Differentiating Research, Evidence-Based Practice, and Quality Improvement
Conner, Brian T., American Nurse Today
Research, evidence-based practice (EBP), and quality improvement support the three main goals of the Magnet Recognition Program [R] and the Magnet Model component of new knowledge, innovation, and improvements. The three main goals of the Magnet Recognition Program are to:
* promote quality in a setting that supports professional practice
* identify excellence in the delivery of nursing services to patients or residents
* disseminate best practices in nursing services.
The Magnet Model includes five components:
* transformational leadership
* structural empowerment
* exemplary professional practice
* new knowledge, innovation, and improvements
* empirical quality outcomes.
To achieve the goals of the Magnet Recognition Program and the "new knowledge innovation and improvements" component of the Magnet Model, nurses at all levels of healthcare organizations must be involved. Many nurses may be unaware of the importance of their contributions to developing new knowledge, innovations, and improvements and may not be able to differentiate among those processes. This article explains the basic differences among research, EBP, and quality improvement (QI.) (See the box below.)
//Start box// Comparing research, evidence-based practice, and quality improvement Research Evidence-based Quality improvement practice * Applies a * Translates the * Uses a system to methodology, best clinical monitor and which may evidence, typically evaluate the be quantitative or from research quality and qualitative, to results, to make appropriateness of generate new patient care care based on EBP knowledge, or decisions and research validate existing * Involves more than knowledge based on research use; may * Involves A a theory include clinical systematic expertise and method for improving * Uses systematic, knowledge gained processes, outcomes, scientific inquiry through experience or both and disciplined, rigorous methods to * Process begins * Evolved from answer a research with a burning continuous quality question or question, which may improvement and test a hypothesis arise from either total quality about an problem-focused management intervention or knowledge- organizational focused triggers philosophies * Begins with a burning * Involves a * Focuses on systems, question and uses systematic review processes, or a systematic of literature, functions or a review of including critical combination literature, appraisal, to including find the best * Typically doesn't critical available evidence require extensive appraisal, * Studies whether review of literature to identify the evidence or critical knowledge gaps warrants a practice appraisal change * Contains variables * QI projects are that can be * Evaluation site-specific; measured and/or includes these results aren't manipulated to questions: If intended to describe, explain, practice change provide generalizable predict, and/or was made, did knowledge or best control phenomena, it produce the evidence or to develop expected results? meaning, discovery, If not, why not? …