Evidence Based Practice In the thesaurus terms category, CINAHL database was equally competent and it provided all the searched terms. The conventional search engines could only provide less than half of information under these terminologies. This leads to the conclusion that various search engine databases have different forms resource that are useful in EBP but CINAHL generally has a more articulate information in its database that affords medical practitioners exhaustive, relevant, reliable and objective information ideal to guide Evidence Based Medical Decisions (EBMD) (Davies, 2011).
University of Illinois Evidence Based Medicine Resources: Lessons Learned
From the search resources I learned that in evidence based medicine, patient values comprising of their unique concerns, preferences, and expectations introduced to the clinical encounter ought to be integrated in determining the ideal care for patient. This integration will guarantee that the individual patient’s clinical state, the clinical setting and best patient outcome prevail in ideal decisions on optimal service delivery to the patient (Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996).
The second aspect learned is that in order to integrate Evidence-Based Nursing and clinical care, there is the need for a basic comprehension of the attributes related to the inherent published evidence. Resources in Evidence-Based Practice are categorized in a hierarchy relating to the quality of the research or evidence. In Evidence-Based Practice, decisions making on best care to patient are not just basically guided by selecting the highest ranking evidence or research in the hierarchy level. Instead, it is essential to critically assess the searched information, select the highest ranking and most relevant evidence available relating to the query, patient’s circumstance and needs. Essentially, the highest ranking evidence article is not necessarily the ultimate go-to guide for ideal decisions. Instead, the ideal guide for decision has to be the highest ranking that depicts the patient’s attribute and through critical assessments reflects considerable best patient outcome (Sackett et al., 1996).
Comparing CINAHL Keyword Search Result with Other Search Engines
According to Houde (2009), the choice of a search engine in systematic reviews will significantly have an impact on Evidence Based Practice (EBP). The search engine will influence the number of retrieved records, the application relevance of the records, resultant adequacy of care given to the patient, and the subsequent time and money resources used in reviewing the results.
In practice I undertook to search broad based terms and thesaurus terms in reviewing the experiences of patients living with leg ulcer. The result indicated that CINAHL ...
My experience where I could have used Evidence-Based Practice for a better outcome
In one my previous clinical duties I failed to aspirate a syringe while undertaking an injection in an intramuscular region instead choosing aspirating intramuscularly. During subsequent training on clinical practice and subsequent personal reviews it was highlighted that following medical practice reviews relating to intramuscular injections aspirating intramuscularly is no a standard practice anymore. From evidence based practice reviews there is no evidence to support the practice as a conventional medical practice and evidence indicate that aspirating intramuscularly can result to cause trauma among some patients. From this past experience, subsequent reviews and evaluation using Evidence-Based Practice, it is asserted the use of EBP in nursing practice is important. Evidence-Based Practice will ensure medical practitioner have ideal guidelines in making decisions relating to patient care and measures to avoid adverse effects in the course of providing treatment to patients.
How Affordable Care Act has affected the Community Where I Practice
Following the enactment of Affordable Care Act there has been a significant…
In the thesaurus terms category, CINAHL database was equally competent and it provided all the searched terms. The conventional search engines could only provide less than half of information under these terminologies. This leads to the conclusion that various search engine databases have different forms resource that are useful in EBP but CINAHL generally has a more articulate information in its database that affords medical practitioners exhaustive, relevant, reliable and objective information ideal to guide Evidence Based Medical Decisions (EBMD) (Davies, 2011).
Affordable Care Act of 2010 Brief History of this Legislation -- How it Became Law When the Affordable Care Act (ACA) was signed into law by President Barack Obama in March, 2010, the legislative process was saturated with tension and heated rhetoric. After a bitter, chaotic period in which legislators attempted to hold "town hall" meetings to explain the benefits of the play -- and organized disruptions at those meetings set a
Affordable Health Care Act/Obama Care What is Obama Care? Health issue is a critical concept in relation to the growth and development of any nation. It is essential for the healthcare to be affordable and accessible with the aim of enhancing the health conditions of the citizens of the relevant nation. In the context of the United States, there is the adoption and implementation of the concept of Obamacare in the healthcare
Affordable Healthcare Act (ObamaCare) The main objective of the federal government is to offer an affordable healthcare services and products to the citizens. Health is one of the development indicators in relation to the condition of the economy. In the process of enhancing the healthcare services within the United States, the government and the congress sought to adopt and implement an effective healthcare plan towards the achievement of the societal goals.
Affordable Care Act Legal Studies 101 Commerce Clause and the Affordable Care Act The Affordable Care Act (ACA) of 2010 was signed into law on March 23, 2010 and a number of provisions have already gone into effect and still others are scheduled to be implemented over the next four years (Henry J. Kaiser Family Foundation sec. 2). Probably the most controversial provision is the requirement that Americans who chose not to purchase
Affordable Care Act (ACA) On March 2010, the U.S. Congress passed the Patient Affordable Care Act (ACA), a portion of legislation intended to redesign the nation's healthcare framework and amplify health protection to a huge number of uninsured Americans. The law incorporates various provisions that endeavor to achieve this objective. It creates access to healthcare insurance coverage through shifting premiums to be based on an individual's health condition and barring persons
Critics of the ACA highlight several concerns, however, with the way that the law affects their businesses. For the 10,000 or so employers over 50 people who do not offer insurance, the cost per worker increases immediately. For companies just under 50 employees, this cost could even result in delayed expansion -- though arguably if their numbers are that tight they probably shouldn't expand anyway. That said, some surveys indicate