Sunday, 18 September 2016

Clinical Evidence

Searching for evidence to inform clinical practice is a theoretical study on how clinical practitioners should obtain necessary information relevant to their practice. Information and evidence-based knowledge are vital elements in health practices and there is need to establish theoretical frameworks for evidence search in order to make informed choices.
The study involves an introduction which denotes the importance of retrieving evidence in health care decision making. High level of skills and well done research reports must be used to avoid wrong decision being made
. It is established that individual research and studies are not evident and many systematic reviews and evidence summaries are required to make a conclusive statement and justification of a decision. A process of identifying evidence to informed practice has been provided. It should be conducted as follows: guideline existence, appraising and adopting specific guideline, searching related systematic reviews, identify the main provisions, seek the primitive information and hence obtain a statement concerning the information (Khan, & Coomarasamy, 2004).
The study investigates the contribution of systematic reviews towards gaining knowledge. It is identified that reviews consists of several articles that seek to gain knowledge on a particle field. The articles seek to identify, select and appraise relevant primary studies and information. The importance of systematic review is to lead a less biased information. The study has well defined questions, literature search, synthesis of findings and the recommendations. Systematic reviews are well located in medical libraries and nursing databases.
Search for primary information is also a vital aspect in search for evidence. Primary knowledge involving the best practices about etiology, diagnosis, prognosis and therapy should be included in the literature review of these treatments. The aim of obtaining the knowledge is to have the necessary guideline to search for evidence. The knowledge in conjunction with the patient presentation and patient history provide adequate knowledge for health decision making (Sackett, 2007). For every clinical concept concerning a condition, it can be necessary when the identification of an evidence based decision to be initiated by a search. Quick searches are meant to support the day to day practice. Filter searches need to be applied in support with other literature review. They are facilitated by research previously done concerning the subject. For instance, the diagnostic research supports the diagnosis process of a patient. Useful information such as patient history concerning the condition, previous similar cases helps a practitioner to diagnose effectively the condition and this leads to right decision making based on evidence (Khan, & Coomarasamy, 2004).  .
The study emphasis the importance of other sources of information towards search of evidence. First, you need to search information from clinical databases concerning some of the vital decisions. The search in databases helps identify clinical situations and the history of the activities. Apart from that, a specific specialist would be of great assistance to a health officer to make an evidence based medical decision. The study further considers gathering information from public domains. Public domains where knowledge can be obtained include newspaper, blogs and forums. The current trends of diseases in the public can be determined from these avenues and this provides a useful knowledge link. The study identifies that manufacturers of the diagnostic test kits provides necessary evidence to the evidence based decisions.  Other information such as traditional information may be of great use to enhance knowledge and create evidence.
The study understands the contribution of all sources of information to evidence based decisions in a clinical practice. However careful approach should be taken to avoid biased information and outdated information concerning a practice.
Reference
Khan, K. S., & Coomarasamy, A. (2004). Searching for evidence to inform clinical practice. Current Obstetrics & Gynaecology, 14(2), 142-146.
Sackett, D. L. (2007). Evidence‐based medicine. John Wiley & Sons, Ltd.

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