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Evidence-Based Practice in Clinical Practice the Demand Essay

… Evidence-Based Practice in Clinical Practice

The demand for maximum quality in Clinical Practice, has increased pressure on medical professionals to ensure that clinical practice is grounded on viable evidence.

Changes in treatments and improving expectations from clients to provide the best care possible, place high requirements on therapists to maintain a service that is grounded on current best evidence.

This paper critically appraises and applies the principles of evidence-based practice in Clinical Practice.

The demand for maximum quality in Clinical Practice, along with the need for sensible use of resources has increased pressure on medical professionals to ensure that clinical practice is grounded on viable evidence. Changes in treatments, a significantly rising volume of research information, and improving expectations from clients to provide the best…. [read more]


Mobility Evidence-Based Practice Progressive Capstone Project

… Critically ill patients had the protocol prescribed as part of their Medicare. In addition, its design aimed at promoting the protocol three times a day. The mobility protocol recognizes the significance of sleep in the healing process; therefore, it is implemented three times during the day and evening hours. The nurses are to determine the exact timing of the progressive mobility protocol to promote nursing management of the protocol while supporting individual needs of the critically ill patients (Plis, 2009).

Project outcomes

The awaited outcome is the effect of early mobilization on LOS for critically ill patients. In this case, the LOS (Length of Stay) for patients in the ICU for the preceding year was 13.5 days. Evaluation of LOS happened 12 months before implementation…. [read more]


Evidence-Based Practice Use in Nursing Essay

… The fifth and sixth steps are to remove obstacles and to create 'short-term wins' (Kotter's 8-step change model, 2013, Mind Tools). Removable obstacles include a lack of technical expertise; problems with the technology (such as poor-quality pH paper); and a lack of support during the 'learning' process. These are all very feasible problems which can be dealt with effectively with planning. Although not all problems can be circumvented, at minimum there should be some types of 'checks' to ensure that avoidable problems are not allowed to fester. And rather than viewing the change process as something that occurs in a black-and-white fashion, focusing on small improvements (such as improving accuracy, increasing the rate of the transition to the new method) creates a positive boost in…. [read more]


Evidence-Based Practice and Cognitively Impaired Patients Research Paper

… Evidence-based Approach to Patients' Conditions:

Nurses usually work with cognitively impaired, depressed, angry, and anxious patients on a daily basis. Generally, nurses working in general practice come into contact with individuals with impaired health and reduced quality of life because of various conditions such as anger, anxiety, and depression. As a result, nurses are increasingly required to become experts in diagnosing and managing the care of patients with such characteristics. This process involves the identification of signs and symptoms of these conditions, asking the right questions, and engaging in difficult conversations with their patients. Due to the varying conditions of patients, care giving by nurses and other medical practitioners take various forms. Together with other medical practitioners, nurses work with sick, older, and disabled individuals,…. [read more]


Evidence-Based Practice Research Paper

… Evidence-Based Practice

Hendrich Fall Risk Assessment Tool

Inpatient falls are common and a leading cause for adverse events in the hospital setting. According to an epidemiological study of hospital inpatients, falls generally range from 2.3 to 7 per 1,000 patient-days with 30% of them resulting in injury and 4% to 6% causing serious injury to the patient (Hitcho et al., 2004). The Hendrich Fall Risk Assessment Model is commonly used to determine the risks of falls based on such predictors as gender, mental and emotional status, symptoms of dizziness and medications commonly associated with increasing risks (Hendrich, Bender, & Nyhuis, 2003). Questions arise, however, concerning the reliability of the predictor and the practicality of using this falls risks assessment on every patient. For all patients…. [read more]


Evidence-Based Practice Task A: Nursing Research Paper

… Keady, J., Woods, B., Hahn, S., & Hill, J. (2004). Community mental health nursing and early intervention in dementia: developing practice through a single case history. Journal Of Clinical Nursing, 1357-67. doi:10.1111/j.1365-2702.2004.01045.x.

The researchers use a case study of a Dementia patient in primary care intervention indicating the need for diversity of early intervention in dementia care for a community health nurse and psychiatric social worker. This diversity intervention treatment entailed collaboration with the families of the demented patient and proved successful in the case study.

Forrest, S.S., & Masters, H.H. (2004). Evaluating the impact of training in psychosocial interventions: a stakeholder approach to evaluation -- part I. Journal Of Psychiatric & Mental Health Nursing, 11(2), 194-201. doi:10.1111/j.1365-2850.2003.00708.x.

The research indicates that intervention approaches for…. [read more]


Evidence-Based Counseling: Implications Counseling Practice Essay

… Once again this points to how social barriers can inhibit access to care. The Outcomes model provides a measurable way of identifying barriers and enables them to be rectified. Physical barriers such as distance can influence determinants of use, as can cost, and perceptions that healthcare providers are uncaring. In the Outcomes model, "the conceptual enhancement of distinguishing between services entry and treatment...is important because it suggests that the factors that lead someone in a rural area to seek treatment may not be the same as those that enable him or her to stay engaged in treatment long enough to obtain a benefit" (Hauenstein 2008: 153). Once barriers to entry are broken down, treatment engagement, the theory suggests, can be facilitated through specific approaches, such…. [read more]


Occupational Therapy Evidence-Based Practice Paper Research Paper

… Iona Novak, Anne Cusick, and Kevin Lowe's (2007) "A pilot study on the impact of occupational therapy home programming for young children with cerebral palsy" from American Journal of Occupational Therapy is another examination of the efficacy of home-based programs. It focuses on home programs because they are one of the most common intervention types for individuals with cerebral palsy. The stated aim of such programs is to enable parents to be trained in therapeutic techniques, which they can use to help improve their child's functioning. However, this article evaluated through a pretest -- posttest design the success of a home intervention program and found inconclusive results. While the children did show significant improvement when the study's designers used Goal Attainment Scaling (GAS), the Pediatric…. [read more]


Evidence-Based Practice and Transformational Leadership Capstone Project

… In addition, inter-coder reliability will be used to assess the reliability of the interview transcript coding. Nurses interviewed for the project will be given the opportunity to review the transcripts of their interviews to verify that the summarization accurately portrays their viewpoints.

Data collection plan. Project participants will be surveyed several times during the project. An initial baseline survey will establish knowledge about transformational leadership as it is implemented in clinical and hospital settings, about EBP, and about organizational change. These surveys, which will be completed online, will be pilot tested with hospital staff not involved in the project. In addition, face-to-face interviews using the LPI will take place towards the end of the project year. Data will be collected by the researcher and by…. [read more]


Integration Evidence-Based Practice Professional Nursing Essay

… In the absence of such issues, the nurses cannot cater to the necessities set forth in the education norms. (Nysna, 2006)

Critical Training-CT is crucial with regard to evidence-based nursing practice. Evidence-based practice or EBP assists nursing care and can supplement adequately to patient results across a wide range of set up a well as geographic regions. The characteristics of EBP, its association to nursing and the skills required to support it need to be regarded as essential elements of baccalaureate education and should be introduced early in the progress of students as self-directed learners, being independent and as professional skilled nurses. Among the skills, knowledge and structures required to support EBP, critical thinking is important. The progress of critical thinking can organize nurses with…. [read more]


Nursing Research and Evidence-Based Practice Essay

… The data collected in routine care is aimed at ensuring the patient receives the highest standard of care. Therefore, principles such as anonymity are not ensured because the data is only meant to be for provision of care. Forms used in routine care often have the patient's name or number and can be easily traced to a particular patient. Secondly, in routine care, interviewer bias is not a concern because the interviewer rarely has an angle since they are only collecting data aimed at ensuring the patient gets the appropriate care. The principle of supplementary data is common in both the routine data collection and in research because the nurse has to be observant about the patient's surrounding. Principles that are new include those of…. [read more]


Medication Reconciliation Evidence-Based Practice Essay

… 672).

Verifying Medications by Collecting an Accurate Medication History:

As the subsequent discussion will demonstrate, a great many medication errors can be eliminated at the outset by taking the proper steps to gather information at the time of admission. It is at this first step in the healthcare process that the absence of a streamlined and consistent medication reconciliation process can result in errors that may follow the patient problematically throughout his or her treatment experience. Accordingly, time and labor limitations in emergency room and other clinical contexts can lead to errors resulting from inaccurately gathered drug histories, deficits in communication between medical professionals, illegible handwriting, and lack of access to prior medical histories. FitzGerald (2009) identified that the simplicity of using terminology of "medicines…. [read more]


Evidence Based Practice Analysis Using Qualitative Research Research Paper

… ¶ … Evidence-Based Practice Qualitative Research

Objective of this paper is to evaluate the research titled "The Lived Experience of Men Diagnosed with Prostate Cancer" (Krumwiede, & Krumwiede 2012, p E443) to demonstrate evidence-based nursing practice. The study uses descriptive qualitative technique to collect data from sample population of 10 older men suffering from prostate cancer, and the methodology used to collect data consists of open-ended questions using the semi-structured interview. The qualitative data analysis was carried out and the findings assisted in enhancing a greater understanding on the method the participants live with cancer.

Overview of the research reveals that Krumwiede, & Krumwiede (2012) identify the research problem by pointing out that "prostate cancer is the second most common type of cancer among men…. [read more]


Evidence-Based Practices Thesis

… Evidence-Based Practice

In the past decade, evidence-based practice (EBP) has been consistently recommended for the helping professions (Proctor, 2004; Roberts & Yager, 2007). Trace the historical roots of evidenced-based practice. Evaluate the benefits and risks of its implementation in social work and community services.

Roberts, A.R., & Yaeger, K.R. (Eds.). (2007). Foundations of evidence-based social work practice. New York: Oxford University Press.

Proctor, E.K. (2004). Leverage points for the implementation of evidence-based practice. Brief Treatment and Crisis Intervention, 4(3), 227-242.

The nature of the social work profession is to assist people who are in need of services. People who chose to work in helping professions such as social work and community services are charged with the task of helping people overcome problems by providing a…. [read more]


Evidence-Based Practice and Case Analysis Term Paper

… Evidence-Based Practice and Case Analysis

Evidence-Based Practice - Analysis

Evidence-based practice involves "conscientious, explicit and judicious use of current best evidence" so that decision makers can make decisions grounded in scientific proof, factual information and theory (UTA, 2003). This means that nursing students engaged in evidence-based practice must rely on previous research and scientific findings to develop protocols for caring for patients that are most likely to result in a positive outcome.

Evidence-based practice is applicable to nursing practice as it enables customization of a nursing student or practitioners experience with forms of evidence that apply to specific health problems or situations being investigated. Evidence-based practice allows staff including nursing staff to develop methods of care and appropriate interventions that are based in whole or…. [read more]


Evidence-Based Nursing Practice Research Proposal

… Evidence-Based Nursing Practice

"Evidence-based nursing is the combination of individual clinical or professional expertise with the best available external evidence to produce practice that is most likely to lead to a positive outcome for a client or patient" (Evidence-Based Nursing, 2008). The general idea is to be able to produce the best possible outcome for the patient by implementing care based on the best evidence of what works.

Fatigue is a difficult and persistent problem for patients that are undergoing cancer treatment, cancer survivors, and patients with cancer who are at the end of their life. Approaches to reduce, manage, or eliminate fatigue tend to have a positive impact on patient outcomes. These include: symptom grief, physical and vocational functioning, psychological distress, family well-being and…. [read more]


Evidence-Based Practice Essay

… Evidence-Based Practice

Faith MS, Van Horn L, Appel LJ, Burke LE, Carson JAS, Franch HA, Jakicic JM, Kral TVE, Odoms-Young a, Wansink B,

Wylie-

Rosett J (2012). Parents as Agents of Change for Obese Children. Retrieved Sepetmeber 5, 20120 from:

http://my.americanheart.org/professional/General/Parents-as-Agents-of-Lifestyle-Change-for-Obese-Children-a-Call-to-Action_UCM_436920_Article.jsp

Date (year)

Review of the Literature

Specific data analysis

Suggested Conclusions

Faith MS, Van Horn L, Appel LJ, Burke LE, Carson JAS, Franch HA, Jakicic JM, Kral TVE, Odoms-Young a, Wansink B, Wylie-Rosett J

Official Journal of the American Heart Association

Environment as an important influence on a child's health and whether or not the child becomes obese: parents has a huge influence on that environment.

Consults a range of literature which support the idea that the family unit has a tremendous impact on…. [read more]


Identifying a Researchable Problem Research Paper

… Evidence-Based Research Problem in Nursing

Guided Imagery and Pain Management

Everyone experiences pain at some point. From the patient in the most dire circumstances in urgent care to the little kid with a sprained ankle. Pain is universal. Yet, it continues to plague individuals all over the world.

Pain Management and the post-surgery healing processes are a difficult area to study based on the personal nature of how each individual patient deals with and visualizes their own pain and recovery. Still, nursing researchers and practitioners are constantly looking for methods to improve or augment current pain management practices within contemporary nursing practice. In more contemporary pain management strategies, there is often a tendency to over rely on pharmaceutical medications. Pain is experienced by patients of…. [read more]


Evidence-Based Models Research Paper

… The only probable way of controlling this is by placing the persons in some community program. (Champion, 1994) Thus there cannot be a model that ignores both these aspects.

Conclusion

The two models -- medical model that treats addiction as a disease has a lot of merit when the criminal addict is treated at a facility under strict supervision and care. This is effective in addressing the biological nature of man discussed in this paper and hence can be the model ideal and suited for the therapy inside the prison, and a correctional facility. However the model lacks enforcement once the person is released. On the other hand the community-based system is very effective in the society.

The ideal model would be where a convicted…. [read more]


Evidence-Based Nursing Essay

… In order to follow evidence-based nursing there should be effective and efficient strategies for the nurses in order to extract relevant and useful information from the different research sources, publications, and evidences.

In order to give a nursing solution based on the evidences to the real time issues and problems of the patients, nurses should have some important skills like they should be able to properly define the problem, should be able to conduct useful or fruitful research for finding the best possible evidence related to the problem under consideration, should be able to critically evaluate and appraise the evidence, and relate that evidence to the actual situation of the patient.

The implication of evidence-based nursing requires a good blend of the intuition, judgment and…. [read more]


Evidence-Based Medicine Working Group. ) Peer Reviewed Journal

… More interaction among researchers, policymakers, and clinicians, so studies can be aimed at answering questions of interest to policymakers and clinicians.

Policymakers should commission RTs of policy-relevant questions

Authors of reviews should provide more contextual information or refer readers to easy-to-find articles

Authors of reviews should develop user-friendly formats: this article suggests 3 formats: a 20-second version of 1-paragraph to 1-page bottom-line summary; a 2-minute version of 2- to 3-page summary focusing on validity and applicability; a 2-hour complete version.

Waldman, M.H. (2006). Evidence-based medicine. How to translate research into patient care. Journal of the American Podiatric Medical Association 96(4), 374-377.

Evidence-based medicine (EBM) consists of integrating clinical experience with the best evidence from systematic research to improve patient care

Must learn how to critically…. [read more]


Evidence-Based Practice Research Paper

… Nursing

Evidence-based Practice

The article Clinical Practice Guideline: Diagnosis and Management of Acute Otitis Media, (2004), is an example of filtered information in the form of an evidence-based guideline. Due to the fact that this guideline provides suggestions to primary care clinicians for the management of children from 2 months through 12 years of age with uncomplicated acute otitis media (AOM) this is definitely appropriate for the nursing situation at hand. This source would be helpful to this group of nurses as they try to determine if watching and waiting is a better approach than immediate administration of antibiotics.

The article by Block (1997), entitled Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media, is an example of filtered information in the form…. [read more]


Evidence-Based Practice and Applied Nursing Research Paper

… Nursing

Evidence-Based Practice & Applied Nursing

A good research report contains five different areas. The first is the Abstract. The abstract provides two major purposes: it helps a person decide whether to read the paper, and it provides the reader with a framework for understanding the paper if they decide to read it. It should include a statement of the problem, the people who were studied, the dependent and independent variables, the instruments, the design, major findings, and conclusions. The second area is the Introduction. This area should be a paragraph or two that presents the investigated problem, the importance of the study, and an overview of the research strategy. The opening paragraphs are usually followed by a review of the literature in order to…. [read more]


Evidence-Based Practice in Nursing Evifence Article Critique

… Using EBP has assisted the unit to make informed decisions and not rely upon experience. Experience has limitations because the same procedure could have detrimental consequences on another patient. The use of EBP has had positive outcomes in that the unit is now able to understand and easily conduct research analysis.

The risks associated with change are obstacles during implementation, failure, and lack of resources. The changes been proposed need support from all within the hospital (Hauck et al., 2013). In order to ensure there is support for the change directors should be the champions for the change. Adopting this change would ensure that all hospital staff are on board and would prevent any legal claims that might arise from using EBP. The usage of…. [read more]


Evidence-Based Guidelines in Nursing Practice Essay

… During their work, researchers in the nursing practice explore problems of particular concerns to these professionals, patients, families, and society they serve. While nursing research involves the use of qualitative, quantitative, and triangulated methods, they must follow specific approaches to enhance the accuracy and quality of the data analyses.

While the nursing profession has recognized the significance of research to promote its development and effectiveness, the use of research evidence in this field has been hindered by several barriers. As a result of the barriers, nurses have experienced various factors that interfere with their ability to use research evidence as the basis of their practice (Retsas, 2000). The various factors raised by these practitioners can be classified into four categories i.e. difficulties in accessibility of…. [read more]


Health Care Policy Issue Analysis on Evidence-Based Practice Term Paper

… Health Care Policy Issue Analysis on Evidence-Based Practice

Health Policy Issue Analysis on Evidenced-Based Practice

Despite many efforts that are used to promote evidence-based practice (EBP), many patients are not receiving appropriate care. Evidenced-based practice implies that decisions about treatment options will depend largely on evidence of their clinical effectiveness. The major purpose of EBP is the elimination of the use of expensive, ineffective, or dangerous medical decision-making.

However, developing and using this evidence is not always straightforward. Making use of evidence in clinical practice is a major challenge for nurses. They face numerous gaps and barriers to EBP. The major barriers include a lack of time, poor access to literature, and a lack of ability to judge the quality of the research. To tackle…. [read more]


Nursing Knowledge Annotated Bibliography Evidence Annotated Bibliography

… Frank, R., (2013), "How to De-stress," Retrieved from:

http://robjohnfrank.com/how-to-de-stress/

Frank believes that stress management is the need of all the practitioners since pressure of work is ever-increasing today. She recommends that there are evidence-based stress management techniques that can help practitioners generally and nurses particularly to reduce stress and achieve high productivity. The technique includes low-intensity drills like walking, cycling, or swimming that are fastest ways to release stress. These activities can be called supporting activities for stress management. There is another technique called cognitive behavioral therapy that identifies counter-productive thoughts and then replacing those positive ones that are more productive. The anxiety and depression are most counter-productive stressing states and should be dealt on proper grounds. Nurses should also undergo meditation to help focus…. [read more]


Practice Extrapolate Strategies Propose Close Essay

… "Popper claimed that no matter how many times something is observed to happen, we can never logically conclude that it will always happen -- the next observation might reveal something different" (Rolfe 1993: 176). Nursing by definition treats the individual patient and person and does not aspire to create abstractions for abstraction's sakes. Rolfe notes, however, that this does not mean that theory is irrelevant, but rather nursing theory must have a uniquely practical and utilitarian purpose. "Theory does not determine practice, but is generated from practice" (Rolfe 1993: 175).

Rolfe does suggest that for the experienced practitioner who knows how to use theory in a meaningful fashion, the type of seamless integration between the two is possible in the field. The type of mentorship…. [read more]


Jean Watson and How Her Theory Relates to Hypertension Research Paper

… Evidence-Based Practice Guideline

Relating Watson's Theory to Hypertension ii

The increased quality of life of patients living with Hypertension, a condition acerbated by high blood pressure, has been duly illustrated through a close observation of the evidenced-based guidelines and best practice guidelines to address this clinical problem. These holistic guidelines have been drawn from the key concepts of Jean Watson's Theory of Human Caring, a theory which has been proven effective through personal integration in an effective daily approach to nursing.

Relating Watson's Theory to Hypertension

How Jean Watson's Theory of Transpersonal Caring Relates to Hypertension

In keeping with the beliefs stated in my first paper, this paper will integrate those beliefs in an evidence-based practice guideline in conjunction with those philosophical beliefs and the…. [read more]


Domestic Violence and Hispanic Women Research Paper

… Evidence-Based Practice Protocol: Domestic Violence and Hispanic Women

Evidence-based Practice

Domestic violence (DV) accounts for about 30% of all acute injuries to women treated in emergency departments, as it currently constitutes a critical public health concern, not only in the United States (U.S.), but worldwide. Some studies indicate that Hispanic women are more likely to be injured during intimate partner violence incidents than non-Hispanic women, with scholars agreeing that DV among Latinos must be addressed as it constitutes a serious problem among the Latino growing population.

Research reveals that utilizing emergency room protocols to identify and treat victims of domestic violence increases the identification of victims by medical practitioners. Although a high percentage of female victims of domestic violence visit emergency rooms for treatment, low…. [read more]

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