...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 was defined using PICO(T) which Borbasi...
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...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 ...
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...HPNA Position Statement Evidence-Based Practice Background Increased attention is being directed toward the development of methods that can provide valid and reliable information about what works best in healthcare. The careful scientific evaluation of clinical practice became a prominent focus during the second half of the 20th century.1 More recently, attention has been paid to methods of determining which of multiple proven approaches to a healthcare problem works best for which patients.2 Evidence-based practice encompasses implementing the best-known practices into the clinical setting using a scientific approach. It evolved from evidence-based medicine, which was developed in Canada to teach medical students. “Evidence-based medicine has been defined as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”3, p. 3 The National Quality Forum’s report A National Framework and Preferred Practices for Palliative and Hospice Care Quality is a consensus report that is a first step toward introducing evidence-based measures into palliative practice on a formal, national level.4 The Agency for Healthcare Research and Quality (AHRQ) supports organizations in their efforts to improve the quality and efficiency of healthcare by facilitating the use of evidence-based research findings in clinical practice.5 The nursing discipline has also embraced evidence-based practice over the past 25 years, initially through...
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...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...
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...Perspective Essay “Research is systematic inquiry that uses disciplined methods to answer questions or solve problems. The ultimate goal of research is to develop, refine, and expand knowledge (Burns & Grove, 2011) .” “Nursing research is systematic inquiry designed to develop trustworthy evidence about issues of importance to the nursing profession, including nursing practice, education, administration, and informatics (Polit & Tatano, 2012) .” Stetler’s Model of Research Utilization to Facilitate Evidence-Based Practice is a primary example of this. This model was developed by Stetler and Marram in 1976. Stetler then expanded the model in both 1994 and 2001 to promote evidence based practice in nursing. (Polit & Tatano, 2012) The model enhances the use of research evidence by nurses to promote evidence based practice. On a basic level this model can use the knowledge from the research to enhance or influence a nurse’s decisions or have an impact on educational programs and many other uses. Stetler’s 2001 model contains five phases. They are: preparation, validation, comparative evaluation/decision making, translation/application and evaluation. Stetler’s intention with the 2001 model was “to make using research evidence in practice a conscious, critical thinking process that is initiated by the user. (Polit & Tatano, 2012) ” Preparation determines the purpose of potential outcomes that can make evidence based change in a clinical arena. Such research could be used to...
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...The Effect of Telemonitoring in CHF patients Evidence Based Practice Project Sacred Heart University The Effect of Telemonitoring in CHF Patients Evidence Based Practice Project Question (PICOT) Question: In elderly individuals over the age of 65, does the use of a mobile phone-based medication adherence application, compared to a mobile phone texting reminder, increase medication compliance by 25%, within 12 weeks of implementing the program? Evidence Appraisal Matrix Source (APA) | Type of Study design (RCT, phenomenology, etc.)/Purpose | Level of Evidence(According toMelnyk & Fineout-Overholt) | Sample, settingInclusion/ExclusionCriteria | Methods, instruments, data analysis | Findings/Implications | Inglis, S. C. (2011). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Of Systematic Reviews, (6), doi:10.1002/14651858.CD007228.pub2 | Systematic Review | Level I | Twenty-five studies and five published abstracts were included. 16 evaluated structured telephone support, 11 evaluated telemonitoring, and two tested both interventions. Inclusion criteria:only peer reviewed, published RCTs comparing structured telephone support or telemonitoring to usual care of CHF patients were included. | Various search engines such as: MEDLINE, EMBASE, CINAHL, and AMED were searched from 2006 to November 2008.Relevant studies and systematic reviews and abstract conference proceedings were hand searched. No...
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...NELL HODGSON WOODRUFF SCHOOL OF NURSING TITLE: NRSG 507: Theory and Research Applications CREDIT ALLOCATION: 3 Semester hours PLACEMENT: Tuesdays 1:00 – 3:50 PM Rm. 201 FACULTY: Catherine Vena, PhD, RN | Eun Seok (Julie) Cha, PhD, RN | Clinical Associate Professor | Assistant Professor | Room 224 | Room 234 | cvena@emory.edu | echa5@emory.edu | 404-727-8430 | 404-712-9578 | Office Hours: By appointment | Office Hours: By appointment | COURSE DESCRIPTION: This course is an introduction to the theoretical and research foundations of advanced nursing practice. Key content to be covered includes the philosophical basis of science and knowledge, the structure and development of theory, qualitative and quantitative research methods, theory and research critique, and the application of theory and research in advanced nursing practice. It delineates research competencies for advanced practice nurses. The course encompasses critique of studies, application of research findings to practice (research utilization) and evaluation of outcomes attributable to advanced practice nursing. Ethical considerations related to research are integrated throughout the course. COURSE OBJECTIVES/OUTCOMES: 1. Understand the relationship between theory, research, and practice. 2. Critique and evaluate theoretical perspectives and research methods used to address clinical problems. 3. Understand qualitative and...
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...Promoting Evidence-Based Education: The Role of Practitioners Round table presented at the British Educational Research Association Conference, Cardiff University, 7-10 September 2000 Robert Coe, Carol Fitz-Gibbon and Peter Tymms Curriculum, Evaluation and Management Centre, Durham University Mountjoy Research Centre 4, Stockton Road, Durham DH1 3UZ Tel: 0191 374 4504; Fax: 0191 374 1900; Email: r.j.coe@dur.ac.uk http://www.cem.dur.ac.uk/ebeuk Abstract A number of recent initiatives from Durham University’s Curriculum, Evaluation and Management Centre have sought to involve teachers in creating, accessing and applying evidence about what works in their practice. The ‘gold-standard’ of evidence in this context is taken to be multiple replications of small scale, randomised controlled trials of feasible interventions in real-life settings. The aims, form and progress of these initiatives will be reported, and a number of questions will be raised: What do we mean by ‘Evidence-Based Education’? How can it best be promoted? What kinds of research can teachers do? How good can it be? Can it genuinely contribute to knowledge? Is it a distraction or enhancement of teachers’ core role? How do traditional models of Action Research fit with this approach? Is there an existing body of knowledge that can inform practice? How can teachers gain access to it? Under what conditions might such knowledge have an impact on practice? ...
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...contaminated body fluids? To answer this, I would need to conduct a systematic review of literature that will result in Level 1 Evidence, based on the “Evidence Based Practice Toolkit” from Ackley et al. (2008). To achieve Level 1, I must use all relevant RCTs (randomized controlled trial) or evidence-based clinical practice guidelines based on systematic reviews of RCTs or include three or more RCTs of good quality that resulted in comparable results (Ackley et al., 2008). For this research, the necessary tangible resources are a computer/laptop, books, and journals as well as the money spent while...
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...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...
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...disadvantages those patients like MA, as if they have a long term or chronic condition they may not receive treatment or care and this in turn will raise the country’s morbidity and mortality rates. In the UK the Government provides all healthcare free at the point of delivery and prevention of ill- Health and patient’s taking responsibility for managing their own illness or disease is viewed as an important Public Health Strategy ( DH 2010). In this assignment I will discuss strengths and limitations of evidence based practice (EBP),sourcing different forms of evidence which will enable me to provide the best evidence-based practice I can for my patients. How I sourced evidence will be discussed, but a wide range of literature will be utilised to support my discussion and assist my acquisition of further knowledge around not only management of leg ulcers but also EBP. Evidence based Practice (EBP) is a term referring to reliable, clear and sensible use of up to date best evidence in constructing decisions about the care of individual...
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...prison guards and police officers”(ICN, 2009). The aim of this essay is to critically appraise a systematic review of the 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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...in real-life situations and to apply different frameworks and tools in order to analyse the strategic positions of a firm in an industry or market. A direct outcome of this last part is to demonstrate that you can diagnose any challenges or gaps that this firm can pursue or fill and, therefore, you can recommend alternative strategies. Instructions: 1. Pick a company you find interesting in any industry, market or country you like. Make sure that you choose a firm that meets the following criteria: a. It is not very small (10+ employees) b. It generates revenue of a few hundreds thousands pounds or equivalent (£100,000+ revenue) c. you can find enough information about it The last criterion is very important as your assignment is heavily based on the information you can collect and the level of accessibility you can get for this information 2. Read as much material as you can find about this firm. Try to understand the business, the strategies it follows and the challenges it faces in that industry 3. Then, proceed with the assignment questions 2. Assignment Questions You are a management consultant and you have been asked by the Board of Directors of your employer to prepare a report that presents an assessment of the strategic position of the firm you have chosen within its industry. The report to the client should include the following: Page 2 of 8 1. A critical analysis the business environment (industry) of the firm and how it impacts the strategic position of the...
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...Examine the ways that health professionals can use the five steps of evidence-based practice (EBP) as a practical framework to overcoming barriers to locating, appraising and applying best research evidence. Use an occupational health and safety practice as an example. Examples of occupational health and safety practices include: * Use of professional protective equipment (e.g. gloves) * Safety considerations when using equipment (e.g. sharps) * (or a topic you select yourself in negotiation with your LIC) Health professionals are very good at seeking information from their clients and their families and also from the settings in which they work but however they have not been as aware of the information that they can gain from research. Although they need information from many sources, evidence based practice shows how research can also play a role in informing clinical decisions, (Hoffmann ,2010). Health professionals use the five steps of evidence-based practice (EBP) as a structure to overcoming barriers and applying best research. Examples of this include use of professional protective equipment and safety considerations when using equipment. Liamputtong (2010) states that evidence based practice is a “process that requires the practitioner to find empirical evidence about the effectiveness or efficacy of different treatment options and then determine the relevance of the evidence to a particular clients situation” (pp. 252). Sackett (1996, pp.71)...
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...Systematic Review NUR/518 University of Phoenix Systematic Review The purpose of a systematic review is to attempt to find, evaluate and synthesize high quality research relevant to the research question. A systematic review uses carefully developed data collection and sampling procedures that are put in place in advance as a protocol. (Polit, 2012). A systematic review must contain the following: a clear inclusion and exclusion criteria, an explicit search strategy, systematic coding and analysis of included studies, and a meta-analysis if possible. (Hemingway & Brereton, 2009). Systematic reviews are conducted by nurse researchers to avoid reaching incorrect or misleading conclusions that could arise from a biased study. Systematic reviews are perceived by many as the cornerstone of evidence-based practice. (Polit, 2012). The issue of concern that this article addresses is “to systematically evaluate nurse working conditions and to review the literature dealing with their association with patient outcomes.” (Bae, 2011). “The aim of this study is to fulfill two objectives: a systematic evaluation of nurse working conditions and a review of the literature dealing with the association between nurse working conditions and patient outcomes. The innovative review of research on working conditions focused on the relationships between nurse working conditions and patient outcomes.” (Bae, 2011). The author of this systematic review, Dr. Sung-Hei Bae, is currently...
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