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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]


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]


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]


Assessing the Potential of an Evidence-Based Approach to Health Care Management Essay

… ¶ … Evidence-Based Approach to Health Care Management

The objective of this work is to assess the potential of an evidence-based approach to health care management. Toward this end this work will review the literature in this area of study.

Questions addressed in this research study include those of:

(1) How does evidence-based management compare with evidence-based medicine?

(2) Could an evidence based approach led to improvements in health care policy and practice or are there too many obstacles to its widespread use?

The work of Lewis and Latney (2003) entitled: "Achieve Best Practice With an Evidence-Based Approach" states that successful "...progressive care units (PCUs) operate in a benchmarking evidence-based practice environment and maintain strong interdisciplinary teams to efficiently measure outcomes." p.1 This approach is…. [read more]


Evidence-Based Models for Substance Abuse Case Study

… This medication blocks the effects of other opioids and is difficult to abuse" (p. 54). In addition, the National Institute on Drug Abuse emphasizes that, "Effective use of medications can also be instrumental in enabling people with co-occurring mental health problems to function successfully in society. Behavioral strategies can increase adherence to medication regimens" (Principles of Drug Abuse Treatment for Criminal Justice Populations, 2011, para. 2).

This evidence-based treatment regimen is well suited for the purposes of this author's agency where budgets have been slashed and the need for cost-effective treatments has become highly pronounced. Both methadone and buprenorphine/naloxone have proven efficacy in the general population and there is a growing body of evidence concerning their effectiveness in prison populations as well (Byrne et al.,…. [read more]


Nurses Deliver Evidence-Based Care? Term Paper

… (Beyers, 104)

It is worthwhile to extend some evidences that visualize the prevailing results of EBN. Empirical data demonstrating the efficacy of nursing intervention have been visualized to exert a crucial part in performing the distinction in patient consequences, when applied properly. One such clinical study, analyzed the efficacy of the self-management program on COPD patients. Bourbeau and Maltais, et al. during 2003 organized randomized, blinded regulated trial on 191 stable COPD patients and followed up for the whole year. About 96% were dispensed to a self-management program offered by case managers for an hour a week in the home of the patients for about seven to eight weeks, and simultaneously about 95% were offered to a regulated group. The patients in the self-management group…. [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 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]


Diabetes Evidence-Based Practice Essay

… At the same time, EBM has garnered critiques, particularly from social scientists, who question its underlying assumptions, impact on professional practice, and broad reinforcement of medical authority. Little empirical work has been done, however, to explore these concerns (Gabbay, 1999).

The term "evidence-based medicine" was formalized at McMaster University in the 1980s as part of a new approach to problem-based learning in medical education (Gabbay, 1999). Its philosophical roots, however, can be traced to the mid-nineteenth century when medicine began aggressively to position itself as a science. The concept has spread widely beyond medicine and is often referred to as evidence-based practice to encourage its adoption by diverse health disciplines such as nursing, midwifery, physiotherapy, psychology, and dietetics (Bogdan-Lovis and Sousa, 2006).

The founders 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]


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]


Nursing Research Evidence-Based vs. Research Utilization Term Paper

… Nursing Research

Evidence-based vs. research utilization in nursing practice

The development of evidence-based practice in nursing was an attempt to make nursing theory more practical and applicable to the day-to-day life of a healthcare provider. It is defined as "the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients," in a clinical setting (Sackett et al. 1996). It strives to merge the nurse's past experience with the nurse's present, trained skills in observation, and "the best available external clinical evidence" available from current systematic research (Sackett et al. 1996). Evidence-based nursing's definition of medical expertise is quite specific, namely "the more thoughtful identification and compassionate use of individual patients' predicaments, rights, and preferences" when making decisions,…. [read more]


Clinical Supervision Essay

… Clinical Supervision

The distribution of clinical cases by clinical supervisors to the counselors-in-training

Clinical supervision is the essential part of all the substances that involve abuse treatment programs. The counselors despite their skill level and experience require having the right to supervision. Supervisors are required to have the right to their individual clinical supervision. However, majority of the agencies have a high priority on their administrative tasks compared to clinical supervision (Cogan 1972). The guide of administrators aids in the development of the rationale based on designing the clinical supervision system for the substance of abuse treatment organization. The strategies and implementation tools meant for executing effective supervision in line with advice on the resource project allocation that aids in the best results (ERIC Clearinghouse…. [read more]


Evidence-Based Care for Urinary Incontinence in Older Adults Essay

… ¶ … Evidence-Based Care for Urinary Incontinence in Older Adults

The percentage of older adults is increasing in many countries of the world, including the United States in particular. As the so-called Baby Boomer generation reaches retirement age, more and more of these older adults will likely experience a number of age-related problems. Although urinary incontinence is not an age-related condition nor is it a disease, older adults tend to suffer from the types of physical, environmental and psychological conditions as well as various pharmacological treatments that increase its incidence in this segment of the population. To identify a set of best practices based on evidence-based care for urinary incontinence in older adults, this paper provides a review of the relevant juried and scholarly literature,…. [read more]


Clinical Assessment of Learners Essay

… The mentor must be able to assist "students to gain skills and develop confidence; promote a professional relationship with students; provide the appropriate level of supervision; assist with planned learning experiences; and offer honest and constructive feedback" (Andrews & Chilton, 2000; Atkins & Williams, 1995; Cahill, 1996; Darling, 1984; Gray & Smith, 2000; Price, 2004a; Price, 2004b; "RCN, 2007).

Self-Reflection -- Accountability

A wide range of stakeholders must be considered in any measure of accountability of the professional education and assessment of clinical competencies of practitioners (Murray, et al., 2000). The set of stakeholders at any given time can encompass all levels of education -- from undergraduate to continuing professional development -- and all funders of educational programs (Murray, et al., 2000). A wide array…. [read more]


Evidence-Based Practice Motor Learning Essay

… If one examines the example of a newborn again, internal focus is less optimal because motor learning developments or developmental achievements have not been reached. An infant has not yet learned how to focus, thus there are not external focus with which to distract the individual. The young baby is likely to jerk their body this way and that. However, once focus through motor learning skills is achieved, and certain motor learning skills are achieved that allow a baby to hand grip, then external focus is achieved and a baby will natural grab the finger of the person nearest by, and focus on a black and white object placed externally near it, causing less bodily jerking movements. This is an ideal example of motor learning…. [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]


Evidence, Evaluating Evidence, Making Recommendations Essay

… The relation between stress and job satisfaction, service delivery or meeting goals, is an inverse graph. This implies that increased stress results in reduced job satisfaction and decreased quality of life. Consequently, the nurse can easily leave the profession. The stress the nursing students face results from the nature of the practice. There are various stressors, such as the working environment, the high academic performance expectations and the overload of work among others. Like the other persons, the stress affects their optimum functioning ability.

Despite the clear identification of the nurse-student stress issues, there is inadequate information on the potential positive interventions. The interventions can create a win-win situation when implemented within the clinical context. The strategies are applicable over a period of six weeks.…. [read more]


Clinical Education Essay

… (Condlin, nd, p.321) According to Condlin, the central feature of this process and it conscious use "both in theory and practice, of the dynamics of role adjustment." (nd, p.321) This process is reported to generate "a number of epistemological and motivational consequences of enormous importance" and as well, the process of role adjustment additionally "triggers a need to know and justify." (Condlin, nd, p.321)

The New York State Judicial Institute Partners in Justice in their "Colloquium on Developing Collaborations Among Courts, Law School Clinical Programs and the Practicing Bar reports that the earliest forms of clinical legal education was such that "…embraced the dual goals of hands-on training in lawyering skills and provision of access to justice for traditionally unrepresented clients." (Condlin, nd, p.321) In…. [read more]


Role of Research in Evidence-Based Practice Term Paper

… Role of Research in Evidence-Based Practice

Evidence-based practice holds great promise for the professional nurse in the clinical setting; additionally, learning through continuing self-education and peer-group education from evidence-based studies enables the nurse to operate at optimal efficiency in their job functions. However, given the demands of the profession it is not always easy to come together in a learning atmosphere (Krugman, 2009). However the use of evidence-based practice can be both clinically important and professional advantageous to engage in (Leasure, Stirlen, & Thompson, 2008).

The problem is identified as the clustering of cliques among nurses in the clinical setting based on their cultural background, thereby creating a potential for missed communication, lowered patient care, and interpersonal strife. The change application to address this problem…. [read more]


Child Clinical Psychology Research Paper

… Child Psychology

Child Clinical Psychology

Clinical child psychology as a practice field directly addresses the mental health needs of children and their families by providing professional services that seek to improve the effects of life events when these experiences dispute the anticipated course of development. The main role of clinical child psychologists is to provide therapeutic services for the wide range of cognitive, emotional, developmental, behavioral, social, medical, and family problems presented by youth from infancy through adolescence. Clinical child psychologists also carry out integrated clinical research into the socio-emotional modification, behavioral alteration, and health position of children and adolescents (Jackson, Alberts, & Roberts, 2010).

Despite some views that clinical child psychology is a new area of expertise, it is in fact, one of the…. [read more]


Evidence-Based Nursing Peer-Reviewed Journal

… Medical and Medicine

Evidence-Based Nursing

Brink-Huis, A., van Achterberg, T., & Schoonhoven, L. (2008). Pain management: A review of organisation models with integrated processes for the management of pain in adult cancer patients. Journal of Clinical Nursing, 17(15), 1986-2000. doi:10.1111/j.1365-2702.2007.02228.x

Systematic Review: Are the results of the review valid?

Because the studies were heterogeneous a meta-analysis could not be performed. Consequently, the study resulted in a narrative review that identified three organization models of pain management that contain integrated processes.

It is unclear if the results of the review are valid because none of the questions below are answered affirmatively as follows: (a) a clear research question was not stated, (b) relevant studies were likely missed and (c) the results were dissimilar from study to…. [read more]


Healthcare: Clinical Integration Essay

… Huge sums of initial capital would, however, be required to take care of the acquisitions, salaries and recruitments (Kaufman, Hall & Associates, 2012). Moreover, it does not guarantee efficiency in physician alignment and also needs to be structured in a manner that offers long-term sustainability (Kaufman, Hall & Associates, 2012).

Clinically Integrated Approach: this approach aligns physicians, both independent and employed, with formal integration programs such as the Medicare Shared Savings Program (Kaufman, Hall & Associates, 2012). It allows for collective negotiations, aimed at formulating health plans that can better the efficiency and quality of care between physician networks and hospitals and managed care companies (Kaufman, Hall & Associates, 2012).

Regardless of the approach adopted, it is essential that both the physician and hospital administrative…. [read more]


Practice Registered Nurse Essay

… As such, they work collaboratively with entire family units to solve the health problems of multiple members of a family.

All APRNs have to abide by the National Organization of Nurse Practitioner Faculty (NONPF) competencies. There are a series of competencies that relate to scientific foundation, including methods for collecting and analyzing clinical and other medical data. Additionally, there are leadership competencies, which demands APRNs to assume "complex and advanced leadership roles to initiate and guide change," (National Organization of Nurse Practitioner Faculty, 2013). Quality competences are used to help improve overall quality of medical care and clinical practice. Practice Inquiry Competencies helps catapult the role of the APRN in new specialty areas within medicine. Technology and information literacy competencies ensure that APRNs are up-to-date…. [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]


Clinical Risk Management Hospitals Essay

… Just like the previous method, this approach experiences the issue of compliance from the employees due to the fear of the consequences that may result from reporting to their employers.

d) Method Comparison

The previously discussed three methods are linked by the unifying factor that reporting of diagnosed injuries and diseases is the main source of identification of occupational injuries. The method adopted by the organization in question mainly involves direct scrutiny of an employee's hospitalization records in relation to job practices. This calls for close monitoring of employees in an organization by the management itself unlike the other three methods where there are agents (clinicians, employees and workplaces) of reporting potential issues and those that have already occurred. However, there might be variances in…. [read more]


Achieving Evidence Based Practice Through Model Synthesis Chapter

… ¶ … Evidence-Based Practice

Theory and Concepts

Model Comparison

Synthesis of Results

The EPB (Evidence-based practice) is identified as the problem-solving approach assisting clinicians to integrate patient's values and preference to achieve patients' outcomes. When EPB is implemented with the context of culture, caring, and environment, it has the ability to deliver effective patients outcomes. Evidence have revealed that EPB is an effective tool enhance healthcare efficiencies as well as reducing variation in costs and care. (Melnyk, Fineout-Overholt, Gallagher-Ford et al. 2012). Despite the tremendous benefits of EBP to the healthcare organizations, many clinicians in the United States do not practice an effective standard care laid down by the EBP (McGinty & Anderson, 2008). Tremendous barriers still exist that prevent healthcare organizations from achieving effective…. [read more]


Compare the Scope of Practice for APN Across the Country Term Paper

… ¶ … APN

Compare the Scope of Practice for Advanced Practice Nurses across the Country.

Over the last several years, the responsibilities of advanced practicing nurses (APNs) have been continually evolving. This is because there is a shortage of qualified nurses inside the health care sector from rising demand. In many rural and inner city locations, these professionals are in greater demand. According to a study conducted by the Bureau of Labor Statistics, these numbers are expected to continually increase in the next decade and beyond. This is illustrating how the rising demand for them will require shifting duties and responsibilities in the process.

To fully understand what is taking place requires carefully examining the scope and practice for APNs across the country. This will…. [read more]


Masters in Nursing for Clinical Essay

… Now is the time for the nursing education community to work together to develop curricular standards that can be applied to nurse educator programs. Graduate faculty needs such structure to ensure that their curricular decisions are evidence based and in keeping with national trends. Hopefully, the data in this review will help to inform decisions regarding nurse educator curriculum standards." (Leuner and Ruland, 2010, p.1)

The work of the Southern Regional Education Board Council on Collegiate Education for Nursing reports a debate on the "appropriate educational preparation for a nurse educator for many years. Davis et al. (1992) and Krisman-Scott (1998) noted an escalation of the debate in the mid-1980s, when master's programs in nursing began shifting resources to the preparation of advanced-practice nurses. Student…. [read more]

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