Good Clinical Practice Summary

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.

This paper explores the scenario of a client and looks at the presenting problem from an ecological and strengths perspective. It will also explore advanced clinical skills, intervention strategies and ethical dilemmas encountered. Methods for evaluating progress will be discussed within the social context of the case. Termination and follow-up approaches, and any ethical dilemmas will be included. Any problems with oppressed populations will also be discussed. Finally, the limits of the chosen model and limits of the practitioner, evolution of client and practitioner identities, any ethical or social justice issues for the agency, and an evaluation of the practitioner’s effectiveness will conclude the paper.

According to the federal regulations, which of the following studies meets the definition of research with human subjects?

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

The development of programs, like the Institutional Review Board, are essential in making sure that the guidelines are followed. I think it is important to maintain boundaries when it comes to what research can and cannot be done using human subjects. The diversity of the IRB is necessary make sure the experiments that are being approved are in the best interest of both the subjects and the scientists pursuing

This writer met with the patient to address her non-compliance with treatment, referring to her attendance to the cocaine group and her AWOLs. This writer explained to the patient about the purpose of the clinical intervention as the patient continues to test positive for cocaine, opiates, and fentanyl. The patient appeared to be surprised to learn about the fentanyl results in her UA's and believes that her "dope" could have been laced. The patient is aware of her non-compliance and made excuses by reporting that she tends to oversleep as she often times cannot hear her alarm from her cellphone. In addition, when the patient AWOL from the clinic, she tends to relapse and her most recent was relapse was on 5/29/2017-3 bags of heroin by inhalation.

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.

In medicine today it is becoming essential to remain on the journey to best possible practice, which “involves implementing available evidence into practice” (Dogherty, et al., 2013, p. 129). Dogherty, et al. (2013) researched the facilitation of evidence based practice by selecting 20 nurses “to attend an interactive knowledge translation symposium to examine what has worked and what has not in implementing evidence in practice.” Results from the study showed both many positive and negative facilitation experiences. “Successful implementation (of evidence based practice) is associated with focus on a priority issue, relevant and easy to use evidence, development of strategic partnerships and a multidisciplinary project team including

The American Association of Colleges of Nursing (AACN) outlines fundamental essentials for the Doctorate of Nursing Practice (DNP) student to further develop and advance the nursing profession. DNP Essential III, Clinical Scholarship and Analytical Methods for Evidence-Based Practice, focuses on the importance of translating research into clinical practice (American Association of Colleges of Nursing [AACN], 2006). Evidence-based practice is the hallmark goal of research studies and DNP graduates are in a position to assist in the generation of new knowledge and affect evidence-based practice (EBP) from the practice arena (Chism, 2013). In order for research to be translated into practice, the data collected, analyzed and interpreted needs to be the result of proper use and translation of the statistics utilized throughout studies.

The client for this paper is a twenty-seven-year-old single mother to a six-year-old son. The client was raised in a hardworking middle class family in which her father built a successful business. Her parents divorced when she was ten years old, and she reports she never heard them argue before they announced to the family they were separating. The client describes the divorce as “ugly.” She started smoking marijuana with her friends at the age of fourteen which led to her opioid intravenous addiction by the age of eighteen. The client’s drug of choice is hydrocodone. She admits she has never tried to abstain from her drug use and has been arrested over twelve times as a result of her addiction. Her last drug charge resulted in a six-year prison sentence at the age of twenty-three. The client is currently court ordered to successfully complete an in-patient drug treatment program for up to eighteen months. If she successfully completes the program, she will be released two years early from her sentence. The client has been diagnosed with 304.00 (F11.20) Opioid Use Disorder – Severe which continues to make her eligible for treatment. Client is Hepatitis C positive.

Pressure Ulcers are a common issue for hospitals and long-term nursing facilities nationwide. Annually an estimated cost of $143 million is spent on hospital acquired conditions which include pressure ulcers (Kandilov, Coomer, & Dalton, 2014). Hospital acquired pressures ulcers are among the top five conditions (Kandilov, Coomer, & Dalton, 2014). Ultimately the first line of defense is prevention and therefore this paper will focus on a clinical practice guideline for deterring the pressure points that progress tissue breakdown and patient harm.

The first point is discovery research, followed by evidence summary, translation guidelines, practice integration, and process or outcome evaluation. Discovery research is comprised of research results generated through primary research studies. Evidence summaries take the bulk of research knowledge and summarize it into a single, meaningful statement. It also generates knowledge simultaneously by combining all the findings. Forms of evidence summaries include systematic reviews, reviews of literature, and meta-analyses. Furthermore, they have several advantages, including reducing large quantities into a manageable form, increasing power in suggesting the cause and effect relationship, and increases efficiency between research and clinical implementation (Stevens, 2012). The next points, translation to guidelines and practice integration, are the two crucial stages in bringing evidence to practice. Translation to guidelines involves summarizing evidence in a cost and time effective way to clinicians. These well-developed recommendations, termed clinical practice guidelines (CPGs), consociate clinical recommendation and supporting evidence or recommendations. Leading into the following step, integration involves change of practice through an individual and/or organizational scale. Process, or outcome evaluation, is the final point in

'Are Guidelines and Protocols an effective way to ensure that we "get care right?" '

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)

It is important to mention at this stage that a research study presented by a researcher may not give complete information about the selected topic. There can be certain limitations of methodology and the new researchers may criticise it for being incomplete. As research is a circular process in which ideas can be added and extracted by researchers anytime, the application of the presented ideas by one researcher are tested and verified.