Clinical Development : Evidence For Clinical Effectiveness

Blood pressure is a physiological measurement and would need specific measurement for the prescribing of anti-hypertensives

Developmentally appropriate practice (DAP) involves educators making informed decisions grounded in research to challenge and motivate children to meet attainable goals (Copple & Bredekamp, 2009). In the video, Morning Circle at Preschool, children appear eager to participate in the morning routine. DAP was noted, as well as some actions that are in contrast to DAP.

1. A developmentally appropriate practice to help and 18 month old to understand be safe rule is presenting a puppet show. For example I would present 3 puppets, One teacher puppet and two toddler puppets. One of the toddler puppets would demonstrate running back and forth in the classroom. The teacher puppet would then explain to the two children the basic ground rules of being safe. Teacher puppet would also mention to the toddler puppets that running in the classroom can give us ouchies. And now the toddler puppets would have a better understanding of being safe.

Select three forces of magnetism and write two ways to determine if your health care organizations are demonstrating evidence of those three forces.

Measures used to evaluate the outcome of the evidence-based practice (EBP) change will be reviewing quarterly dashboard data. To ensure inter-rater reliability, the infection control nurse, and only the infection control nurse, will monitor ongoing efforts of data collection of CAUTI, and be an integral part of the feedback loop responsible of giving on-sight feedback to clinicians and team members. Also, the infection control nurse along with other team members will revisit the literature to see if any new knowledge focused triggers will be considered. The quarterly dashboard will inform of outcome indicators which may, or may not, affect the process indicators. Process and outcome indicators will be used for improvement purposes within the unit. The quarterly dashboard report also allows questions to be asked by team members and stakeholders, which stimulates more discussion and advanced thought toward quality improvement of the EBP change. The dashboard will assist in

Public health nursing is an important aspect of nursing field, which contributes tremendously to the safety and health of our society. Public health nurses work hard to assure our communities are healthy and are able to attain needed support to be self-sufficient. However, it seems their hard work goes unnoticed by vast majority of our society. This of course, is my opinion, but I would say that if I were to survey various communities, most people would say that “Nurses just work in the hospital”. I could be very wrong.

The concern on whether anti-hypertensive’s should be withheld in patients who are hypertensive has been debatable in the recent past. Generally, the treatment of hypertension among hospitalized patients is basically an opportunity to enhance the recognition and treatment of blood pressure (Axon, Nietert & Egan, 2011, p.246). This is mainly because hypertension is a basic risk factor for heart diseases, stroke, and death whose impact is widespread to nearly 70 million adults in America. There have been numerous educational initiatives and publication of treatment processes to address this condition in the past few decades. Despite these measures, nearly 39 million Americans are at risk of hypertension because they have not reached their desired or optimal blood pressure.

In order to respond this question, we must first review the history of Developmentally Appropriate Practice (DAP) and Early Childhood Education (ECE). Although ECE has been around since the creation of kindergarten in the 1800’s, the decade of the 1980’s was an important period for ECE. “By the 1980’s, meta-analysis of the well-designed US projects offered compelling evidence on the positive outcomes of [early childhood education and intervention]” (Woodhead, 2007). Therefore, there was much pressure to improve the state of education, including ECE. “The decade of the 1980’s saw numerous calls for widespread school reform, with changes recommended in teacher education, graduation requirements, school structure, and accountability measures” (S. Bredekamp, R.A. Knuth, L.G. Kunesh, and D.D. Shulman, 1992). At this time, there was an increasing concern about the quality of early childhood education for the influx number of families that needed it. This led the National Association for the Education of Young Children (NAEYC) to “begin planning a national voluntary accreditation system for early childhood programs”(NAEYC, 2014). With this planning came a need for a more specific description with regards to accreditation guidelines. Therefore, NAEYC issued a formal statement defining DAP.

The incorporation of evidenced-based practice (EBP) into nursing practice is supported by research to positively improve the quality of care and improve patient outcomes. EBP is important to the nursing profession because it also leads to increased job satisfaction, teamwork, and levels of engagement in clinicians (Melnyk, et al., 2017). Miniature research projects such as quality improvement projects, surveys, and clinical research studies are frameworks used to get feedback and data from patients during their time spent in health care systems. EBP is not the standard of care in many health care systems (Melnyk, et al., 2017). This due to many factors, including lack of EBP mentors, nursing programs that do not incorporate EBP into the curriculum,

Socially, the Right to Try Act may give patients and their families a greater sense of control over their health. Advocates claim that patients deserve to make their own treatment decisions without involving the FDA, a third party with little knowledge of the patient (Dresser, 2015). Additionally, patients will obtain drugs faster by circumventing the FDA, the most time-consuming step of the Expanded Access process (Zettler & Greely, 2014).

Research has shown that children, who have a strong foundation, are ready to succeed in school. During the 1960’s, there was an increase of awareness of developmental psychology therefore, scientists were beginning to understand that early childhood education would increase cognitive development. The idea of a show like Sesame Street was introduced.

Using evidenced based practice in nursing care has been found to improve nursing care and patient outcomes for that matter. Though nurses are gradually embracing the use of evidenced based practice, we still have more to do to achieve EBP across the board. Studies have shown increase in responsiveness and attitude to EBP but are still faced by significant barriers in employing it. Therefore what we think and believe is not what is practiced (Stevens, 2013).

Several issues are discussed in the NAEYC position statement about Developmentally Appropriate Practice (DAP). The section points out three main areas that policymakers have addressed because they realize how important these areas are to an early elementary child.

There are five main stages in the process of evidence based practice, the first is to as mentioned earlier ask a focused question. In this case it will be a question surrounding pulmonary rehabilitation. The next stage would be to acquire the most relevant evidence which will be within the research found in the guideline. The evidence then needs to be critically evaluated to apply the results found within practice, this is to make sure the baseline created will be at the required level. Continuing on you would then analyse the effectiveness of the changes in practice. The following step in creating a guideline would be to acquire literature, so collecting all the data and research, which you would need to include within the guideline. To guide

The purpose of this report is two discuss the Pharmacodynamics, pharmacokinetics, proposed benefits, research method, results of research, and possible-nursing implications of newly approved drugs for the treatment of hypertension. These drugs include Atacand HCT and Diltiazem HCL. All newly approved drugs from the FDA are either new drugs or new formulations of older drugs. The information contained in this report was derived from various web pages and online search engines.