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FORUM DESCRIPTION Health care clinicians, managers, and administrators should use best available evidence to support decisions made in health care. However, this process is not
FORUM DESCRIPTION Health care clinicians, managers, and administrators should use best available evidence to support decisions made in health care. However, this process is not as easy as simply changing a practice or implementing a new process to match the evidence. The fourth step of EBP--integration of evidence requires planning, interdisciplinary collaboration, and the consideration of multiple situational factors that influence health care decisions. Review the Client/Patient-Centered Decision-Making Model presented in Week 1 of the textbook reading to see the numerous nfluences on decision-making in EBP. The patient or Micro-level population external influences Legislative systems political systems ity social support system community patient support system Community Ability to Needs ity's health services afford care ical setting & resources Regulatory systems Health Change literacy readiness Best available evidence Insurance systems Community's environment Culture Values Clinician knowledge & skill Interprofessional collaboration Policy systems Education systems Macro-level Meso-level external influences external influences
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