....................... 6 1 Recommendations ................................................................................................................... 7 Recommendation 1 Develop a local behaviour change policy and strategy .......................................... 7 Recommendation 2 Ensure organisation policies, strategies, resources and training all support behaviour change.................................................................................................................................... 8 Recommendation 3 Commission interventions from services willing to share intervention details and data ......................................................................................................................................................... 9 Recommendation 4 Commission high quality, effective behaviour change interventions ....................... 10 Recommendation 5 Plan behaviour change interventions and programmes taking local needs into account.................................................................................................................................................... 11...
Words: 19097 - Pages: 77
...Appropriateness of Therapeutic Play Intervention in Preparing Children for Surgery: A Randomized 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...
Words: 4203 - Pages: 17
...“The critical appraisal of the research evidence associated with an area of my professional practice” Introduction I am going to critically appraise of research evidence on treatment of urinary stress incontinence in women with obesity. I chose this topic because currently I am working in urology department in hospital X, I am always have the chance to deal with women experiencing stress incontinence. In current practice we will teach them behavioral intervention program (pelvic floor exercise and bladder training) to lower the severity of urine leakage. That is why I want to explore more on this issue and see whether the use of vaginal cones also effective in treatment with behavioral intervention program. Obesity is a common problem in developed countries, with an incidence of 33% (Roreyt 1998), this problem may directly leading to stress urinary incontinence (Ouslander 1996) which may hinder the normal daily life of an adult. In Hong Kong Hospital Authority (HA) policy, there are no guideline in related to treatment regarding stress incontinence, it is always depends on surgeon’s preferences. Therefore I want to search for research evidence in associated with treatment of urinary stress incontinence which may beneficial in my working place. Main Body The two answerable questions formulated using PICO tool are: Quantitative Question – In women with obesity, how does behavioral intervention program compared to vaginal cones influence the occurrence of stress...
Words: 3294 - Pages: 14
...appraisal is the process of systematically examining research evidence to assess its validity, results and relevance before using it to inform a decision. q Critical appraisal is an essential part of evidence-based clinical practice that includes the process of systematically finding, appraising and acting on evidence of effectiveness. q Critical appraisal allows us to make sense of research evidence and thus begins to close the gap between research and practice. q Randomised controlled trials can minimise bias and use the most appropriate design for studying the effectiveness of a specific intervention or treatment. q Systematic reviews are particularly useful because they usually contain an explicit statement of the objectives, materials and methods, and should be conducted according to explicit and reproducible methodology. q Randomised controlled trials and systematic reviews are not automatically of good quality and should be appraised critically. www.evidence-based-medicine.co.uk Prescribing information is on page 8 1 What is critical appraisal What is critical appraisal? Critical appraisal is one step in the process of evidence-based clinical practice. Evidencebased clinical practice is ‘an approach to decision making in which the clinician uses the best evidence available, in consultation with the patient, to decide the option which suits the patient best’.1 To determine what is the ‘best’ evidence, we need critical appraisal skills that will help us to understand...
Words: 4659 - Pages: 19
...Applying Standardized Terminologies in Practice Evidence based interventions are playing an increasingly more important role in nursing practice. With the increased utilization of nursing research comes a need for a form of communication that classifies diagnosis, applies interventions, and expected patient outcomes. In order to unify nursing communication and support nursing practice, standardized terminology has been developed. This paper will introduce three forms of standardized terminologies in nursing which are the North American Nursing Diagnosis Association (NANDA), Nursing Outcome Classification (NOC), and Nursing Intervention Classification (NIC). The purpose of this paper is to define the three standardized terminologies, processes developed, and to provide and example of their useful application in patients at risk for or diagnosed with pressure ulcers. The NANDA was established with the goal of enhancing all aspects of nursing practice by refining and promoting terminology to accurately reflect the clinical judgment of nurses (Azzolin et al., 2013). The mission of NANDA if to facilitate the refinement, dissemination, and development, and utilization of nursing standard terminology (Peres et al., 2015). Their main focus is to utilize this communication to promote evidence based practice and care, thereby improving care for everyone. NANDA promotes their missions and goals by publishing the world leading evidence based nursing diagnosis, funding research, establishing...
Words: 1210 - Pages: 5
...Module 5 Evidence-Based Practice Project—Paper on Diabetes Pathophysiology and Nursing Management of Clients Health – Disorders of the Digestive and Musculoskeletal System Grand Canyon University Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children. In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Use of New Technologies to Improve Self-Management Support in Diabetes Patients Name September 5, 2015 NRS-410 Grand Canyon University Instructor: Providing support and care with new technologies like text messages, cell phones and the internet can improve health outcomes that are clinically relevant to diabetes by increasing self-efficacy and knowledge to carry out actions of self-management. There has been a boost in the focus studies put on intervention and diagnostic methods for diabetes and, as a result, there are many materials available concerning how use of cell phones and the internet can improve self-management behaviors in different groups. The following paper will review...
Words: 1905 - Pages: 8
...Publishing Corporation Evidence-Based Complementary and Alternative Medicine Volume 2015, Article ID 902708, 17 pages http://dx.doi.org/10.1155/2015/902708 Review Article The Effects of Mind-Body Interventions on Sleep Quality: A Systematic Review Rachel Neuendorf,1 Helané Wahbeh,1,2 Irina Chamine,2 Jun Yu,2 Kimberly Hutchison,2 and Barry S. Oken2 1 Helfgott Research Institute, National College of Natural Medicine, 049 SW Porter Street, Portland, OR 97201, USA Oregon Health and Science University, 3181 SW Sam Jackson Park Road, CR-120, Portland, OR 97239, USA 2 Correspondence should be addressed to Rachel Neuendorf; neuendorf@gmail.com Received 28 February 2015; Accepted 25 May 2015 Academic Editor: Lise Hestbaek Copyright © 2015 Rachel Neuendorf et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Study Objectives. To evaluate the effect of mind-body interventions (MBI) on sleep. Methods. We reviewed randomized controlled MBI trials on adults (through 2013) with at least one sleep outcome measure. We searched eleven electronic databases and excluded studies on interventions not considering mind-body medicine. Studies were categorized by type of MBI, whether sleep was primary or secondary outcome measure and outcome type. Results. 1323 abstracts were screened, and 112 papers were included....
Words: 1838 - Pages: 8
...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...
Words: 3602 - Pages: 15
...In Social Learning Theory, human behaviour is explained in terms of a three-way, dynamic, reciprocal theory in which personal factors, environmental influences, and behavior continually interact. A basic premise of Social Learning Theory is that people learn not only through their own experiences, but also by observing the actions of others and the results of those actions. In the 1970s, Albert Bandura published a comprehensive framework for understanding human behaviour, based on a cognitive formulation which he named the Social Cognitive Theory. That framework is currently the dominant version used in health behaviour and health promotion; however, it is still often referred to as Social Learning Theory. The impetus for this special issue on HIV came from a discussion a few years ago during which we established a shared interest in a revival of the sort of scholarly innovation that characterized the early years of the HIV epidemic. As far back as the early 1980s, social theorists, cultural, critics, artists and others created a vibrant body of work on HIV/AIDS. Working from various theoretical and disciplinary sites they steadfastly emphasized the ‘social’ for understanding the significance of AIDS and opened up new avenues for critiquing and re-imagining scientific, cultural and social responses to infectious disease. At its best, this work served also as an impetus for queer theory, various feminist critiques and a range of research under the rubric of science, medicine...
Words: 3619 - Pages: 15
...Efficacy of ABA intervention research: Can you trust it? Isaac Lynn Abstract Autism interventions are loudly proclaimed to be effective, yet evidence-based research is often non-existent. In the absence of quality research, interventions such as the most widely utilized in autism, ABA, is touted to be absolutely effective and possibly the only answer for gains to be made in changing autism. Unfortunately, this may diminish the ability of the individual with autism to change in a positive manner. Additionally, immense monetary bills compound the problem. Caregivers may even bankrupt themselves trying to save their child or family member paying high premiums for ABA services that may or may not actually effectively change or manage behaviors of individuals with autism. This paper will discuss whether or not ABA research actually proves the effectiveness of ABA interventions. ABA interventions are defined as “those in which the principles of learning theory are applied in a systematic and measurable manner to increase, reduce, maintain and/or generalize target behaviors” (Education, 2007). ABA includes methodology such as reinforcement of target behaviors, shaping and chaining new behaviors, fading inappropriate behaviors, response and stimulus prompting, discrimination training, programming new behaviors, ideas and attitudes...
Words: 821 - Pages: 4
...patency of venous catheters. A systematic review has concluded that there is insufficient evidence to conclude that flushing catheters with heparin is more effective in preventing blood from clotting in the lines than flushing with a normal saline solution. This evidence-based paper will identify the effect of each solution on IV lines, the preferred solution for patient safety and how to implement the preferred solution into daily care to promote the best client outcome. Heparin verses Normal Saline Flushes to Maintain Venous Access During my clinical rotations, I have observed catheter patency checks being performed with a normal saline injection prior to each administration of intravenous medications. I often wondered how this nursing intervention was established. Heparin flushes have been the commonly used solution to decrease occlusions for patients with intermittently used central venous catheters or intravenous catheters; until recently when medical experts completed a review of the associated risks with the use of heparin (Lewis, Dirksen, Heitkemper, Bucher, et al & Camera, 2011). Medical experts began to examine other interventions to maintain patency such as a normal saline flush. Through research and collection of data regarding catheter patency, catheter-related bloodstream infections and heparin-induced thrombocytopenia, it was determined that there is insufficient evidence on the effectiveness or necessity of flushing catheters with heparin (Mitchell, Anderson...
Words: 650 - Pages: 3
...purpose of this literature review is to examine the evidence surrounding umbilical cord care in the new-born and what part the use of topical treatments play (if any) in the reduction of infection to the new-born infant. The umbilical cord is a unique tissue consisting of two arteries and one vein. Wharton’s jelly surrounds the vessels. During pregnancy the umbilical cord assists the placenta by transporting nutrients and waste products to and from the fetus. (Fraser, M. et al 2009). Following delivery of the neonate the cord goes through a process were it dries out, hardens and turns black. The area goes through a process of colonization due to non-pathogenic organisms that pass from mum to baby via skin to skin contact following delivery. The umbilical vessels remain patent for several days following birth and are a susceptible site for infection. Potentially harmful organisms can be spread by cross infection, often caused by poor hand washing techniques of Healthcare workers and the infant’s carers. (Davies, S. 2008). The World Health Organisation (WHO) reports each year one third of neonatal deaths worldwide (1.5 Million) are due to infection, many of which begin as umbilical cord infection. (Cappuro, H. 2004). Current guidelines for umbilical cord care differ enormously from country to country and establishment to establishment, and most of the current literature surrounding umbilical cord practices indicates practice is based on historical assumptions rather than research...
Words: 4731 - Pages: 19
...POINT AND PURPOSE: In this assignment you will demonstrate your ability to: • identify the correct priority problem and nursing diagnosis for a patient • reflect on a patient’s perspective to accurately assess and analyze a condition or problem • use nursing research to identify a priority nursing problem for a case study • utilize research to formulate a nursing diagnosis and plan of care • apply APA format to the writing of a research paper TASK: 1. Write Lori’s letter (1 page). In the letter: • Describe Lori’s biggest concern/issue with the hospitalization or illness of her sister. • Explain why she thinks this is a big problem. • Include a brief description of the events that led to the hospitalization of her sister and information about her sister’s condition and treatments. 2. Write a response letter to Lori. In the response letter: • Provide evidence-based practice for the medical treatments • Explain your nursing diagnosis • Describe your interventions • Choose any issue that could be helped with your assistance. It can be a family issue, a psychological, social or physical issue. As...
Words: 628 - Pages: 3
...research evidence Introduction In 1999 the government’s ten-year national Teenage Pregnancy Strategy was launched. The main aims of the strategy are to: • Reduce the rate of teenage conceptions with the specific aim of halving the rate of conceptions among under-18s, and to set a firmly established downward trend in the rate of conceptions among under-16s, by 2010 • Increase the participation of teenage parents in education, training and employment to 60% by 2010, to reduce their risk of long-term social exclusion. This briefing presents headline findings from key research relating to teenage pregnancy and parenthood which has emerged (mainly) since the launch of the strategy. The topics covered include research on young people’s sexual behaviour; sources of sex and relationships information; what works in preventing teenage pregnancy; who is at risk of becoming a teenage parent; how to support teenage parents, and many more. It draws on a range of sources including systematic reviews of the effectiveness of prevention and support interventions, national surveys and primary research studies. The emphasis is on the UK and specifically English research. It was compiled by Catherine Dennison, Research Manager supporting the Teenage Pregnancy Unit. Although not representing a systematic or exhaustive search of the published literature, the briefing is intended to be of use to those engaged in implementing the Teenage Pregnancy Strategy. By providing an update on the evidence base it...
Words: 7408 - Pages: 30
...10 Combination HIV Prevention: Tailoring and Coordinating Biomedical, Behavioural and Structural Strategies to Reduce New HIV Infections A UNAIDS Discussion Paper UNAIDS – JC2007 (English original, September 2010) © Joint United Nations Programme on HIV/AIDS (UNAIDS) 2010. All rights reserved. Publications produced by UNAIDS can be obtained from the UNAIDS Content Management Team. Requests for permission to reproduce or translate UNAIDS publications—whether for sale or for noncommercial distribution— should also be addressed to the Content Management Team at the address below, or by fax, at +41 22 791 4835, or e-mail: publicationpermissions@unaids.org. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of UNAIDS concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by UNAIDS in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by UNAIDS to verify the information contained in this publication. However, the published material is being distributed without warranty of any...
Words: 15099 - Pages: 61
