Bateman srr eq5_d_in communityrehab
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The SRR is where I have learned most about clinical rehabilitation research. Here are the slides I presented this week at the Summer meeting in Nottingham (see srr.org.uk)
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Bateman eq5dforkingsfundmeeting march2015
Here is my presentation for an exciting event at King's Fund 26 MARCH 2015
This is the published programme for the day
Session one: Opening plenary
9.45am: Welcome and introduction
Dr Johnny Marshall, Director of Policy, NHS Confederation
9.55am: Transforming community health care services in London
Caroline Alexander, Chief Nurse, NHS England, London Region
10.15am: Panel session: The challenges and opportunities for improving and developing community services
Caroline Alexander, Chief Nurse, NHS England, London Region
Matthew Winn, Chief Executive, Cambridge Community Services NHS Trust and Chair, NHS Confederation Community Health Services Forum
Dr Crystal Oldman, Chief Executive, Queen's Nursing Institute
further panelists to be confirmed
10.55am: Questions and discussion
11.10am: Refreshment break and networking
Session two: What does good look like?
11.40am: Welcome and introduction
Catherine Foot, Assistant Director of Policy, The King’s Fund
11.45am: Regulating community health services
Ellen Armistead, Deputy Chief Inspector, Care Quality Commission
12.05pm: How and what should we measure to ensure quality?
Christina Walters, Programme Director, Community Indicators Programme
Andrew Barber, Technical Consultant, Community Indicators, Outcome Measures and Payment System Development Programme
12.25pm: Questions and discussion
12.40pm: Buffet lunch, networking and exhibition
Session three: Good practice breakout sessions
Sessions will run from 1.40-2.55pm and delegates will have the choice of:
A: Quality assurance: how are you using data locally to measure for quality?
1.40pm: Welcome and introduction
1.45pm: The use of PROMs (Patient Reported Outcome Measures) in a community setting
Iain Cockley-Adams, Service Improvement Manager, Gloucestershire Care Services NHS Trust
2.05pm: Over2You Quality Volunteers
Ruby Smith, Head of Personalisation, South Yorkshire Housing Association
2.25pm: PROMS in Practice: The Collection Analysis and Reporting of quality of life indicator EQ5D in rehabilitation services in Cambridgeshire Community Services
Andrew Bateman PhD, Physiotherapist and Service Manager, Oliver Zangwill Centre for Neuropsychological Rehabilitation, Cambridgeshire Community Services NHS Trust
2.45pm: Questions and discussion
B: Working with patients and communities: what are you doing to involve patients and their families and carers and to make your services more person-centred?
C: Partnerships and relationships with other parts of the system: how are you building effective local partnerships across health and social care?
2.55pm: Refreshment break and networking
Session four: Good practice breakout sessions
Sessions will run from 3.15-4.30pm and delegates will have the choice of:
D: Supporting and encouraging team working: what are you doing to support team working?
E: Working with patients and communities: what are you doing to involve patie
Cluster analysis poster by Gracey and Malley
I am pleased to be able to share more work that was presented this year at WFNR Neuropsychological Rehabilitation Special Interest Group. This is an example of the more technical research work done in our team: this poster is a good summary of a paper recently published, illustrating how we are continuing to try to grasp how best to assess and describe the needs of our service users.
Eq5 d communitytherapynetworkposter
The document summarizes research analyzing EQ-5D-5L health-related quality of life data collected from 1,906 patients receiving community rehabilitation. Therapists and nurses assessed patients and entered data into electronic records. Descriptive statistics and item response analysis were conducted to evaluate frequencies of difficulties across mobility, self-care, usual activities, pain, and anxiety/depression. Results show the highest percentages of patients reporting severe problems with usual activities and moderate percentages for mobility and pain. Comparing patient groups with diabetes found similar rates of severe problems. The analyses provide information to evaluate difficulties, examine response category use, and start discussions on how findings may influence clinical work or examine therapy-related changes in scores.
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This document is a resume for Peter Umukoro, highlighting his experience in clinical research and occupational health. He has over 8 years of experience in research projects at Harvard University and hospitals in Nigeria and the United States. His work has included designing and conducting studies on workplace health issues like welders' exposure to particulates and nurses' risk of back injuries. He also has a ScD in Occupational and Environmental Epidemiology from Harvard School of Public Health.
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This document discusses evidence-based practice (EBP) in nursing. It defines EBP as making clinical decisions based on evidence from scientific research combined with clinical experience and patient preferences. The history of EBP in nursing began in the 1970s with projects that developed research-based clinical protocols and demonstrated improved patient outcomes. EBP requires nurses to critically assess scientific evidence and implement high-quality interventions. It can help standardize care, reduce delays, and increase confidence in decision-making while maintaining professional standards and guiding further research. Factors that facilitate EBP include knowledge, skills, beliefs, capabilities, tools, and mentors while barriers include lack of value for research and lack of time, resources, and administrative support.
QI theories relevant to PPE compliance
The document discusses the Plan-Do-Study-Act (PDSA) cycle used for continuous quality improvement and peer review processes. It notes that while peer review aims to improve quality, there are concerns that the lack of oversight and accountability could allow for personal motives to influence outcomes. Recommendations include establishing more rigorous standards and effective oversight of peer review proceedings to help ensure fairness and accuracy.
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Bateman eq5dforkingsfundmeeting march2015
Here is my presentation for an exciting event at King's Fund 26 MARCH 2015
This is the published programme for the day
Session one: Opening plenary
9.45am: Welcome and introduction
Dr Johnny Marshall, Director of Policy, NHS Confederation
9.55am: Transforming community health care services in London
Caroline Alexander, Chief Nurse, NHS England, London Region
10.15am: Panel session: The challenges and opportunities for improving and developing community services
Caroline Alexander, Chief Nurse, NHS England, London Region
Matthew Winn, Chief Executive, Cambridge Community Services NHS Trust and Chair, NHS Confederation Community Health Services Forum
Dr Crystal Oldman, Chief Executive, Queen's Nursing Institute
further panelists to be confirmed
10.55am: Questions and discussion
11.10am: Refreshment break and networking
Session two: What does good look like?
11.40am: Welcome and introduction
Catherine Foot, Assistant Director of Policy, The King’s Fund
11.45am: Regulating community health services
Ellen Armistead, Deputy Chief Inspector, Care Quality Commission
12.05pm: How and what should we measure to ensure quality?
Christina Walters, Programme Director, Community Indicators Programme
Andrew Barber, Technical Consultant, Community Indicators, Outcome Measures and Payment System Development Programme
12.25pm: Questions and discussion
12.40pm: Buffet lunch, networking and exhibition
Session three: Good practice breakout sessions
Sessions will run from 1.40-2.55pm and delegates will have the choice of:
A: Quality assurance: how are you using data locally to measure for quality?
1.40pm: Welcome and introduction
1.45pm: The use of PROMs (Patient Reported Outcome Measures) in a community setting
Iain Cockley-Adams, Service Improvement Manager, Gloucestershire Care Services NHS Trust
2.05pm: Over2You Quality Volunteers
Ruby Smith, Head of Personalisation, South Yorkshire Housing Association
2.25pm: PROMS in Practice: The Collection Analysis and Reporting of quality of life indicator EQ5D in rehabilitation services in Cambridgeshire Community Services
Andrew Bateman PhD, Physiotherapist and Service Manager, Oliver Zangwill Centre for Neuropsychological Rehabilitation, Cambridgeshire Community Services NHS Trust
2.45pm: Questions and discussion
B: Working with patients and communities: what are you doing to involve patients and their families and carers and to make your services more person-centred?
C: Partnerships and relationships with other parts of the system: how are you building effective local partnerships across health and social care?
2.55pm: Refreshment break and networking
Session four: Good practice breakout sessions
Sessions will run from 3.15-4.30pm and delegates will have the choice of:
D: Supporting and encouraging team working: what are you doing to support team working?
E: Working with patients and communities: what are you doing to involve patie
Cluster analysis poster by Gracey and Malley
I am pleased to be able to share more work that was presented this year at WFNR Neuropsychological Rehabilitation Special Interest Group. This is an example of the more technical research work done in our team: this poster is a good summary of a paper recently published, illustrating how we are continuing to try to grasp how best to assess and describe the needs of our service users.
Eq5 d communitytherapynetworkposter
The document summarizes research analyzing EQ-5D-5L health-related quality of life data collected from 1,906 patients receiving community rehabilitation. Therapists and nurses assessed patients and entered data into electronic records. Descriptive statistics and item response analysis were conducted to evaluate frequencies of difficulties across mobility, self-care, usual activities, pain, and anxiety/depression. Results show the highest percentages of patients reporting severe problems with usual activities and moderate percentages for mobility and pain. Comparing patient groups with diabetes found similar rates of severe problems. The analyses provide information to evaluate difficulties, examine response category use, and start discussions on how findings may influence clinical work or examine therapy-related changes in scores.
Evidence based medicine
Principles of evidence based medicine.
EBM means integrating individual clinical expertise with the best available external evidence from systematic research.
So much evidence
This document discusses evidence-based practice in obstetrics and gynecology. It notes that while there are many systematic reviews, randomized controlled trials, and guidelines available, barriers still exist that prevent clinicians from fully incorporating research evidence into practice. These barriers include a lack of time and interest in research among some clinicians. The document also discusses challenges in determining which study findings are both statistically and clinically significant. It emphasizes that evidence-based practice requires integrating the best available research with clinical expertise and patient preferences. Successful implementation of evidence-based practices requires commitment from leadership, resources, and changes to existing practices.
UMUKOROPeterRESEARCH SCIENTIST
This document is a resume for Peter Umukoro, highlighting his experience in clinical research and occupational health. He has over 8 years of experience in research projects at Harvard University and hospitals in Nigeria and the United States. His work has included designing and conducting studies on workplace health issues like welders' exposure to particulates and nurses' risk of back injuries. He also has a ScD in Occupational and Environmental Epidemiology from Harvard School of Public Health.
Evidence Based Practice
This document discusses evidence-based practice (EBP) in nursing. It defines EBP as making clinical decisions based on evidence from scientific research combined with clinical experience and patient preferences. The history of EBP in nursing began in the 1970s with projects that developed research-based clinical protocols and demonstrated improved patient outcomes. EBP requires nurses to critically assess scientific evidence and implement high-quality interventions. It can help standardize care, reduce delays, and increase confidence in decision-making while maintaining professional standards and guiding further research. Factors that facilitate EBP include knowledge, skills, beliefs, capabilities, tools, and mentors while barriers include lack of value for research and lack of time, resources, and administrative support.
QI theories relevant to PPE compliance
The document discusses the Plan-Do-Study-Act (PDSA) cycle used for continuous quality improvement and peer review processes. It notes that while peer review aims to improve quality, there are concerns that the lack of oversight and accountability could allow for personal motives to influence outcomes. Recommendations include establishing more rigorous standards and effective oversight of peer review proceedings to help ensure fairness and accuracy.
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Originally presented at the George Washington University and ICF International Research and Evaluation Forum (#GWICF2015), Dr. Charlotte Pratt, Program Director at the National Health, Lung, and Blood Institute (NHLBI), gives an overview of worksite obesity research and the key questions they aim to answer:
Do interventions that modify the worksite food and physical activity environments (or combined with individual approaches) control body weight in adults?
Will participation in a worksite obesity intervention sustain and maintain weight loss, and reduce cardiovascular disease risk factors in adults?
In addition to the slides, you can watch the video for research details and outcomes as well as recommendations for future research: www.icfi.com/ObesityPreventionCharlottePratt
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research
Vicki S. Conn, PhD, RN, FAAN*, Todd M. Ruppar, PhD, RN, GCNS-BC,
Lorraine J. Phillips, PhD, RN, Jo-Ana D. Chase, MN, APRN-BC
Meta-Analysis Research Center, School of Nursing, University of Missouri, Columbia, MO
a r t i c l e i n f o
Article history:
Received 30 December 2011
Revised 16 April 2012
Accepted 22 April 2012
Keywords:
Comparative effectiveness
research
Meta-analysis
* Corresponding author: Dr. Vicki S. Conn, A
Center, S317 School of Nursing, University o
E-mail address: [email protected] (V.S.
0029-6554/$ - see front matter � 2012 Elsevi
doi:10.1016/j.outlook.2012.04.004
a b s t r a c t
Comparative effectiveness research seeks to identify the most effective inter-
ventions for particular patient populations. Meta-analysis is an especially
valuable form of comparative effectiveness research because it emphasizes the
magnitude of intervention effects rather than relying on tests of statistical
significance among primary studies. Overall effects can be calculated for diverse
clinical and patient-centered variables to determine the outcome patterns.
Moderator analyses compare intervention characteristics among primary
studies by determining whether effect sizes vary among studies with different
intervention characteristics. Intervention effectiveness can be linked to patient
characteristics to provide evidence for patient-centered care. Moderator anal-
yses often answer questions never posed by primary studies because neither
multiple intervention characteristics nor populations are compared in single
primary studies. Thus, meta-analyses provide unique contributions to knowl-
edge. Although meta-analysis is a powerful comparative effectiveness strategy,
methodological challenges and limitations in primary research must be
acknowledged to interpret findings.
Cite this article: Conn, V. S., Ruppar, T. M., Phillips, L. J., & Chase, J.-A. D. (2012, AUGUST). Using meta-
analyses for comparative effectiveness research. Nursing Outlook, 60(4), 182-190. doi:10.1016/
j.outlook.2012.04.004.
Despite remarkable scientific advances over recent
decades, the effectiveness of many health interven-
tions remains unclear. The Institute of Medicine noted
that evidence of effectiveness exists for less than half of
the interventions in use today.1 Scant evidence exists
comparing multiple possible interventions for the same
health problem.2 Newer or more costly interventions
may not be linked with better outcomes, and variations
in health care expenditure may be unrelated to changes
in health outcomes.3-5 The troubling lack of information
about interventions’ relative effectiveness led to
comparative effectiveness research (CER) initiatives.
ssociate Dean & Potter-B
f Missouri, Columbia, MO
Conn).
er Inc. All rights reserved
CER can be defined as research designed to discov.
Stetler model ppt latif sir (2)
1) The document discusses using the Stetler model of evidence-based practice to guide a quality improvement intervention aimed at addressing provider behavior related to guidelines for treating community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infections.
2) The intervention included an educational program for providers to raise awareness about appropriately prescribing antibiotics according to clinical guidelines.
3) Evaluation found the education increased provider knowledge and improved guideline-concordant prescribing for 43% of patients, showing the Stetler model provided an effective framework for integrating research into practice.
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Dr Janine Bycroft, Gayl Humphrey, Dr Celia Palmer, Kate Healey, Dr Mazin Ghafel
Auckland DHB, Planning & Funding Team
An emergency department quality improvement project
The document discusses improving vital sign documentation during triage in emergency departments. It aims to investigate factors affecting vital sign data quality during measurement and documentation, and provide recommendations for improvement. A literature review found that timely and accurate vital sign documentation is important for identifying deteriorating patients. However, studies on nursing workflows and documentation of vital signs are limited. The objective is to study nurses' vital sign documentation process through a questionnaire of nurses and analysis of the data. Results showed teamwork and quality improvement efforts like education and training can enhance compliance with vital sign documentation standards during triage. Recommendations include departments addressing challenges in measurement time and reviewing results to improve performance.
Heart Failure Clinic Care Plan.docx
The hospital is developing a nurse-run outpatient heart failure clinic to address high readmission rates for heart failure patients. The clinic aims to improve patient education, monitoring, and care coordination. The student has been asked to develop a plan for one component of the clinic - an orientation course plan, discharge education plan, or care coordination plan. The plan must be evidence-based, address patient needs, and indicate how effectiveness will be measured.
· Psychiatric Mental Health Nursing. Scope and Standards of Practi.docx
· Psychiatric Mental Health Nursing. Scope and Standards of Practice.
Review the Scope and Standards of Practice from APNA (American Psychiatric Nurses Association). If you are an APNA member you can access the book free of charge. The link in this section will link you to the book but you will have to log in. It is a good idea to join APNA. You can also buy a print copy if you desire; it is inexpensive. The book is not a required reading. I have provided the standards here.
The standards are taken directly from APNA Scope and Standards of Practice 2ndedition (2014).
Assignment for this module:
Take each Standard and give several examples of how you will follow these standards in your practice. Please, only list just a few bullet points to address each standard. Ex: Standard 1: Assessment—what screening tools will you use? Will you meet with the pt and family together or separate or both? How much time will you allow for a new patient eval?
As a NP will need to know your scope of practice. You cannot rely on someone else to know your scope.
Standard 1: Assessment
· Collect and synthesize comprehensive health data that are pertinent to the healthcare consumer’s health and/or situation.
Standard 2: Diagnosis
· Develop standard psychiatric and substance use diagnoses
Standard 3: Outcomes Identification
· Identify expected outcomes and the healthcare consumer’s goals for a plan individualized to the healthcare consumer or to the situation.
Standard 4: Planning
· Develop a plan that prescribes strategies and alternatives to assist the healthcare consumer in attainment of expected outcomes.
Standard 5: Implementation
· Implement the identified plan
· Coordinate care delivery
· Employ strategies to promote health and a safe environment
· Provide consultation to influence the identified plan, enhance the abilities of other clinicians to provide services for the healthcare consumers, and effect change.
· Use prescriptive authority, procedures, referrals, treatments and therapies in accordance with state and federal laws and regulations.
· Incorporate knowledge of pharmacological, biological, and complementary interventions with applied clinical skills to restore the healthcare consumer’s health and prevent further disability
· Provide structures and maintains a safe, therapeutic, recovery-oriented environment in collaboration with healthcare consumers, families and other healthcare clinicians.
· Use the therapeutic relationship and counseling interventions to assist healthcare consumers in their individual recovery journeys by improving and regaining their previous coping abilities, fostering mental health, and preventing mental disorder and disability
· Conducts individual, couples, group, and family psychotherapy using evidence based psychotherapeutic frameworks and the nurse-client therapeutic relationship
Standard 6: Evaluation
· Evaluate progress toward attainment of expected outcomes
Standard 7: Ethics
· Integrate ethical provisions in all .
Brad Doebbeling Slides for AHRQ Kick-Off Event
This document provides an overview of a project aimed at improving the integration of clinical decision support (CDS) into outpatient clinical workflow for colorectal cancer screening. The project will identify best practices for CDS integration across four health systems, develop and test redesigned CDS alternatives through simulation, and implement and evaluate the redesigned CDS in primary care clinics. The goal is to create CDS designs that improve efficiency, usability and reduce workload for providers.
Evidence-Based Practice
Paper Writing Service - HelpWriting.net ✅
Evidence-Based Practice
The incorporation of evidenced based practice (EBP) into nursing practice is supported by research to positively improve the quality of care and improve patient outcomes. EBP is important to the nursing profession because it also leads to increased job satisfaction, teamwork, and levels of engagement in clinicians (Melnyk, et al., 2017). Miniature research projects such as quality improvement projects, surveys, and clinical research studies are frameworks used to get feedback and data from patients during their time spent in health care systems. EBP is not the standard of care in many health care systems (Melnyk, et al., 2017). This due to many factors, including lack of EBP mentors, nursing programs that do not incorporate EBP into the curriculum,...show more content...The research process includes an intent, design, timeline, setting, measurable outcomes, and a plan for dissemination of the finding. The purpose of the research is to generate knowledge or validate existing knowledge. Being able to identify the significance of these factors in different evidence based practices will help the practitioner evaluate whether that information is relevant to that population of care or individual. Understanding the research process will help the clinician understand the purpose of the investigation, if the results are valid, why the results are important, and if the results will improve patient outcomes (Arndt Netsch, 2012). A quality improvement (QI) project involves data guided activities with short timelines to improve health care delivery systems (Arndt Netsch, 2012). The setting of QI projects take place in a single setting and are monitored in the institution where the QI project is conducted. The purpose of a QI project is to change practice outcomes and apply known solutions to a known problem in that institution (Arndt Netsch, 2012). Data obtained from the activities is disseminated through newsletters, flyers, through staff meetings, or submitted for publication and presented in
Get more content on HelpWriting.net
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...
Join us for a webinar on quality improvement in team-based care!
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance.
Participants will learn about:
• QI infrastructure
• Facilitating QI committees
• Coach training within health centers
Faculty will also provide an example of how trained coaches use QI tools to test and implement changes within an organization.
The role of real world data and evidence in building a sustainable & efficien...
The role of real world data and evidence in building a sustainable & efficien...Office of Health Economics
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Running head SAFETY SCORE IMPROVEMENT PLAN 1 Copyright ©2.docx
Running head: SAFETY SCORE IMPROVEMENT PLAN 1
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
Safety Score Improvement Plan for TrueWill General Hospital
Learner’s Name
Capella University
Organizational and System Management for Quality Outcomes
Safety Score Improvement Plan
May, 2017
SAFETY SCORE IMPROVEMENT PLAN 2
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
Safety Score Improvement Plan for TrueWill General Hospital
Nursing professionals are key players in maintaining a culture of quality care and patient
safety in a health care environment. Their role in addressing specific patient safety issues will be
discussed using the example of TrueWill General Hospital (TGH), a 1,500-bed multispecialty
hospital in the United States. The hospital regularly reports its performance data to the Hospital
Safety Score, a nongovernmental organization that ranks hospitals on their safety rate.
The safety score for the orthopedic inpatient unit of TGH has alarmingly increased
because of the number of patient injuries resulting from falls. The negative score can affect the
image of the hospital, because patient falls are preventable hospital-acquired conditions. The
nurse manager of the unit has been advised by the hospital’s patient safety office to identify the
cause of the problem, determine an evidence-based safety score improvement plan, and devise
measurable long-term solutions for the safety issue.
Factors behind the Patient Safety Issue
Patient falls are one of the most reported patient safety incidents in health care practice.
According to the American Nurses Association (n.d.), it is a serious problem in nursing and
health care; as injuries resulting from falls can lead to permanent loss of function of certain body
parts or even death. According to systems theory, adverse events such as patient falls are related
to the quality of care provided by health care professionals at the front line of operations such as
nursing professionals (Lawton, Carruthers, Gardner, Wright, & McEachan, 2012).
Health care experts have relied on systems theory and systems thinking perspectives to
analyze the incidence of safety issues as a nursing challenge. The theory states that problems in
any part of a system, such as the nursing department in a hospital, will affect the functioning of
Comment [A1]: Yes, patient falls
and how can lead to adverse effects,
even death.
SAFETY SCORE IMPROVEMENT PLAN 3
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
the hospital as a whole. Therefore, larger organizational systems should be taken into
consideration while implementing changes in nursing profession to improve safety issues.
Influence of Leadership in Changes for Safety
Nurse leaders at TGH are an important systems factor in driving changes at the
...
· Reflect on the four peer-reviewed articles you critically apprai.docx
· Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
· Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
· Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide
narrated PowerPoint presentation in which you do the following:
· Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
· Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
· Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
· Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
· Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
· Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
· Add a lessons learned section that includes the following:
· A summary of the critical appraisal of the peer-reviewed articles you previously submitted
· An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
Zeinab Hazime
Nurs 6052
10/16/2022
Evaluation Table
Use this document to complete the
evaluation table requirement of the Module 4 Assessment,
Evidence-Based Project, Part 3A: Critical Appraisal of Research
Full
APA formatted citation of selected article.
Article #1
Article #2
Article #3
Article #4
Abraham, J., Kitsiou, S., Meng, A., Burton, S., Vatani, H., & Kannampallil, T.
(2020). Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.
BMJ Quality & Safety, 29(10), 1-2.
Alanazi, A. (2020). The effect of computerized physician order entry on mortality rates in pediatric and neonatal care setting: Meta-analysis.
Informatics in Medicine
Unlocked, 19, 100308. https.
Nurse Burnout and Quality of Care Word Review Paper HW.pdf
This document provides a literature review on nurse burnout and quality of care. It discusses several research articles on this topic. The key findings are:
1) Higher levels of nurse burnout correlate with lower levels of quality patient care.
2) Nurse burnout can lead to job dissatisfaction, which is associated with missed or reduced nursing care, especially in nursing homes.
3) Individual, group, and organizational interventions can help reduce nurse burnout, but group strategies seem most effective. Further research is needed to evaluate the limitations of various intervention strategies.
Improving work environments and empowering nurse leaders are recommended to reduce burnout and improve the quality of nursing care.
Part 6 Disseminating Results Create a 5-minute, 5- to 6-sli.docx
Part 6: Disseminating Results
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project:
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Points Range: 81 (81%) - 90 (90%)
The narrated presentation accurately and completely summarizes the evidence-based project. The narrated presentation is professional in nature and thoroughly addresses all components of the evidence-based project.
The narrated presentation accurately and clearly explains in detail how to disseminate the results of the project to an audience, citing specific and relevant examples.
The narrated presentation accurately and clearly provides a justification that details the selection of this dissemination strategy that is fully supported by specific and relevant examples.
The narrated presentation provides a complete, detailed, and specific synthesis of two outside resources related to the dissemination strategy explained. The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
Points Range: 5 (5%) - 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.
Points Range: 5 (5%) - 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Evidenced Based Change
Leslie Hill
Walden University
Introduction/PurposeChange is inevitable.Health care organizations need change to improve.There are challenges that need to be addressed(Baraka-Johnson et al. 2019).Challenges should be addressed using evidence-based research.These changes enhance professionalism therefore improving quality of care and quality of life.The purpose of this paper is to identify an existing problem in health care and suggest a change idea that would be effective in addressing the problem. The paper also articulates risks associated with the change process, how to distribute the change information and how to implement change successfully.
Organizational CultureThe Organization is a hospice facilityOffers end of life care for pain and symptom managementThe health care providers cu.
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NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
A Classical Text Review on Basavarajeeyam
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
ABDOMINAL TRAUMA in pediatrics part one.
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Light House Retreats: Plant Medicine Retreat Europe
Our aim is to organise conscious gatherings and retreats for open and inquisitive minds and souls, with and without the assistance of sacred plants.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
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Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptxMGM SCHOOL/COLLEGE OF NURSING
Identification and nursing management of congenital malformations Best Ayurvedic medicine for Gas and Indigestion
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
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Role of Mukta Pishti in the Management of Hyperthyroidism
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Bateman srr eq5_d_in communityrehab
- 1. Andrew Bateman PhD MCSP Director of Research, Oliver Zangwill Centre for Neuropsychological Rehabilitation Clinical Lead for NeuroRehab in CCS Affiliated Lecturer, Dept of Psychiatry, University of Cambridge NHS East of England CARA Post-Doctoral Fellow NIHR CLAHRC for Cambridgeshire & Peterborough Community Rehab Use of the EQ5D-5L: disordered thresholds and DIF identified using Rasch Collaboration for Leadership in Applied Health Research and Care Innovation by Design
- 2. CCGs now responsible for commissioning services, to include outcomes in contract?
- 3. The EQ5D-5L Describes a health state “today” Health related quality of life Health economics Also an overall health “thermometer” Collaboration for Leadership in Applied Health Research and Care
- 4. Demographics of the first 2000: Group 1 2 3 . N 299 882 725 Age 48 (17-60) 72 (61-80) 86 (81-102) Gender %M 44 41 34 Collaboration for Leadership in Applied Health Research and Care
- 5. Collaboration for Leadership in Applied Health Research and Care
- 6. Collaboration for Leadership in Applied Health Research and Care
- 7. Threshold map for rescored data, including the VAS Usual activities Usual activities Collaboration for Leadership in Applied Health Research and Care
- 8. Collaboration for Leadership in Applied Health Research and Care
- 9. Collaboration for Leadership in Applied Health Research and Care
- 10. Clinical and Management questions • Am I wasting time * asking pointless questions? *patient and staff • Am I detecting the things I need to detect? • Q (as per Wade’s comments) • I (advances need translating) • P (time) • P (performance) Collaboration for Leadership in Applied Health Research and Care
- 11. A nuanced analysis is needed. Note that some people in rehab deteriorate: This is expected because of e.g., increased insight, or because they have a Health condition that is indeed fluctuating. Also see Kahn et al 2007, Valderas et al 2011
- 12. Future analyses Exploring datasets – fit to rasch model? RMSEA for large datasets Locality differences, link to staffing density? Comparison between health conditions Repeated measurement data calibrated for age effects Automate analysis into performance dashboard Refs http://www.scoop.it/t/eq-5d Collaboration for Leadership in Applied Health Research and Care
- 13. So problem #1 is that we haven’t really sorted out outcome measurement (yet) Importance of proms Importance of prems Importance of data collation system in CR EMPHASISED in the NHS Outcomes Framework but analysis approach not established Need for ongoing collaborations with psychometric and statistical colleagues Collaboration for Leadership in Applied Health Research and Care
- 14. Conclusion Some problems (with bias and thresholds) but good targetting Generic PROMS like EQ5D useful for thinking about prioritising services to meet needs of patients Collaboration for Leadership in Applied Health Research and Care
- 15. Thank you for your attention! Andrew.bateman@ozc.nhs.uk www.ozc.nhs.uk When shall we meet next? Society for Research in Rehabilitation www.srr.org.uk OZC Anniversary Conference 5 July 2013, Newmarket WFNR, Maastricht, 8 July 2013 WFNR, Cyprus, July 2014 OZC training events – see flyer – get on distribution list Keep in touch! Twitter @ozcboss LinkedIn
- 16. Cost of rehab and a measurement fallacy