ensure that the patient takes medication as recommended without violating the patient’s preferences. Interprofessional collaboration provides a more expert and team-based approach to challenging and dilemmatic scenarios. The most appropriate interprofessional collaboration is the attending nurse, physician, and mental health expert to educate the patient to understand the importance of the medication and the consequences of non-compliance. Patient education is crucial for improving health literacy and promoting compliance (Meherali et al., 2020). The patient should also be helped to understand the importance and risks of complementary and alternative medicine and when it is necessary to consider such options.
I would handle the situation with excellent communication, empathy, and patience. Non-compliant patients are challenging to handle since overlooking their preferences might make them feel disrespected. To avoid such outcomes, communication is essential to promote understanding and engagement in the care process. Empathy helps health care professionals to understand patients multi-dimensionally and support them without judgment (Moudatsou et al., 2018). The intersection of these components and considerations implies that the situation requires a cautious approach without overlooking the essential components of evidence-based practice.
References
Meherali, S., Punjani, N. S., & Mevawala, A. (2020). Health literacy interventions to improve health outcomes in low- and middle-income countries. Health Literacy Research and Practice, 4(4), e251–e266. https://doi.org/10.3928/24748307-20201118-01
Moudatsou, M., Stavropoulou, A., Philalithis, A., & Koukouli, S. (2020). The role of empathy in health and social care professionals. Healthcare (Basel, Switzerland), 8(1), 26. https://doi.org/10.3390/healthcare8010026
Wieten, S. (2018). Expertise in evidence-based medicine: A tale of three models. Philosophy, Ethics, and Humanities in Medicine: PEHM, 13(1), 2. https://doi.org/10.1186/s13010-018-0055-2
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DNP-820 Topic 6 DQ 1
Assessment Description
What effect does a meta-synthesis or meta-analysis have on research translation? Describe a clinical practice in place that is supported by this level of evidence. Provide relevant literature to support your response.
DNP-820 Topic 6 DQ 2
Assessment Description
The three main components of evidence-based practice are clinical expertise, best evidence, and patient preference. However, patient preference and clinical expertise are often at odds with each other. Provide an example of an instance in which you would need to mediate this issue and what interprofessional collaboration might be needed. Explain how you would handle the situation. Provide relevant literature to support your response.