...Sam is a recently graduated health professional, who during his time at university has been taught about evidence based practice (EBP). His first experience of implementing the five steps of EBP, asking an answerable question, acquiring the evidence, appraising the evidence, applying the evidence and assessing the process Liamputtong (2010), will be critically analysed in this essay. An encounter of qualitative and quantitative approaches to research, and how Sam can apply the evidence generated from a quantitative approach to evidence based clinical practice will be detailed below. Evidence based practice can be defined as clinical decisions for individual patients derived from the most appropriate evidence available (Facchiano & Snyder, 2012). It is a nurse’s care of duty to use appropriate clinical practice that will best suit the needs of the patient. Implementation of EBP based on an understanding of research findings is a requirement of competency standards for Australian and New Zealand nurses and midwifes (Borbasi & Jackson, 2012). Sam noticed conflicting practices while watching a routine wound clean; tap water was used instead of saline solution by one of his fellow nurses. This made Sam begin to think about what evidence there was to support using water, or if the nurse should have used saline instead. Sam decided to research this topic further, which comprised of him asking a targeted question that he could then translate into research. The clinical question...
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...literature based on workplace violence in the emergency department and to identify characteristics of interventional studies to guide best practice. This review will discuss current practices in reference to NSW health policy and guidelines, critique the systematic review by (Taylor & Rew, 2010) in terms of discussing methodology and provided a comprehensive overview of (Taylor & Rew, 2010) article(Hoag-Apel, 1998) (NSW Health, 2005). Finally, this review will attempt to recommend a change in practice in terms of the research question of what are the suggested interventions for workplace violence in the ED conducted by studies from 2004 ? Based on best evidence based practice and research(Hoag-Apel, 1998) . Although healthcare professionals and exclusively nurses are at higher risk of workplace violence, NSW legislation doesn’t reflect the increase risk associated or current international concerns(Hoag-Apel, 1998) . In NSW it is part of a legislative requirement that staff receive sexual harassment training, however, even though there are higher incidents of workplace violence then sexual harassment in nursing it isn’t a legislative requirement that staff are educated(Curtis, Ramsden & Friendship,2007) . Current NSW legislation doesn’t reflect current evidence based...
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...Important to All Managers? 5 Line and Staff Aspects of Human Resource Management 6 Line Managers' Human Resource Duties 6 Human Resource Manager's Duties 7 New Approaches to Organizing HR 9 Cooperative Line and Staff HR Management: An Example 9 Moving from Line Manager to HR Manager 10 THE TRENDS SHAPING HUMAN RESOURCE MANAGEMENT 10 Globalization and Competition Trends 11 Indebtedness ("Leverage") and Deregulation 12 Technological Trends 12 Trends in the Nature of Work 13 Workforce and Demographic Trends 14 Economic Challenges and Trends 15 IMPORTANT TRENDS IN HUMAN RESOURCE MANAGEMENT 16 The New Human Resource Managers 16 Strategic Human Resource Management 18 High-Performance Work Systems 19 Evidence-Based Human Resource Management 19 19 • EVIDENCE-BASED HR: Why Should You Be Evidence-Based? Managing Ethics 20 HR Certification 20 THE PLAN OF THIS BOOK 21 The Basic Themes and Features 21 CHAPTER CONTENTS OVERVIEW 22 Part 1: Introduction 22 Part 2: Recruitment and Placement 22 Part 3: Training and Development 22 Part 4: Compensation 23 Part 5: Employee Relations 23 The Topics Are Interrelated 23 4 VII viii CONTENTS CHAPTER SECTION SUMMARIES 24 DISCUSSION QUESTIONS 24 INDIVIDUAL AND GROUP ACTIVITIES 25 EXPERIENTIAL EXERCISE: HELPING "THE DONALD" 25...
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...Evidence to Action: A Model Analysis Tera J. Gwaldis, RN St. Johns River State College July 8, 2015 Discussion In order to understand evidence-based practice (EBP), it is important to recognize that EBP is detrimental to the quality improvement of patient outcomes while also helping to control the cost of health care. EBP is an approach to problem-solving and clinical decision- making that incorporates the best available evidence from well-designed studies based on clinician experiences and patients’ principles, values and preferences (Melnyk & Fineout-Overholt, 2015). The assessment of the effectiveness of EBP models can help to decide which models would be most practical and applicable to the actual practice setting. The Iowa Model of Evidence-Based Practice stands out as a model that will be carefully deliberated for the reason that it can be used successfully to initiate a practice change at the unit and organizational levels. The Iowa model is used throughout a multitude of clinical and academic settings. This model merges research utilization and quality improvement using processes that are innately clear and logical to nurses and is unique in that it uses the concept of “triggers” meaning that evidence-based practice may possibly be prompted by either facts or data from an outside organization, or by specific clinical problems (Brown, 2014). The Ace model uses an interdisciplinary approach for conveying knowledge for use in healthcare and nursing practice...
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...Trends 38 Trends in the Nature of Work 39 35 WHAT IS HUMAN RESOURCE MANAGEMENT AND WHY IS IT IMPORTANT? 31 THE TRENDS SHAPING HUMAN RESOURCE MANAGEMENT 38 36 • HR AS A PROFIT CENTER: Boosting Customer Service Workforce and Demographic Trends 40 Economic Challenges and Trends 42 40 THE NEW HUMAN RESOURCE MANAGERS 43 Human Resource Management Yesterday and Today 43 They Focus More on Strategic, Big Picture Issues 43 • THE STRATEGIC CONTEXT: Building LL.Bean 43 44 They Use New Ways to Provide Transactional Services They Take an Integrated, "Talent Management" Approach to Managing Human Resources 45 They Manage Ethics 45 They Manage Employee Engagement 45 They Measure HR Performance and Results 45 They Use Evidence-Based Human Resource Management They Add Value 46 They Have New Competencies 47 HR Certification 48 46 THE PLAN OF THIS BOOK 48 48 The Basic Themes and Features CHAPTER CONTENTS OVERVIEW 49 49...
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...process to be productive, a careful planning process must take place. Planning is important to decision making because it helps to define the purpose, goals, and scope of the decision. Ensuring that the person making the decision “Ask, Acquire, Appraise, Apply, and Assess” the entire situation is essential, Making decisions on evidence-based research and with the best interest of the organization tends to give the best results. Types of Plans Strategic planning is used by organizations to establish their goals, define their strategies, and make decisions. Strategic plans incorporate the formulation and implementation of various processes. Organizational plans are specific to an organization’s goals in a particular organizational area. It lists a plan of work, programs affected, and time frame for accomplishing these goals. Specific plans are veritable tools used for implanting general policies without substantial legal challenge to the nature of their cause. Objectives are straight forward. In situations when flexibility in warranted, directional plans are used. Directional plans are flexible and provide managers with a set of general guidelines but do not lock managers into a particular course of action. Setting Goals Before any decision can be made, part of the planning process includes setting goals. Goals should be SMART (specific, measurable, attainable, relevant, and time bound). Goals serve as a basis for grouping people, organizations, and ideas. Specific...
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...Trends 38 Trends in the Nature of Work 39 35 WHAT IS HUMAN RESOURCE MANAGEMENT AND WHY IS IT IMPORTANT? 31 THE TRENDS SHAPING HUMAN RESOURCE MANAGEMENT 38 36 • HR AS A PROFIT CENTER: Boosting Customer Service Workforce and Demographic Trends 40 Economic Challenges and Trends 42 40 THE NEW HUMAN RESOURCE MANAGERS 43 Human Resource Management Yesterday and Today 43 They Focus More on Strategic, Big Picture Issues 43 • THE STRATEGIC CONTEXT: Building LL.Bean 43 44 They Use New Ways to Provide Transactional Services They Take an Integrated, "Talent Management" Approach to Managing Human Resources 45 They Manage Ethics 45 They Manage Employee Engagement 45 They Measure HR Performance and Results 45 They Use Evidence-Based Human Resource Management They Add Value 46 They Have New Competencies 47 HR Certification 48 46 THE PLAN OF THIS BOOK 48 48 The Basic Themes and Features CHAPTER CONTENTS OVERVIEW 49 49...
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...Inquiry into health care Assignment 1 This essay aims to thoroughly examine the importance of evidence-based practice within the health care setting. The use of evidence-based practice as a practical framework to locate, appraise and apply the best research will further discussed throughout this essay. In addition this essay will explore how health care professionals can use the five steps of evidence based practice (EBP) as a practical framework to overcoming barriers to locating, appraising and applying the best research evidence in relation to Occupational Health and Safety (OHS). The use of hand washing in relation to infection control will be the OHS area explored. Evidence based practice is a framework that involves an expert finding experimental evidence concerning the value of or effectiveness of altered treatment options, the significance of this evidence is then established in relation to the patients situation (Liamputtong, 2010).Evidence Based Practice generates the need for clinically vital information regarding clinical and health care issues (Liamputtong, 2010). This clinically vital information is gathered by altering evidence into answerable questions, once this information is gathered the appraised information will be put into clinical practice and evaluated based on performance (Liamputtong, 2010). The importance of the five steps of Evidence Based Practice is consistent and conclusive. Before EBP, clinical knowledge was primarily relied on in areas...
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...Title: Evidence Based Practice in Nursing Name Course Tutor April 20th, 2013 Introduction The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. It clearly elaborates on the meaning and definition of EBP as used by nurses as well as the importance of evidence based decision making as it relates to nursing care. It broadly examines the concept of EBP in nursing care and its relevance to nursing practice and to the delivery of quality patient care. Subsequently, the essay will also expound on the broad research methods that are used in evidence based nursing and conclusively show how this evidence can be applied in day to day health care practice. The Definition and Importance of EBP Evidence based practice in nursing has wide and varied definitions among the nurses in practice and in academic centres. However, the most generally accepted definition is the integration of the best research evidence with clinical expertise and patient values (Sacket et al., 2000). Van, Schoonhoven & Grol (2008 at p. 382) while citing Sacket et al., (2000), define evidence based nursing as the conscientious, explicit and judicious use of current best evidence available in making decisions that are pertinent to the care of individual patients. It is the optimal use of the available research evidence in nursing (Van, Schoonhoven & Grol, 2008). In other literature, evidence based practice (EBP), in nursing has been defined to mean the...
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...Running head: QUANTITATIVE RESEARCH STUDY Quantitative Research Study Knowledge Pressure Ulcer Prevention among Nursing Professionals Jeamol Joseph Grand Canyon University NRS-433= Introduction to Nursing Research 24 July, 2011 Quantitative Research Study Nursing research is a process which helps to improve the patient outcomes through a thorough analysis of data collected and making new contributions to the healthcare field. Evidence based nursing is the process by which nurses make clinical decisions using the best available. In quantitative studies researchers identify the problem and collect relevant data from subjects. The researchers plan in advance the steps to be taken and collect data in numerical form. In qualitative studies, researchers collect narrative descriptions. Data is collected and progression takes place as the research is continuing. Nursing research is systematic search to develop evidence on problems of nursing profession. Now days hospitals deliver higher quality care to critical patients .In hospital settings these patients are more susceptible to hospital acquired infections and injuries. All the institutions have used effective strategies to avoid complications that keep their patient’s safety at risk. Quality improving programs and patient safety committees are available in all hospitals to promote patient safety. Pressure ulcer or bed sores are important problem in hospitals and nursing homes. Pressure ulcers prolong the hospital stay...
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...Nursing practice 711.1.1-04, 06, 1.2-07, 2.2-09 (2006) | | |Help on this Page | |Directions | | | |SUBDOMAIN 711.1 - USING INFORMATION GATHERING TO IMPROVE NURSING PRACTICE | |SUBDOMAIN 711.2 - NURSING & OTHER RELEVANT THEORIES | | | |Competency 711.1.1: Internet Searches - The graduate can conduct Internet and database searches and critique and evaluate | |articles/materials acquired from these searches. | |Competency 711.1.2: Incorporate Data Into Practice - The graduate can use articles/materials acquired from Internet and database| |searches to improve nursing practice. ...
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...Professional Development: Critiquing Research The ability to critique (critically analyse and evaluate) research from both the qualitative and quantitative paradigms is an essential skill for occupational therapists. It is this skill, integrated with expertise gained from clinical practice that underpins evidence based practice (EBP). Although there are many definitions of EBP, Muir Gray (1997) defines it as “an approach to decision making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits the patient best." The purpose of this assignment is to enable the development of skills in critical analysis by critiquing a research article, which will contribute to further development of knowledge and skills in using EBP in clinical settings. A framework developed by Hek and Moule (2006) (see pages 3- ) has been used to guide the critique of a research article. A framework was used as Caldwell et al (2010 pg e1) argue that “ frameworks assist the novice healthcare practitioner with learning about approaches to research by giving consideration to aspects of the similarities and differences between the qualitative and quantitative research paradigms.” This framework was chosen as it is comprehensive and covers points/questions raised during the critiquing process, although it is important to remember that it is not a definitive checklist and other...
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...annotated bibliography will also be applicable for the qualitative nursing critique that is due in week five. Coughlan, M., Cronin, P., Ryan, F. (2007), Step-by-step guide to critiquing research. Part 1: Quantitative research. British Journal of Nursing, 16(11), 658-663. This article provides a step-by-step approach to understanding research terminology and provides the nurses with a basis for understanding quantitative research. The article points out that being able to read nursing research is the first step in incorporating evidence based best practices into nursing care. As referred to in the article, each stage of the process must be thoroughly examined and this article walks the inexperienced nurse through the process. Duffy, J. R. (2005). Critically appraising quantitative research. Nursing & Health Sciences, 7(4), 281-283. doi:10.1111/j.1442-2018.2005.00248.x Critical appraisal of quantitative research is important to evidence-based practice. It allows a clinician to determine whether a study is scientifically rigorous. This article describes critical appraisal as a careful process of judging the worth of a quantitative study that guide clinical decisions, as well as a structured approach for understanding the strengths and weaknesses of a study. The author describes the process of implementing research appraisal. The author also provides multiple links to critical appraisal tools. Flemming, K. (2010). Synthesis of quantitative and qualitative research:...
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...with high morbidity and mortality rates for ventilated patients in intensive care units (Bingham, Ashley, Jong, & Swift, 2010). The VAP increases patients’ mortality rates, length of stay and hospital costs (Hiner, Kasuya, Cottingham, & Whitney, 2010). The VAP is the leading causes of death due to nosocomial infections and the second most common nosocomial infection in the United States (Hiner et al., p. 164). The VAP is a serious and life threatening infection to critically ill patients and prevention of VAP is an ongoing challenge to critical care nurses. The purpose of this research was to investigate clinicians’ ability to estimate the head of the bed elevation (HOB) levels, assess their knowledge regarding the recommended guidelines of head of the bed elevations and to find out how they determine angle of the HOB in their practice (Hiner et al.). The study suggests that clinicians’ perception of head of the bed elevation play a significant role in helping to achieve the goal of elevating the HOB to 300 to 450(Hiner et al., 2010, p. 165). The study design and methods The researchers conducted a qualitative study based upon three open ended questions and participant observations. In qualitative studies, the task of sampling, data collection, data analysis and interpretation typically take place sporadically. In qualitative studies the discussions and observations are loosely structured, allowing the participants to express their beliefs,...
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...Chapter 1: Introduction to Human Resource Management Multiple Choice 1. The basic functions of management include all of the following except ___________. a. planning b. organizing c. motivating d. leading e. staffing (c; moderate; p. 2) 2. The management process is made up of ___________ basic functions. a. three b. four c. five d. eight e. ten (c; moderate; p. 2) 3. Which basic function of management includes establishing goals and standards, developing rules and procedures, and forecasting? a. planning b. organizing c. motivating d. leading e. staffing (a; easy; p. 2) 4. What specific activities listed below are part of the planning function? a. giving each subordinate a specific task b. recruiting prospective employees c. training and developing employees d. developing rules and procedures e. all of the above (d; moderate; p. 2) 5. Celeste spends most of her time at work setting goals and standards and developing rules and procedures. Which function of management does Celeste specialize in? a. planning b. organizing c. motivating d. leading e. staffing (a; easy; p. 2) 6. Which basic function of management includes delegating authority to subordinates and establishing channels of communication? a. planning b. organizing c. motivating ...
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