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Patient Engagement in Evidence-Based Practice Frameworks.

Jarrod Dusin1, Jill Peltzer2

  • 1Department of Evidence Based Practice, Children's Mercy Kansas City, Kansas City, MO, USA.

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Summary

Evidence-based practice (EBP) frameworks often lack patient engagement. This study found a significant gap in integrating patient values and preferences, highlighting the need for improved strategies in healthcare decision-making.

Keywords:
clinical pathwaysevidence-based practicepatient and family engagementpatient values and preferences

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Area of Science:

  • Healthcare research
  • Clinical practice guidelines
  • Health services research

Background:

  • Evidence-based practice (EBP) integrates evidence, expertise, and patient values for optimal healthcare outcomes.
  • Patient engagement is crucial for EBP, yet its integration into existing frameworks requires clarification.

Purpose of the Study:

  • To assess the level of patient engagement within established EBP frameworks.
  • To identify gaps in the incorporation of patient values and preferences in healthcare decision-making models.

Main Methods:

  • Secondary analysis of a scoping review on EBP frameworks in healthcare.
  • Utilized a patient engagement continuum (consultation, involvement, shared leadership) across direct care, organizational design, and policy domains.

Main Results:

  • A notable deficiency exists in integrating patient values and preferences within analyzed EBP frameworks.
  • Only a small fraction of evaluated frameworks demonstrated comprehensive patient engagement across all healthcare domains.

Conclusions:

  • Current EBP frameworks inadequately incorporate patient engagement, particularly concerning patient values and preferences.
  • Further research is essential to develop and evaluate effective strategies for meaningful patient engagement in EBP.