Evidence Based Practice Essays (Examples)
Study Document
Quality And Sustainability In Health Care
...Evidence based practice 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
PCOS Diagnosis And Management
… proper diagnosis and treatment plan. This paper discusses the diagnosis of her condition and provides a therapeutic plan incorporating pharmacological and non-pharmacological treatments based on evidence-based practice.
Diagnostic Testing and Possible Physical Exam Findings
The patient’s history of present illness meets the criteria for Polycystic Ovary Syndrome (PCOS), which is … of this condition requires consideration of clinical symptoms and laboratory evaluation or diagnostic testing. Clinical assessment for this condition begins with a comprehensive adolescent-based interview. During this assessment, the clinician examines the patient’s pubertal history, past medical history, menstrual history, and reproductive health history. For this patient, ……
References
References
Lanzo, E., Monge, M. & Trent, M. (2015, September). Diagnosis and Management of Polycystic Ovary Syndrome in Adolescent Girl. Pediatric Annals, 44(9), e223-e230. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5659205/
Lua, A.C.Y., How, C.H. & King, T.F.J. (2018, November). Managing Polycystic Ovary Syndrome in Primary Care. Singaporean Medical Journal, 59(11), 567-571. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250763/
Williams, T., Mortada, R. & Porter, S. (2016, July 15). Diagnosis and Treatment of Polycystic Ovary Syndrome. American Family Physician, 94(2), 106-113. Retrieved from https://www.aafp.org/afp/2016/0715/p106.html
Study Document
Individuals Using Customary Practices In Times Of Crises
Allen-Meares, P. & Garvin, C. (Eds.). (2000). The Handbook of Social Work Direct Practice. New York, SAGE. This is not a primary source, but the definition of crisis could be used in the proposal.
An assessment of … SAGE. This is not a primary source, but the definition of crisis could be used in the proposal.
An assessment of the customary practices utilized by individuals in times of crisis would not be complete without a clear definition of ‘crisis’ in the context of the said … utilized by individuals in times of crisis would not be complete without a clear definition of ‘crisis’ in the context of the said practices. In seeking to define the term crisis, the cited authors of the relevant piece in the volume are definite that we must base … a crisis at both the individual and community levels. This particular resource is a collection of……
References
Roberts. A.R. (Ed.). (2005). Crisis Intervention Handbook: Assessment, Treatment, and Research (3rd ed.). New York, NY: Oxford University Press.
Sama’ila, A. (2019). Economic crisis and the coping strategies of indigenous automobile entrepreneurs in northern Nigeria, 1983-2014. Sociology International Journal, 3(6), 437-442.
Study Document
Strengths Based Approach For Depression
Life-Stage Considerations: Strengths-based Approach
Introduction
A strengths-based approach to treatment resonates greatly with resiliency models involving patients and their families, as well as family-focused care grounded in mutually helpful practitioner-patient family … the authors, every household possesses the strength, capability, and resources for recovering from adversity. Additionally, they explain that unlike the conventional clinical model, strengths-based therapy revolves around strengths as opposed to deficiencies, promotes teamwork as against hierarchy, makes use of resources as against expert opinion, emphasizes skills … resilience theory within the context of nursing literature has been expounded upon further by Gottlieb (2014, p. 26), whose work describes a comprehensive strengths-based nursing care approach. In simple terms, strengths-based nursing care offers an alternate model to the initial deficiencies- based one whilst collaborating with patients. It concentrates on a broad understanding of deficiencies. Nursing personnel who apply this model attempt at identifying patients … determinants, thus improving their health.……
References
References
Ditton, L. (2015). Depression Treatment: Strengths-based Approaches. Available at http://www.esteempsychology.com.au
Gan, C., & Ballantyne, M. (2016). Brain injury family intervention for adolescents: A solution-focused approach. NeuroRehabilitation, 38(3), 231-241.
Gottlieb, L. (2014). Strengths-based nursing: A holistic approach to care, grounded in eight core values. American Journal of Nursing, 114(8), 24-32.
Liu, R. T., Kleiman, E., Nestor, B., Cheek, S. (2015). The Hopelessness Theory of Depression: A Quarter Century in Review. Clin Psychol, 22(4), 345-365. DOI:10.1111/cpsp.12125.
Swartz, M. K. (2017). A Strength-Based Approach to Care. J Pediatr Health Care, 31, 1-1. Available at https://www.jpedhc.org/article/S0891-5245(16)30281-4/pdf
World Health Organization. (1998). Health Promotion Glossary. World Health Organization. Available at https://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf?ua=1
Xie, H. (2013). Strengths-Based Approach for Mental Health Recovery. Iran J Psychiatry Behav Sci, 7(2), 5-10. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3939995/
Study Document
Effectiveness Of In Home Monitoring Of CHF Patients
… failure (CHF) is one of the major cardiovascular diseases with high global incidence and prevalence in the United States. While numerous advances in evidence-based medical therapy continues to occur, congestive heart failure remains a major problem as it results in significant burden of mortality, morbidity, and costs. … heart failure. Literature has shown that early diagnosis and treatment is not entirely effective in management of the condition and reducing rehospitalization. Recent evidence shows that approaches like in-home monitoring would play a critical role in lessening hospital admission and readmissions for CHF. Therefore, does in-home monitoring … impact of in-home monitoring for CHF on reduction of rehospitalization.
PICO Question
Identifying the PICO question is the first important step in this evidence-based, quality improvement project. The problem (P) determined in the paper is the effect of home-based monitoring on the rate of re-admission of CHF-diagnosed individuals. The intervention (I) is in-home……
References
References
Bashi, N., Karunanithi, M., Fatehi, F., Ding, H. & Walters, D. (2017, January). Remote Monitoring of Patients with Heart Failure: An Overview of Systematic Reviews. Journal of Medical Internet Research, 19(1). DOI: 10.2196/jmir.6571
Conn, N.J., Schwarz, K.Q. & Borkholder, D.A. (2019). In-Home Cardiovascular Monitoring System for Heart Failure: Comparative Study. Journal of Medical Internet Research, 7(1). DOI: 10.2196/12419
Gonzalo, A. (2019, August 22). Nola Pender: Health Promotion Model. Retrieved May 18, 2020, from https://nurseslabs.com/nola-pender-health-promotion-model/
Idris, S., Degheim, G., Ghalayini, W., Larsen, T.R., Nejad, D. & David, S. (2015). Home Telemedicine in Heart Failure: A Pilot Study of Integrated Telemonitoring and Virtual Provider Appointments. Reviews in Cardiovascular Medicine, 16(2), 156-162.
Khodaveisi, M., Omidi, A., Farokhi, S. & Soltanian, A.R. (2017, April). The Effect of Pender’s Health Promotion Model in Improving the Nutritional Behavior of Overweight and Obese Women. International Journal of Community-based Nursing and Midwifery, 5(2), 165-174.
Kohn, M. S., Haggard, J., Kreindler, J., Birkeland, K., Kedan, L., Zimmer, R., & Khandwalla, R. (2017). Implementation of a home monitoring system for heart failure patients: A feasibility study. JMIR Res Protoc, 6(3). DOI: 10.2196/resprot.5744
Martirosyan, M., Caliskan, K., Theuns, D., & Szili-Torok, T. (2017). Remote monitoring of heart failure: Benefits for therapeutic decision making. Expert Review of Cardiovascular Therapy, 15(7), 503-515. DOI: 10.1080/14779072.2017.1348229
Ong et al. (2016, March). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients with Heart Failure. JAMA Internal Medicine, 176(3), 310-318.
Study Document
Current Issue In Nursing Nursing Shortage
… and recruiting new nurses is a struggle for many hospitals. Also, in a desire to cut costs, many institutions are often unwilling, despite evidence-based research supporting higher staffing ratios as leading to lower-cost and superior patient outcomes, to hire more nurses as healthcare staffing makes up as … than it has been historically, with greater mastery of complex concepts like disease management and greater technical knowledge. This has resulted in advanced practice registered nurses (APRN)s practicing independently in many states, and more than half of all health insurers reimburse APRNs for independent practice (“ANA Health Care Economist Peter McMenamin on the Nursing Shortage Outlook,” 2019). But the demand for nursing education, particularly for graduate-level degrees, also ……
References
References
ANA health care economist Peter McMenamin on the nursing shortage outlook. (2019). Nursing
World. Retrieved from: https://www.nursingworld.org/~4afb8f/globalassets/practiceandpolicy/health-and- safety/rnjobmkt_peterminterview_final_030713.pdf
Bond, D. (2017). Will BSN students consider a future nursing faculty role? Nursing Education Perspectives, 38(1):9–17.
Botha, E., Gwin, & Purpora, C. (2015). The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol. JBI Database of Systematic Reviews and Implementation Reports, 13(10):21–29. Retrieved from: https://insights.ovid.com/pubmed?pmid=26571279
Crawford, C. (2019). Addition of Advanced Practice Registered Nurses to the trauma team: An integrated systematic review of literature. Journal of Trauma Nursing. 26(3):141–146,
Gillespie, G. L., Grubb, P. L., Brown, K., Boesch, M. C., & Ulrich, D. (2017). ‘Nurses eat their young:’ A novel bullying educational program for student nurses. Journal of Nursing Education and Practice, 7(7), 11–21. doi:10.5430/jnep.v7n7P11
Haddad, L.M., Toney-Butler, T.J. (2019). Nursing shortage. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK493175/
Nurse staffing crisis. (2019). Nursing World. Retrieved from: https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-crisis/
Study Document
CDC Guideline For Prescribing Opioids For Chronic Pain
… the year 1999 to 2014, the number of prescription opioids in the USA quadrupled. However, even with such an increase, there was no evidence of a reduction of pain the patients experienced. Instead, the number of deaths that resulted from overdoses of opioids increased in the same … with the lowest effective dosage when starting to administer opioids. Caution must be exercised at any dosage. The benefits should be documented, with evidence, carefully, as the opioids are administered. The risks should also be documented if and when the dosage is increased?50 MME, and increasing dosage … opioid therapy. It is best if the urine drug testing is even done annually.
4. Desist from prescribing opioids alongside benzodiazepine.
The above practice should be avoided as much as possible.
5. Subject patients to Opioid use disorder treatment
Medication-assisted treatment or other evidence-based treatment should be offered to patients with complicated drug……
References
References
Breuer, B., Cruciani, R., & Portenoy, R. K. (2010). Pain management by primary care physicians, pain physicians, chiropractors, and acupuncturists: a national survey. Southern Medical Journal, 103(8), 738-747.
CDC, (2016). CDC Guideline for Prescribing Opioids for Chronic Pain. Center for Preparedness and Response (CPR).
Cheatle, M. D., & Savage, S. R. (2012). Informed consent in opioid therapy: a potential obligation and opportunity. Journal of Pain and Symptom Management, 44(1), 105-116.
Dowell, D., Haegerich, T. M., & Chou, R. (2016). CDC guideline for prescribing opioids for chronic pain—the United States, 2016. Jama, 315(15), 1624-1645.
Hudspeth, R. S. (2016). Standards of care for opioid prescribing: What every APRN prescriber and investigator need to know. Journal of Nursing Regulation, 7(1), 15-20.
Study Document
Suicide Prevention Intervention In The Emergency Department
… of an existing program for others to understand. However, in more recent years there has been more emphasis on the need for a solution-based intervention to be used in EDs instead of simply passing these patients along without treating them (Kondrat & Teater, 2012). The target population … providing assessments like the Columbia Assessment but more needs to done in terms of follow-up (Stanley et al., 2018). In terms of multicultural practice issues, social workers always need to possess cultural competence when dealing with individuals because no two people are going to be the same, … al. (2018),
2. reviewing the brief instructions and the safety planning form;
3. attending a training in which the intervention, its rationale and evidence base are described; and
4. conducting role-plays to practice implementing the intervention (Safety Planning Intervention, 2019).
The resources needed for this training are the safety plan manual, which can……
References
References
Appleby, L., Morriss, R., Gask, L., Roland, M., Lewis, B., Perry, A., ... & Davies, L. (2000). An educational intervention for front-line health professionals in the assessment and management of suicidal patients (The STORM Project). Psychological medicine, 30(4), 805-812.
Belmont Report. (1979). Ethical Principles and Guidelines for the Protection of Human
Subjects of Research The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. Department of Health, Education, and Welfare. Retrieved from https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html
Browne, V., Knott, J., Dakis, J., Fielding, J., Lyle, D., Daniel, C., ... & Virtue, E. (2011). Improving the care of mentally ill patients in a tertiary emergency department: development of a psychiatric assessment and planning unit. Australasian Psychiatry, 19(4), 350-353.
Burnette, C., Ramchand, R., & Ayer, L. (2015). Gatekeeper training for suicide prevention: A theoretical model and review of the empirical literature. Rand health quarterly, 5(1).
Callaghan, P., Eales, S., Coates, T., & Bowers, L. (2003). A review of research on the structure, process and outcome of liaison mental health services. Journal of Psychiatric and Mental Health Nursing, 10(2), 155-165.
Chatterjee, R. (2018). A Simple Emergency Room Intervention Can Help Cut Suicide Risk. Retrieved from https://www.npr.org/sections/health-shots/2018/07/11/628029412/a-simple-emergency-room-intervention-can-help-cut-future-suicide-risk
Cooper, J., Kapur, N., Webb, R., Lawlor, M., Guthrie, E., Mackway-Jones, K., & Appleby, L. (2005). Suicide after deliberate self-harm: a 4-year cohort study. American Journal of Psychiatry, 162(2), 297-303.
Study Document
Domestic Violence Trauma
… responding to the needs of traumatized domestic violence victims. In response, the authors describe the implementation of innovative social work programming at the hospital-based Passageway program that is designed to provide social work students with the background and tools they will need to help traumatized domestic violence … types of interventions that have proven effective in the past.
Plumb, J. L. & Bush, K. A. (2016, April 1). Trauma-sensitive schools: An evidence-based approach. School Social Work Journal, 40(2), 37-41.
The authors are school social workers at Prairie Lakes Area Education Agency, Fort Dodge, Iowa and ……
References
Plumb, J. L. & Bush, K. A. (2016, April 1). Trauma-sensitive schools: An evidence-based approach. School Social Work Journal, 40(2), 37-41.
If 20 million people were infected by a virus that caused anxiety, impulsivity, aggression, sleep problems, depression, respiratory and heart problems, vulnerability to substance abuse, antisocial and criminal behavior, . . . and school failure, we would consider it an urgent public health crisis. Yet, in the United States alone, there are more than 20 million abused, neglected and traumatized children vulnerable to these problems. Our society has yet to recognize this epidemic, let alone develop an immunization strategy.
Smith, T. J. & Holmes, C. M. (2018, January 1). Assessment and treatment of brain injury in women impacted by intimate partner violence and post-traumatic stress disorder. The Professional Counselor, 8(1), 1-4.
In 1981, the U.S. Congress declared October as Domestic Violence Awareness Month, marking a celebratory hallmark for advocates and survivors nationwide (National Resource Center on Domestic Violence, 2012). Since this time, similar social and legislative initiatives have increased overall awareness of gender inequality, thus influencing a decline in women\\\\\\'s risk for intimate partner violence (IPV; Powers & Kaukinen, 2012). Recent initiatives, such as a national briefing focused on brain injury and domestic violence hosted by the Congressional Brain Injury Task Force, continue to call increased attention to the various intersections and implications of this national public health epidemic (Brain Injury Association of America, 2017). Unfortunately, despite various social advocacy movements, IPV remains an underrepresented problem in the United States (Chapman & Monk, 2015). As a result, IPV and related mental and physical health consequences continue to exist at alarmingly high rates (Chapman & Monk, 2015).
Study Document
Healthcare Scientific Merit
… cumulative knowledge through developing, refining, and even sometimes replacing theories.
This study by Doekhie and colleagues (2018) will add significant value to healthcare practice as well as the relevant knowledge pool. It offers salient details on public health initiatives and measures, care patterns, and healthcare implementation from … critical to the comparison and improvement of medication, medical device, diagnostics, and vaccine usage. Lastly, it is imperative to document and evaluate clinical practice experiences for developing best practice guidelines and guaranteeing superior quality healthcare delivery for patients.
Health sector policies in industrialized nations like America should be in line with the … task to attain such compatibility because individual value-linked differences might crop up in policy discussions. Hence, such studies prove essential, since they offer evidence-based facts that may be applied in order for establishing a framework to structure the national healthcare discussion. In the end, the defining issues ………
References
References
Brook, R. H., & Vaiana, M. E. (2015). Using the knowledge base of health services research to redefine health care systems. Journal of general internal medicine, 30(10), 1547-1556.
Cutcliffe, J. R., & McKenna, H. P. (1999). Establishing the credibility of qualitative research findings: the plot thickens. Journal of advanced nursing, 30(2), 374-380.
Doekhie, K. D., Strating, M. M., Buljac?Samardzic, M., van de Bovenkamp, H. M., & Paauwe, J. (2018). The different perspectives of patients, informal caregivers, and professionals on patient involvement in primary care teams. A qualitative study. Health Expectations, 21(6), 1171-1182.
Eccles, M., Grimshaw, J., Walker, A., Johnston, M., & Pitts, N. (2005). Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings. Journal of clinical epidemiology, 58(2), 107-112.
Leedy, P.D. & Ormrod, J. E. (2019). Practical research: Planning and design, 12th edition. Pearson Education, Hudson Street, NY.
Sanjari, M., Bahramnezhad, F., Fomani, F. K., Shoghi, M., & Cheraghi, M. A. (2014). Ethical challenges of researchers in qualitative studies: The necessity to develop a specific guideline. Journal of medical ethics and history of medicine, 7.
Swan, J., Clarke, A., Nicolini, D., Powell, J., Scarbrough, H., Roginski, C., ... & Taylor-Phillips, S. (2012). Evidence in Management Decisions (EMD): advancing knowledge utilization in healthcare management.
Thomas, D. R. (2017). Feedback from research participants: are member checks useful in qualitative research?. Qualitative Research in Psychology, 14(1), 23-41.
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