Randomized controlled trials.docx
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1. Randomized controlled trials are an effective research method for measuring the impact of interventions and understanding cause-and-effect relationships by reducing bias. Meta-analyses that only use randomized controlled trials can provide high-quality evidence about intervention efficacy if findings are generalized to similar contexts. 2. There are challenges to implementing evidence-based practice (EBP) including lack of knowledge and skills for applying research, negative attitudes towards research, heavy workloads leaving no time for research, and lack of organizational resources and support for innovation. Clinical expertise and experience can also provide evidence to support EBP. 3. Proper formatting of papers is important, such as double-spacing, one-inch margins, proofreading for errors
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1. Effective teamwork in healthcare requires trust, respect, collaboration, and clear communication among all clinicians to prevent medical errors and improve patient outcomes.
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Discuss how the quantitative and qualitative data would complement one another and add strength to the study.
Evidently, the use of EBP in healthcare mostly relies on the available qualitative and quantitative data which is supported by scientific or clinical research. In studying the EBP, quantitative data is used to enhance qualitative information and vice versa, because one method complements the other one (Tappen, 2015, p.88). For example, in the selected article the EBP about beliefs and behaviors of nurses showed that the number of the nurses who were certified vs. nurses who were not certified explained why some of the nurses have higher perceived EBP implementation than others (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data would improve the study by providing evidence in the form of numbers or amounts such as the scores which show the proficiency of nurses in different areas (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data could strengthen the study by providing more detailed information about EBP implementation which will explain certain trends and occurrences as found in the research.
2- rosquete
The qualitative research is exploratory/ descriptive and emphasizes the importance of subjects frame to be referenced and the context of the study. The research will be more concerned with the truth perceived by informants and less concerned with the truth of the objectives. The information from this research will be important in understanding the informants’ behaviors in details. The description of this approach will be used to get the picture and the opinion of nursing caregivers on the use of CNS depressants by the elderly (Susan, Nancy, & Jennifer, 2013).
The method that is used is explorative/descriptive. The strengths of the descriptive method are: effective to analyze non-quantified subjects and issues, the possibility to observe the phenomenon in a natural environment, the opportunity to use qualitative and quantitative method together, and less time consuming than quantitative studies. In the case of exploratory studies, the principal advantage is the flexibility and adaptability to change and it is effective in laying the groundwork that guides to future research. We can find disadvantages in this kind of studies. For example, descriptive studies cannot test or verify the research problem statically, the majority of descriptive studies are not repeatable due to their observational nature, and they are not helpful in identifying cause behind the described phenomenon. Another weak point, that includes exploratory research, is the interpretation of information is subject to bias. These type of studies make use a modest number of samples that may not represent the target population and they are not usually helpful in decision ma.
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Additional barriers in translating research evidence into this practice problem would cost, available resources, and timing. For instance, it is less likely for individuals living in a low socioeconomic community to prioritize a 30 minutes time slot five days a week for exercising activities. Barriers like work schedules, family commitment, and financial obligations may impede these practices. The lack of motivation may also be a factor. Most individuals may not have a membership to the local gym, and rain and cold weather may prevent walking in the local park. The lack of appropriate lighting in the parks may fend off participation in outdoor activities in the fall and winter months. According to Tucker, the individuals, the location, and the practice itself and have a huge role in influencing evidence-based practice (2017). For an evidence-based practice to be adapted effectively it must be realistic in all public health settings.
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Evidently, the use of EBP in healthcare mostly relies on the available qualitative and quantitative data which is supported by scientific or clinical research. In studying the EBP, quantitative data is used to enhance qualitative information and vice versa, because one method complements the other one (Tappen, 2015, p.88). For example, in the selected article the EBP about beliefs and behaviors of nurses showed that the number of the nurses who were certified vs. nurses who were not certified explained why some of the nurses have higher perceived EBP implementation than others (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data would improve the study by providing evidence in the form of numbers or amounts such as the scores which show the proficiency of nurses in different areas (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data could strengthen the study by providing more detailed information about EBP implementation which will explain certain trends and occurrences as found in the research.
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- 1. Discussion: Randomized controlled trials Discussion: Randomized controlled trialsDiscussion: Randomized controlled trialsQuestion 1Evidence based practice and best practice are related to each other but not the same. Best practice is not a specific practice but refer to a level of agreement towards research based knowledge and the integration process of embedding it in an organization and healthcare delivery. When best practice in nursing is built based on evidence from research, and integrated into practice, then it follows evidence based research (Houston, 2020). Evidence based practice is the explicit, judicious and conscientious use of best evidence from research in patient care.Question 2Randomized controlled trials are effective in measuring the effectiveness of a new intervention by using many studies to reduce bias hence provide a quality tool to understand cause-effect relationships between interventions and outcomes. While Integrative reviews are valuable in organizing literature, their level of clarity and rigor is highly dependent on primary research. Findings of meta-analysis are generalized to situations similar to primary studies included hence can only be considered of high efficacy if only randomized controlled trials were used.Question 3Two mechanisms could be used in ing EBP including seeking the opinions of clinical expert and personal experience. Clinical experts in nursing have gathered a lot of knowledge through observation which enable them make relevant decisions (Houston, 2020). Also, studies and reports by committees are used to evidence. Personal experience are the daily observations by a nurse during care.Question 4The greatest challenge towards the implementation of EBP is lack of knowledge and skills for application. Lack of knowledge on carrying out search and appraising best practices is a major challenge. Another significant challenge to EBP is negative attitudes and misconceptions on research and the practice. Overload of nursing work that leave them no time for research and application is another challenge. Fourth, constraints within an organization such as lack of and resources for research also hinder EBP (Mathieson, Grande & Luker, 2019). An organizational culture that does not encourage innovation is does not allow for EBP.ReferencesHouston, C. (2020). Professional issues in nursing: Challenges and opportunities. Philadelphia: Wolters Kluwer. ISBN-13: 978-1-4963- 9818-5Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed- studies review and qualitative synthesis.Primary health care research & development,20.ORDER NOW FOR ORIGINAL, PLAGIARISM-FREE PAPERSYou must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect
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