DNP 820 Topic 6 Discussion Question Two
DNP 820 Topic 6 Discussion Question Two
The three components of EBP include clinical expertise, best evidence, and patient preference. Often, patient preference and clinical expertise are at odds with each other. Describe a scenario where you might need to mediate this issue and what is the solution when this occurs. It can be a real-life example as well.
Evidence-based practice (EBP) offers a rational model for practitioners that allows them to provide the best possible care for their patients. However, for a few, there is a misunderstanding about EBP. Some people may think that EBP represents an “evidence-only” approach. Some may think that if multiple randomized controlled trials do not exist, then one cannot practice EBP. Others may

DNP 820 Topic 6 Discussion Question Two
misuse the term to mean “evidence only” such as to debate a point or to deny payment for healthcare services. The misuse of the term creates even more frustration and confusion for patients and for those practicing in the field, causing some practitioners to shy away from providing healthcare in an evidence-based way. It is possible that some of the confusion stems from being unaware of the full definition of this model. Upon review of the basic components of EBP, most healthcare providers find that the principles on which it is founded are simple, practical, and appeal to common sense.
Since that time, many have expanded on this concept and various health professions have embraced this model as a means to improve patient care.
One may define EBP as “… the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”
It is important to note that there are 3 fundamental components of the EBP model.
Although each component is valuable on its own, it is not until all 3 are combined together that we truly have EBP. To shine some light on the matter, Figure 1 demonstrates the 3 components and their combination to make the EBP model.