A. Evidence-based decision-making integrates three elements: (1) the most relevant and best research (external evidence), (2) the clinician’s expertise (including “internal evidence”), and (3) patient and family preferences and values (Melnyk & Fineout-Overholt, 2019, p. 8).
Briefly describe a specific patient scenario you have encountered in your practice and describe the process of clinical decision-making used (i.e., what was the decision?);
Identify both positive and negative outcomes of this situation;
Were all 3 elements identified above a part of the decision-making?
If yes, discuss how the clinical decision and outcomes might have been different if it were based only on the evidence, not taking into account the clinician’s expertise and the patient’s wishes and desires? [Module 1 Objective 1]
If no, discuss how the clinical decision-making process could have been altered to include all 3 elements and how the clinical decision and outcomes might have been different this had taken place. [Module 1 Objective 1]
B. Levels of Evidence – Chapters 1 & 5 of your Melnyk & Fineout-Overholt (2019) text provide a specific hierarchy of evidence for intervention/ treatment.
Identify and briefly describe that hierarchy. [Module 1 Objective 2]
Identify at least two other evidence hierarchies from sources other than your textbook; name the hierarchy and provide an electronic link to the other hierarchies.
Is there one of these hierarchies (either M & F-O or one of the other 2) that resonates most with you? Why?
C. Sources – Provide citations (APA style) in the body of your post and a reference list (APA).
