Evaluating Evidence-Based Practice

Yes, the foods that need to be eaten the most are put in the biggest plates. So, the vegetables and the Grain(cereal) foods are in the biggest plates. Then the fruit and the dairy are the same plate size because they have the similar serving needed for one day. I have also put the protein foods in a plate size similar to the fruit and dairy plates. The bigger the plate, the more of the food group you need to eat and the smaller the size of the plate the less you have to eat from that food group.

Proper collection of blood cultures are necessary and the most direct method of determining whether or not a patient is septic. The purpose of obtaining blood cultures is to identify and isolate the bacteria that are causing an illness and then determine the best course of treatment based on the sensitivity of the bacteria to particular antibiotics. One of the most frustrating problems plaguing hospitals is the increased rate at which blood culture results are being returned as contaminated specimens. These results can lead to a significant increase in cost to the hospital and patient as well as an increased length in hospital

In this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn.

I have learned a lot from this two-day diet analysis assignment. In my two day assessment, I recorded my food intake, quantities, drinks, snacks, condiments, where and who I was with during the meal, the time of day, and the amount of time I spent eating. I was able to analyze my diet to examine what I was eating and what types of nutrients I was getting. I then compared all aspects with my recommended levels of nutrients for my dietary recommended intake. I learned that my eating habits are not the best and could lead to serious health problems in the future that may be detrimental.

1. Obtain 3 large tin bowls, 1 spoon, 1 pair scissors, 6 ketchup containers, 1 pipet, 3mL oleic acid, 6mL distilled water, 6 filter papers, and 30 sowbugs.

My biggest strength is my adaptability. I always try to have an open mind when I meet others who have different views than me. I see the option for learning in my failures, and always keep in mind my end goal when things don’t always go as planned. My biggest weakness is that I always like to be in control. I like to have a plan, and stick to it. I will overcome this weakness by trusting others to take lead, and stop worrying about things I have no control over.

There were a number of the things about the individual’s diet that I noticed firstly she doesn’t like change as she is consistent with each food she eats which is not necessarily a bad but in order for her to have a balanced diet she needs to eat a variety of foods.

I believe the most appropriate and thorough way to collect the data for this experiment was in the way described in the collection of data. I cooked to each brand according to the directions provided by the manufacturer. By following their directions, that would ensure maximum amount of product.

Pressure ulcers occur over bony prominences when skin is compressed for long periods of time, affecting the blood supply to certain areas, leading to ischaemia development (Waugh and Grant, 2001). Compression of skin is caused by pressure, shearing and friction, but can also occur due to pressure exerted by medical equipment (Randle, Coffey and Bradbury, 2009). NICE (2014) states that the prevalence of pressure ulcers in different healthcare settings in December 2013 was 4.7%, taken from data available for 186,000 patients. The cost of treating ulcers can vary depending on severity from £43 up to £374 (NICE, 2014). Evidence based practice skills are essential in nursing as it allows the best available evidence to be used to improve practice and patient care, while improving decision-making (Holland and Rees, 2010). I will be critiquing two research papers; qualitative and quantitative, using a framework set out by Holland and Rees (2010), and will explore the impact on practice. Using a framework provides a standardised method of assessing quality and reduces subjectivity.

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

My strengths are my self-confidence, determination, organization, and ability to prioritize. Balancing an overloaded school schedule, upwards of 24 credits in a semester, maintaining excellent grades, raising a toddler, and volunteering are demonstrative of my greater fortes. In terms of weaknesses, public speaking has always been difficult for me, as well as networking. I have branched outside of my comfort zone, engaged in volunteer opportunities, student organizations, and clubs as an effort to improve upon this.

According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information

* Lower than planned usage of ingredients (510 liters lower) for ice-cream and 21 liters for specialties (Other ingredients were in 100 grams, which was converted to liters for the calculation of total ingredients)

Evidence-based practice (EBP) offers a framework utilization of systematic high-quality research, an analysis which consistently enhances measurable client outcome and clinical decision-making grounded in rationality; EBP depends on data collected through experimental research and accounts for individual client characteristics and clinician expertise. The potential benefits of EBP comprise of increased service delivery and quality of care, heightened accountability, and a bridging of the research-practice gap (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000). It is imperative that research scholars are cognizant of research outcome dependability and validity prior to implementing results

The strengths I have: being efficient and organize. I have to have everything a particular manner before I write, perform, or do almost any jobs. Occasionally this can cost me lots of time. The weaknesses that I have are a perfectionist and impatient at times. I was used to working at a substantially faster rate than those around me. Sharing information and interacting with others is when I learn best. Understanding my weaknesses assists me to plan methods to conquer them when I am doing tasks and socializing with others. I must be kinder to myself and less strict about matters being merely so. I also need to be more delicate and comprehensible of others who tend not to take up my perfectionist styles. I also should be patient with people who take longer time to work. Since I have got a tendency to delay works when I do not feel like doing anything, I, therefore, need to create a regular schedule with integrated rewards and times for learning and acquiring assignments done.