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.
Evidence-based practice in nursing involves providing holistic, quality care based on the most up-to-date research and knowledge rather than traditional methods, advice from colleagues, or personal beliefs.
Nurses can expand their knowledge and improve their clinical practice experience by collecting, processing, and implementing research findings. Evidence-based practice focuses on what's at the heart of nursing — your patient. Learn what evidence-based practice in nursing is, why it's essential, and how to incorporate it into your daily patient care.
- American Nurses Association
Evidence-based practice in nursing involves providing holistic, quality care based on the most up-to-date research and knowledge rather than traditional methods, advice from colleagues, or personal beliefs.
Nurses can expand their knowledge and improve their clinical practice experience by collecting, processing, and implementing research findings. Evidence-based practice focuses on what's at the heart of nursing — your patient. Learn what evidence-based practice in nursing is, why it's essential, and how to incorporate it into your daily patient care.
- American Nurses Association
evidence based practice is best for the people working with patients
ebp should be used by the heath care provider.
ebp based upon clinical experties
best research evidence
patient preference and values
Evidence based nursing practice is one of most important for perfect and accurate in terms of saving a life.this presentation covers almost all aspect of EBD
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
History of development of Nursing ProfessionsAnamika Ramawat
History of development of Nursing Professions, Characteristics, Criteria of the Nursing Profession, Perspective of Nursing Profession- National and Global Level
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
EBP is a systemic interconnecting of scientifically generated evidence with the tacit knowledge of the expert practitioner to achieve a change in a particular practice for the benefit of a well-defined client/ patient group.
evidence based practice is best for the people working with patients
ebp should be used by the heath care provider.
ebp based upon clinical experties
best research evidence
patient preference and values
Evidence based nursing practice is one of most important for perfect and accurate in terms of saving a life.this presentation covers almost all aspect of EBD
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
History of development of Nursing ProfessionsAnamika Ramawat
History of development of Nursing Professions, Characteristics, Criteria of the Nursing Profession, Perspective of Nursing Profession- National and Global Level
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
EBP is a systemic interconnecting of scientifically generated evidence with the tacit knowledge of the expert practitioner to achieve a change in a particular practice for the benefit of a well-defined client/ patient group.
At the end of this presentation you will be able to:
Define evidence-based practice
Describe process & outline steps of EBP
Understand PICO elements & search strategy
Identify resources to support EBP
The focus of this presentation is nursing practice, although it is still of value to physicians and other health care professionals.
Evidence Based Practice is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care.
Clinical expertise refers to the clinician’s cumulated experience, education and clinical skills. The patient brings to the encounter his or her own personal preferences and unique concerns, expectations, and values.
The best research evidence is usually found in clinically relevant research that has been conducted using sound methodology.
EVIDENCE BASED NURSING PRACTICE M.Sc. nursing.pptAnurag Sharma
Evidence-based practice in nursing involves providing holistic, quality care based on the most up-to-date research and knowledge rather than traditional methods, advice from colleagues, or personal beliefs.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
1. Evidence Based Practice in
Nursing
Dr. Binu Babu
Asso. Professor
Mrs. Jincy Ealias
Asst. Professor
2. • What is Evidence Base Practice?
• Why Evidence Base Practice?
• What we are practicing currently?
• What change is needed?
• Is EBP has any value?
• Who will prepare evidences?
• Is EBP possible in real life situation?
3. Introduction
• Integrating evidence supported best clinical
measures into practices for the delivery of
optimal care.
• Direction for change in terms of thinking
and practice.
4. Evidence Based Practice
• Evidence based practice (EBP) is an
approach of making clinical decisions based
upon evidence, combined with clinical
experience and patients expectations.
• Is a way to minimize the theory to practice
gap.
5. EBP in nursing
• EBP in nursing is a way of providing nursing
care that is guided by the integration of the
best available scientific knowledge with
nursing expertise.
• This approach requires nurses to critically
assess relevant scientific data or research
evidence and to implement high quality
interventions for the nursing practice.
7. History of EBP in nursing
• Evidence-based practice was first
systematically introduced in nursing with
the Conduct and Utilization of Research in
Nursing (CURN) project in the late 1970’s.
• They reviewed the research on common
nursing procedures including Structured
Preoperative Teaching, Preventing
Decubitus Ulcers, and Reducing Diarrhea in
Tube-fed Patients.
8. • The project developed research-based
clinical protocols, systematically
implemented them into practice, and
measured the outcomes.
• The CURN project demonstrated that
synthesized research put into clinical
protocols would be used by clinicians with
beneficial results to patients.
9. Need for EBP
• Documentation and auditing
• Deliver the best possible services
with the available resources.
• Updating of theoretical and clinical
knowledge.
• Provide critical clinical judgment.
• Provide outcome based patient care.
• Develop advanced strategies for
clinical decision making
• Standardization of care and
accreditations
10. Evidence Resources
Assessment
and
continuity of
care Care of
patients
Management
of medication
Patient rights
and education
Hospital
infection
control
Continuous
quality
improvement
Responsibiliti
es of
management
Facility
management
and safety
Human
resource
management
Information
management
system
15. Steps of Evidence-Based Practice
Assess: Evaluate the outcome of applying the evidence to the
patient’s situation.
Apply: Make clinical decisions utilizing the best available evidence.
Appraise: Determine whether or not the evidence is high-quality
and valuable.
Acquire: Search for relevant evidence to answer questions.
Ask: Formulate answerable clinical questions about a patient,
problem, intervention, or outcome.
16. Pain management
measures
Positioning, Comfort devices,
massage, heat or cold application,
complementary therapies
Categorize the pain score with the
measures used. and discussion on
the changes in the pain score.
Make a common clinical decision on
the measure used for each range of
pain,
Evaluate the patient based
outcome.
17. Benefits of Evidence-Based
Practice
• Provide better patient care outcome
• Enable consistency of care
• Reduce the delay in care planning
• Client focused care
• All stages of care will be structured systematically
• Increases confidence in decision-making
• Maintain the professional standards
• Provide guidelines for further research
• Helps nurses to provide high quality patient care
• Standardization of academic quality
19. Barriers in EBP
• Lack of value for research in practice
• Difficulty in bringing change
• Lack of administrative support
• Lack of knowledge mentors
• Lack of time for research
• Lack of knowledge about research
• Research reports not easily available
• Complexity of research reports
• Lack of knowledge about EBP
• Lack of in service and continuing education
20.
21. “So never lose an opportunity of urging a
practical beginning, however small, for it is
wonderful how often in such matters the
mustard-seed germinates and roots itself.”
22. References
• Beyea SC, Mary Jo Slattery. Evidence-based practice in
nursing : a guide to successful implementation.
Marblehead, Ma: Hcpro; 2006.
• Polly Gerber Zimmermann. Nursing management
secrets. Philadelphia: Hanley & Belfus; 2002.
• Pearson A, Field J, Jordan Z. Evidence-based clinical
practice in nursing and health care : assimilating
research, experience and expertise. Oxford ; Malden, Ma:
Blackwell Pub; 2007.
• Joshi DC, Mamta Joshi. Hospital administration. New
Delhi: Jaypee Bros. Medical Publishers; 2009.
• Mcgibony JR. Principles of hospital administration. New
York, Putnam; 1969.