Evaluation Of A Research Review

Optimizing the thermal environment has proven significant for improving the chances of survival for small infants. Understanding the basic physiologic principles and current methodology of thermoregulation is important in the clinical care of these tiny infants.

Once an area of evidence-based practice has been chosen for investigation, the reviewer must locate current evidence sources and, using a structured approach, assess each for applicability to the issue being investigated. The aim of this paper is to use a Rapid Critical Appraisal Checklist (Melnyk and Fineout-Overholt, 2011) to support these sources of evidence into a review that discusses the importance of daily, high-level, multidisciplinary communication and patient safety. The summaries of these evaluations will be provided as an appraisal of each study.

The purpose of a systematic review is to attempt to find, evaluate and synthesize high quality research relevant to the research question. A systematic review uses carefully developed data collection and sampling procedures that are put in place in advance as a protocol. (Polit, 2012). A systematic review must contain the following: a clear inclusion and exclusion criteria, an explicit search strategy, systematic coding and analysis of included studies, and a meta-analysis if possible. (Hemingway & Brereton, 2009). Systematic reviews are conducted by nurse researchers to avoid reaching incorrect or misleading conclusions that

Nurses always want what works best for their patients rather than having to struggle to find what works. The nurse plays a key role in implementing evidence-based practice because it is the nurse who is the advocate and care giver to their patients. Because of evidence-based practice different aspects of nursing care are always changing. It is crucial for nursing practice to evolve because through research other health care professionals have found things that work best and is resulting in less patient deaths and furthering complications in a patient’s illness. Some of the examples that will be discussed here as result of evidence base practice are: better pain assessments in pediatric patients, preventing pressure ulcers, kangaroo care, music therapy to help distract, better hand hygiene, and teaching parents about life saving techniques.

Articles discussing the accurate recordings of pediatric patient’s body temperature were cited in this article. A logical sequence is followed in the literature review. It begins with a general overview of the historical importance of accurately recording a patient’s body temperature. The authors get more specific and cite studies on temperature recording techniques in children. For instance, in justifying conflicting data, the researchers cite a similar study conducted on new born babies by Polit & Beck (2008), where the recordings from the two methods were

This device differs from previously discussed models in terms of the method of temperature measurement. The LifeMonitor relies on a core temperature capsule, VitalSense, that is ingested and transmits readings to the sensor electronics module (SEM) in real-time (Figure 3). This device has recently been replacing the current tympanic thermometer used by firefighters to reduce the risks such as cardiac arrest. In a study by McKenzie & Osgood (2004) the accuracy of the VitalSense system was measured against that of a rectal thermometer as comparison. The observed level of agreement between the two devices (0.04 ºC) suggests that the VitalSense is a viable alternative to consider for measurement of core temperature. However, the core temperature was not recorded on several occasions due to an inactive capsule. The transit time of the capsule varied from 0.52 to 5.6 days therefore requiring many capsules for use throughout cold winter months which would be very

Research from multiple meta-analyses found that hypothermia can be effective. The specific studies reviewed by Clifton (2001) and Marion (1997) resulted in conflicting findings.

Control studies, animal studies, and case studies have been published related to these medical interventions. Unfortunately, there are still many healthcare providers not using this intervention. Dainty, Scales, Brooks, Needham, Dorian, Ferguson et al. (2011) study states, “observational research shows that therapeutic hypothermia is

The significance of nursing research and evidence-based practice has gained a huge momentum in nursing. Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered ‘evidence’. Thus, the practices based on research findings are more likely to result in the desired patient outcomes across numerous clinical settings. In addition, the pressure of healthcare facility for cost containment and greater consumer savvy about treatment and care options has increases the need for evidence-based practice and nursing research for better patient outcomes.

The author of this paper is a nurse educator working in an Intensive Care Unit (ICU) within the north-west region of England. For the purpose of this paper, the author has chosen a systematic review (SR) and a narrative review (NR) and aims to critically analyse these reviews using the Critical Appraisal Skills Programme (CASP) tool. The CASP tool has been developed by the Solutions for Public Health (SPH) (formerly known as Public Health Resources Unit), which is controlled by the National Health Service (NHS) (SPH, 2006). The tool is based on the guidelines formed by a group of clinicians at McMaster University, Canada

Providers in pediatrics have always tried to puzzle the care in children with fever. It is imperative to investigate the source of fever for appropriate care. It has been noted that febrile children coming into clinics were not assessed for urinary issues and treated as “viral syndrome” and thus having precious time lost and recurrent visits. Thus, increasing appreciation for urinary investigation was needed to further delay treatment by providers care and education to parents.

To begin my research stage of refining my broad topic I undertook an extensive online search of what alternative testing was available, allowing me to gain a comprehensive knowledge on my once unfamiliar topic. I was able to used a number of credible websites including government and educational sites. PETA, while being a very bias website, was highly effective in building the foundation of my research project. For example, helping me draw my focus onto just four of alternatives being, In Silico Toxicology, In Vitro Toxicology, Micro-dosing and human simulations. This website also included in-depth explanations of both In Vitro testing and human simulations, further expanding my knowledge in the science behind

Nursing is an ever-changing field and the way patients are taken care of should be no different; however, patient care can be heavily influenced by tradition. Nurses can have traditions so ingrained in their practice that they never stop to question if a practice could be done differently and still provide quality care. Evidence-based practice (EBP) can be defined as use of current, best evidence in making decisions about care of patients (Portney, 2004). EBP has become an important part to include in high-quality, cost-effective health care; it breaks through the traditional molds that have been set by having evidence support its benefit in practice. EBP all begins with a clinical question that undergoes research and testing. A good research questions can be easily formulated using the PICOT method. This paper will discuss the relationship that research and EBP share, how clinical questions are formed, and how PICOT is used and its key components.

Evidence shows that people are influenced by social norms and what others are doing (UK Department of Government, 2013). People get swayed by actions of individuals or groups or institutions who they believe that they can be comparable to them. Benchmarking Kanymoon University against BU and AU public universities, which are among the top three public universities in Singland, seeks to identify and improve cost efficiency in Kanymoon University to enable the university continue running its operations even without government funding. This provides a powerful tool of change as it will enable Kanymoon University make strategic decisions based on this management report on how to be cost effective. This report provides information on how finances are used in Kanymoon University relative to the university’s performance.

ONTENTS Chapter Title Page DECLARATION………………………………………….. ii ACKNOWLEDGEMENTS………………………………. Iii QUOTATION… …………………………………………... iv ABSTRACT ………………… ………………………….... v TABLE OF CONTENTS…………………………………. vi-xii LIST OF TABLES………………………………………… xiii LIST OF FIGURES…