Research is a method where pieces of evidence are collected and analysed systematically and rigorously; hence with proof, either approving or discarding what is being or will be practised and thereby initiates an evidence-based practice (Parahoo, 2014). ‘Evidence-based medicine’, which is correspondingly termed as ‘evidence-based practice’ is: the conscientious, explicit and judicious use of current based evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available clinical evidence from systematic research. (Sackett et al., 1996, pp.71-2)
Evidence-based practice is intended to expand the decision-making skills and hence accomplishing
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Having mentioned that the research was published in 1998, the author has researched literature linked with the subject, dated from 1983 to 1994 to support the aim. According to the author, the main reason for carrying out this study is because of the fact that there were no studies that “directly address what the experience is like for those who are unable to control their eating behaviours” (Lyons, 1998, p.1160). In the background of the research author has mentioned, Miller (1991) describes compulsive overeating as a “process of responding to an emotional need or experience with an appropriate behaviour” and Williamson (1990) states that the person who is on binge eating is aware that it is an abnormal way of eating food however, they engage in more binge eating to relieve the depression (Lyons, 1998). Lyons (1998) also mentioned that, based on a research by American Psychiatric Association, 1994, it has been established that, there have been higher rates of psychiatric disorders such as depression, panic disorder, bulimia, borderline personality disorder associated with binge …show more content…
The author requires, study to be documented and interpret in the participant’s perception. The information for qualitative research is often collected using ‘narrative, words, documents or geographical material’ (Lacey, 2006, p.21) and then ‘themes, relationships, concepts’ are formed. (Lacey, 2006). Common approaches in qualitative research include; ‘ethnography, phenomenology, discourse analysis and grounded theory’ (Parahoo, 2014, p.59). The author has used Giorgi method of phenomenology to explore the meaning of compulsive eating disorder (Lyons, 1998). Phenomenology can be divided into two; descriptive phenomenology and interpretive phenomenology (Todres and Holloway, 2006). Giorgi developed a phenomenological method for researching based upon the work of Edmund Husserl and Merleau-Ponty (Giorgi, 2012). This type of research collects data of the first-hand experience where the data will be descriptive and the preconception of the author will be dismissed to some extent. This is called ‘bracketing’, where the preconceived idea and hypothesis would be avoided and author carry out the study with an open mind (Todres and Holloway, 2006). Parahoo (2014), acknowledges that Giorgi (2009) define the meaning of bracketing
EBP is defined by Sacket et al as 'the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.' (Duncan, 2006) The best evidence in this context could therefore be argued to come from information that has been researched using quantitative methods that is numerical data that tests a hypothesis such as randomized control trials (RCT)(Duncan, 2006).
Recurrent episodes of binge eating is classified by eating large amounts of food in a discrete amount of time and a lack of control in over-consuming during an episode (Pomerantz, 2014). One then uses recurrent inappropriate purging behavior to prevent weight gain. DSM-5 has updated this occurrence to only once a week for three months. Those with the disorder cause self-evaluation to be strongly influenced by body shape and weight. These disturbances do not occur during episodes of anorexia nervosa, which is self starvation to limit calories and weight (American Psychiatric Association,
What is meant by evidence-based practice and how is this different from an historical standpoint.
Some of the symptoms associated with Binge Eating Disorder are frequent episodes of consuming large amounts of food in a short period of time. A person uses the food to fill an empty void that they have and even though the food being consumed temporarily elevates them; Afterwards, a binger feels a sense of guilt, shame, or embarrassment. Due to consuming large amounts, a binger will eat in a secretive location away from others so they don’t feel judged by others. Sometimes a binger feels out-of-control or on auto-pilot when they begin there episode and also may not feel satisfied after bingeing. Binge Eating Disorder usually affects somebody who is overweight or obese, but people of regular weight can also be affected. (Smith, Segal, and J. Segal; February 2014)
Eating disorders have become one of the most problematic issues in the world today. It is very common to hear that women are considered as the type of group who has the higher rate of eating disorders. Although that statement is true, many men also suffered from eating disorder as well. The development of eating disorders usually begins in the period of adolescents and continue until the period of adulthood. However, this does not limit to the fact that it may happen in an earlier period and continue until the latter period.
Polit and Beck (2010 p. 4) describe the research process as “a systematic inquiry designed to develop trustworthy evidence about issues of importance to the nursing profession, including nursing, practice, education, administration and informatics”. With the use of research, nurses can update themselves with the knowledge and analytical skills necessary to facilitate the use of appropriate evidence in clinical decision making for effective health service delivery (Greenhalgn 2010). Clinical decisions should be supported by current, appropriate and robust evidence rather than invalid primary training or the interpretation of personal experiences (Thompson and Dowding 2002). Baker (2010 p. 6) defines EBP as “the conscientious, explicit and judicious use of theory-derived, research-based information to make decisions about care delivery to individuals or groups of patient, taking into consideration individual’s needs and preferences”. It offers the nurse with the skills and knowledge to assess best update health care literature and practice (Donald and Greenhalgh
Counselors are very dependent on the research of others. Counselors are among many who are responsible for producing evidence based practice. Counselors have a responsibility to be eager and capable of locating and using evidence based interventions. Research reports are used to help summarize the findings of different types of research in the counseling profession. The results of a research report should summarize the findings of the research. According to Sheperis, Young, and Daniels 2010, “it should be easy for the reader to connect the findings with the stated research questions and to determine whether the finding support or refute your hypothesis” (p.239). The following are two challenges that the counseling profession is faced with when it comes to outcome research: (1) producing sufficient volumes of evidence and (2) being able to find, interpret, and use the evidence from previous research. These challenges place a limit on the variety of interventions that are available to the counseling profession. One intervention that works for one child, might not produce the same results for another child. So it is very important that research provides information that is useful and effective. The lack of studies makes it more challenging to determine whether or not an intervention is an effective solution that will improve a student’s behavior or academics. “Ultimately, regardless of how effective a counselor may be, if the problems are not properly measured and assessed, intervention is disadvantaged and treatment is comprised” (Sheperis, Young, & Daniels, 2010, p. 3). In order to best serve clients we have to complete comprehensive research and use the results to the advantage of the client.
Evidence Based Practice emerged in the late 20th century, becoming widespread in the 21st century. According to Research and Practice: The Role of Evidence-Based Program Practices in the Youth Mentoring Field ( 2009) “The concept of Evidence Based Practice (EBP) actually has its roots in the medical field, where the work of Archie Cochrane (1972) and others examined the key role that the substantial body of medical research and literature could play in how doctors make decisions in patient care” (para 6); Thus, a doctor’s decision would be an “educated” decision, based on evidence gathered (patient symptoms), history of cases they have overseen, or research of previous case diagnosed by another doctor, with a related case. Evidence Based Practices are defined as “ integration of: (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) client/patient/caregiver perspectives to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve” (“Evidence Based Practice (EBP),” 1997-2014); often described as the “Best Practices”. The evidence itself is not the basis of decisions made, but it does help support the process of care given to our clients.
It is normal to overeat from time to time, but when it comes to binge eating, the urge is persistent and seemingly uncontrollable and is usually accompanied by feelings of shame and guilt. Binge eating disorder, just like other mental disorders, is strongly linked to depression, low self-esteem, anxiety and stress. Persistent overeating also leads to obesity and other serious health conditions.
What are the best ways of achieving this in the reality of the modern NHS? To conclude, Evidence Based Practice is a process of building up accurate information from medical research which has been correlated and assessed. From this, the nurse is capable of advising the best plan of care. For nursing standards to improve, it is vitally important that the nurse is given the time to research and the trust to start off the process of change for better care. References Cullum, N., Ciliska, D. and R. Haynes, Marks (2008).
Eating Disorders are an issue that affects many people in the world today. An eating disorder is an obsession with weight and food that has become so extreme that it jeopardizes a person’s health. (Divine Caroline, 1) Eating disorders affect many individuals worldwide, the majority being female ages twelve to eighteen. (Eating disorder recovery, 4) Eating disorders are considered to be a psychological disease and can originate from outside influences, coping skills, personality traits, genes, culture, metabolism and mental instability. (Eating disorder recovery, 2)
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
An examination of the food addiction construct in obese patients with binge eating disorder. International Journal Of Eating Disorders, 45(5), 657-663. doi:10.1002/eat.20957. Yijun, L., von Deneen, K. M., Kobeissy, F. H., & Gold, M. S. (2010). Addiction and Obesity:Evidence from Bench to Bedside.
It is normal to overeat from time to time, but when it comes to binge eating, the urge is persistent and seemingly uncontrollable, and is usually accompanied by feelings of shame and guilt. Binge eating disorder, just like other mental disorders, is strongly linked to depression, low self-esteem, anxiety and stress. Persistent overeating leads to obesity and other serious health conditions.
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...