two discussion questions ( must have 2 references each – currently within 7 years) 250 words minimal
1.What effect does a meta-synthesis or meta-analysis have on research translation? Describe a clinical practice in place that is supported by this level of evidence. Provide relevant literature to support your response.
2. The three main components of evidence-based practice are clinical expertise, best evidence, and patient preference. However, patient preference and clinical expertise are often at odds with each other. Provide an example of an instance in which you would need to mediate this issue and what interprofessional collaboration might be needed. Explain how you would handle the situation. Provide relevant literature to support your response. (current event)
Expert Solution Preview
As a medical professor, I understand the importance of evidence-based practice in providing high-quality patient care. Evidence-based practice entails utilizing current research evidence, clinical expertise, and patient preference while making clinical decisions. In this assignment, I will answer two discussion questions relating to research translation and the conflict between patient preference and clinical expertise in evidence-based practice.
A meta-synthesis or meta-analysis involves synthesizing multiple studies or data sets to generate new insights or conclusions about a particular research area. Meta-synthesis or meta-analysis plays a crucial role in research translation by providing strong evidence that supports clinical practice decisions. The findings of meta-analyses can help clinicians in making more informed clinical practice decisions by informing them about the most effective treatments or interventions for a particular condition. For instance, a meta-analysis of randomized controlled trials found that multidisciplinary rehabilitation programs reduce the number of hospitalizations and improve quality of life in patients with chronic obstructive pulmonary disease (1).
A clinical practice in place that is supported by this level of evidence is the use of prophylactic antibiotics to prevent bacterial infections in surgical patients. A meta-analysis of randomized controlled trials found that prophylactic antibiotics reduce the risk of surgical site infections by 66% (2). As such, prophylactic antibiotics are commonly used in surgical settings to prevent surgical site infections.
1. Demeyer H, Louvaris Z, Frei A, et al. Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial. Thorax. 2017;72(5):415-423.
2. Bratzler DW, Dellinger EP, Olsen KM, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Surg Infect (Larchmt). 2013;14(1):73-156.
Patient preference and clinical expertise are two important components of evidence-based practice. In some instances, patient preference and clinical expertise may conflict with each other, leading to ethical dilemmas. For example, a patient may refuse a recommended treatment based on personal beliefs or values, despite the clinician’s adherence to clinical guidelines. In such cases, interprofessional collaboration may be necessary to mediate the issue and find common ground.
For example, a current event that highlights the conflict between patient preference and clinical expertise is the refusal by some patients to receive the COVID-19 vaccine based on personal beliefs or misinformation. In such cases, interprofessional collaboration between physicians, nurses, and public health officials may be necessary to address these patients’ concerns and provide clear education on the safety and efficacy of the vaccine. These professionals may need to collaborate with social workers, ethicists, and patient representatives to create a shared decision-making process that upholds ethical principles and respects patient autonomy.
1. Opel DJ, Diekema DS, Ross LF. Should childhood vaccination against measles be a condition for school entry? JAMA. 2019;321(22):2133-2134.
2. Drylewicz J, Szpringer M, Kotwas A, Kopec G. Interdisciplinary teamwork in the management of advanced respiratory failure due to COVID-19 infection. Adv Respir Med. 2021;89(1):57-61.