Randomized Control Trials ( Rcts ) Are Considered The Golden Standard

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

In the past decade mass shootings and domestic violence has become a topic frequently talked about in America's society. In America it is a popular belief that mass shootings are a product of mental illness or because there are an abundance of guns. A part of mass shootings occur because of mental illness, but not in the way many people believe. Drugs that are prescribed to people that have a mental illness or are depressed are affecting people's brains and the things that cross their minds. America's crisis on mass shootings and domestic violence is due to the prescription of psychotropic, psychiatric and selective serotonin reuptake inhibitor (SSRI) drugs, commonly referred to as antidepressants, from trusted psychiatrists.

Select three forces of magnetism and write two ways to determine if your health care organizations are demonstrating evidence of those three forces.

Venous thromboembolism refers to the formation of a blood clot in a blood vessel. While clots can form in an artery or a vein, this article focuses only on clots that occur in a vein ("," 2015). Critically ill patients are at an increased risk of a venous thromboembolism (VTE) due to VTE can manifest as a deep venous thrombosis (DVT) or a pulmonary embolism (PE). Risk factors include venous stasis, vascular injury, and hypercoagulable disorders. A majority of ICU patients carry at least one risk factor for VTE; additional risk factors are considered to have a cumulative effect…it is impossible to predict which patients will experience a

Jeremy, nice posting about continuing to advance evidence-based practice (EBP). Stevens (2013) wrote that clinical leaders have the chance to advance ahead and change healthcare from a systems view, thus directing their efforts on evidence-based practice (EBP) for proven effectiveness, patient commitment, and patient safety. I see that through this program that this is only the beginning, I have the sturdy foundation from which I can build from the bottom up. Now that my eyes are open more and I challenge the organization or leaders more with the data to support my claims, I am now the squeaky wheel that grates on your nerves.

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.

However, there are multiple theories. Patients of all ages use antidepressants because the drugs tend to alleviate depression in a relatively safe manner (“Antidepressant Drugs” 2). Supporters of antidepressants say that the drugs play an important role in easing the suffering of millions of Americans who suffer from depression. They say that by making treatment of depression easier, the drugs have allowed many people to overcome the stigma associated with depression (5). The adolescent suicide rate declined about 15% in the United States between 1985 and 1999, while use antidepressants in that age group was rising by nearly 70% (Harvard Mental Health Letter, May 2005, 3). It can be concluded from this statistic that antidepressants most likely were the reason for the decline in adolescent

The peer reviewed journal article, A Decision Tree Model for Postoperative pain Management, is an article describing postoperative pain management regimens using evidence-based practice. This article’s author has created a guide for prescribers who are managing postoperative pain levels for patients. This article is using evidence-based practice to help future patients have adequate pain relief, but not have the serious ramifications that can occur from the wrong dose or wrong medication for said patient.

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.

Evidence based practice allows for researchers to guide the process of data development and identification through the means of current research to provide the safest quality care to ensure and reduce the risks of outdated processes (Boswell & Cannon, 2014). When researching an article that was peer reviewed, based on nursing research, and that was about applying nursing research I came across an article from Zwakhalen, Hof, & Hamers (2012) that is designed around applying previous research regarding pain management and explore the feasibility of applied pain management intervention scales. Under-treatment of pain in dementia patients is becoming more common due to lack of proper communication and proper pain scales should be utilized within

As a beginning point in the selection of an evidence-based program (EBP), it is crucial to distinguish the extent of the EBP. This process has four (4) elements: 1) intended population; 2) intervention target; 3) baseline severity level; and 4) intervention delivery characteristics (Durlak & DuPre, 2008).

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

Tobacco use remains the single largest preventable cause of death and disease in the United States. Cigarette smoking kills more than 480,000 Americans each year, with more than 41,000 of these deaths from exposure to secondhand smoke. In addition, smoking-related illness in the United States costs more than $300 billion a year, including nearly $170 billion in direct medical care for adults and $156 billion in lost productivity, Center For Disease Control (CDC 2017).

The primary disadvantage of randomised controlled trials would be ethics. There must be sufficient belief that the intervention will be safe. Moreover, clinical equipoise is very important. Clinical equipoise is the assumption that there is not one intervention better than the other during the design of a randomised controlled trial. (Cook and Sheets, 2011). Participants must be aware that they are taking part in a study and they should be informed of the risks and benefits of the trial - this is informed consent. It is also imperative that a data monitoring and safety committee review results and a closed and confidential data monitoring and ethics committee reviewed results for this trial. Ethics approval was granted by the northwest multicentre research ethics committee and each centre had to achieve local approval.

Does the confidence interval exclude the clinical decision threshold between recommending and not recommending a treatment (for clinical practice