There are three main types of outcomes research: care-related research which measures the effects of nursing interventions; patient-related research which focuses on patient behaviors and actions; and performance-related research which examines how nurses perform their jobs. The document also outlines two key organizations involved in outcomes research - the Patient-Centered Outcomes Research Institute which was established by the Affordable Care Act to help patients make informed healthcare decisions, and the Agency for Healthcare Research and Quality, a federal agency charged with improving healthcare safety and quality in the US. While outcomes research can improve patient outcomes and quality of care, it also faces criticisms such as unnecessary duplication of studies and denying patients proven treatments.
Clinical research is quite vital in the field of physiotherapy. Physiotherapists depends on information from researches to enhance the knowledge they have already gained through their university education and with continuous education courses.
Clinical reasoning is one of the pillars for good physiotherapy practice. It is an integral component of evidence based practice. It is a thought process that develops over time in a clinician. The first step is to start thinking of a clinical problem.
The lecture is delivered to first year physiotherapy students at Kathmandu University School of Medical Sciences, Nepal. The students will continue with case discussion using similar model proposed by Mark Jones and Darren Rivett in his book. Further real cases and the cases in Mark Jones will be discussed in the subsequent classes over the Bachelor of Physiotherapy course.
Clinical research is quite vital in the field of physiotherapy. Physiotherapists depends on information from researches to enhance the knowledge they have already gained through their university education and with continuous education courses.
Clinical reasoning is one of the pillars for good physiotherapy practice. It is an integral component of evidence based practice. It is a thought process that develops over time in a clinician. The first step is to start thinking of a clinical problem.
The lecture is delivered to first year physiotherapy students at Kathmandu University School of Medical Sciences, Nepal. The students will continue with case discussion using similar model proposed by Mark Jones and Darren Rivett in his book. Further real cases and the cases in Mark Jones will be discussed in the subsequent classes over the Bachelor of Physiotherapy course.
Health outcomes research is seen as a cost-effective investment in measuring and defining value of new innovations in health care. We provide an overview of field and its applications
Evidence based practice (EBP) in physiotherapy Saurab Sharma
This presentation is the classroom lecture for undergraduate physiotherapy students whom I teach at Kathmandu University School of Medical Sciences in Nepal. This is an introductory lecture. Students carry on with steps of EBP in the years to come during the student life and use it for their presentations and clinical learning placement.
Other students too may benefit. I highly encourage other students, especially in some parts of India where EBP is not taught, and is reserved for Master's degree program. I completely disagree with this concept, as EBP is the pillar of a responsible physiotherapy practice. Early it starts, better it is.
Specialization is the process by which a physical therapist builds on a broad base of professional education and practice to develop a greater depth of knowledge and skills related to a particular area of practice.
Clinical specialization in physical therapy responds to a specific area of patient need and requires knowledge, skill, and experience exceeding that of the physical therapist at entry to the profession and unique to the specialized area of practice.
S.O.A.P Dr. Quazi Ibtesaam Huma MPT Neurosciences Asst Prof
Objectives
At the end of the lecture students should be able understand
What is SOAP?
Introduction
Aims
Structure
Its application in the field of Physiotherapy
What is SOAP??
S- Subjective
O- Objective
A- Assessment
P- Plan of care
Developed in the 1960s at the University of Vermont by Dr. Lawrence Weed as part of the Problem-oriented medical record (POMR)
Method of documentation for healthcare providers.
To document in a structured and organized way.
Structure- Subjective (First heading of the SOAP note)
Documentation under this heading comes from the “subjective” experiences, personal views or feeling of a patient or someone close to them.
CHIEF COMPLAINT
The CC or presenting problem is reported by the patient.
This can be a symptom, condition, previous diagnosis or another short statement that describes why the patient is presenting today.
The CC is similar to the title of a paper, allowing the reader to get a sense of what the rest of the document will entail.
CHIEF COMPLAINT- Cont’d
Examples: chest pain, decreased appetite, shortness of breath.
However, a patient may have multiple CC’s, and their first complaint may not be the most significant one.
Thus, physicians should encourage patients to state all of their problems, while paying attention to detail to discover the most compelling problem.
Identifying the main problem must occur to perform effective and efficient diagnosis.
HISTORY OF PRESENT ILLNESS (HOPI)
The HOPI begins with a simple one line opening statement including the patient's age, sex and reason for the visit.
Example: 47-year old female presenting with PAIN AT RIGHT SHOULDER .
This is the section where the patient can elaborate on their chief complaint. An acronym often used to organize the HOPI is termed “OLDCARTS”:
“OLDCARTS”
ONSET: When did the CC begin?
LOCATION: Where is the CC located?
DURATION: How long has the CC been going on for?
CHARACTERIZATION: How does the patient describe the CC?
ALLEVIATING AND AGGRAVATING FACTORS: What makes the CC better? Worse?
RADIATION: Does the CC move or stay in one location?
TEMPORAL FACTOR: Is the CC worse (or better) at a certain time of the day?
SEVERITY: Using a scale of 1 to 10, 1 being the least, 10 being the worst, how does the patient rate the CC?
HISTORY
Medical history: Pertinent current or past medical conditions
Surgical history: Try to include the year of the surgery and surgeon if possible.
Family history: Include pertinent family history. Avoid documenting the medical history of every person in the patient's family.
Social History: An acronym that may be used here is HEADSS which stands for Home and Environment; Education, Employment, Eating; Activities; Drugs; Sexuality; and Suicide/Depression.
REVIEW OF SYSTEM
This is a system based list of questions that help uncover symptoms not otherwise mentioned by the patient.
General: Weight loss, decreased appetite
Health outcomes research is seen as a cost-effective investment in measuring and defining value of new innovations in health care. We provide an overview of field and its applications
Evidence based practice (EBP) in physiotherapy Saurab Sharma
This presentation is the classroom lecture for undergraduate physiotherapy students whom I teach at Kathmandu University School of Medical Sciences in Nepal. This is an introductory lecture. Students carry on with steps of EBP in the years to come during the student life and use it for their presentations and clinical learning placement.
Other students too may benefit. I highly encourage other students, especially in some parts of India where EBP is not taught, and is reserved for Master's degree program. I completely disagree with this concept, as EBP is the pillar of a responsible physiotherapy practice. Early it starts, better it is.
Specialization is the process by which a physical therapist builds on a broad base of professional education and practice to develop a greater depth of knowledge and skills related to a particular area of practice.
Clinical specialization in physical therapy responds to a specific area of patient need and requires knowledge, skill, and experience exceeding that of the physical therapist at entry to the profession and unique to the specialized area of practice.
S.O.A.P Dr. Quazi Ibtesaam Huma MPT Neurosciences Asst Prof
Objectives
At the end of the lecture students should be able understand
What is SOAP?
Introduction
Aims
Structure
Its application in the field of Physiotherapy
What is SOAP??
S- Subjective
O- Objective
A- Assessment
P- Plan of care
Developed in the 1960s at the University of Vermont by Dr. Lawrence Weed as part of the Problem-oriented medical record (POMR)
Method of documentation for healthcare providers.
To document in a structured and organized way.
Structure- Subjective (First heading of the SOAP note)
Documentation under this heading comes from the “subjective” experiences, personal views or feeling of a patient or someone close to them.
CHIEF COMPLAINT
The CC or presenting problem is reported by the patient.
This can be a symptom, condition, previous diagnosis or another short statement that describes why the patient is presenting today.
The CC is similar to the title of a paper, allowing the reader to get a sense of what the rest of the document will entail.
CHIEF COMPLAINT- Cont’d
Examples: chest pain, decreased appetite, shortness of breath.
However, a patient may have multiple CC’s, and their first complaint may not be the most significant one.
Thus, physicians should encourage patients to state all of their problems, while paying attention to detail to discover the most compelling problem.
Identifying the main problem must occur to perform effective and efficient diagnosis.
HISTORY OF PRESENT ILLNESS (HOPI)
The HOPI begins with a simple one line opening statement including the patient's age, sex and reason for the visit.
Example: 47-year old female presenting with PAIN AT RIGHT SHOULDER .
This is the section where the patient can elaborate on their chief complaint. An acronym often used to organize the HOPI is termed “OLDCARTS”:
“OLDCARTS”
ONSET: When did the CC begin?
LOCATION: Where is the CC located?
DURATION: How long has the CC been going on for?
CHARACTERIZATION: How does the patient describe the CC?
ALLEVIATING AND AGGRAVATING FACTORS: What makes the CC better? Worse?
RADIATION: Does the CC move or stay in one location?
TEMPORAL FACTOR: Is the CC worse (or better) at a certain time of the day?
SEVERITY: Using a scale of 1 to 10, 1 being the least, 10 being the worst, how does the patient rate the CC?
HISTORY
Medical history: Pertinent current or past medical conditions
Surgical history: Try to include the year of the surgery and surgeon if possible.
Family history: Include pertinent family history. Avoid documenting the medical history of every person in the patient's family.
Social History: An acronym that may be used here is HEADSS which stands for Home and Environment; Education, Employment, Eating; Activities; Drugs; Sexuality; and Suicide/Depression.
REVIEW OF SYSTEM
This is a system based list of questions that help uncover symptoms not otherwise mentioned by the patient.
General: Weight loss, decreased appetite
Low Functional health literacy is a problem affecting 90 million residents of the United States. Among the 90 million, 36% are adults who have “below basic” health literacy skills. Assessing health literacy is important in improving health behaviors, health outcomes, and perceived communication barriers related to health. The Patient Protection and Affordable Care Act enacted in 2010 brought about changes that demand a more coordinated approach to manage health care services. This research focused on the efforts being made to promote health literacy at Medicaid health homes such as Greater Buffalo United Accountable Healthcare Network (GBUAHN). This research consisted of observation of Patient Health Navigator interactions with patients in order to identify best practices of health literacy initiatives within GBUAHN. Results suggest best practices include promoting and establishing relationship to effectively enhance patients understanding of all their healthcare needs. This study suggests that GBUAHN should continue making use of recommendations related health literacy promotion while exploring areas of improvement as noted on scorecard. Patient Health Navigators are engaging patient in manner that will establish adherence within patients.
Clearing the Error: Patient Participation in Reducing Diagnostic ErrorJefferson Center
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https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
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Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
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2. 3 types of outcomes research
1. care- related: measures the effect of nursing
interventions
2. patient- related: measures patient behavior and
actions
3. performance related: how are nurses performing on
the job?
Schmidt & Brown (2015)
3. established by Congress through the 2010 Patient
Protection and Affordable Care Act
independent, non-profit organization
patients play major role in creating research topics
helps patients and care-givers make informed decisions
evidence on effectiveness, benefits and harms of
treatment options
www.pcori.org
Patient Centered Outcomes
Research Institute
(PCORI)
4. Agency for Healthcare
Research and Quality
(AHRQ)
works within U.S. Department of Health and Human
Services
federal agency
charged with improving the safety and quality of
America's health care system
research, tools, and data to improve the health care
system, health care professionals, and policymakers
make informed health decisions.
www.ahrq.gov
5. positive and negative aspects of
outcomes research
positive
Supports better outcomes for
patients
Improves quality of nursing
Promotes EBP
Creates consistency across
health care delivery systems
Promotes patient autonomy in
healthcare decisions
negative
Unnecessary duplication of
studies
Participants denied proven
active therapy
Majority(87.5%) of research has
design flaws, duplications, and is
unreliable
("Much Biomedical Research is
Wasted, Argues Bracken - The
NIH Record - July 1, 2016")
6. References:
Agency for Healthcare Research & Quality. (n.d.). Retrieved September 21, 2017,
from http://www.ahrq.gov/
Bracke, A. (2016). Much Biomedical Research is Wasted, The NIH Record. (n.d.).
Retrieved September 20, 2017, from
https://nihrecord.nih.gov/newsletters/2016/07_01_2016/story3.htm
PCORI. (n.d.). Retrieved September 21, 2017, from http://www.pcori.org/
Schmidt, N.A. and Brown, J.M. (Eds.). (2015). Evidence-based practice for nurses:
Appraisal and application of research (3rd ed.). Burlington, MA: Jones &
Barlett Learning.
