Discussion: Explain the difference between internal and external evidence. How can each of these levels of evidence be utilized for quality improvement in clinical settings?

Discussion: Explain the difference between internal and external evidence. How can each of these levels of evidence be utilized for quality improvement in clinical settings?

Discussion: Explain the difference between internal and external evidence. How can each of these levels of evidence be utilized for quality improvement in clinical settings?

Explain the difference between internal and external evidence. How can each of these types of evidence be utilized for quality improvement in the clinical setting?

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Discussion Question

1. Explain the difference between internal and external evidence. How can each of these levels of evidence be utilized for quality improvement in clinical settings?

Internal and external evidence are essential aspects of evidence-based practice (EBP) and the subsequent implementation of quality improvement initiatives in healthcare. According to Melnyk & Fineout-Overholt (2019), evidence-based practice (EBP) enhances the quadruple aim in healthcare by improving care quality, positive patient outcomes, reducing costs, and empowering clinicians. Amidst the need to achieve these overarching objectives and goals, clinicians are responsible for utilizing the best available internal and external evidence to inform decisions and solve clinical problems.

Internal evidence encompasses information and justifications obtained from clinical expertise, outcomes management, quality improvement projects, and a thorough patient assessment and evaluation. These evidence sources can inspire organizational activities and decisions by providing justifications for previously effective interventions for improving care quality and patient outcomes. For example, reviews of quality improvement projects and thorough patient assessments can influence patient-centered care and provide insights into appropriate approaches for improving care quality. On the other hand, external evidence is the information derived from research, evidence-based theories, opinion leaders, and expert panels (Melnyk & Fineout-Overholt, 2019). This evidence enables healthcare professionals to establish the effectiveness of quality improvement initiatives, use scientific models, and assess the scholarly justifications of clinical projects and decisions. Also, leveraging evidence from research and other external sources is fundamental in enabling the translation of theoretical knowledge to practice through the assimilation process. In the current healthcare systems, research supports evidence-based practice, which translates to improved care, reduced care costs, and positive patient outcomes.

References

Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.