Evaluation Of A Clinical Trial Essay

Standing (2011), defines clinical decision-making as a complex process that involves observation, gathering information, critical thinking, evaluating evidence, applying necessary knowledge, reflection and problem-solving skills. Every day nurses make important clinical decisions and these decisions have important implications for patient outcomes and deserve serious consideration. Therefore, it is important for nurses to have a better insight of the decision-making process, be able to deliver holistic care and meet essential and complex physical and mental health needs of the patient.

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

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.

Data that is captured in a clinical trial should represent all of the Investigator’s observations that have occurred with any given subject over the course of the study. Data entry in a study is usually single or double captured. When data is double captured, it increases accuracy due to two different entries but two operators. Data entry screens are an effective way of capturing double data. Once data is

If I was offered an experimental treatment that had the possibility of improving my IQ, and other areas of my mental functioning but at the same time risk a potential modification of my own personality, I would choose not to have the treatment. Even if I fought the struggles similar to Temple Grandin, but I could “think in pictures and connect them,” I would have realized soon enough that it is not worth getting the treatment (Temple Grandin Film, 2010). Yes, my IQ would improve dramatically, but how would my social life and family life as well be affected? How would this affect my emotions and actions? Would I be a totally different person to my parents, friends and family? These are all things that I cannot risk. Even somebody as intelligent as Lou Arrendale from the Speed of Dark would need to know more. As he studied the treatment and how much it focuses so much on

Two completely different viewpoints of randomized clinical trials are given, article one is against the idea and article two is for it. Article one argues that when a patient sees a physician; the physician has the duty to provide the best treatment for that

This is a randomized controlled study that will determine if the implementation of COPD discharge care bundles will decrease the 30 day readmit rate for patients with respiratory complications. The prospective study participants will be adults over the age of 35 admitted to an acute care hospital with the admitting diagnosis of an acute COPD exacerbation. COPD will be defined as a patient having a forced expiratory volume in one second (FEV1) less than 70% predicted for age and height and a FEV1/forced vital capacity ratio less than 70% (Bucknall et al., 2012). Respiratory therapy will verify the correct diagnosis by performing an extensive history and physical, spirometry, chest x-ray and an electrocardiograph. Once the diagnosis of COPD has been

Effectively managing the health of the population requires tremendous efforts and strategies of a healthcare organization. Leveraging the use of health information technology such as enabling the use of clinical decision support (CDS) at the point care is one of the strategies for an effective population health management (PHM). Rush-Copley Medical Center has successfully demonstrated the effectiveness of CDS at the point of care in managing a TB outbreak, which has resulted in containing the disease and further outbreak in the general population. Such an example has shown the optimization of the systems and the value of health information technology

The trial is first investigator-initiated; a steering committee will be the responsible to design, execute and conduct the study. The monitoring board (professional of the health system) will review the intern results, monitor the safety of the patients, and examine the efficacy of the therapies. Local ethic committee and FAMHP have to approve the study before initiating it.

This measure is a reliable indicator of trial quality and is based on each trial’s reporting and quality of randomisation and blinding attribution (CASP 2006).

When the patient first came in I think I did quite well as I welcomed

Clinical practicum has provided a valuable study opportunity to me.When I took care of a living person in wards,I could apply the skills which are learnt from indoor lessons in school and books.Also,I could achieve more knowledge outside textbooks.However,I find that there is a difference between the real situation and theory.In ward,nurses have to be multitasking and need to manage several patients,time is precious to them.Nurses have to make an effort to save time from different ways.To give an example,in the ward I worked in this clinical practicum,nurses connected the syringe to the end of tube and administered drug to a patient with nasogastric tube by giving pressure to pump drug solution down the tube.Thus ,the procedure finished in a few seconds.I learnt this method from them and applied it in my practice.However,I was stopped by the supervisor teacher during one of my practise.She told us that it was wrong to administer drug by using pressure.She then asked me for the right method.I was shocked in that time because I learnt this way from the

In today’s world, hospitals are seeing an influx of patients now more than ever. These rising numbers are primarily due to the fact that patients have more access to healthcare and are therefore living longer, but also sicker. This increase in patient population is a huge concern for hospitals as the threat of limited space is often a reality. According to statistics released by the Healthcare Financial Management Association, with rapid growth of the healthcare industry, healthcare production from 2010 to 2020 will increase from $1.8 trillion to $3.1 trillion, growing by over 70%; the increase of patients will significantly impact the availability of beds and spaces in the hospital (Hegwer).

All clinician-rated test should have three types of reliability: internal reliability, retest reliability, and interrater reliability (Bagby, Ryder, Schuller, & Marshall, 2004). Research regarding who the HRSD was normed on is unavailable. However, Cusin et al. (2012) recently reported on the HRSD psychometrics properties. Interrater reliability of the total scores for the HRSD is considered to be a strong relationship ranging from 0.80–0.98, with Cronbach alpha estimates of ≥0.70 which is an adequate score. Interrater reliability examines the relationship between scores provided by different raters observing the same phenomenon and Cronbach's alpha, is the average of all possible split-half reliabilities (Shultz, Whitney, & Zickar,

A medical device or treatment by observing participant outcomes (and possibly other measures, such as side-effects) on a prescribed schedule, and modifying parameters of the trial protocol are the parameters that used in the evaluation of the adaptive clinical trials. The adaptation process generally continues throughout the trial, as prescribed in the trial protocol. In some cases, trials have become an ongoing process that regularly adds and drops treatments and patient