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HERD VolumE 2, NumbER 3, pp 3-5 CopyRigHt ©2009 VENDomE gRoup, llC Editor’s Column Balancing Three Essential Components of Evidence Jaynelle F. Stichler, DNSc, RN, FACHE, FAAN D espite widespread belief to add that evidence-based practice that healthcare design must consider patient values. With should be evidence-based, this new consideration, evidence- clarity regarding the concept of evi- based practice in any discipline in- dence is still elusive. Rosenberg, Muir cludes the interplay of three essential Gray, Haynes, and Richardson’s elements: (1) individual expertise; (1996) classic definition of evidence- (2) best available evidence; and (3) based medicine is one of the most the customer’s values. In this con- widely quoted: text, customer could be defined as Evidence-based medicine is the the patient in medicine or nursing, Jaynelle F. Stichler, DNSc, conscientious, explicit, and judi- RN, FACHE, FAAN but it could also be other stakehold- cious use of current best evidence in mak- ers in different disciplines, such as the owner, the ing decisions about the care of individual healthcare executive team, or the board of direc- patients. The practice of evidence-based tors in a healthcare design project. medicine means integrating individual clini- cal expertise with the best available external Although randomized controlled trials (RCTs), evidence from systematic research” (p. 71). systematic reviews, and meta-analyses are the gold standards of research evidence in design This definition of evidence-based medicine has practice, the use of these audacious gold stan- become the foundation for nearly all disciplines, dards is difficult to accomplish without years of each making slight modifications to the word- rigorous research. Of course, when we do have ing to individualize it to their specific discipline such evidence, we can translate these findings and practice. Evidence-based design in health- into standards, protocols, practice guidelines, care is no exception. What is less recognized is and other such policy to guide the practice of that Sackett, Straus, Richardson, Rosenberg, and healthcare design. Evidence-based design is an Haynes (2000) modified the original definition emerging science that is constantly building new
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