Outcome Based Practice

This essay seeks to discuss the factors that facilitate change in health and social care. This can be achieved by assessing the challenges that the major factors of change bring using the Care Quality Commission of the Quality Care Commission for the Royal United Hospital Bath NHS Trust (RUHB). The second task aims to evaluate contemporary changes being inaugurated in the provision of health and social care services. In addition to this, a strategy and criteria will be devised in order to measure these recent changes including how the impact of these changes can be measured and evaluated.

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

An outcome-focused review is part of the self-directed support process. It is a way of carrying out reviews that puts the main focus on the results being achieved for the person and his or her family. The purpose of an outcome-focused review is to:

The Smith family is an African American family currently residing in Bartlett, TN. The family owns a home in an established, middle class neighborhood. The Smith’s home is clean, updated and organized. John and Jane Smith, 48 and 45 respectively, live in the home with their 18 year old son, Junior. Both Mr. and Mrs. Smith are college graduates and have been financially preparing for their son’s matriculation to college. Mr. Smith was diagnosed with Amyotrophic Lateral Sclerosis (ALS) in the fall of 2015. Mr. Smith has recently been terminated from his job, leaving Mrs. Smith as the sole wage earner. Mrs. Smith is suffering from acute anxiety and is experiencing panic

Outcome based practice is centred on results for people in the following areas: gains in health, mobility and skills, prevention of deterioration, increases in confidence, engagement and feeling they are in control and finally changes in behaviour. It is assessed and planned

Of the 28 outcomes, there are 16 core outcomes which relate to the quality and safety of patient care.

There are five main stages in the process of evidence based practice, the first is to as mentioned earlier ask a focused question. In this case it will be a question surrounding pulmonary rehabilitation. The next stage would be to acquire the most relevant evidence which will be within the research found in the guideline. The evidence then needs to be critically evaluated to apply the results found within practice, this is to make sure the baseline created will be at the required level. Continuing on you would then analyse the effectiveness of the changes in practice. The following step in creating a guideline would be to acquire literature, so collecting all the data and research, which you would need to include within the guideline. To guide

Health and social care organisations increasingly need to work together in partnership to get better value from the available resources and improve services and outcomes for service users, by improving quality of support for service users. Good relationships between partners, a common vision and understanding of expected achievements and what outcomes need to be delivered are critical to the success of partnerships. This will enable a more responsive service, which is well co-ordinated approach to the service delivery, and better value for money by ensuring reduced duplication of services.

Outcome measurements are used to evaluate the health status of patients following the care he/she has received in a given hospital. The measurements look at both the intended and unintended effects such care might have had on the health status of patients and general function. They also help evaluate the level to which a hospital is achieving its goals as they relate to the care being provided to a patients. Outcome measurements usually include traditional measures such as mortality, morbidity, and issues that are related to quality of life. They incorporate patient satisfaction reports related to the healthcare services they have received. These measures are important to patients looking for a hospital as he/she may seek the opinion of persons who have previously received medical care in a given hospital (Jha &Epstein, 2010).

The assessment process is the back bone to any package of care and it is vital that it is personal and appropriate to the individual concerned. Although studies have found that there is no singular theory or understanding as to what the purpose of assessment is, there are different approaches and forms of assessment carried out in health and social care. These different approaches can sometimes result in different outcomes.

Within this essay, I will reflect and critically analyse an OSCE which has increased my awareness, or challenged my understanding, in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.

In this report I will be investigating how care services meet the needs of individuals by firstly analysing the needs of an individual using care services. Then I will go on to explain the roles of the care planning process in identifying needs, and explain the features of a positive care practise. After explaining that, I will analysis positive care environments and evaluate how they meet needs before finally explaining the role of legislation in promoting a positive care environment.

There are various tools used to measure outcomes including the Clinical Outcomes for Routine Evaluation – Outcome Meaure (CORE-OM) which comprises of thirty-four questions which assess four main areas of well-being, functioning, risk and current issues(www.coreims.co.uk). Research by Rao, Hendry and Watson (2010) concluded CORE-OM was able to identify consistent and clinical therapeutic improvement, but produced anxiety in therapists and concern around satisfaction of outcome measures. The Partners for Change Outcome Managment System (PCOMS; Miller & Duncan, 2004) focuses on the client, prioritises the therapeutic relationship and advocates collaborative decision making (Duncan & Sparks, 2010). Research conducted by Reese, Norsworthy and

Each clinical day, I am constantly thinking about what is evidence based; what have I learned for lecture. To be honest, I never thought I would be thinking so much about evidence based practice, but I feel it’s essential that each and every single one of my patients gets the best possible care that they deserve. Some ways that I’ve incorporated EVP into my clinical is having discussions with employees about the correct needle length size, observing employees do certain procedure and reflect back, as well as, if I see something that doesn’t seem right, I’ll ask the nurse a question. For example, the nurse and I were doing a postpartum assessment and I noticed when the nurse was assessing the patient’s lochia, that she didn’t have the patient turn to see if any blood was pooled under her.

In regards to quality, there is increased field of research concerning evidence. This analysis reinforces additional scientific and systematic approach to the utilization of knowledge regarding interventions on quality. It’s vital to stress on to users that the present data on proof of quality interventions in health care is also bestowed as neutral and as steering which may be thought-about indicative of what works normally everyplace. It’s vital to emphasize that, within the field of quality, the context in that which the proof is getting used is incredibly vital – the proof can’t be thought-about to be as neutral because the proof which is employed, for instance, in clinical decision-making. Consequently it's vital to stay in mind the subsequent