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Health, Medicine, Nursing
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Relating Spirit Of Inquiry And EBP Leadership In Real Life Situation (Reaction Paper Sample)


Relating Spirit Of Inquiry And Ebp Leadership In Real Life Situation

          Spirit of Inquiry Author Institution                 Introduction Developing and Maintaining a Personal “Spirit of Inquiry” The importance of provision of mental healthcare cannot be understated as far as the growth and development of any country is concerned. Indeed, it has always been well acknowledged that mental health, and healthcare in general, has a bearing on the economic sustainability of any country, particularly considering that it is only individuals that are in good health shape that would have the capacity to sufficiently engage in economic activities. At the heart of healthcare provision is the whole body of professionals and institutions. Healthcare professionals are charge with the responsibility of offering research-based services that would enhance the quality of life and health of their clients or patient. This paper examines the development of personal ‘spirit of inquiry’ in the psychiatry field, particularly in the advancement of the diagnosis, treatment and prevention of emotional, mental and behavioral disorders. French (2005) shows that evidence-based practice results in higher quality care, enhanced patient outcomes, lower costs, as well as increased satisfaction of the healthcare professionals, compared to the traditional or conventional approaches to care. In spite of the numerous favorable findings, a large proportion of healthcare professionals have remained inconsistent with regard to their implementation of evidence-based care services. This is particularly the case for healthcare professionals whose educational background predates the invention and inclusion of the EBP in their academic curriculum, in which case they are deficient of internet search and computer skills that are required for the implementation of the practices (Fineout-Overholt et al., 2010a). This causes misconceptions pertaining to EBP, especially that it is too time-consuming and too difficult, to flourish. Healthcare professionals are noted to adhere to outdated procedures and policies without even questioning how relevant and accurate they are in the current times, or whether they are actually based on scientific evidence. It goes without saying, that some of these policies and practices are not only baseless as far as science is concerned, but they are also not of any benefit in the long-term to the patient or in the delivery of healthcare services. This underlines the importance of the spirit of inquiry, which is defined as the ongoing curiosity pertaining to the best evidence that would guide an individual or healthcare professional in making the best clinical decision. In instances where the spirit of inquiry and a culture that is supportive of the same are deficient, healthcare professionals have reduced likelihood for embracing evidence-based practice (EBP) (Fineout-Overholt et al., 2010b). Every day, healthcare professionals across the care continuum carry out numerous interventions that are supposed to trigger questions pertaining to the evidence that support their utilization. In instances where the professionals have a spirit of inquiry within an appropriate EBP culture, they would routinely ask questions pertaining to clinical practice in the course of delivery of clinical practice. One of the ways in which I have been cultivating the spirit of inquiry is through posing question in PICOT format, a format that considers the patient population that is being considered (P), the intervention or area of interest (I), the comparison group or intervention (C), results or Outcome (O), as well as time (T) (Stillwell, 2010a). This format offers an efficient framework that professionals can use to search electronic databases, which is designed in a manner that would allow for the retrieval of only articles that are relevant to the question at hand. In addition, I have been striving to obtain the most appropriate evidence to support the practices in question. Given the previous step or action, obtaining and looking for evidence that would inform clinical practice is immensely streamlined (Fineout-Overholt et al., 2010a). The format allows for the identification and utilization of key phrases and words that would fasten or expedite the location of the appropriate articles in huge databases, once they are entered successively and combined. I often undertake speedy critical appraisal of the studies and articles to which I come across in an effort to determine their accuracy, relevant validity, reliability, as well as applicability to the clinical question. More often than not, the questions can be sufficiently answered through the examination of the abstract in the peer reviewed sources (French, 2005). However, detailed inquiry has proven to be imperative in the production of successful health outcomes, particularly in mental health. Stillwell et al. (2010a) noted that background and foreground questions are imperative in clinical evidence based practice. Three questions come in handy, in this case, particularly considering that the process of critiquing articles can be quite complex and laborious. First, I ask whether the study results are valid, an aspect that is determined by the rigorousness of the research methods as to ensure that the results are sufficiently close to the truth. Secondly, there is the question on the results and their importance to mental health of the subject I am exploring. This question is determined by the type of study that I am undertaking and whether it is qualitative or intervention study. The third question revolves around whether the results would be helpful in taking care of the patients, a question that explores the applicability of the results and whether the study subjects bear similarities with my patients’ mental status.     Overcoming Barriers Melnyk, Fineout-Overholt, Gallagher-Ford, Stillwell (2011) acknowledged that “…it’s critical to have an organizational culture that supports EBP in order for clinicians to consistently deliver evidence-based care”. In overcoming the identified barriers, there are varied specific actions that I will be putting into action. Key among them is engaging in much m...
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