Facilitators Of Clinical Practice Guidelines

Complete the following table for each of the diseases assigned to you in NFS 715. The purpose of this assignment is to teach you how current research and evidence summaries are used to influence patient care.

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.

In an established educational setting new staff will be regularly informed of current policies and procedures, this is to ensure best practice for child and practitioner. Policies may include:

Medical directors of the physician groups will be responsible for ensuring education and compliance of staff to the policy.

I maintain my own CPD by reading material on internet CQC and skills for care are an excellent site, I also subscribe to magazines and newsletters, I attend courses and seminars plus work closely with other professionals. It is important that I keep myself up to date with legislation and changes as I have the responsibility of ensuring all staff are aware of any changes in regulations or current practices, plus touchstones believes a fully trained and developed workforce that know and understand and are able to promote legislation is more beneficial to residents.

their own to reflect the changes. As a health care professional, it is important for you to stay up-to-date

Protocols and guidelines come from a wide variety of sources. Over time, guidelines have become a part of Health and social care settings. Decisions made at the bedside, rules of operations at hospitals, and health spending by insurers and governments are being influenced by protocols and guidelines. When a service user is using

Considering potential damage to the spine of a trauma victim within the overall treatment of a patient is vital when preventing any secondary injury. As stated in the ARC Guideliness,1 symptoms and signs of a spinal injury can include pain in the injured region, paralysis, nausea, headaches, dizziness, absent skin sensation, an abnormal head or neck position, an associated head injury, an altered conscious state, difficulties breathing or loss of function in limbs. Falls in the elderly population or a significant blow to the head are also commonly recognised as causing spinal damage.1 As an elderly woman with a substantial blow to the head and an altered state of consciousness, the patient should be treated as having a suspected

Evidence Based Practice Nursing is the utilization by nurses of Evidence Based Research findings that, according to Houser (2012), steer the nurse toward integration of clinical expert opinion and experience with an unbiased exhaustive review of the best scientific evidence professional nursing care literature can provide while incorporating patient values and preferences. Evidence Based Practice Nursing entails adopting a systematic critical thinking decision making process guided by a deliberate and defined chosen Evidence Based Nursing model path that involves searching,

In my opinion, the way St Margaret’s (My placement) develop and communicate policies and procedures is really effective. Any new or updated versions of the policies and procedures are reviewed by the SLT and are updated onto the school’s website for staff and parents/carers. I feel as though this is communicated considerably well as it allows parents to feel comfortable that these are in place so their child/children have enrolled and are being taught and looked after in safe and caring environment.

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 are 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 nurses as part of the health care team.

To assist in the prevention of errors, abuse and fraud in healthcare, the Federal OIG (the Office of Inspector General) and Medicare respectively publish the Compliance Program Guidance for Individual and Small Group Physician Practices and the Medicare Carrier’s Manual. In order to stay in federal compliance and prevent errors or worse, is it beneficial to be familiar with these documents. In a large company, while the Medical Office Specialist is the person that must be familiar to with the Medicare website this person is also the designated Compliance Officer and is responsible for providing the information on rules and guidance to the coders. To contact your medical office specialist, please refer to the company website or phone directory for your division. Remember, the federal government is not forgiving on errors when your response is ‘I don’t know’.

Gerrish et al. (2007) developed and tested a tool, the Developing Evidence-Based Practice Questionnaire, which they used for investigating factors associated with EBP among nurses in England. This tool consists of 10 identifiable factors that help and hinder the implementation of EBP, of which 8 demonstrated high reliability (Cronbach’s alpha ≥ 0.7). One of the differences between this tool and the BRUQ (Funk et al. 1991b) is a broader interpretation of the term ‘evidence’ to include documents such as clinical protocols and guidelines, in addition to research evidence.

The Clinical Practice Research Datalink (CPRD), initiated in 1987, is a well-established medical research database which allows researchers to obtain high-quality, anonymized data for different types of health research. With access to the data sets of NHS in England, Northern Ireland, Scotland and Wales, the CPRD can provide the whole population of potentially up to 64 million patients in the UK. Further access and partnerships have been established to include data sets from other European countries [2]. CPRD records are demographically representative of the UK population and have been broadly used for a variety of retrospective studies [3]. The data record contains demographics (including age and sex), medical symptoms, signs and diagnoses,

Clinical practice guidelines (CPG) are designed to improve the quality of healthcare services, decrease unwanted, ineffective and harmful interventions for patients. CPG are used to facilitate treatments for each individual patient’s by maximizing the benefits, minimizing the risk of harm and obtain treatment with an acceptable cost. Researchers had proven that CPG is a bridge for change and improving health outcomes. The effectiveness of CPG is perceived to be helpful in clinical decision making. CPG are developed to assist healthcare providers such as doctors and nurses in decision making for specific clinical outcomes (Vlayen, et. al. 2005)