OBJECTIVE: To recommend effective strategies for implementing clinical practice guidelines (CPGs).
OBJECTIVE: To recommend effective strategies for implementing clinical practice guidelines (CPGs).
Joint Commission Resources (n.d.). Practice-Based Learning and Improvement: A Clinical Improvement Action Guide. Retrieved June 4, 2013, from http://intermountainhealthcare.org/qualityandresearch/institute/Documents/Chapter7.pdf…
Nasogastric (NG) tube placement is a common procedure done in pediatric and neonatal patient care settings. However, there is little research that exists in today’s vast amount of medical information that conclusively proves the safest and most accurate way to verify placement. Although there have been several research and antidotal studies done, dating back as early as the 1980’s that have questioned the safety of solely using the auscultation of air in the abdomen to verify correct placement it is still considered the gold standard of practice, and the vast majority of clinical nurses utilize this practice everyday in practice. In 2009, the Pediatric Nursing Journal published an article authored by Michelle Farrington and Cheryl Lang titled, “Nasogastric Tube Placement and Verification in Pediatric and Neonatal Patients.” This article reports an evidence-based practice project using the Iowa Model of Evidence-Based Practice in Midwestern Children’s hospital to implement standards of care and avoid future inconsistencies in nursing practice to provide the best patient outcomes.…
In the article, Back to Basics: Implementing Evidence- based Practice, the author, Lisa Spruce (2015), explains that health care is transitioning from volume based to value-based care. In order to create this value-based care, we need to put into action, evidence based practice (Spruce, 2015). Evidence based practice takes into consideration effectiveness by using research, patient preference and clinic experience, as well as cost-effectiveness (Spruce, 2015). When using this type of practice, a clinician is more likely to follow policy if they are able to understand and explain why they follow certain procedures, instead of just complying to a rule because it is a rule (Spruce, 2015).…
Peer review is an important aspect of evidence-based practice. It is priceless to receive constructive feedback from colleagues. It will help open our eyes to areas we did not pay attention to. Two heads are always better than one. I am glad to hear that you will be using the feedback from your colleagues. So what will you do different if you have to do this exercise all over? Good luck in your future…
This case study based on an elderly man named David is 56years old and has a number of personal health issues that are affecting his daily life and on top on that his wife has a history of breast cancer.…
A number of studies reveal that the advantages of implementing evidence-based practice by nurses and other health professional’s results in the advancement quality of care that leads to enhanced patient outcomes. Furthermore, the current use of evidence-based in the clinical setting would result in increased patient outcome since the evidence-based practice includes multidisciplinary recommendations that could facilitate all nurses in addressing questions related to the best patient care.…
Hagman, J., Oman, K., Kleiner, C., Johnson, E., & Nordhagen, J. (2013). Lessons Learned From the Implementation of a Bedside Handoff Model. The Journal of Nursing Administration, 43(6), 315-317.…
The PICOT Model formulates the clinical questions. The PICOT Model has five steps, P: patient/population, I: intervention, C: current practice, O: outcome, T: time. The Iowa Model of Evidence-Based Practice to Promote Quality Care emphasis the importance of considering the entire healthcare system from the provider to the patient and it gives large systems an effective, team-centered approach to implement evidence-based practice in the clinical setting and is used for sweeping, system-wide changes in practice. The Iowa model has seven steps, the seven steps are identify a problem or new knowledge, prioritize the issues and form a team, team reviews, critiques and synthesizes the evidence…
Evidence-based practice is an anticipated core experience of all health care clinicians irrespective of position. Role modeling and participating in the skills are necessary to develop evidence-based practice into clinical and nonclinical courses and also an important part in developing positive attitudes toward evidence-based practice, that’s the first step for using evidence to guide practice decisions (Winters). One way to accelerate EBP In health care organizations are by obtaining support from entire culture. Advance practice and staff nurses as well as administrators must have the knowledge and have to believe about the importance of EBP and provide critical skills to support evidence-based care. The knowledge of nursing is built on a…
Evidence based practice is used as a framework for planning, implementing and evaluating care provided to clients as stated by the Agency for Healthcare Research and Quality (AHRQ, 2014). According to the AHRQ (2014), evidence-based research provides the basis for grounding clinical practice guidelines and recommendations in order to provide effective healthcare to patients. Furthermore, the AHRQ reported that the United States of America implement a preventive task force of experts to prevent and provide evidence based medicine to improve the health of all Americans with preventive medication and health screening (2014). It is the belief of this writer that clients value their health and strength, therefore preventive medication and health…
can incorporate it to their employees and how it can work for patients with pressure ulcers.…
Clinical guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific circumstances (Reames, Krell, Ponto, & Wong, 2013). Healthcare providers rely on guidelines to implement evidence-based practice protocols. The process of developing protocols requires an interprofessional collaborative team which includes hospital administration working with and supporting physicians, nurses, patient advocates and other staff members (n.d., 2015).…
This week the discussion focuses on why research and evidenced-based practice are important to the nursing profession.…
Kitson, a., Harvey, G., McCormack, B., (1998). Enabling the implementation of evidence based practice: a conceptual framework. Quality in Health Care, 7, 149-158. doi: 10.1136/qshc.7.3.149…
Ancient China’s Impact on The World The ocean, the desert, extremely tall mountains and very high platoons, all of these geographical barriers made it virtually impossible to get well into the thriving civilisation of Ancient China. Ancient China was a very lonely civilisation being so far away from any other major civilisations and having so many barriers protecting them from the outside world. While no other people came to Ancient China, it learnt many new things without anyone else to help them, but today in this modern time, how has the contribution of this ancient civilisation affected the world even today. Founded after the discovery of Prince Liu Sheng’s tomb (who died around 200 BC) the 2,300-year-old invention called acupuncture is…