In this essay I will explore the evidence based care of the patient in the above case. It will outline the assessment of an infant with acute bronchiolitis using a suitable framework to determine the appropriate therapeutic intervention. The pathophysiology associated with deterioration and the impact of communication between the family and multi disciplinary team will be explored. This essay will to focus on the initial stages of Joe’s care in the first hour of his admission to the children’s assessment unit. On arrival, Joe’s mother Catherine was distressed and throughout every stage of Joe’s care it was important Catherine was provided with clear information in order to empower her to make informed choices regarding Joe’s care (Glasper et al. 2010). Parental involvement was introduced after the Platt Report in 1959 which recommended that parents should be allowed to stay with their hospitalised child. The report has led to significant improvements in interactions between parents of hospitalised children and the staff who care for them (Priddis and Sheilds 2011). Sousa et al (2013) carried out a study that found communication between parents and children’s nurses is vital. Sousa et al (2013) found that almost all parents who participated in the questionnaire agreed it was a priority to get information on their child’s health condition. This indicates that is important for nurses to manage the child and family as a whole holistically (NMC 2015). Catherine
Proper collection of blood cultures are necessary and the most direct method of determining whether or not a patient is septic. The purpose of obtaining blood cultures is to identify and isolate the bacteria that are causing an illness and then determine the best course of treatment based on the sensitivity of the bacteria to particular antibiotics. One of the most frustrating problems plaguing hospitals is the increased rate at which blood culture results are being returned as contaminated specimens. These results can lead to a significant increase in cost to the hospital and patient as well as an increased length in hospital
In this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn.
Research, quality improvement (QI), and evidence-based practice (EBP) all play an important role in the field of healthcare and are essential for the delivery of quality patient care. While each involves teamwork, critical thinking, and creativity there are distinct differences between them.
Evidence based Practice allows for there to be a relationship between the care of patients and the best practices available. In order to achieve this relationship EBP combines a few key components in the clinical setting to enhance decision making to provide the best care possible. These key components are:
As mentioned before, my chosen policy priority is childhood obesity, an epidemic with many health issues associated with it. According to Burns, Grove, and Gray (2011), research used as evidence- based practice (EBP) has been implemented in the clinical practice to achieve quality care, efficiency, and positive outcome for patients and healthcare organizations. Furthermore, when EBP is applied to clinical practice it provides description, explanation, prediction and the control of phenomena. To this, Saviñon, Taylor, Canty-Mitchell, and Blood-Siegfried (2012) suggested that nurses can advocate for the children by encouraging parents to provide children with a variety of foods in adequate amounts to support growth and energy play. Furthermore,
It would seem a foregone conclusion that effective clinical practice is based on the best possible, rigorously tested evidence because the public assumes it, patients expect it and practitioners profess to value it. Yet the emphasis on evidence as a basis of clinical practice reached the forefront of health care only in the last two decades. The past decade has seen unprecedented advances in information technology, making research and other types of evidence widely available to healthcare practitioners. Technology has supported the rapid communication of best practice and afforded consumers open access to healthcare information as well. As a result, Evidence Based Practice (EBP) is quickly becoming the norm for effective clinical practice.
Utilizing evidence based practice in nursing is paramount today in the always evolving field of nursing. Having the clinical expertise and knowledge of a nurse is just the first step in making decisions for the treatment of a client. Adding the most recent and up to date evidence alongside with the client’s values and preferences is ideal to guiding the process of healthcare (Kelly & Tazbir, 2010). When evidence based guidelines are set forth in the plan of care for a client, the clinician has an abundant of amount of data to make sound decisions on. This allows the nurse to make the best decision or develop the best strategy to deliver care. Evidence based practice also allows
Stroke is a leading cause of adult disability and patients face multiple challenges, such as weakness/paralysis on one side of the body, social disability, inability to walk and self-care, the decline in community participation, and the decline in cognitive and emotional functioning. These challenges impede them from independently performing their daily activities related to work, school, parenting, or leisure. Evidence Based Practice shows that the best way to treat individuals with stroke is through the use of the mental practice. Mental practice is a training method during which a person cognitively rehearses a physical skill in the absence of overt, physical movements for the purpose of enhancing motor skill performance. It is a practice
Evidenced-based practice (EBP) should be a driving force behind establishing optimal clinical practices. These efforts hold the potential to improve patient outcomes and reduce costs (Ahrens, 2005). It is true that evaluation tools are very effective for any kind of evidence-based change project. It helps in finding out the project needs, implementation and outcomes. Ideally, evaluation begins when a group of patients’ assessment is initiated and continues across the life of a program to ensure adequate implementation (Jacobs et al., 2012).
It is important to understand why research within the nursing profession is essential. Amongst healthcare workers worldwide nurses are the largest professional group. Within the UK nurses and midwives represent the largest work force within the NHS. They are also the profession that has the most person to person contact with patients. As the decisions and actions that nurses make affect the lives of the whole population, it makes sense that nursing practice should be based on evidence (Parahoo 2006). Nurses are expected to deliver competent, high quality care in a compassionate but also cost effective manner. To accomplish these goals, nurses continually need to access and evaluate new information and incorporate this into their clinical decision making (Polit and Beck 2010).
There are many different definitions of Evidence-Based Practice (EBP). According to EBP book, most EBP definitions contain three components “research-based information, clinical expertise, and patient preferences” (In Schmidt & In Brown, 2019, p. 4). These three words explain what is EBP in a simple way for me to understand. It means EBP research includes collecting information, reviewing, evaluating, and implementing evidence into the practice to improve patient outcomes. EBP is unique concept because it doesn’t only take consideration of the evidence, but it does give preference to individual patient’s values and needs to advocate for improved patient experiences. EBP is a holistic approach to improve patient care outcomes and nursing practices. By utilizing EBP into my practice is not an extra task but it helps to cover the difference in patient care to improve patient
Evidence based practise is the integration of clinical expertise, patient preferences and the best research into the decision making process for patient care (Porter O Grady, 2010). (Sakett) The Nursing Midwifery Council (NMC). code of conduct implores nurses and midwives alike, to practice in line with the best available evidence, to ensure clinical treatment is administered based on up to date knowledge and are consistent with tried and tested methods. This is to ensure patient safety as well as the practitioners. (NMC, 2015).
The tool was created to help practitioners figure out if a statement about clinical practice was based on research or it is based on other reliable evidence.
I. Introduction: The purpose of this paper is to evaluate evidence-based medicine for treatment protocols, treatment guidelines, and outcomes for Obesity and provide the perspective of conventional medicine, complementary and alternative health, and integrative medicine (IM) to determine new standards for medical treatment.
This paper will discuss a case study of Liam, a three-month-old boy who is transferred from the General Practitioner (GP) to paediatric ward with bronchiolitis. Initially, Liam’s chief health issues will be identified, following by nursing assessment and diagnoses of the child’s need. Focus will be made on the management of two major health problems: respiratory distress and dehydration, and summary and evaluation of the interventions with evidence of learning. Lastly, a conclusion of author’s self-evaluation will be present.