Use Of A Rapid Critical Appraisal Checklist ( Melnyk And Fineout Overholt

Mulloy, D. F., & Hughes, R. G. (2008). Patient safety & quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from http://www.nlm.nih.gov/books/NBK2678/

Critical Appraisal skills program (CASP) will be defined and will be later use to critically appraise the research mentioned above. The importance of evidence based (EBP) in healthcare settings would be briefly explained. Lastly validity, strength and weakness of the study would be looked into and to conclude if it’s or not fair enough to be used or modified services to patients and service users in care settings.

The critical appraisal process is implemented to examine the reliability and validity of a research study by evaluating relevance in practice and how to improve the quality of medical care. The focus of this assignment is to critically appraise the article The lived experience of parents and guardians providing care for child transplant recipients by focusing on the study methods, design, sample, data collection, and findings to measure significance of execution in the clinical setting. According to Williams, Eilers, Heermann, & Smith (2012), with a statistical increase in children living “normally” post transplant, there lies a demand to understand the reality of patient’s and family’s experiences and potential stressors presented throughout this financially, physically, and emotionally taxing process.

This is a guideline that has been evaluated many times by the institution and those in charge of making evidence-based information readily available to physicians and nurses. The number of editions this same guideline has been subject to is twenty-three. It appears

This article addresses “communication failures within a healthcare institution can result in substandard care and increase likelihood of adverse outcomes for patients” (p. 181). As part of The Joint Commission goal for institutions to improve safety and reduce communication failure a program was created where doctors were (team leaders) and nurses (team members). The clinical crew resource management (CCRM) was implemented in the gastrointestinal (GI) endoscopy area at Huntington VA Medical Center.

During an Evidence Based Practice research project, a crucial step is, to perform a Rapid Critical Appraisal Evaluation(RCAE). Followed by the development of a clinical search question, in addition to available and appropriate searchable data, from two(2) different databases; the National Guideline Clearance House and PubMed Clinical Queries. Accordingly, to achieve this significant step, keywords such as Patient, health care providers, infection control, lack of hand washing, infection prevention, nursing, nurses, post-operative complications, disease prevention, staff training/competency training, post-anesthesia, equipment cleaning among others were used. meanwhile, to limit our research to more specific information terms like surgery,

To critically appraise different types of research a group of questions called “users’ guide” have developed. There are three main questions that applied to all type of studies which are: if the results of the study valid, what are the results, and will the result help in caring for the patients. When appraising a study in which a therapy is evaluated a set of questions that addressing the extent to which bias might have crept consciously or unconsciously into the study, the result and their variability, and finally the application of the study result on the practice should be considered. Therefore, appraiser needs to read a research article to be updated of recent evidence to support a clinical decision, such as the appropriate type of dressing to use, and be aware of what to look for when the outcome measures and results are described. To evaluate an intervention, the

The Institute for Healthcare Improvement (IHI) website provides the resources the team needs to test this process. The team knows the process will improve the safety of procedures, they are not sure if the checklist fits well into the work flow of procedures and are unsure if the checklist will be used as intended. A decision is made to use the Plan Do Study Act (PDSA) cycle to test the use of the checklist. IHI’s Model for Improvement focuses on three areas: aim, measures, and changes. The aim or the goal is assuring the checklist is used for every procedure. The team decides to test in the Interventional Radiology (IR) department to evaluate the use of the checklist. For one month IR will use the checklist on all procedures requiring moderate sedation. After the trial, the staff in this department will participate in an evaluation of their experiences with the checklist use. The team will reconvene to address any issues found during the trial and make improvements as needed (Lloyd, Murray &Provost,

This study is based on preterm infants that are born within 37 weeks of gestational age. These infants contain very low iron capacity. During their postnatal period there might be deficiency of iron if it is not expanded from birth. The standard measure is to supply iron in these infants during the time of 6 to 8 weeks of age. (John & Mark, 2012) During this period, supplementation of iron is unnecessary as no active erythropoiesis is present. As this erythropoiesis is build up, the insufficient iron stores might get exhausted. This is normally followed by decline in the tissue iron that could lead to biochemical defects such as collagen and synthesis of DNA. A matured preterm brain is susceptible to effects

Furthermore, Smits et al. (2010) discussed strategies to prevent AEs, one of these includes quality assurance/peer review where there is continuous monitoring of data quality based on pre-specified standards and assessment of a health professional’s performance. This is essential in the evaluation and determination of the safety behaviour performed by staff and if there is any needed training or re training of skills. Also, NSW Health ED CIN Roles (2010) has outlined strategies for communication for patient and carers. They have made mnemonics A-E as a strategy for successful communication. This includes, Acknowledgement of the patient’s presence, to Be yourself, to Communicate the plan, to provide Duration and timeframe of stay in the ED and to Explore their needs. Varkey and Antonio (2010) states that most organisations tend to set aside the importance of communication in the success of change management. Effective communication allows members to participate in the formation of the change process, development and implementation and the people who are directly affected by the change can provide valuable insight. It is also important to note that

The Rapid Clinical Appraisal tool was a laborious process, due to spending quite a bit time looking over all of the articles. Overtime, the process became quicker, which it made possible to delete articles that weren’t relevant to this project. According to Melnyk & Fineout-Overholt (2014, p.14), critical appraisal can be efficiently accomplished by answering three key questions as part of a rapid critical appraisal process in which studies are evaluated for their validity, reliability, and applicability to answer the posed clinical question.

Evidenced-based practice (EBP) is defined as a “problem-solving approach to patient care that integrates the best evidence from well-designed studies with clinicians ' expertise, patient assessments, and patients ' own preferences that leads to better, safer care, better outcomes, and lower health care costs” (Wallis, 2012, para. 1). The development of evidence-based practice (EBP) is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care

Table 2 unveils the dynamics of the population, an indication of a study’s applicability. In addition, exclusion criteria are pronounced by NEECHAM confusion scale. The researchers explained methods, design duration, and each face of implementations. The study was long enough; “pretest, adaptation, dissemination, and implementation and posttest” (Keeley et al. 2015, p.335) took 8 months. To add on to validity, patients’ data were collected “in a manner consistent with hospital practice” (Keeley et al. 2015, p.355). The team conducted a study using standard of care protocols (Table 5) and found a statistical significant increase in four items “encouraging the patient to call if there are problems,” “treating the patient as an individual,” “helping to reduce the patient’s pain,” and “showing concern for the patient.” (Keeley et al. 2015, p.357)

The commission reminds nurse leaders to consider the human aspect of computed safety reporting. It’s important that nurses are aware that there will be no repercussion for reporting safety events. Nurse leaders must educate their charges about what incident constitute safety events and the proper procedures for recording these occurrences. In addition, leaders should also provide timely feedback to those who have submitted reports.

“Organizational and system failures or lack of systems to support the handoff process emerged as contributors to adverse events.” (Capek, Pascarella, & Waymard-Tomlinson, 2013). In chapter 34 of Patient Safety and Quality: An Evidence-Based Handbook for Nurses the importance of “handoffs”, or report, between nurses and other team members is discussed. This journal also goes into detail regarding the causes of ineffective reporting and the consequences that it may produce. In the medical- surgical unit of the hospital, the lack of information exchange may lead to a number of safety risks for patients. (Friesen, White, & Byers, 2008)