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Evidence based practice benefits and challenges essay
Evidence based practice and reflection
Evidence based practice benefits and challenges essay
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Evidence Based Practice was founded on the basic premise that all avenues of patient evaluation and treatment should be equally explored and implemented in order to provide well-rounded, thorough care for patients. Medicine is continually expounded upon and improved by the experience of oneself, as well as the experience of others. It should be no surprise then that Evidence Based Medicine has asserted itself within modern healthcare as a way of collaborating the experience and research of many, to benefit the patient and clinician, ensuring relevancy accuracy and the assessment for overall need as it applies to professional, personal, and economical situations. Evidence Based Practice allows clinicians to look beyond the typical narrow scope of evaluation and treatment often arising when providers become overly comfortable with one set of ‘go-to’ diagnostic tools and resources; providing a gateway to knowledge by encouraging clinicians to explore techniques and treatments that would otherwise be overlooked. The success of this type of practice hinges upon the ability of the clinicia...
Of the most powerful people in the world, the President of the United States of America hits the top of the list. Even though the policy agendas that presidents set as they take office often go unfulfilled, the office of President is still one of the most envied spots to have. But why could this be? It is because the United States is the most powerful nation in the world and with the President as the leader, he is said to have the most power in the world ("Top Ten Most Powerful Countries in the World"). With power comes responsibility and with this position he must govern a country while abiding by the rules.
In the early times of the Vietnam War there were two main sides, the Viet Cong who were rebels and opposed the South Vietnamese government, and the ARVN (Army of the Republic of Vietnam) which was on the side of the South Vietnamese government. This was one the very first times these two opposing forces had met in battle. On January 2, 1963 the battle of Ap Bac proved to be much more than a normal battle. Many things happened there that were unclear and not resolved. There were many different stories of what happened those days at Ap Bac. This paper will portray what I believed happened at Ap Bac given the evidence at hand.
Evidence Based Practice (EBP) is useful to practice because it aids practitioners development and widens their knowledge and insight, therefore enhancing the experience of the practitioner. This ensures that the best quality of care is given to the patient (Duncan, 2006).
Report on Winner-Take-All "Winner-take-all” is a term used to describe single member district and at large election systems that award seats to the highest vote getters without ensuring fair representation for minority groups. In the United States, these are typically single-member district schemes or at-large, block-voting systems. Under winner-take-all rules, a slim majority of voters can control 100% of seats, leaving everyone else effectively without representation. There's something else troubling about the way we elect presidents--something beyond the personal attacks, the derelict voters and the influence of big money. It is the fact that so many of those who do vote don't have their votes counted.
During times of war, man is exposed to the most gruesome aspects of life such as death, starvation, and imprisonment. In some cases, the aftermath is even more disastrous, causing posttraumatic stress disorder, constant guilt, as well as physical and mental scarring, but these struggles are not the only things that humans can take away from the experience. War can bring out the appreciation of the little things in life, such as the safety people take for granted, the beauty of nature, and the kindness of others. These universal consequences of fighting all contribute to what war is really capable of doing, sometimes bringing out the best and worst in people, and constantly shaping society. In The Things They Carried, Tim O’Brien goes through this himself when he writes about setting up base camp in the Vietnamese pagoda, the return to site of Kiowa’s death, the story about the old poppa-san guide, and Mitchell Sanders’ “moment of peace”. When O’Brien includes these stories, it is not to insert joy into a tragedy, but rather to create a more wholesome and authentic feel into a tough, realistic war story. O’Brien’s’ “sweet” stories are there to show the hope he had during war, and also serve as a universal example that even in the darkest tunnels, it is always possible to find rays of light.
As the field of healthcare has changed, new diseases and disorders have developed. It is impossible for one doctor to know how to recognize and treat every disease in the world. With evidence-based guidelines, they can come close. These guidelines may not have a perfect success rate, but they can make diagnosing illness easier.
Time value of money (TVM) is a monetary concept that is very important to all parts of the financial world. This concept basically says that $100 today is worth more than $100 a year from now (or anytime in the future). Also, an individual should earn some value of compensation for not spending their money. This compensation is essentially called the interest that will be earned on the initial cash. What about when an individual opts to receive money in the future rather than today? That can lead to problems. This is because they are taking a gamble by loaning money- since there is almost always risk in loaning money. A couple of these risks include inflation and default risk. Default risk means that the person who borrowed the money does not repay the money to the person that loaned it. Inflation means that the general prices of products will rise. How does all this work? In theory the person that gets the $100 today could invest it, even at a very low annual percentage rate (APR), and still come out ahead. If they invest it at 2% APR, they would have $102 at the end of one year. Th...
In 1685 there sparked a new age in Europe, the Enlightenment. During this time enlightened thinkers brought forth enhanced ideas of equality. Men, woman, rich, poor, monarchy, or peasant, everyone should have equal rights. In 1789 France was especially influenced by the new ideals. The french realized that they were still following the social ladder of the feudal system. They could not buy bread because of the raised prices, but the Monarchy was eating a feast for every meal. They had no say in what happened to their government, and their inadequate king kept making poor decisions. You might even say they took the enlightenment to the next level and started a revolution based on equality. Although the french were fighting for freedom (like the enlightened thinkers), they were not using reason or tolerance, two key elements of the Enlightenment.
Research is a systematic process that ultimately leads to the development of new knowledge and solutions to problems or questions (Adams, 2012). Evidence-based practice is the use of the best scientific evidence available to support clinical decisions when caring for individuals or groups of patients (Santos, Pimenta, & Nobre, 2007). The connection between research and evidence-based practice is derived from the fact that nurses use solutions found in research to validate and refine existing nursing knowledge. As a result, nursing practice is impacted. (Adams, 2012). In addition, the goal for conducting nursing research is not only to improve patient outcomes, but also to provide credibility to the nursing profession through evidence-based practice (Adams, 2012). Therefore, research provides the foundation for the develo...
230) in EBP. Clinical opinion, together with the best relevant research evidence, provides the framework to for the best patient outcome. The nurse’s clinical opinion is acquired through knowledge and skills developed from undergraduate, graduate, or continuing education, clinical experience, and clinical practice (Melnyk & Fineout-Overholt, 2010). Clinical opinion also includes internal evidence, which is generated within a clinical setting from quality improvement outcomes, management initiatives or EBP implementation projects (Melnyk & Fineout-Overholt, 2010). Nurses use their clinical opinion when they identify each patient’s condition, individual risks, personal values and expectations, benefits of possible interventions, and gather evidence for EBP. When searching for the best available evidence, there is a hierarchy in the strength of evidence. The highest level of evidence usually comes from a systematic review or an evidence-based clinical practice guideline based on a systematic review. Systematic reviews provide the strongest evidence through a summary combining the results from many relevant, unbiased studies, to answer a particular clinical question. Nurses critically assess the individual studies, to gather the best evidence available for patient care. Systematic
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
When caring for patients it is fundamentally important to have a good selection of up to date evidence Based Practice clinical articles to support research strategies, this allows professionals to assemble the most resent and accurate information known which enables them to make decisions tailored to the individual’s plan of care. It is essential to have clinical expertise and have the involvement from the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.
Emergency care has always been an important part of history all over the world. It has been said that medical assistance has been around and prevalent since as far back as 1500 B.C. Around the 1700’s is when EMS systems first began to experience large advancements, and ever since then, the field continues to grow and improve every year.
Walshe,K. & Rundall,T. 2001, Evidence based management:From theory to practice in health care ,Milbank Quarterly, Vol.79, PP.429-457
The importance of Evidence-Based Practice is to ensure the best possible care is provided for patients. Evidence-Based Practice functions by measuring the effectiveness of a treatment and differentiating findings between high-quality and low-quality. It also helps with health development and improves the reliability and facilitates students to become reflecti...