Evidence Based Medicine Essays (Examples)
Study Document
Quality And Sustainability In Health Care
...Evidence based medicine Implementation and Evaluation
Introduction
This is part 3 of the quality and sustainability paper. Part 1 outlined the descriptive method of assessing quality and safety measures in nursing science. It was concluded that administrative data could be used to determine the effectiveness of quality or safety program since safety is the most fundamental aspect of nursing science (Twigg, Pugh, Gelder, & Myers, 2016). In part 2, analysis and application of safety programs were explored and Kenneth E. Waldenberg Health Care facility was used as a model in the analysis. The findings of the paper was that leadership plays a key role in sustaining quality improvement programs in any health care organization (Stetler, Ritchie, Rycroft-Malone, & Charns, 2014). In this third part of the quality and sustainability paper, a change theory that will support the implementation of a quality and safety program will be discussed.
Change Theory
Healthcare facilitates are required……
References
References
Alenius-Smeds, L., Tishelman, C., Lindqvist, R. Runesdotter, S. & McHugh, M.D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies. Retrieved from http://dx.doi.org/10.1016/j.ijnurstu.2016 (06)005
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Campbell, R. J. (2008). Change Management in Health Care. The Health Care Manager, 27(1), 23-39. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/18510142
Hughes, R.G. (2007). "3 Barriers to quality improvement and quality improvement research." Institute of Medicine (IOM). Advancing quality improvement research: Challenges and opportunities: Workshop summary. doi:10.17226/11884.x
Lennox, L., Maher, L., & Reed, J. (2018). Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare. Implementation science: IS, 13(1), 27. doi:10.1186/s13012-017-0707-4
Stetler C.B., Ritchie J.A., Rycroft-Malone J. & Charns M.P. (2014) Leadership for evidence-based practice: strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence Based Nursing 11(4), 219–226.
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
Study Document
Culturally Competent Patient Care Advanced Practice Nursing
… research, and uses scholarly means to conduct cultural assessments of a particular patient population. Similarly, the advanced practice nurse reviews the literature for evidence-based practice models for working with specific patient populations in clinical care. Cultural competency also includes an affective domain, such as the cultivation of … all statistics related to disease prevalence within the African American community, specifically within the sub-group identified by the patient such as age-related or gender-based differences. The advanced practitioner must rely on scholarly databases to acquire such data.
Demonstrating cultural competency includes assessment of culture, using strategies that … practitioner identifies singular means of aligning a treatment plan with patient goals and objectives, respectful of diversity while still providing advice as to evidence-based practices. Doing research, working with colleagues, and actively engaging the patient and family members in the process of elucidating cultural differences in healthcare ……
References
References
Coats, H., Crist, J. D., Berger, A., Sternberg, E., & Rosenfeld, A. G. (2016). African American Elders’ Serious Illness Experiences. Qualitative Health Research, 27(5), 634–648. doi:10.1177/1049732315620153
“Cultural Awareness and Influences on Health: NCLEX-RN,” (2020). Registered Nursing. Retrieved from: https://www.registerednursing.org/nclex/cultural-awareness-influences-health/
Marion, L., Douglas, M., Lavin, M., Barr, N., Gazaway, S., Thomas, L., Bickford, C., (November 18, 2016) \\\\\\\\\\\\"Implementing the New ANA Standard 8: Culturally Congruent Practice\\\\\\\\\\\\" OJIN: The Online Journal of Issues in Nursing Vol. 22 No. 1.
Smith, L.S. (2018). A nurse educator\\\\\\\\\\\\'s guide to cultural competence. Nursing Made Incredibly Easy 16(2): 19-23.
Spector, R.E. (2016). Cultural diversity in health and illness. 9th Edition
Wagner, J. (2019). Cultural competency. Medicine Libre Texts. Retrieved from: https://med.libretexts.org/Bookshelves/Nursing/Book%3A_Leadership_and_Influencing_Change_in_Nursing_(Wagner)/03%3A_Diversity_in_Health_Care_Organizations/3.04%3A_Cultural_Competency
Williams, M.T., Duque, G., Wetterneck, C.T., et al. (2018). Ethnic identity and regional differences in mental health in a national sample of African American young adults. Journal of Racial and Ethnic Health Disparities 5(2018): 312-321.
Young, S., & Guo, K. L. (2016). Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The health care manager, 35(2), 94-102.
Study Document
Raising Families In The 1950s After World War II
...Evidence based medicine Usual Roles for Men and Women Raising Families in the 1950s after World War II
Background of researched generation or individual, historical and present
The 1950s epoch is often perceived as an era of conformity, during which both genders adhered to their stringent roles and acted following the society's expectations. After the damage and devastation caused by the Great Depression and the Second World War, numerous people in the society chose to build a society that is both peaceful and successful. Even though it was expected that women would identify themselves fundamentally as wives and mothers and to steer clear of work outside the home setting, women continued to constitute a substantial percentage of the post-World War II labor force. The culmination of the war instigated significant changes. Notably, working women were supplanted by the soldiers who were returning home after the war. The communications relayed in popular culture, as……
References
References
Baernholdt, M., Yan, G., Hinton, I., Rose, K., & Mattos, M. (2012). Quality of life in rural and urban adults 65 years and older: findings from the National Health and Nutrition Examination survey. The Journal of Rural Health, 28(4), 339-347.
Canizares, M., Gignac, M., Hogg-Johnson, S., Glazier, R. H., & Badley, E. M. (2016). Do baby boomers use more healthcare services than other generations? Longitudinal trajectories of physician service use across five birth cohorts. BMJ Open, 6(9), e013276.
Cleary, K. K., & Howell, D. M. (2006). Using the SF-36 to determine perceived health-related quality of life in rural Idaho seniors. Journal of allied health, 35(3), 156-161.
Hall, R. C., Hall, R. C., & Chapman, M. J. (2003). Identifying geriatric patients at risk for suicide and depression. Clinical Geriatrics, 11, 36-44.
Khan Academy. (2020). Women in the 1950s: Learn about the myths and realities of women\\\\\\\\\\\\'s lives during the 1950s. Retrieved 8 March 2020 from https://www.khanacademy.org/humanities/us-history/postwarera/1950s-america/a/women-in-the-1950s
Oguzturk, O. (2008). Differences in quality of life in rural and urban populations. Clinical and investigative medicine, E346-E350.
Phillipson, C., Leach, R., Money, A., & Biggs, S. (2008). Social and cultural constructions of aging: the case of the baby boomers. Sociological Research Online, 13(3), 1-14.
Rinfrette, E. S. (2009). Treatment of anxiety, depression, and alcohol disorders in the elderly: Social work collaboration in primary care. Journal of evidence-based social work, 6(1), 79-91.
Study Document
Victims Of Homelessness
...Evidence based medicine Homelessness is an issue that has persisted in the United States because of the ever-changing demographic factors and economic circumstances. The composition and size of the homeless population in the country continues to change due to these varying factors. Over the past decade, homelessness has attracted public attention given the dramatic increase in the number and composition of victims. While numerous efforts have been undertaken to address the issue, homelessness remains a major problem for policymakers and the public. An important element in dealing with the problem of homelessness is understanding victimization and its contributing factors. Through understanding victimization, policymakers and other stakeholders will develop suitable policies and approaches to address homelessness. This paper explores street crime victimization of homeless women and children.
Importance of the Issue
According to Stanley et al. (2016), homelessness is an ongoing problem facing the United States as the size of the homeless population continues……
References
References
Bachega, H. (2018, October 8). Homeless in US: A Deepening Crisis on the Streets of America. BBC. Retrieved November 22, 2019, from https://www.bbc.co.uk/news/world-us-canada-45442596
Bendix, A. (2019, November 18). The 9 States with the Worst Homelessness Crises Reveal How Bad the Housing Crunch Has Gotten in US Cities. Business Insider. Retrieved November 22, 2019, https://www.businessinsider.com/photos-homelessness-states-worst-crises-2018-11?IR=T
Ellsworth, J.T. (2018, December 3). Street Crime Victimization Among Homeless Adults: A Review of the Literature. Victims & Offenders: An International Journal of Evidence-based Research, Policy and Practice, 14(1), 96-118.
Family & Youth Services Bureau. (2016, June 24). Domestic Violence and Homelessness: Statistics (2016). Retrieved from U.S. Department of Health and Human Services website: https://www.acf.hhs.gov/fysb/resource/dv-homelessness-stats-2016
Norris, S. (2019, September 9). Women Fleeing Abuse Are Being ‘re-traumatized’ by the Housing System. City Metric. Retrieved November 22, 2019, from https://www.citymetric.com/politics/women-fleeing-abuse-are-being-re-traumatised-housing-system-4769
Stanley, J.L., Jansson, A.V., Akinyemi, A.A. & Mitchell, C.S. (2016, November). Characteristics of Violent Deaths Among Homeless People in Maryland, 2003-2011. American Journal of Preventive Medicine, 51(5), S260-S266.
Turner, M.M., Funge, S.P. & Gabbard, W.J. (2018). Victimization of the Homeless: Perceptions, Policies, and Implications for Social Work Practice. Journal of Social Work in the Global Community, 3(1), 1-12.
Tyler, K.A. & Beal, M.R. (2010). The High-risk Environment of Homeless Young Adults: Consequences for Physical and Sexual Victimization. Violence and Victims, 25(1), 101-115.
Study Document
Veterans Back Pain Exercise And Therapy
...Evidence based medicine 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
Application Of Quality And Safety Concepts
… patient data in a secure and timely manner.
Brief literature review
Federico and Alotaibi (2017) state that ever since the IOM (Institute of Medicine) report was published, health IT (HIT) is being created and implemented at a quicker pace, with varying levels of evidence regarding health IT’s effect on the safety of patients. The report analyzed existing scientific proofs regarding the influence of diverse HITs on patient … of healthcare. Hospitals and other healthcare facilities must selectively choose technologies for investment, since research works reveal that certain technologies have only limited evidence when it comes to improving the safety outcomes of patients.
Sittig and Singh’s (2016) study indicates that HIT is capable of bringing about … focus and possibly more inflexible and limiting standards and framework. AST (Adaptive Structuration Theory) improves IT analysis, especially in case of new adoption. based on the 1984 Structuration Theory of Gidden, Poole and…[break]…assess……
References
Bibliography
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Med J, 38(12), 1173–1180.
Amit, M. (2019, January 28). 5 Problems Which Healthcare Technology Can Solve for a Healthier World. Retrieved from Net Solutions: https://www.netsolutions.com/insights/5-healthcare-problems-which-digital-technologies-can-solve-for-a-fit-and-healthy-world/
DeSanctis, G., & Poole, M. S. (1994). Capturing the Complexity in Advanced Technology Use: Adaptive Structuration Theory. Organization Science, 5(2), 121-147.
Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health Information Technology in Healthcare Quality and Patient Safety: Literature Review. JMIR Med Inform, 6(2).
Halamka, J., Mandl, K., & Tang, P. (2008). Early Experiences with Personal Health Records. Journal of the American Medical Informatics Association, 15(1), 1-7.
IOM. (1999). To Err is Human: Building a Safer Health System. National Academy of Sciences.
Singh, H., & Sittig, D. (2016). Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Quality & Safety, 25, 226-232.
Weigel, F., Hall, D. J., & Landrum, W. H. (2009). Human/Technology Adaptation Fit Theory for Healthcare. SAIS 2009 Proceedings.
Study Document
Stem Cell Transplants Treat Alzheimers And Parkinsons Disease
… being tested to help treat brain disorders such as Parkinson’s disease, amyotrophic lateral sclerosis, and Alzheimer’s disease. This work looks at what the evidence is saying about the efficacy of stem cell transplants approach in the treatment of Alzheimer’s and Parkinson’s diseases. It also investigates the possible … storage, handling, and therapeutic/clinical risk factors may generally contribute to patient risk. In the course of risk assessment, safety-related knowledge of similar medications based on stem cells might prove highly valuable. Established or recorded risks, established risk factors, and likely or anticipated risks ought to be taken ……
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
Study Document
Obesity And Role Of Government
… create policies, but there is a need to involve everyone to ensure that the policy document is comprehensive and has broad consensus. A rule-based approach can help change behavioral attitudes and norms. For instance, a law or policy banning the sale of sugary drinks or junk foods … to guide their steps and the steps of everyone in the fight against obesity to ensure there are no competing or counter efforts. Community-based programs have proved successful; in terms of……
References
References
AAFP. (2010). Federal government takes bigger role in combating obesity. Retrieved from https://www.aafp.org/news/obesity/20100517fed-initiatives.html
Institute of Medicine. 2007. Progress in preventing childhood obesity: how do we measure up?. Washington, DC: The National Academies Press. https://doi.org/10.17226/11722 .
Kumanyaki, S. K., Parker, L., & Sim, L. J. (2010). Bridging the evidence gap in obesity prevention: A framework to inform decision making. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK220174/
Mitchell, N., Catenacci, V., Wyatt, H., & Hill, J. (2011). Obesity: Overview of an epidemic. Psychiatr Clin North Am, 34(4), 717-732. DOI: 10.1016/j.psc.2011.08.005
Swinburn, B. (2008). Obesity prevention: The role of policies, laws, and regulations. Aust New Zealand Health Policy, 5(12). DOI: 10.1186/1743-8462-5-12
Study Document
Biblical Mysteries
Introduction
Western scholars came up with the term mysticism to describe a special religious phenomenological concept. The term is general utilized today based on a very broad assumption that things found in every religion e.g. the rituals, the practices, the goals, and the experiences are also … find the means and processes of explaining the union beyond the love and contemplation. According to the concept, the union is not merely based on an individual’s knowledge of the divinity but on intuition and something deeper (Sauvage, 1911).
For quite a number of centuries, practitioners of ……
References
References
Addington, J. E. (1969). The Hidden Mystery of the Bible. DeVorss & Company.
Ahn, E., & Kang, H. (2018). Introduction to systematic review and meta-analysis. Korean journal of anesthesiology, 71(2), 103.
Beale, G. K., & Gladd, B. L. (2014). Hidden but now revealed: A Biblical theology of mystery. InterVarsity Press.
Catholic Church. (1997). Catechism of the Catholic Church: Revised in accordance with the official Latin text. Promulgated by Pope John Paul II (2nd edition). Washington, D.C.: United States Catholic Conference.
Cook, D. J., Mulrow, C. D., & Haynes, R. B. (1997). Systematic reviews: synthesis of best evidence for clinical decisions. Annals of internal medicine, 126(5), 376-380.
Florovsky, G. (1972). Bible, church, tradition: an Eastern Orthodox view (Vol. 1). Nordland Publishing Company.
Jeffrey, G. R. (2013). Unveiling Mysteries of the Bible. WaterBrook.
Katz, S.T. (1978). Language, Epistemology, and Mysticism. New York, Oxford University Press.
Study Document
Coronavirus COVID 19
… COVID 19 for that reason—though they are still being counted as infected persons by most media outlets (National Academies of Sciences, Engineering, and Medicine, 2015). By far the most common symptoms are fever, cough and fatigue, and it is as of yet unclear what percentage of the … the virus has likely already run its course and that everyone who is going to contract it likely already has. The lack of evidence one way or another, however, does not allow for a conclusive answer to be given.
What is certain is that society is going ……
References
References
Chen, N., Zhou, M., Dong, X., Qu, J., Gong, F., Han, Y., ... & Yu, T. (2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet, 395(10223), 507-513.
Kekatos, M. (2020). Ventilating too soon. Retrieved from https://www.dailymail.co.uk/health/article-8201783/Some-doctors-moving-away-ventilators-virus-patients.html
Myers, S. L. (2020). China Spins Tale That the U.S. Army Started the Coronavirus Epidemic. Retrieved from https://www.nytimes.com/2020/03/13/world/asia/coronavirus-china-conspiracy-theory.html
National Academies of Sciences, Engineering, and Medicine. (2015). Improving diagnosis in health care. National Academies Press.
Oliver, D. (2020). Coronavirus genetic material stayed on surfaces for up to 17 days on Diamond Princess cruise, CDC says. Retrieved from https://www.usatoday.com/story/travel/cruises/2020/03/24/coronavirus-diamond-princess-cabin-surfaces-contaminated-cdc-report/2905924001/
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