Clinical Trial Essays (Examples)
Study Document
Assessment Of Clinical Practice
… the loss of his sister four years ago.
II. Client-Worker Transactions
In accordance with American Psychological Association (2007) guidelines for record keeping in clinical practice, detailed accounts of client-counselor transactions were recorded. Level of detail promotes accuracy, and also helps other case workers maintain continuity of care … at risk for substance abuse (Fadus, Squeglia, Valadez, et al., 2019). Working with the client in these sessions, and critically reflecting on the clinical practice environment and process, promoted the development of core counseling competencies.
I learned a lot about myself during these sessions, and also about … approaches like the ones used here including the Adolescent Community Reinforcement Approach have the “strongest empirical verification” for preventing relapse and ensuring long-term positive clinical outcomes (p. 1). Evidence-based practice norms require mental health workers to employ the latest empirically validated techniques, from specific CBT methods to methods ……
References
References
American Psychological Association (2007). Record keeping guidelines. American Psychologist 62(9): 993-1004.
Fadus, M.C., Squeglia, L.M., Valadez, E.A., et al. (2019). Adolescent substance use disorder treatment. Current Psychiatry Reports 21(96).
Godley, M.D., Passetti, L.L. (2019). Behavioral interventions for substance use and relapse prevention. Treating Adolescent Substance Use. https://doi.org/10.1007/978-3-030-01893-1_6
Hogue, A., Bobek, M., MacLean, A., et al. (2020). Core elements of CBT for adolescent conduct and substance use problems. Cognitive and Behavioral Practice(2020): https://doi.org/10.1016/j.cbpra.2019.12.002
King, G. (2016). The Role of the Therapist in Therapeutic Change: How Knowledge From Mental Health Can Inform Pediatric Rehabilitation. Physical & Occupational Therapy In Pediatrics, 37(2), 121–138. doi:10.1080/01942638.2016.1185508
Oud, M., de Winter, L., Verimeulen-Smit, E., et al. (2019). Effectiveness of CBT for children and adolescents with depression: A systematic review and meta-regression analysis. European Psychiatry 57(2019): 33-45.
Rodriguez, M., Walters, S. T., Houck, J. M., Ortiz, J. A., & Taxman, F. S. (2017). The language of change among criminal justice clients: Counselor language, client language, and client substance use outcomes. Journal of Clinical Psychology, 74(4), 626–636. doi:10.1002/jclp.22534
Shulman, L. (2011). Dynamics and skills of group counseling. Belmont, CA: Brooks/Cole.
Study Document
Clinical Informatics
clinical Decision Support and Electronic Health Records
Introduction
Information technology has revolutionized nearly every aspect of life, from how people recreate to how they … aspect of life, from how people recreate to how they work. This is no less true in the field of health care, where clinical informatics is reshaping the nursing workplace environment, how patient data is recorded and shared, and how health care is delivered. This paper will … is reshaping the nursing workplace environment, how patient data is recorded and shared, and how health care is delivered. This paper will discuss clinical informatics concepts emerging in the 21st century, what evidence-based practice (EBP) shows with respect to clinical informatics, how the law figures into this issue with respect to HIPAA, privacy/confidentiality and security issues; and how patient safety, the nursing role … this issue with respect to HIPAA, privacy/confidentiality and security issues; and how patient……
References
References
Cho, O. M., Kim, H., Lee, Y. W., & Cho, I. (2016). Clinical alarms in intensive care units: Perceived obstacles of alarm management and alarm fatigue in nurses. Healthcare informatics research, 22(1), 46-53.
Effken, J., Weaver, C., Cochran, K., Androwich, I., & O’Brien, A. (2016). Toward a central repository for sharing nursing informatics’ best practices. CIN: Computers, Informatics, Nursing, 34(6), 245-246.
Elsayed, W. A., Hussein, F. M., & Othman, W. N. (2017). Relation between nursing informatics competency and nurses’ attitude toward evidence-based practice among qualified nurses at Mansoura Oncology Center. International Journal of Nursing Didactics, 7(6), 26-33.
Drolet, B. C., Marwaha, J. S., Hyatt, B., Blazar, P. E., & Lifchez, S. D. (2017). Electronic communication of protected health information: privacy, security, and HIPAA compliance. The Journal of hand surgery, 42(6), 411-416.
Haupeltshofer, A., Egerer, V., & Seeling, S. (2020). Promoting health literacy: What potential does nursing informatics offer to support older adults in the use of technology? A scoping review. Health Informatics Journal, 1460458220933417.
Kharbanda, E. O., Asche, S. E., Sinaiko, A. R., Ekstrom, H. L., Nordin, J. D., Sherwood, N. E., & O’Connor, P. (2018). Clinical decision support for recognition and management of hypertension: a randomized trial. Pediatrics, 141(2).
Khezri, H., & Abdekhoda, M. (2019). Assessing nurses’ informatics competency and identifying its related factors. Journal of Research in Nursing, 24(7), 529-538.
Kleib, M., & Nagle, L. (2018). Factors associated with Canadian nurses\\\\\\\\\\\\' informatics competency. CIN: Computers, Informatics, Nursing, 36(8), 406-415.
Study Document
Veterans Back Pain Exercise And Therapy
...Clinical trial PICOT Question
Introduction
Low back pain is a common health challenge for both active and former military service members. Among the military veterans, low back pain places higher risk and has been indicated to be bear the potential for long-term disability (Bagg et al., 2017). There is a lack of effective treatment strategies, and thus, military veterans rely on pain management strategies and other medical strategies, e.g., medical imaging, opioids, injections, and surgery. To both the Department of Defense (DoD) and the Department of Veteran Affairs (VA), the costs of care for members with low back pain have been on the rise; necessitating the need for research on the effectiveness of some of the available methods for treating and managing low back pain. Some of the methods available are non-narcotic pain medication, yoga stretches, and physiotherapy. These interventions can be administered in combination or singly (Bagg et al., 2017). This……
References
References
Bagg, M. K., Hübscher, M., Rabey, M., Wand, B. M., O’Hagan, E., Moseley, G. L., ... & O’Connell, N. E. (2017). The RESOLVE Trial for people with chronic low back pain: protocol for a randomized clinical trial. Journal of physiotherapy, 63(1), 47-48.
Chou, R., Deyo, R., Friedly, J., Skelly, A., Hashimoto, R., Weimer, M., ... & Grusing, S. (2017). Nonpharmacologic therapies for low back pain: a systematic review for an American College of Physicians clinical practice guideline. Annals of internal medicine, 166(7), 493-505.
Dehghan, M., & FarahbOD, F. (2014). The efficacy of thermotherapy and cryotherapy on pain relief in patients with acute low back pain, a clinical trial study. Journal of clinical and diagnostic research: JCDR, 8(9), LC01.
Denneson, L. M., Corson, K., & Dobscha, S. K. (2011). Complementary and alternative medicine use among veterans with chronic noncancer pain—Journal of Rehabilitation Research & Development, 48(9).
Guzmán, J., Esmail, R., Karjalainen, K., Malmivaara, A., Irvin, E., & Bombardier, C. (2001). Multidisciplinary rehabilitation for chronic low back pain: systematic review. BMJ, 322(7301), 1511-1516.
Hayden, J. A., Van Tulder, M. W., & Tomlinson, G. (2005). Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Annals of internal medicine, 142(9), 776-785.
Kim, E. J., Choi, Y. D., Lim, C. Y., Kim, K. H., & Lee, S. D. (2015). Effect of heating and cooling combination therapy on patients with chronic low back pain: study protocol for a randomized controlled trial. Trials, 16(1), 285.
Nitsure, P. V., Pathania, T. S., & Bilgi, T. A. (2014). Comparison of elastic resistance band exercises and yoga in physiotherapy students with chronic non-specific low back pain: a randomized clinical trial. Journal of Yoga & Physical Therapy, 5, 180.
Study Document
Developing A Research Hypothesis
Abstract
Developing a researchable question is one of the challenging tasks a researcher encounters when initiating a project. In current clinical practice, both unanswered issues or when experiences dictate alternative therapies may provoke an investigator to formulate a clinical research question. This paper describes PICO (population, intervention, control, and outcomes) criteria in framing a research question. Finally, it assesses the characteristics of … infections.
Part 1
EBM, shorthand for Evidence-Based Medicine, is a core aspect of the medical profession. EBM provides statistical analyses and matters of clinical concern. It is based on research, reading, analysis, and combining many papers generated within the medical fraternity. EBM applications based on research evidence … It is based on research, reading, analysis, and combining many papers generated within the medical fraternity. EBM applications based on research evidence and clinical knowledge and reviews of the system go a long way in improving clinical decisions. Usually,……
References
References
Considine, J., Shaban, R. Z., Fry, M., & Curtis, K. (2017). Evidence-based emergency nursing: designing a research question and searching the literature. International emergency nursing, 32, 78-82.
Eriksen, M. B., & Frandsen, T. F. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association: JMLA, 106(4), 420.
Yuan, X., Xiaoli, L., Shilei, L., Qinwen, S., & Ke, L. (2019, May). Extracting PICO elements from RCT abstracts using 1-2gram analysis and multitask classification. In Proceedings of the third International Conference on Medical and Health Informatics 2019 (pp. 194-199).
Scells, H., Zuccon, G., Koopman, B., Deacon, A., Azzopardi, L., &Geva, S. (2017, November). Integrating the framing of clinical questions via PICO into the retrieval of medical literature for systematic reviews. In Proceedings of the 2017 ACM on Conference on Information and Knowledge Management (pp. 2291-2294).
Basmaci, R., Vazouras, K., Bielicki, J., Folgori, L., Hsia, Y., Zaoutis, T., &Sharland, M. (2017). Urinary tract infection antibiotic trial study design: a systematic review. Pediatrics, 140(6).
Misra, D. P., & Agarwal, V. (2018). Systematic reviews: challenges for their justification, related comprehensive searches, and implications. Journal of Korean medical science, 33(12).
Belcher, B. M., Rasmussen, K. E., Kemshaw, M. R., &Zornes, D. A. (2016). Defining and assessing research quality in a transdisciplinary context. Research Evaluation, 25(1), 1-17.
Fu, D. Y., & Hughey, J. J. (2019). Meta-Research: Releasing a preprint is associated with more attention and citations for the peer-reviewed article. Elife, 8, e52646.
Study Document
Alzhemier S Prevention Healthcare
…
Article 2:
Kwok, T. C. Y., Lam, L. C. W., Sea, M. M. M., Goggins, W., & Woo, J. (2012). A randomized controlled trial of dietetic interventions to prevent cognitive decline in old age hostel residents. European journal of clinical nutrition, 66(10), 1135.
Article 3:
Dangour, A. D., Whitehouse, P. J., Rafferty, K., Mitchell, S. A., Smith, L., Hawkesworth, S., & Vellas, B. (2010). … dietary interventions for prevention of dementia in people with mild cognitive impairment (MCI)
The scope of the study is randomised or quasi-randomised controlled trial, published or unpublished, reported in any language
The rationale for the study is that forthcoming prevalence and financial consequences of dementia are such … SH, Ernesto C, Grundman M, Sano M, Bieliauskas L, Geldmacher D, Clark C, Thal LJ (1997) Development of cognitive instruments for use in clinical trial of antidementia drugs: additions to the Alzheimer’s Disease Assessment Scale that broaden its……
References
References
Abraham, R. P., Denton, D. A., Al?Assaf, A. S., Rutjes, A. W., Chong, L. Y., Malik, M. A., & Tabet, N. (2015). Vitamin and mineral supplementation for prevention of dementia or delaying cognitive decline in people with mild cognitive impairment. Cochrane Database of Systematic Reviews, (10).
Kwok, T. C. Y., Lam, L. C. W., Sea, M. M. M., Goggins, W., & Woo, J. (2012). A randomized controlled trial of dietetic interventions to prevent cognitive decline in old age hostel residents. European journal of clinical nutrition, 66(10), 1135.
Dangour, A. D., Whitehouse, P. J., Rafferty, K., Mitchell, S. A., Smith, L., Hawkesworth, S., & Vellas, B. (2010). B-vitamins and fatty acids in the prevention and treatment of Alzheimer\\'s disease and dementia: a systematic review. Journal of Alzheimer\\'s disease, 22(1), 205-224.
Study Document
Rosacea Skin Condition
… Zuuren, 2017)
Some common prescriptions such as Benzyl peroxide for topical application, singly or in combination with antibiotics, the topical retinoids
Randomized controlled trial on Azithromycin and erythromycin have either not produced the desired results or not been conducted at all. There is no tangible evidence for … either not produced the desired results or not been conducted at all. There is no tangible evidence for treating rosacea. There are various clinical alternatives for rosacea, but they will usually require a combination of treatments simultaneously. However, evidence relating to the safety and effectiveness of these … treatment and how long it takes for a response to occur.
Using standardized and outcome measures that are validated would aid comparisons across trial and meta-analysis data synthesis (Iyengar et al., 2016). A procedure for developing a primary list of outcomes to be examined in clinical trial for rosacea treatment was recently published.……
References
References
Biggers, A. (Reviewer) (2020). Can Rosacea Be Cured? New Treatments and Research. Healthline. Retrieved from https://www.healthline.com/health/rosacea/research-cure-update
Gallo, R. L., Granstein, R. D., Kang, S., Mannis, M., Steinhoff, M., Tan, J., & Thiboutot, D. (2018). Standard classification and pathophysiology of rosacea: The 2017 update by the National Rosacea Society Expert Committee. Journal of the American Academy of Dermatology, 78(1), 148-155.
Iyengar, S., Williamson, P. R., Schmitt, J., Johannsen, L., Maher, I. A., Sobanko, J. F., ... & Alam, M. (2016). Development of a core outcome set for clinical trials in rosacea: study protocol for a systematic review of the literature and identification of a core outcome set using a Delphi survey. Trials, 17(1), 429.
Oge, L. K., Muncie Jr, H. L., & Phillips-Savoy, A. R. (2015). Rosacea: diagnosis and treatment. American family physician, 92(3), 187-196.
Steinhoff, M., Schauber, J., & Leyden, J. J. (2013). New insights into rosacea pathophysiology: a review of recent findings. Journal of the American Academy of Dermatology, 69(6), S15-S26.
Van Zuuren, E. J. (2017). Rosacea. New England Journal of Medicine, 377(18), 1754-1764.
Van Zuuren, E. J., Fedorowicz, Z., Carter, B., van der Linden, M. M., & Charland, L. (2015). Interventions for rosacea. Cochrane Database of Systematic Reviews, (4).
Walsh, R. K., Endicott, A. A., & Shinkai, K. (2018). Diagnosis and treatment of rosacea fulminans: a comprehensive review. American journal of clinical dermatology, 19(1), 79-86.
Study Document
Separation Anxiety Disorder SAD
… of its ease of access and reliability. The search was conducted through the use of the keywords/phrases: “Social Anxiety Disorder,” Cognitive Behavior Theory,” “clinical trial OR random allocation OR single-blind method.” The search results were further analyzed using the abstract, in order to ensure inclusion of the most … of the most relevant articles. The inclusion criteria were: English language articles published in and after 2010. Types of studies included randomized controlled trial and quasi-experimental researches. The type of intervention was cognitive behavioral intervention.
Annotations
Article 1: Schneider, S., Blatter-Meunier, J., Herren, C., Adornetto, C., In-Albon, … Herren, C., Adornetto, C., In-Albon, T., & Lavallee, K. (2011). Disorder-specific cognitive-behavioral therapy for separation anxiety disorder in young children: a randomized waiting-list-controlled trial. Psychotherapy and psychosomatics, 80(4), 206-215.
Permalink: https://www.kli.psy.ruhr-uni-bochum.de/kkjp/team/public/Schneider Journals/2011/Schneider et al._Disorderspecific cognitive behavioral treatment.pdf
The purpose of this study was to evaluate the short-term effectiveness of ……
References
References
Minde, K., Roy, J., Bezonsky, R., & Hashemi, A. (2010). The effectiveness of CBT in 3–7 year old anxious children: Preliminary data. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(2), 109.
Ruocco, S., Gordon, J., & McLean, L. A. (2016). Effectiveness of a school-based early intervention CBT group programme for children with anxiety aged 5–7 years. Advances in School Mental Health Promotion, 9(1), 29-49.
Schneider, S., Blatter-Meunier, J., Herren, C., Adornetto, C., In-Albon, T., & Lavallee, K. (2011). Disorder-specific cognitive-behavioral therapy for separation anxiety disorder in young children: a randomized waiting-list-controlled trial. Psychotherapy and psychosomatics, 80(4), 206-215.
Van der Sluis, C. M. (2016). Anxiety disorders in young children: Parent and child contributions to the maintenance, assessment and treatment. (Ph.D. Thesis, University of Amsterdam).
Study Document
Management Of Type 2 Diabetes Literature Review
...Clinical trial Literature Review for Capstone Project
Introduction
In the management of type 2 diabetes (T2D), medication adherence is a crucial issue. One of the strategies to ensure medication adherence among T2D patients is nurse-led intervention meant to change the behavior of patients. This study, therefore, seeks to determine how a nurse-led behavior change intervention compares to standard care in patients with T2D in increasing adherence to medication in a period of four months. This section is a literature review that analysis eight literature materials.
A comparison of research questions
In all the articles, the research questions incorporate the aspect of nonadherence to medication/management strategies, however, there are varying aspects in the details of each research question. In Costa et al. (2015), the study focused on chronic diseases in general, and not specifically on T2D. In Whitehead et al. (2017), the intervention is not led by nurses and it not only limited……
References
References
Balducci, S., D’Errico, V., Haxhi, J., Sacchetti, M., Orlando, G., Cardelli, P., ... & Lucisano, G. (2019). Effect of a Behavioral Intervention Strategy on Sustained Change in Physical Activity and Sedentary Behavior in Patients With Type 2 Diabetes: The IDES_2 Randomized Clinical Trial. Jama, 321(9), 880-890.
Costa, E., Giardini, A., Savin, M., Menditto, E., Lehane, E., Laosa, O., ... & Marengoni, A. (2015). Interventional tools to improve medication adherence: review of literature. Patient preference and adherence, 9, 1303.
Guo, Z., Liu, J., Zeng, H., He, G., Ren, X., & Guo, J. (2019). Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial. Patient preference and adherence, 13, 1353.
Johansen, M. Y., MacDonald, C. S., Hansen, K. B., Karstoft, K., Christensen, R., Pedersen, M., ... & Iepsen, U. W. (2017). Effect of an intensive lifestyle intervention on glycemic control in patients with type 2 diabetes: a randomized clinical trial. Jama, 318(7), 637-646.
Mohd, M. M. A. H., Phung, H., Sun, J., & Morisky, D. E. (2016). Improving adherence to medication in adults with diabetes in the United Arab Emirates. BMC public health, 16(1), 857.
Sapkota, S., Brien, J. A., Greenfield, J., & Aslani, P. (2015). A systematic review of interventions addressing adherence to anti-diabetic medications in patients with type 2 diabetes—impact on adherence. PloS one, 10(2), e0118296.
Supachaipanichpong, P., Vatanasomboon, P., Tansakul, S., & Chumchuen, P. (2018). An Education Intervention for Medication Adherence in Uncontrolled Diabetes in Thailand. Pacific Rim International Journal of Nursing Research, 22(2), 144-155.
Whitehead, L. C., Crowe, M. T., Carter, J. D., Maskill, V. R., Carlyle, D., Bugge, C., & Frampton, C. M. (2017). A nurse?led education and cognitive behaviour therapy?based intervention among adults with uncontrolled type 2 diabetes: A randomised controlled trial. Journal of evaluation in clinical practice, 23(4), 821-829.
Study Document
Intake Information For Mental Health
… get a depression diagnosis, the above symptoms should cause the patient medically considerable impairment or distress in occupational, social, or…[break]…patient-centered. The definition of clinical reasoning is that it is a cognitive process utilized to assess and manage medical problems. The process is based on dual process theory, … (Kahneman, 2011).
However, when the “explicit diagnostic criteria” was introduced in mental health care research and was later adopted in the DSM-III for clinical practice, it turned things around. It helped therapists to avoid the subjectivity and vagueness of previous conventional diagnostic processes (Maj, 2013), that affected … of previous conventional diagnostic processes (Maj, 2013), that affected the reliability of diagnoses. The utilization of set diagnostic criteria, of course, also affects clinical judgment. The right use of criteria is only possible when the therapist has sufficient clinical knowledge and experience especially in psychopathology (Maj, 2013). Nevertheless, the above would only be……
References
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. BMC Med, 17, 133-137.
Buntrock, C., Ebert, D. D., Lehr, D., Smit, F., Riper, H., Berking, M., & Cuijpers, P. (2016). Effect of a web-based guided self-help intervention for prevention of major depression in adults with subthreshold depression: a randomized clinical trial. Jama, 315(17), 1854-1863.
Davaasambuu, S., Aira, T., Hamid, P., Wainberg, M., & Witte, S. (2017). Risk and resilience factors for depression and suicidal ideation in Mongolian college students. Mental health & prevention, 5, 33.
Gilbert, P. (2016). Depression: The evolution of powerlessness. Routledge.
Hammen, C. (2018). Risk factors for depression: An autobiographical review. Annual review of clinical psychology, 14, 1-28.
Kahneman, D. (2011). Thinking, fast and slow. Macmillan.
Khoury, B., Langer, E. J., & Pagnini, F. (2014). The DSM: mindful science or mindless power? A critical review. Frontiers in psychology, 5, 602.
MacGill, M. (2017). What is depression and what can I do about it? Medical News Today. Retrieved from https://www.medicalnewstoday.com/kc/depression-causes-symptoms-treatments-8933.
Study Document
Stem Cell Transplants Treat Alzheimers And Parkinsons Disease
… responsible for controlling movement. The degeneration leads to lower levels of neurotransmitter, dopamine, within the patient's brain, vital to body movement regulation.
Parkinson's' clinical symptoms emerge when roughly 70 percent of neurons that produce dopamine get damaged. They include bradykinesia (or a slowing down of physical movement), … yet to be determined, several research scholars claim the disease emerges as a reaction to non-genetic…[break]…pathways include paracrine effects, immune-modulation, differentiation, and proliferation. Pre-clinical body of research on stem cells shows that the benefits and drawbacks are dependent on stem cell source and type (Bali et al, … ailments; however, an in-depth assessment of likely risks and risk factors of stem cell-grounded medications is pivotal prior to its widespread approval for clinical administration. For every such medication, the likely patient risks must be appropriately assessed; moreover, distinct inherent stem cell characteristics as well as safety … safety information already acquired about……
References
References
Alzheimer’s Association. (2015). 2015 Alzheimer\\\\'s disease facts and figures. Alzheimer\\\\'s & Dementia, 11(3), 332-384. doi:10.1016/j.jalz.2015.02.003.
Bali, P., Lahiri, D., Banik, A., Nehru, B., & Anand, A. (2017). Potential for Stem Cells Therapy in Alzheimer’s Disease: Do Neurotrophic Factors Play Critical Role? Current Alzheimer Research, 14(2), 208-220. doi:10.2174/1567205013666160314145347
Goodarzi, P., Aghayan, H. R., Larijani, B., Soleimani, M., Dehpour, A. R., Sahebjam, M., … Arjmand, B. (2015). Stem cell-based approach for the treatment of Parkinson\\\\'s disease. Medical journal of the Islamic Republic of Iran, 29, 168.
Herberts, C. A., Kwa, M. S., & Hermsen, H. P. (2011). Risk factors in the development of stem cell therapy. Journal of Translational Medicine, 9(1). doi:10.1186/1479-5876-9-29
Hwang, S., Gill, S., Pathak, S., & Subramanian, S. (2018, March 30). A Comparison of Stem Cell Therapies for Parkinson Disease | Published in Georgetown Medical Review. Retrieved June 11, 2019, from https://gmr.scholasticahq.com/article/3420-a-comparison-of-stem-cell-therapies-for-parkinson-disease
Railton, D. (2019, February 18). Stem cells: Therapy, controversy, and research. Retrieved June 11, 2019, from https://www.medicalnewstoday.com/articles/200904.php
The Research Journal. (2017, September 20). Alzheimer\\\\'s and Parkinson\\\\'s - the current state of research. Retrieved June 11, 2019, from https://www.pasteur.fr/en/research-journal/reports/alzheimer-s-and-parkinson-s-current-state-research
Improve your studying and writing skills
We have over 150,000+ study documents to help you.
Sign Up for FREE
