Editorial: Evidence-based practice and the Golden Quadrant.

摘要

As evidence is translated into practice, three components interplay to produce the "best" healthcare intervention: the best evidence available, healthcare practitioner expertise, and patient characteristics and preferences. (Bliss-Holtz, 2007; Melnyk & Fineout-Overholt, 2005; Sackett, Rosenberg, Gray, Haynes & Richardson, 1976). What is produced by this process of evidence translation may be interventions for a single client or it may be algorithms, policies, and procedures for an entire patient population. Although the goal of the process is to produce excellent patient outcomes, this goal always comes with the delicate balancing by healthcare practitioners of the characteristics of the patient or patient population, the strength and level of the evidence, and the level of resource utilization that the practice change demands. It is these last two factors, the evidence and the available resources, that will be addressed in this article through the framework of the ACE Star model of knowledge transformation (Stevens, 2006) and the concept of the "Golden Quadrant."