Temple City Unified School District: Meetings Regarding Pediatric Population Health

Evidence-Base practice (EBP) is defined as: “based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach” (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-driven process, which involves the use, evaluation and application of research; identification of best evidence; evaluation of care; problem solving; decision-making; clinical expertise; and requires patient involvement. Evidence-based practice is made of evidence, clinical expertise, patient preference, the context of care (Barker, 2013). In brief, evidence-based practice is the parameter in the nursing practice that it requires that the nurses gather and use clinical evidence to make decision for the patients so that in the nursing process they can deliver the quality of care for the patients (Ellis, 2013). In the other words, in the nursing practice all the nursing procedures performed by the clinical evidence supported.

There has been major controversy in defining the term evidence informed practice. The best definition which is globally accepted is the one invented by Sackett et al. (1996) He defined evidence informed practice as “the conscientious, explicit and judicious use of current best evidence in making decisions about care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research”. (Ellis 2003) To simplify, it means utilizing the best possible information which is proven to be useful in aiding the best possible care to patients.

Evidence-based practice improves patient outcomes. There are apparent gaps between understanding and applying evidence-based practice, but that does not mean that we shouldn’t take the time to try and eliminate those gaps and do what’s best for our patients.

Achieving a school district’s mission and vision requires the commitment of its stakeholders. In order to involve them in the process, it is necessary for educational leaders to “motivate staff, parents, students, board and community members” (Educational Leadership Constituencies Council, 2002, p. 4). The transformational leadership theory emphasizes the importance of educational leaders acting as role-models in order to motivate and inspire the school community. This approach has the potential to involve all stakeholders, leading to increased student success (Bush, 2007). The Assistant Director of Special Education in Northwest ISD directly supervised the school district’s assessment staff. Her education, experience, and passion set an example for her subordinates, stimulating them to achieve more, leading to her promotion to Executive Director of Student Services.

Evidence-based practice is the practice of making clinical decisions based off the best available research evidence coupled with the nurse’s own expertise, while also taking into account, the patient’s assessments and own personal preferences. This use of research has proven effective at providing better outcomes and lower healthcare costs, yet there are several barriers, such as time, education, and support, which prevent nurses from consistently using evidence-based practice (AJN, 2012). The top three barriers to the use of evidence-based practice are lack of time, education, and support in implementing new practices and using them consistently.

Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

This essay will be a critical review on the study conducted by Majid et al (2011). The article which is titled ‘Adopting evidence-based practice in clinical decision making:

You are absolutely right that the evidence has to match the reality, to be useful in clinical setting. Since health care professionals want to ensure an effective and compassionate care which meets their patients’ needs, the validity of the evidence is important, therefore a sound research evidence which tells us what does and does not work, and with whom and where it works best, is very important while incorporating the evidence from research, clinical expertise, and patient preferences into decisions about the health care of individual patients (Mulhall, 1998). Health care professionals can make use of Cochrane Reviews for the authoritative, relevant, and reliable evidence of researches (Cochrane, 2016)

Guidance on a treatment is important but more is required to achieve high quality care and effectiveness, such as the patients physical, psychological and social assessment. A good thorough patient assessment is crucial as it helps with finding the right treatment for the patient and increases patient participation. Evidence-Based Practice (EBP) can be defined as the conscientious use of current best evidence in making decisions about patient care (Sackett et al, 2000). Evidence-Based Practice (EBP) is a practice which requires that decisions about health care are based on the best available, current, valid and relevant evidence and the decisions should be made by those receiving the care and those providing the care (Dawes M. et al, 2005). Professions such as Physiotherapists use Evidence Based Practice as an aid when it comes to choosing the correct and

Evidence-based practice will be extremely helpful among the hospital setting because it will allow for me to learn from reliable resources. Using evidence-based practice thus far has helped for me to learn about different cultures and become more prepared when meeting with patients. I will continue to work within the hospital setting and need to be sensitive of how different cultures feel about the medical system as well as treatment options. At times, I have found myself wondering why my patient does not want to go a certain treatment route and many times I can use evidence-based practice to get a better understanding. Many times evidence-based practice has allowed for me to share articles with coworkers and have dependable evidence to fall back on when advocating for my patient within team meetings.

During my second preclinical experience at Westview Hills Middle School, I learned the importance of cooperation and collaboration among teachers at a school. I was able to observe team and department meetings during this experience. It became clear that it is important for teachers to work together in order to provide a positive atmosphere at a school and in a specific department. Although it became obvious that personalities and teaching styles were different throughout the school, the teachers still acted professionally and used each other as resources in

In terms of becoming a mediator and consensus builder the authors detailed the need for principals to possess relational leadership skills in order to be able to both facilitate groups and coach others on staff in the ability to facilitate their own groups, and stressed that the key to this is the ability to effectively participate in conflict resolution (Donaldson, Marnik, Mackenzie, & Ackerman, 2009). The authors suggested that conflict is part and parcel of school reform and that in addition to being able to deal effectively with conflict the successful principal needs to develop the ability for bringing about consensus within the group, noting that interpersonal and intrapersonal skills were as much or more important than knowledge (Donaldson, Marnik, Mackenzie, & Ackerman, 2009).

Evidence-based practice (EBP) offers a framework utilization of systematic high-quality research, an analysis which consistently enhances measurable client outcome and clinical decision-making grounded in rationality; EBP depends on data collected through experimental research and accounts for individual client characteristics and clinician expertise. The potential benefits of EBP comprise of increased service delivery and quality of care, heightened accountability, and a bridging of the research-practice gap (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000). It is imperative that research scholars are cognizant of research outcome dependability and validity prior to implementing results

For the service learning project, I teamed up with three of my classmates to volunteer at a lady’s conference at Imani Restoration Centre church (IRCC) on the 16th of September, 2017. IRCC is a non-profit organization which is a Kenyan community founded that focuses on bringing African immigrants together to support and learn the things of God. Samuel Mwangi, the senior pastor of IRCC, said that through the counseling sessions that he holds at the church every Thursday, he discovered that most ladies go through the same challenges. Therefore, he thought it would be great for him to organize a lady’s conference, so that ladies could come together to share and support each other (Personal communication, September, 16, 2017)