i need a response to this discussion: The difference between internal and external evidence is simplistic. Each of these types of evidence can be utilized for quality improvement in the clinical setting. Once a question is asked or an issue is presented. The facts must be gathered. Pertinent facts can be utilized to formulate a plan. In nursing research those facts and collected data are evidence. It can be acquired in many ways. However, to provide uniformity and a workable strategy the evidence acquired must be complimentary and responsive to the issue. In research, at times evidence is broken down into internal and external evidence. Internal evidence is evidence gathered and sponsored within the healthcare system. So, in terms of my employment. Internal evidence for research is the patient outcomes acquired by consistent testing of the systems in place and clinical expertise. It is a general experience acquired from daily practice. On the other hand, external evidence involves systematic review by outside sources. An example would be a random control trial of a sample group. They are also research that is accurate and to the point. Research should also be collaborative and agreed on by clinical experts (Mittman B. S.,2004). Both types of evidence are essential to research. They can be utilized to highlight the deficiencies and errors in a system from all standpoints. Evidenced-based utilize assessment of evidence to formulate or support a change in clinical practice. There are types of internal evidence sources that encourage observation and contribute to the evidence-based process of implementation. However, it is not at times useful to the patient since they may have problems interpreting the data in reports and have consequently not used the reports to the extent hoped to make informed decisions for higher-quality care (Hughes, .,2008). There are also types of external evidence which utilize the most applicable research. The goal of the research is to collect usable data. It is also to create a plausible explanation for actionable plans. Healthcare is a system under work. Since healthcare systems are usually in a state of change quality improvement. For the improvement of patient care and provider relations. Quality improvement is the process of improving healthcare systems. These measures researched through a process including an assessment of the scientific strength of the evidence found in the peer-reviewed literature(Hughes, .,2008). In the clinical setting quality improvement can utilize. External evidence is evidence-based research that applies to patient safety. Therefore, they can use internal evidence such as clinical data and patient safety reports to formulate policies for safe patient care. Mittman B. S. (2004). Creating the evidence base for quality improvement collaboratives. Annals of internal medicine, 140(11), 897901. Hughes . (2008). Tools and Strategies for Quality Improvement and Patient Safety. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Agency for Healthcare Research and Quality. 44. Available from:Show more
