of Nursing NR451 Capstone Course 28 November‚ 2010 Design for Change in Practice Evidenced based practice (EBP) is an empowering process for improvement in the health care professions. Rosswurm and Larrabee (1999) credit the research studies which used meta - analysis‚ randomized clinical trials and systematic studies of patient outcomes over the last few decades as having started this shift from the “tradition of intuition – driven practice…to the new paradigm of evidenced based practice”
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question was formulated and a search strategy was then developed to compare the available evidence. A PICO (Sackett et al 1997) was undertaken using the terms Central Venous Catheter‚ Chlorhexidine‚ Biopatch and Infection. A Facet analysis (Ranganathan 1967‚ cited by Spiteri 1998) was performed and a literature search was conducted using four electronic databases. This databases searches‚ contains both nursing and medical research and reviews. The databases used were Medline (1982-2011)‚ CINAHL (1996-2011)
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Christensen‚ M.‚ Dodds‚ A.‚ Sauer‚ J.‚ & Watts‚ N. (2014). Alarm setting for the critically ill patient: A descriptive pilot survey of nurses ’ perceptions of current practice in an Australian Regional Critical Care Unit. Intensive & Critical Care Nursing‚ 30(4)‚ 204-210. doi:10.1016/j.iccn.2014.02.003. Cvach‚ M. (2012). Monitor alarm fatigue: an integrative review. Biomedical Instrumentation & Technology‚ 46(4)‚ 268-277. Eccles‚ M.‚ Grimshaw‚ J.‚ Shekelle‚ P.G.‚ & Woolf‚ S.H. (1999). Developing clinical
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accountability and evidence-based practice requires not only scientific knowledge‚ but also a deep knowledge of the practice of one’s profession and of what it means to be human in the world of combined strength and vulnerability that is health care. Every clinician must understand the importance of applying best research evidence to client care‚ the essence of evidence–based practice‚ to improve the overall quality of healthcare. Research continues to find that using evidence-based guidelines in
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APTA (2016) defines evidence-based practice as “access to‚ and application and integration of evidence to guide clinical decision-making to provide best practice for the patient/client”. Health practitioners can use research-based evidence combined with clinical expertise in determining the quality of care that they can impart to the individual patient/client. According to Bacon‚ et al. (2003)‚ participants of the study who are APTA members showed optimism and appeal in improving their skills in
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to the researcher‚ original‚ relevant and ethically sound (Sim and Wright 2000). Evidence based health care involves the conscientious‚ explicit and judicious use of current best evidence about care of individual patients (Sackett et all 1996). In order to approach evidence based care in an evidenced based way the evidence available needs to be reviewed. A health care professional which practices in an evidence based way continues to improve their knowledge base and increase confidence and clinical
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Date: Healthy People 2020 Community-based nursing is a philosophy of practice that focuses care on individuals and families within a community. The primary goal of community-based nursing is to provide care with a major concentration on health promotion and rehabilitative primary health care through interdisciplinary collaboration for diverse population. Community-based nursing is based on assumption that individuals and families have primary responsibility for
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health care system‚ resulting in the integration of evidence-based practice to improve care. Evidence-based practice has been introduced to the health care industry to incorporate clinical expertise‚ scientific research‚ and the values as well as preferences of patients to ensure that the patient is the focus of care. Nurses play a crucial role in the implementation of evidence-based practice to ensure that clinical decisions based on current evidence‚ patient values‚ and clinical expertise guide the
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the most current‚ and valid evidence‚ without becoming too overwhelmed. PICOT is like a puzzle. By putting together all of the components that focus on a specific patient problem or population‚ intervention or issue‚ comparisons‚
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Critique of a Cochrane Review Meta-Analysis Study Educational and Skills-based Interventions for Preventing Relationship and Dating Violence in Adolescents and Young Adults Critique of a Cochrane Review Meta-Analysis Study There is a high rate of violence between young adults in relationships. As this is becoming more prevalent it is important to strengthenone’s knowledge base to help prevent this form of violence. A meta-analysis is a process to combine the findings from several
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