Redefining Evidence-Based Practice Through Patient Values: A Theoretical Innovation for Person-Centered, Value-Based...

Area of Science:

• Healthcare Practice
• Nursing Research
• Health Psychology

Background:

• Traditional evidence-based practice (EBP) integrates evidence, expertise, and patient values.
• However, EBP often prioritizes empirical evidence over patient values, risking depersonalized care.
• This can undermine individualized patient treatment and outcomes.

Purpose of the Study:

• To propose a reconceptualization of EBP that places patient values at its core.
• To utilize Simon Sinek's Golden Circle model to emphasize purpose in healthcare decision-making.
• To ensure care plans are aligned with patients' personal goals and health definitions.

Main Methods:

• Conceptual analysis guided by Simon Sinek's Golden Circle model.
• Examining the integration of patient values prior to empirical evidence and clinical expertise.
• Developing a framework for person-centered EBP.

Main Results:

• A reconceptualized EBP framework positions patient values as the foundation of care.
• Aligning interventions with patient values strengthens therapeutic relationships.
• This approach supports truly individualized and person-centered care.

Conclusions:

• Nurses and leaders must adopt a patient-first approach to EBP.
• Operationalizing person-centered care requires prioritizing patient values.
• This respects diverse patient needs and motivations for improved health outcomes.