Healthcare institutions utilize both internal and external evidence in the implementation of appropriate steps aimed at improving patient care. However, the practitioners have to understand the difference between the two categories of evidence. Internal evidence is known to involve diagnostic reasoning, such as in the case of practice data obtained in a healthcare record (Meira et al., 2019). On the other hand, external evidence is found in scientific research and the randomized control trials (Meira et al., 2019). An example of the internal evidence is the results of a study investigating the role of antidepressants in the management of depression and other related mental disorders.
The use of internal evidence can be channeled to improve the quality of patient care in a clinical setting (Srivastava & Prakash, 2019). For example, the practice data in a healthcare institution may be used to reveal the internal factors that contribute to the quality of patient care. Such data may involve the length of the nurses' shifts, which impacts their satisfaction and hence the satisfaction of their patients owing to improved patient care (Srivastava & Prakash, 2019). The data regarding the length of the shifts further exposes the problems involving burnout that reduces the quality of patient care in clinical settings (Srivastava & Prakash, 2019). Furthermore, the internal evidence is used to determine the various practices that increase the empowerment of providers. Consequentially, the quality of medical supplies increases, which allows the patients to access more advanced services.
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External evidence can also be used to increase the quality of patient care in clinical settings. Firstly, external evidence involves systematic reviews that provide a broader outlook of the services that are directed to the patients in the institution (Janati et al., 2018). The feedback that the patients and other stakeholders of the provision of health provide compels the hospitals to improve patient care in the nursing sector. The external evidence shapes the internal activities of the clinical settings (Janati et al., 2018). For example, the outcome of the research investigating the use of antidepressants to manage depression may necessitate the clinical care to administer the drugs to the patients having such a medical condition.
References
Janati, A., Hasanpoor, E., Hajebrahimi, S., & Sadeghi-Bazargani, H. (2018). Evidence-based
Management–healthcare Manager Viewpoints. International Journal of Health Care Quality Assurance .
Meira, M. M., Machado, A. G. C., & Gomes, G. R. S. (2019). Dynamic Capabilities for
Accreditation: Evidence in the Healthcare Sector. BAR-Brazilian Administration Review , 16 (1).
Srivastava, S., & Prakash, G. (2019). Internal Service Quality: Insights from Healthcare Sector.
Journal of Health Management , 21 (2), 294-312.
