Evidence Based Intervention

Evidence-based practice is extremely important in health care. It is not only important to know how to perform a certain skill, but why it should be done. There needs to be a standard of care and providers need to know the best way of doing things based on evidence. The article mentions that in the 20th century, many medial decisions were made on doctor assessment and preference (Brower, 2017). Many physicians were practicing dramatically different when compared with one another, which led to the realization that changes needed to be made and Evidence-based practice began to develop. Even though Evidence-based practices have been in play for a while, there is a gap between understanding and applying evidence-based

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.

Evidence-Based Practice Proposal Final Paper Usha Kizhakkedan Grand Canyon Final Paper of Evidence Based Proposal NUR-699 Dr. Debbie Long June 1, 2016 Table of Contents Part 1: Organizational Culture and Readiness Assessment 4 • Introduction to Evidence-Based Practice 4 • Barriers to Evidence-Based Practice 4 • Facilitators of Evidence-Based Practice 5 • Integration of Clinical Enquiry 5 • The Survey 6 Part 2: Problem Description 7 • Description 7 • Identification of change agents in the Health care system 8 • PICOT question 8 • Purpose and Objectives 9 • Rationale 10 • Literature support 10 • Research Method 10 Part 3: Literature Support 11 • Research Questions 11 • Search Method 12 • Organization of Literature 12 • Framework 12 • Nursing Rounds- Patient and Family Satisfaction: 13 • Communication: 15 • Management of Pain, Use of Call Lights and Cases of Patient falls 15 • Data Collection 16 Part 4: Solution Description 16 • Objectives 17 • Change Methodology 17 • Implementation Plan 18 • Evaluation 19 Part 5: Change Model 19 • Change Model 20 • Implementing Change 21 • Rationale 22 Part 6: Implementation Plan 22 • Staff Education 23 • Client feedback 23 • Timeframe 23 • Hiring Process 24 • Implementation 24 • Data collection and Evaluation 24 • Progression 24 • Resource Management 24 • Budget Plan 25 • Outcomes and its impact 25 • Summary 26 Part 7: Evaluation of Process 26 • Objectives 26 • Methodology 27 • Procedure 27 • Collection and Analysis of data

Bradley, S., & Mott, S. (September 2012). Handover: Faster and safer? Australian Journal of Advanced Nursing, 30(1), 23-32.

Since there is no reported data or analyses to help the nation or specific regions and communities assess veterans’ needs for services by geographic area, and to plan for and coordinate service delivery across community-based, TRICARE, and VHA resources; we purpose several general directions for moving forward (Burnam et. al, 2009). The general directions for moving forward include a need for confidentiality, consumer education, treatment choices, workforce policy, training and certification, QI needs, and technical assistance to the

Veterans are everywhere throughout the United States, but just because they are everywhere, doesn’t meant they are getting the proper care. According to the Iraq and Afghanistan veterans of America, “One in three veterans return home and suffer from some sort of mental health issue.” Their mental health issues vary from post traumatic stress disorder to anxiety and depression. The switch from fighting everyday to being home is tough for the veterans and they need to receive the proper treatment so they can possibly live a life as normal as possible. The state Department of Mental Health and Addiction Services, started a $810,000 program to support these veterans with their issues returning home. The transition is hard, not

Indeed, "new and validated knowledge that forms the basis j Y for evidence-based practice (EBP) most commonly is discovered in academic settings. But findings need to be translated into a protocol or guideline that can be used to guide practice," according to Conner, (2014, p.40). Evidence-based projects have lead to many improved clinical practice changes at the bedside and healthcare in general; and they are highly promoted and supported by different healthcare organizations.

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

Researchers have conducted many studies on evidence-based behavioral modification programs, with the efforts to increase their success rates within the prison system. With the rising costs of inmate care, it is imperative to create programs that will successfully lower the recidivism rate and ensure that the offender will not return to prison or a life of crime. With that being said, one must be able to identify the reasons for the continued release and return of inmates. Therefore, my research question is: Are evidence-based behavioral modification programs in Delaware’s level five institutions successful at lowering the recidivism rate?

According to the QSEN Institute (2014), evidence-based practice is knowing how to identify gaps in existing evidence-based guidelines and finding ways to fix these disparities. Because the prison facility does not currently educate directly on the importance of proper and frequent hand washing, a lack in this evidence-based practice of hand washing education was identified and selected for implementation.

The United States of America has one of the largest military forces on earth, employing nearly 1.5 million active personnel (Armed Forces). However, that number represents more than just a dedicated group; it represents citizens that will eventually become veterans and transition back into civilian life. For some this comes easily, but for others the struggles impede their ability to thrive. These hurdles can include the following: physical and psychological ailments; difficulties finding support; and trouble affording necessary treatment. In order to improve upon this lacking state of veteran care in the U.S., the government needs to expand current services within health care, as well as research new ways to make re-entry into everyday life

Today, we are continually striving to improve the quality of care that we deliver and the best method in applying relevant research into clinical practice is through evidence based practice (EBP). We have now come to a time in our careers to shift our direction on how to employ evidence based practice techniques when managing our patient's health care needs. Facilitation is a method that has been investigated as a way to help clinicians accomplish the implementation of evidence into practice. As clinicians, we are encouraged to think outside the box and utilize critical thinking skills as well as express our role as nurse practitioners as part of the health care team.

The value to using specific approaches such as CBT is that they are evidence based interventions that teach the client a better way to think which then leads to making better behaviors and choices. If a social worker uses their own approach as an intervention, then the outcome to the treatment may not be a proper one. Barth et. al (2011), explain that evidence based approaches are not always used by social workers in their interventions even though it is important to do so. On the other hand, I think that using common factors approach gives social workers a chance to be more original in their practice and give flexibility to their interventions. It provides the client with a more unique treatment that was customized for their own needs. Barth

EBIs to reduce disruptive behavior and increase academic achievement can include trainings and implementation support at the school, class-wide, and individual student-level, and are often either academic or behavioral in nature. Overall, implementation of both universal (i.e. class-wide) and targeted (i.e. student-level) interventions have demonstrated positive impacts on decreasing disruptive behaviors and increasing student academic achievement (Flower, McKenna, Bunuan, Muething, & Vega, 2014; Vannest, Davis, Davis, Mason, & Burke, 2010).Ross, Romer, and Horner (2012) also found that teachers in schools implementing Positive Behavioral Interventions and Supports with high fidelity

This was an effective intervention. The client enclosed to me that she felt that there was a problem and it was her work load, school and wanting to engage with a social worker. She found my card at the college. the client explored that she wanted to engage with a social worker to assist her with the depression. The client was willing to discuss her issues however after introducing an alternative to her; The client began to she shut down “say her family was going to think she was crazy if the client seen a psychologist. The client was very nervous believing if seen by a psychologist; medication would be administered.