Evidence-Based Models
While there is a debate regarding the criminalization that is being done to people just because they consume drugs, as of now the whole global community is against the offenders and addicts and wants them reformed or locked away. The reason is that there is a demonstrated relationship between drug abuse and crime, and the use of drugs and the peddling of the drugs have been shown to be the root cause of many violent crimes and domestic violence. Thus the importance given to rehabilitating drug users with intervention programs is not a misconceived notion, and nor is the involvement of the criminal justice system in the costly programs unwarranted. That being so it can be pointed out that for the youth, the intervention is crucial before they set out to become hardened criminals. (Peterson, 2009)
Thus for juvenile offenders it is important that the community based intervention programs are…...
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References
Brannigan, Augustine. (1997) "Self-Control, Social Control and Evolutionary Psychology:
Towards an Integrated Perspective on Crime." Canadian Journal of Criminology, vol. 39, no. 4, pp: 403-431.
Champion, Dean J. (1994) "Measuring Offender Risk: A Criminal Justice Sourcebook."
Evidence-Based Models for Substance Abuse Treatment in the Criminal Justice System
The United States currently incarcerates a higher percentage of its citizens than any other industrialized nation in the world. A majority of Americans who are incarcerated were taking drugs or drinking alcohol, or both, during the commission of their crimes, or were actively engaged in substance-abusing behaviors that resulted in their involvement with the criminal justice system. The costs that are associated with incarcerating these millions of convicts each year are staggering, making the need for cost-effective interventions that can help divert substance-abusing nonviolent offenders from the penal system into other, less expensive community-based alternatives. Likewise, from a strictly pragmatic perspective, treating existing substance abuse among prison populations using methods with proven efficacy just makes good business sense. To this end, this paper compares and contrasts two evidence-based substance abuse treatment models that have demonstrated efficacy in the criminal justice…...
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References
Byrne, M.H., Lander, L. & Ferris, M. (2009). The changing face of opioid addiction:
Prescription pain pill dependence and treatment. Health and Social Work, 34(1), 53-55.
Grella, C.E., Hser, Y-I, Teruya, C. & Evans, E. (2005). How can research-based findings be used to improve practice? Perspectives from participants in a statewide outcomes monitoring study. Journal of Drug Issues, 35(3), 469-470.
EBP
NEW MODELS FO EVIDENCE-BASED PACTICE a professional goal DNP-prepared nurses produce evidence-based models care develop evidence-based guidelines. As continue develop DNP Project Premise engage EBP Project, aim mind.
Evidence-based practice
As a nurse practitioner who works in a diverse range of settings spanning from hospitals to nursing homes to clinics, evidence-based practice is part of my daily routine. Virtually all of the facilities at which I work prioritize evidence-based practice given that the facilities' scarce resources means that time, energy, and money cannot be wasted on untested treatments or treatments based merely upon 'hunches.' Evidence-based practice is based upon demonstrated benefits from particular approaches to patient care in recent literature. I strive to remain current in my own knowledge of EBP, frequently reviewing nursing journals and articles online as well as the websites of professional associations so I am aware of new treatments, approaches, and evidence of what works and what does…...
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References
ACE Health Star Model. (2013). University of Texas Health Center San Antonio. Retrieved:
evidence-based practice use in nursing for making decisions using evidences to provide care to patients. This assignment has highlighted five main principles of EBP. These principles should be considered while implementing EBP. Moreover, there are certain challenges and barriers in implementing EBP. This assignment focused on strategies for implementing EBP.
Introduction of evidence-based practice to the workplace:
Changing the accepted confirmation of an NG (nasogastric) tube
Currently, I am employed at a medical and geriatric unit in a rehabilitation hospital. The unit is such that the majority of the nurses (60%) have over ten years' experience of practice. Thus the nurses on the unit are highly-trained professions who are extremely competent at their jobs. However, nurses of this level of experience are also often extremely change-resistant. Due to the level of the morale on the unit, nurses are often reluctant to alter the standard operating procedures with which they have become familiar…...
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References
Earley, T. (2005) Using pH testing to confirm nasogastric tube position. Nursing Times,
"The prevalence of obesity (BMI > 30) has been increasing; currently; at least 27% of the adult population is obese" (McTigue 2003: vii). Despite being one of the most pervasive health problems in modernity, there is relatively little information on obesity available in the annals of evidence-based medicine. This may be due to the fact that obesity is such a complex and multifactorial disease, without a clear etiology. Perfectly-controlled studies can be difficult to construct. Many different factors can impact a person's ability to maintain a health BMI, spanning from genetics to culture to lifestyle to social and economic factors.
A 2003 evidence-based review of existing studies of obesity in adults found in MEDLINE from January 1, 1994 to July 31, 2001 only found four meeting the relevant criteria of studying persons suffering from obesity. There were no CT (randomized controlled trials, or the 'gold standard'…...
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References
McTigue, K. (2003 et al.). Screening and interventions for overweight and obesity in adults.
Agency for Healthcare Research and Quality (AHRQ). Systematic Evidence Review, 21.
Facilitating Change to Evidence-Based Practice in Nursing: The Iowa and Stetler Models
The Iowa Model of Evidence-Based Practice
Developed by Marita Titler to promote quality healthcare, the Iowa Model is a source of guidance for nurses and clinicians when making decisions that have an impact on patient outcomes. It infuses research into practice by using a multidisciplinary team approach to address a number of topics that are clinically important (Melryk and Overholt, 2011). This model is represented as an algorithm that has well-defined feedback loops as well as decision points. The very first decision has got to do with whether a particular problem is a priority to an organization and the second decision considers how adequate the evidence is to change practice. After the conduction of a pilot of change, on the basis of the available evidence, subsequent decisions are made on whether to adopt it or not, which is followed by…...
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References
Melryk, B. M & Overholt, E.F. (2011). Evidence-based Practice in Nursing & Healthcare: A Guide to Best Practice. Philadelphia: Lippincott Williams & Wilkins
OBSEVATION OF EVIDENCE-BASED PACTICEBlog: Observation of Evidence-Based PracticeEvidence-based practice is important in nursing owing to the fact that it makes it possible to provide the best effective care available. According to Willis and McEwen (2014), evidence-based practice involves the utilization of current research while making decisions regarding care so as to improve patient safety and health. In addition, evidence-based practice reduces variations in nursing while reducing costs and burnout in healthcare. In nursing, application of evidence-based practice involves the use of the best preferences and applying the best nursing expertise (Willis and McEwen, 2014). In my practice, which happens to be psychiatric nursing, use of evidence-based practices has led to improved patients outcomes. For instance, use of evidence-based practice has made the achievement of superior outcomes in the mental health realm possible. It is important to note that depression is a major problem in psychiatry as psychiatrists try to come…...
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ReferencesBhui, K. S., Dinos, S., Stanfeld, S. A. & White, P. D. (2012). A Synthesis of the Evidence for Managing Stress at Work: A Review of the Reviews Reporting on Anxiety, Depression, and Absenteeism. J Environ Public Health, 2012, 515874.Kueny, A., Shever, L. L., Mackin, M. L. & Tilter, M. G (2015). Facilitating the Implementation of Evidence-Based Practice through Contextual Support and Nursing Leadership. J Health Leadersh, 7, 29-39.McEwen, M., & Wills, E. M. (2014). Theoretical basis for nursing (4th Ed.). Wolters Kluwer. Stuart, G. W. (2001). Evidence-Based Psychiatric Nursing Practice: Rhetoric or Reality. J Am Psychiatr Nurses Assoc, 7, 103-111.
SYSTEMS THEOY vs. DIFFUSION OF INNOVATION THEOY
EVIDENCED-BASED PACTICE
Systems theory and diffusion of innovation theory
Systems theory and healthcare delivery in the U.S.
According to theorist Ludwig von Bertalanffy, it is essential to view organisms -- both living and man-made -- as functional systems in a holistic sense to understand their true nature. This principle is manifested in the human body and also the organizations which provide healthcare. "A complex adaptive system is a collection of individual agents with freedom to act in ways that are not always totally predictable, and whose actions are interconnected so that one agent's actions changes the context for other agents. Examples include the immune system, a colony of termites, the financial market, and just about any collection of humans (for example, a family, a committee, or a primary healthcare team)" (Plsek & Greenhalgh 2001: 625).
Complex systems, such as the healthcare delivery system, have 'fuzzy' boundaries in the…...
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References
Bryant, R. (2010). Extending the reach of nursing knowledge and innovation. Nursing and Health Policy Perspectives. International Nursing Review, 57(4), 406.
Retrieved from CINAL at doi:10.1111/j.1466-7657.2010.00864.x
Fitzgerald, L. (2002 et al.). Interlocking interactions, the diffusion of innovations in health care.
Human Relations 55(12) 1429-1449. Retrieved from Google Scholar:
Statistics in Social Work
The steps of evidence-based practice include formulating an answerable question. How does knowing about statistics improve our ability to be an evidence-based practitioner at this step?
How understanding statistical principles can enable you to better understand if a question is answerable or not.
Are 'baselines' in descriptive function, or predictive function available for assessment.
In application of statistics to social phenomena, the frequency, duration and intensity of the subject tested will contribute to analysis where more than nominal (i.e. numbered) distributions are involved. Merely 'counting' a population is not a significant activity in statistical renderings as independent variables require dependent variables in order to acquire statistical meaning. Evidence-based practice references studies that 'replicate' existing tests, toward reinterpretation of former statistical outcomes in a new study of parallel significance, with variables of the same classification. Patterns in longitudinal tests over time offer insights into stasis or transformations in variables, and potentially…...
nurses deliver evidence-Based care?
Define main ideas within the title supported from the literature
Nurse instructors confront many hurdles in the present healthcare environment. Educational methods, philosophies, and the content of curricula is required to reviewed to cater to the requirements of the professional nurses who would practice in the coming millennium. (Kessenich; Guyatt; DiCenso, 25) Evidence-based practice or EBP has currently emerged to be a remarkable attribute in nursing literature along with a key impetus in restructuring nursing practice. (Elizabeth; Pyle, 64) Evidence-Based Nursing or EBN is the strategy by which the nurses formulate clinical conclusions applying the best available research evidence, their clinical skill and patient prioritization. (Evidence-Based Nursing: University of Minnesota) It could be narrated as the meticulous, unequivocal and judicious application of the current best evidences in formulating decisions about the care of individual patients. When clinicians formulate health care conclusions for a population or group of…...
Integration Evidence-Based Practice Professional Nursing Practice
The concept of evidence-based practice -- EBP is becoming growingly significant in the sphere of nursing. (Stiffler; Cullen, 2010) Evidence-based practice is not entirely a novel concept; it is the manner in which nurses cater to the norms of care and practice efficiently. (Nysna, 2006) According to Linda Burnes Bolton, DrPH, N, FAAN, vice president and chief nursing officer in the Cedars-Sinai Medical Center in Los Angeles, evidence-based practice -- EBP in reality it is only an alternative mode of viewing the conventional theme of the nurses maintaining their sanctified reliability with society. (Wessling, 2008) David Sackett, MD, a Canadian physician, is regarded the father of evidence-based practice. According to Sackett, "evidence-based practice is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. . .[by] integrating individual clinical expertise with the best available external clinical…...
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References
Adams, Susan; McCarthy, Ann Marie. (2005) "Evidence-Based Practice and School
Nursing" The Journal of School Nursing, vol. 21 no. 5, pp: 258-265.
Ciliska, Donna. (2006) "8. Evidence-based nursing: how far have we come? What's next?"
Training/focus groups on cultural awareness among staff nurses
Ongoing ethics training classes in cultural diversity (benefits patients as well through nursing action)
CNL takes charge through implementing ethical standards of conduct:
Breaks up cliques through job rotations
Job performance evaluations include issues personal conduct toward other staff, including appropriate sanctions.
ewards (recognition, praise) for incentives to promote cultural diversity in the workplace by nurses.
elocate/terminate those nurses who continue to be forces of resistance to positive change.
Change action efficacy measured by ongoing anonymous nurse surveys on issues of nurse unity/disunity in the workplace, with suggestions for tweaking change.
On-going emphasis on professional standards of nursing creates unity among nurses.
Stage Three: e-Freeze
Identify those action steps that resulted in change; standardize those practices that have an evolutionary and maintaining effect (training, surveys, and job performance evaluations).
Conclusion
Change in the workplace can be a painful process for some whom are resistant to it. However, change is a necessary process…...
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References
Dellasega, C. (2009). Bullying Among Nurses. American Journal of Nursing, 52-58.
Kritsonis, A. (2005). Comparison of Change Theories. International Journal of Scholarly Academic Intellectual Diversity, 1-7.
Krugman, M. (2009). Barriers to successful journal club outcomes. Journal for Nurses in Staff Development, 100-101.
Leasure, A., Stirlen, J., & Thompson, G. (2008). Barriers and facilitators to the use of evidence-based practice. Dimensions of Critical Care Nursing, 27(2), 74-84.
This is one of the most common forms of research and, for some research questions is clearly a strong design (Ethics in Critical Care Nursing Research, 2005).
The research that was done in this article would be considered a non-experimental type. There were two types of observation that were conducted. The first type was that of focus groups and the second being the file audit, both of which are observational in nature. In this case this was the most appropriate type of research design to use. Since they were simply trying to see what was actually going on in this area and how that was affecting patients the only real way to tot this was by observation. From this article a nursing care issue that can be raised is that of how palliative care nurses manage family involvement with end of life issues. Are there any standard procedures that are…...
Analyzing Credible EvidenceIntroductionThis paper examines the credibility and utility of various resources that contribute to the evidence base for sepsis diagnosis and management. As the role of baccalaureate-prepared nurses expands in clinical settings, their involvement in applying EBP grows proportionally, making it important for them to be able to use the best available evidence. This paper will detail the criteria for determining the credibility of informational resources and analyze how these resources can be integrated into clinical practice using specific EBP models. Overall, the paper explains the role of credible evidence in refining sepsis care and improving patient outcomes.Diagnosis: SepsisSepsis is a life-threatening condition that arises when the body\\\'s response to an infection injures its own tissues and organs (Mas-Celis et al., 2021). Early and accurate diagnosis is critical, as it directly influences the therapeutic outcomes and survival rates of patients. The complexity of sepsis, with its varied presentations and…...
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ReferencesEvans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., ... & Levy, M. (2021). Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Critical care medicine, 49(11), e1063-e1143.Jarczak, D., Kluge, S., & Nierhaus, A. (2021). Sepsis—pathophysiology and therapeutic concepts. Frontiers in medicine, 8, 628302.Mas-Celis, F., Olea-Lopez, J., & Parroquin-Maldonado, J. A. (2021). Sepsis in trauma: a deadly complication. Archives of medical research, 52(8), 808-816.
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