...The use of Evidence-Based Practice by qualified practitioners will imply the correlation usage of a more systematic practice able to recognize and evaluate individual patients in an accurate way. It refers to the best evidence formulating a clinical assessment parallel to the best possible expertise, and answering to all the client´s expectations when getting a treatment. Sherman (1998) describes, for example, the inherent rules in Evidence-Based Practice coming from the best available research for important outcomes in the guidelines, evaluation of certain agencies, units and even officers, as in the case of forensic psychologists and police crime- investigators forces, as well as, in the medical setting. Now, when we talk about Practice-Based Practice, in reality we are talking about When suggesting a...
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...In an evidence-based practice (EBP), there are five steps to approach: ask, acquire, appraise, apply and access. In this assessment, I find that the search strategy part can very challenge which are the step 1 and 2 in EBP. I said this part is challenging is not because it is difficult to understand or I don’t know how to use the database. It is because really a time-consuming part. There are a lot of articles in the database, and I need to find out which are relevant to my question. From the assessment, I learned it is important to break up the practice-related question in PICO form. The practice-related question should be neither too broad nor too detailed because if the question is very broad, the search output can reach hundreds or thousands...
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...The purpose of this discussion is to talk about the role of a nurse leader and how they help implement evidence-based practice, the strategies for implementation of evidence-based practices, the forces of changing the culture with the nursing shortage. Nursing culture is different because nurses must rely on each other to save people's lives this making nursing bonds stronger. An organization infrastructure hinders progress would be all the regulation and rules that people to do to get the ball rolling for a project. The evidence-based practice that is going on is that there are one nurse and one aid to six patients to provide more safety and patient satisfaction. The role of nurse leaders is to build and expanding evidence-based practices...
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...Using Evidence Based Practice Procedures, protocols and guidelines evolve as new research shows for more efficient practice. Nurses must stay competently with these changes as evidence-based practice offers patients the best quality care, avoidance of adverse effects and variances (White, Dudley-Brown & Terhaar, 2016). Performing care that is poor evidence based can put the patient at risk of their safety and quality of care (Clarke & Donaldson, 2008). Prevention, Assessment, management and communication with the patient are the appropriate interventions when handling a patient with a risk of developing pressure injuries. Marjorie Templeton was admitted to the emergency department with an infected foot ulcer by her general practitioner. According to the patient notes Templeton has insulin-dependent diabetes mellitus, also known as type 1 diabetes or autoimmune diabetes (Katsarou et al., 2017). Pressure injuries, more commonly known as bed sores are a result pressure and friction to...
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...Magnet-designated hospitals, receive higher ratings from patients that has helped hospitals financially, in a study preformed Health Services Research using data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. In 2011, the ANCC, the world's largest and most prestigious nurse credentialing organization, and a subsidiary of the American Nurses Association awarded Yale New Haven Hospital with the distinction. Here’s a quote why, “Consumers of healthcare services today are increasingly sophisticated and they are choosing hospitals that have achieved Magnet recognition," said Richard D'Aquila, executive vice president and COO of Yale New Haven Hospital the largest hospital in Connecticut. (The American Association of Colleges of Nursing, 2015)...
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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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...Core competency three consists of applying critical thinking in practice. To demonstrate how I mastered this competency I will be connecting practice behaviors to specific artifacts. The first practice behavior is differentially selecting and implementing strategies for assessment and intervention utilizing evidence based practice and best practice methods. This will be illustrated through a tobacco training I attended while in my internship. The artifact will consist of a PowerPoint that was distributed during the training. The second practice behavior is producing practice-ready presentations and documents that could include case presentations, journal articles, grant applications, legislative brief/summary(ies). This practice behavior relates...
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...Evidence-based practice centers are the outcome of an initiative of the Agency for Health Care Policy and Research (AHCPR) in 1997 to promote practice based on evidence. The EPCs develop evidence reports as well as assessments on the topics, which are relevant to clinical and other health care organizations. There is a special emphasis on the common as well as expensive problems that the medical fraternity faces. A very good example of a successful EPC would be the one at John Hopkins Evidence-Based Practice Center. It has provided some pioneering research work on Type 2 diabetes in adults. Their research on this includes an in-depth analysis and study of an oral medication for adults having type 2 diabetes. It has also come up with a study...
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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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...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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...Evidence Based Practice for Group Therapy Over the years’ professionals have wondered how to develop and maintain multicultural competence while incorporating evidence based practice. This article’s purpose is to “examine the intersection of MC and EBP in group therapy practice. Second, we outline guiding principles in effective groups with racial-cultural minority clients” (Chen 2008). Both purposes are important since group therapy is one of the main ways to help intervene with inpatient psychiatric patients. Group therapy has been proven to be very effective but it is also important to take into consideration the patients culture just like you would when you are taking care of a patient in the ICU. This article discussed two case studies....
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...A. Identify a current nursing practice within your healthcare setting that requires change. DEVELOPING OR CREATING AN INDEX TO MINIMIZE RISKS OFPRESSURE SORE 1. Describe the current nursing practice. An instrument specifically designed to aid health care workers evaluate the dangers of pressure sores that a patient faces is called the Braden Scale. After assessment, the victim is categorized depending on six aspects: capability of physical activity, hydration and nutrition status, capacity to alter position, the ability to respond after sensing discomfort related to pressure, shearing or exposure of the skin to friction during locomotion, and skin exposure to moisture. If the overall score is lower it means the risk of pressure sore is higher (Changing Practice, Changing Lives: 10 Landmark Nursing Research Studies, n.d). Prior to this Change, Skin assessment was based on non- formalized risk assessment which varies with each clinical practice. 2. Discuss why the current nursing practice needs to be changed Using non-formalized risk assessment in Predicting pressure ulcer resulted in non-uniformity and personal clinical judgement which varies from one person to another. Using Clinical judgement is more effective where the staffs are experienced and their experience assist in appropriate predictability, but with novice staff, the use of clinical judgment is inappropriate. In a multisite trial, Braden scale was tested by clinics bringing together skilled nursing facilities...
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...Evidence Based Practice Task 1 Western Governors University Evidence Based Practice and Applied Nursing Research The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk. Part A The article being analysed is: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal of Clinical Nursing, 22, 192-200. The analysis of the primary research report is done in the form of a graph (figure 1). Each of the four analysis areas is rated within a scale of 1-10; 1 denotes extremely weak while 10 denotes very strong. Table 1 then gives justifications for the rating by explaining why each area of analysis was rated that way in the analysis chart. [pic] Figure 1 Table 1 |A1 Article: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal | |of Clinical Nursing, 22, 192-200. | |A2 Background or introduction |The researchers provided an in depth introduction of the research topic outlining | | |important issues, previous research on the topic and their findings. The introduction | | ...
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...ISO 9000 1 1.2. Purpose of internal quality audit 1 1.3. Report structure 1 2. Audit review 2 2.1. Non-compliances 2 2.1.1. Case study 2 – Service and parts processes 2 2.1.2. Case study 3 – QMS manual 3 2.2. Potential for improvement 4 2.2.1. Case study 2 – Service and parts processes 4 2.2.2. Case study 3 – QMS manual 5 2.3. Good practice 5 2.3.1. Case study 2 – Service and parts processes 5 2.3.2. Case study 3 – QMS manual 6 3. Summary 8 4. Appendix 11 Introduction About ISO 9000 ISO 9000 is a family of international standards related to quality management systems (QMS) that facilitates mutual understanding across domestic and international trade. The standards are published by the International Organization for Standardization and available in the UK through the British Standard Institute. ISO 9000:2008 sets down the principles behind the quality management and specifies the QMS terminology, thus forms the basis for the standards within the ISO 9000 family. ISO 9001:2008 specifies the requirements for a QMS an organisation has to fulfil to meet the standard. ISO 9004:2008 provides guidelines for a QMS that aim to improve the performance of the organisation and the satisfaction of both stakeholders and customers. ISO 9000 represents an international consensus on good quality management practices and can be understood as a generic framework to manage a business’ processes to deliver superior quality. Purpose of internal quality...
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...Melnyk and Fineout-Overholt (2011, p. 242) defines evidence-based practice as “the integration of the best research evidence with clinical expertise and patient values to facilitate clinical decision making.” EBP practices are imperative for the achievement of optimal outcomes in healthcare interventions. Following this assignment, it is demonstrated how the process of evidence-based practice can be utilized in the case of Mr. Banks to provide viable solutions to challenges faced as a result of depression and type 2 diabetes. The work commences with the problem identification. Then an answerable question is developed to guide the work in identifying the best evidence-based literature to address Mr. Banks’ issue. The identified scholarly material...
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