...In an evidence-based practice (EBP), there are five steps to approach: ask, acquire, appraise, apply and access. In this assessment, I find that the search strategy part can very challenge which are the step 1 and 2 in EBP. I said this part is challenging is not because it is difficult to understand or I don’t know how to use the database. It is because really a time-consuming part. There are a lot of articles in the database, and I need to find out which are relevant to my question. From the assessment, I learned it is important to break up the practice-related question in PICO form. The practice-related question should be neither too broad nor too detailed because if the question is very broad, the search output can reach hundreds or thousands...
Words: 436 - Pages: 2
...Using Evidence Based Practice Procedures, protocols and guidelines evolve as new research shows for more efficient practice. Nurses must stay competently with these changes as evidence-based practice offers patients the best quality care, avoidance of adverse effects and variances (White, Dudley-Brown & Terhaar, 2016). Performing care that is poor evidence based can put the patient at risk of their safety and quality of care (Clarke & Donaldson, 2008). Prevention, Assessment, management and communication with the patient are the appropriate interventions when handling a patient with a risk of developing pressure injuries. Marjorie Templeton was admitted to the emergency department with an infected foot ulcer by her general practitioner. According to the patient notes Templeton has insulin-dependent diabetes mellitus, also known as type 1 diabetes or autoimmune diabetes (Katsarou et al., 2017). Pressure injuries, more commonly known as bed sores are a result pressure and friction to...
Words: 917 - Pages: 4
...Magnet-designated hospitals, receive higher ratings from patients that has helped hospitals financially, in a study preformed Health Services Research using data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. In 2011, the ANCC, the world's largest and most prestigious nurse credentialing organization, and a subsidiary of the American Nurses Association awarded Yale New Haven Hospital with the distinction. Here’s a quote why, “Consumers of healthcare services today are increasingly sophisticated and they are choosing hospitals that have achieved Magnet recognition," said Richard D'Aquila, executive vice president and COO of Yale New Haven Hospital the largest hospital in Connecticut. (The American Association of Colleges of Nursing, 2015)...
Words: 283 - Pages: 2
...Assignment cover sheet Note: (1) The attention of students is drawn to: the Academic Regulations, the Academic Honesty Policy and the Assessment Policy, all of which are accessible viahttp://students.acu.edu.au/309246 (2) A de-identified copy of your assignment may be retained for University quality (audit) processes, benchmarking or moderation. |Student ID Number/s: |Student Surname/s: |Given name/s: | |S00158530 |Patel |Purvi | | | | | |Course:Bachelor of nursing |School:Australian catholic University | |Unit code:HLSC122 |Unit title:Inquiry in Healthcare | |Due date:30/03/2014 |Date submitted:30/03/2014 | |Lecturer-in-Charge: Joe Perry |Tutorial Group/Tutor: T, 06 | |Assignment Title and/or number: Assignment 1 ...
Words: 1854 - Pages: 8
...Chapter 17- Evidence-based practice in therapeutic health care Objective: What evidence-based practice is About a 5-step approach to evidence-based practice To discuss evidence hierarchies and evidence quality To apply the evidence to current practice To provide a case study for a therapy question To provide a case study for a diagnostic question Key terms: Clinical practice guidelines Evidence-based practice Randomised controlled trial Systematic review Evidence-based practice: the use of best research evidence, along with clinical expertise, available resources and the patient's preferences to determine the optimal management option in a specific situation. Randomised controlled trail: a clinical trail where participants are randomly assigned to groups in order to receive different interventions. This randomization removes many of the effects that may bias the true result. Systematic review: a comprehensive identification and synthesis of the available literature on a specified topic. Clinical practice guidelines: systematically developed statements that assist the health professional and the patient to make decisions about what is the appropriate health care in specific circumstances. Critical summaries (systemic reviews and clinical practice guidelines) now provide practitioners with readily accessible access to research evidence. The availability of theses documents on the web means that patients have almost as much access to the 'critical...
Words: 335 - Pages: 2
...Evidence Based Practice for Group Therapy Over the years’ professionals have wondered how to develop and maintain multicultural competence while incorporating evidence based practice. This article’s purpose is to “examine the intersection of MC and EBP in group therapy practice. Second, we outline guiding principles in effective groups with racial-cultural minority clients” (Chen 2008). Both purposes are important since group therapy is one of the main ways to help intervene with inpatient psychiatric patients. Group therapy has been proven to be very effective but it is also important to take into consideration the patients culture just like you would when you are taking care of a patient in the ICU. This article discussed two case studies....
Words: 323 - Pages: 2
...WHERE'S THE EVIDENCE? COMPLETING SECTION C Section C is due WEEK 3. This is where you present the RESEARCH evidence for your proposed change. Note that you must have 6 RESEARCH studies. Please use the required form for completion of the research reports and follow the directions closely. Completion of this form will ensure that you have found RESEARCH studies and will also provide you with an opportunity to consider the strength of the evidence that you have. In section C you will be locating 6 research studies on to support your proposed change. EACH study must address the focus of this concern. Once you find the research studies, you will examine EACH study and describe the SETTING, PURPOSE, RESEARCH DESIGN, SAMPLE, and FINDINGS. This will be quite easy to do as it should be clearly identified in the study. Fill this in the REVIEW OF THE EVIDENCE FORM for each study. PLEASE USE THE FORM PROVIDED - IT IS REQUIRED. Note that you must attach PDF versions of the six research studies for me to review. Next you will need to ascertain the level of evidence that each study represents. To learn more about this, please go to this Evidence Based Practice Tutorial and watch the VIDEO and then take the tutorial. When you finish, you will have a much clearer idea about the nature of evidence and why we need a body of knowledge to support our nursing actions and desired outcomes. USE THIS TABLE TO MAKE A JUDGMENT AS TO THE LEVEL EACH RESEARCH ARTICLE FITS. Rating System for the Hierarchy of...
Words: 531 - Pages: 3
...Evidence-based practice centers are the outcome of an initiative of the Agency for Health Care Policy and Research (AHCPR) in 1997 to promote practice based on evidence. The EPCs develop evidence reports as well as assessments on the topics, which are relevant to clinical and other health care organizations. There is a special emphasis on the common as well as expensive problems that the medical fraternity faces. A very good example of a successful EPC would be the one at John Hopkins Evidence-Based Practice Center. It has provided some pioneering research work on Type 2 diabetes in adults. Their research on this includes an in-depth analysis and study of an oral medication for adults having type 2 diabetes. It has also come up with a study...
Words: 252 - Pages: 2
...Evidence Based Practice Task 1 Western Governors University Evidence Based Practice and Applied Nursing Research The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk. Part A The article being analysed is: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal of Clinical Nursing, 22, 192-200. The analysis of the primary research report is done in the form of a graph (figure 1). Each of the four analysis areas is rated within a scale of 1-10; 1 denotes extremely weak while 10 denotes very strong. Table 1 then gives justifications for the rating by explaining why each area of analysis was rated that way in the analysis chart. [pic] Figure 1 Table 1 |A1 Article: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal | |of Clinical Nursing, 22, 192-200. | |A2 Background or introduction |The researchers provided an in depth introduction of the research topic outlining | | |important issues, previous research on the topic and their findings. The introduction | | ...
Words: 3773 - Pages: 16
...Barriers to Using Evidence-Based Medicine Melanie Ossman Granite State College Professor Philip Wyzik HLTC 600 March 4, 2011 Thesis The Institute of Medicine recommends the use of evidence-based medicine as a primary tool for achieving the aims outlined by their six themes of improvement. Specifically, EBM relates to their aim to make health care more effective: “to provide health care that is effective and efficient.” (Institute of Medicine, 2001) In recent years, evidence-based medicine has gained increasingly broad-based support in health care, but many doctors still aren’t using it. With a lean towards Pharmacy management, I researched the barriers providers and institutions are faced with in successfully incorporating evidence-based medicine and how initiating organizational improvements can help. The research highlights some important considerations to be aware of that gives evidence-based medicine a bad name, the pitfalls to avoid, and some ways providers and institutions are working to overcome them. Introduction This paper begins by giving an overview of evidence-based medicine, what it is, and the benefits to be realized by providers, insurers, and patients. I compared that to what providers were using before EBM. Next, I examine the barriers to successfully incorporating evidence-based medicine, and the negative perceptions that dissuade their use by clinicians. Identified are the disadvantages such as source information bias, ethics considerations...
Words: 3924 - Pages: 16
...A. Identify a current nursing practice within your healthcare setting that requires change. DEVELOPING OR CREATING AN INDEX TO MINIMIZE RISKS OFPRESSURE SORE 1. Describe the current nursing practice. An instrument specifically designed to aid health care workers evaluate the dangers of pressure sores that a patient faces is called the Braden Scale. After assessment, the victim is categorized depending on six aspects: capability of physical activity, hydration and nutrition status, capacity to alter position, the ability to respond after sensing discomfort related to pressure, shearing or exposure of the skin to friction during locomotion, and skin exposure to moisture. If the overall score is lower it means the risk of pressure sore is higher (Changing Practice, Changing Lives: 10 Landmark Nursing Research Studies, n.d). Prior to this Change, Skin assessment was based on non- formalized risk assessment which varies with each clinical practice. 2. Discuss why the current nursing practice needs to be changed Using non-formalized risk assessment in Predicting pressure ulcer resulted in non-uniformity and personal clinical judgement which varies from one person to another. Using Clinical judgement is more effective where the staffs are experienced and their experience assist in appropriate predictability, but with novice staff, the use of clinical judgment is inappropriate. In a multisite trial, Braden scale was tested by clinics bringing together skilled nursing facilities...
Words: 3865 - Pages: 16
...Melnyk and Fineout-Overholt (2011, p. 242) defines evidence-based practice as “the integration of the best research evidence with clinical expertise and patient values to facilitate clinical decision making.” EBP practices are imperative for the achievement of optimal outcomes in healthcare interventions. Following this assignment, it is demonstrated how the process of evidence-based practice can be utilized in the case of Mr. Banks to provide viable solutions to challenges faced as a result of depression and type 2 diabetes. The work commences with the problem identification. Then an answerable question is developed to guide the work in identifying the best evidence-based literature to address Mr. Banks’ issue. The identified scholarly material...
Words: 1409 - Pages: 6
...Evidence-Based Policing Introduction to Criminal Justice Evidence-Based Policing According to our text book criminal investigation is “the process of discovering, collecting, preparing, identifying, and presenting evidence to determine what happened and who responsible” when a crime occurs. ( Schmalleger 2010). Now in this process the case belongs to the detective in charge, but any officer can be involve in the preliminary investigation by securing the initial crime scene and evidence. Evidence- based policing is when police based their decision about a case by following the path of observation determined by the evidence; hence the name evidence based policing. This practice was derived from medicine when it resolves that the method use in medical practice can apply by the police force to achieve a scientific result. Police agency accreditation can come under great scrutiny from different angle for instance the public who feel a decision might be wrong, the prosecution office involving the case etc; this is why evidence is vital to case decision. Disadvantage of evidence base policing is that policies and procedures will only be as good as research itself. In some cases researchers may not be sufficient in their theory and data collecting which will alter the final result, and even many officers may not be sufficiently versed in research method to execute the proper strategies. In result only the strictest and comprehensive studies should be adopt by the processing police department...
Words: 564 - Pages: 3
...Controlled Trial Study. RESEARCHER: 1. Cheung Li, PhD, is an Assistant Professor, Department of Nursing Studies, University of Hong Kong, Pokfulam, Hong Kong. 2. Violeta Lopez, PhD, is a Professor and Head of School, School of Nursing (NSW and ACT), Australian Catholic University, North Sydney, NSW, Australia. SUBMITTED DATE : January 25, 2007 ACCEPTED DATE FOR PUBLICATION : July 21, 2007 PUBLISHED DATE : April, 2008 JOURNAL : Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged to integrate the best available evidence with clinical judgment and the current climate in health care requires nuses to be able to apply the best evidence, usually through...
Words: 4203 - Pages: 17
...sought to find an appropriate model to predict the risk of unplanned heart failure readmissions. The primary outcome from chart reviews also included death of heart failure patients within 30 days of discharge. The study looked at Centers for Medicaid and Medicare Services (CMS) models and the LACE+ index, to mention two of many that looked at prediction ability. The LACE+ index is a model that looks at length of stay, acuity, the Charlson comorbidity score and age, to predict readmissions. They found that no one model was appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were within the last five years. Statistical data was gathered by experts and calculations made through third party experts, lending validity to the study. This article does not use the words ‘Evidence-Based Practice’ (EBP), but the CMC model is an EBP model, and many of the newer references make note to EBP. Although this was an interesting article, I may not use this in my final project. I...
Words: 3254 - Pages: 14
