scholarly journals Nursing Personnel in the Era of Personalized Healthcare in Clinical Practice

2020 ◽  
Vol 10 (3) ◽  
pp. 56
Author(s):  
Marios Spanakis ◽  
Athina E. Patelarou ◽  
Evridiki Patelarou
Keyword(s):  
Clinical Pharmacology ◽  
Clinical Practice ◽  
Healthcare System ◽  
Nursing Care ◽  
Healthcare Providers ◽  
Nursing Personnel ◽  
Evidence Based ◽  
Therapeutic Approaches ◽  
New Era ◽  
Healthcare It

Personalized, stratified, or precision medicine (PM) introduces a new era in healthcare that tries to identify and predict optimum treatment outcomes for a patient or a cohort. It also introduces new scientific terminologies regarding therapeutic approaches and the need of their adoption from healthcare providers. Till today, evidence-based practice (EBP) was focusing on population averages and their variances among cohorts for clinical values that are essential for optimizing healthcare outcome. It can be stated that EBP and PM are complementary approaches for a modern healthcare system. Healthcare providers through EBP often see the forest (population averages) but miss the trees (individual patients), whereas utilization of PM may not see the forest for the trees. Nursing personnel (NP) play an important role in modern healthcare since they are consulting, educating, and providing care to patients whose needs often needs to be individualized (personalized nursing care, PNC). Based on the clinical issues earlier addressed from clinical pharmacology, EBP, and now encompassed in PM, this review tries to describe the challenges that NP have to face in order to meet the requisites of the new era in healthcare. It presents the demands that should be met for upgrading the provided education and expertise of NP toward an updated role in a modern healthcare system.

scholarly journals Evidence-based Clinical Practice Guidelines for the Periodic Eye Exam in Children Aged 0 to 5 Years in Canada

2019 ◽  
Vol 81 (4) ◽  
pp. 9-28
Author(s):  
Walter Delpero ◽  
Barbara Robinson ◽  
Rhona Lahey
Keyword(s):  
Clinical Practice ◽  
Early Detection ◽  
Practice Guidelines ◽  
School System ◽  
Healthcare Providers ◽  
Evidence Based ◽  
Vision Screening ◽  
Eye Care ◽  
Timely Fashion ◽  
Primary Healthcare Providers

Vision screening performed by primary healthcare providers during routine well-baby/child visits and scheduled vaccinations is an essential part of the detection of ocular disease. However, this early detection potential is limited and a full oculovisual assessment is also recommended prior to the child entering the school system. If amblyopia, strabismus or other eye pathology is detected or suspected that is beyond the scope of the eye care professional examining the patient, a referral to the appropriate specialist can be made, allowing treatment to be initiated in a timely fashion.

A Focus on Evaluating Major Study Limitations in Order to Apply Clinical Trials to Patient Care: Implications for the Healthcare Team

2020 ◽  
pp. 001857872093175
Author(s):  
Mary J. Ferrill ◽  
Alireza FakhriRavari ◽  
Lisa Hong ◽  
Jody Jacobson Wedret
Keyword(s):  
Clinical Trials ◽  
Clinical Practice ◽  
Patient Care ◽  
External Validity ◽  
Healthcare Providers ◽  
Internal Validity ◽  
Healthcare Team ◽  
Evidence Based ◽  
Major Study ◽  
Clinically Significant

Background: With more than a million new biomedical articles published annually, healthcare providers must stay up to date in order to provide optimal evidence-based patient care. The concise ROOTs (relevance, observe validity, obtain clinically significant results, and translate results to clinical practice) format is a valuable tool to assist with literature evaluation. Purpose: To illustrate how major study limitations found in clinical trials might inhibit the ability to adopt the findings of such studies to patient care. Methods: Examples from published clinical trials that contain major study flaws were used to illustrate, if taken at face value, would lead to erroneous assumptions, and if adopted, could potentiallly harm patients. Conclusion: When evaluating the literature, it is crucial to identify limitations in the published literature that might reduce the internal validity, affect the results, or limit the external validity of clinical trials, hence affecting the usability of literature for patient care. This article provides examples of clinical trials that contain major study limitations with potentially erroneous assumptions. These illustrations are meant to show how important it is to delve deeper into an article before conclusions are drawn.

scholarly journals Pharyngocutaneous fistulae after total laryngectomy: a systematic review

2008 ◽  
Vol 16 (4) ◽  
pp. 772-778 ◽  
Author(s):  
Mary Elizabeth de Santana ◽  
Namie Okino Sawada
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Nursing Care ◽  
Total Laryngectomy ◽  
Cochrane Library ◽  
Evidence Based ◽  
Wound Treatment ◽  
Research Results ◽  
Pharyngocutaneous Fistulae ◽  
Use Of Research

Nursing care to patients after total laryngectomy should be based on scientific knowledge. Evidence-based practice is a type of approach that stimulates the use of research results in clinical practice. This study presents a systematic review that aimed to identify the main treatments for pharyngocutaneous fistulae after total laryngectomy. Articles were selected from five databases: Pubmed, Cinahl, Biomednet Research Tools, Cochrane Library and Lilacs. The review sample consisted of 37 articles. After analyzing the articles included in the review, results showed that conservative treatment is commonly used for pharyngocutaneous fistulae, recommending intensive hygiene and wound treatment. The use of research results in clinical practice will grant greater consistency to nurses' actions in care for patients with pharyngocutaneous fistulae.

Monitoring respiratory rate in adults

2020 ◽  
Vol 31 (5) ◽  
pp. 206-211
Author(s):  
Barry Hill ◽  
Sarah H. Annesley
Keyword(s):  
Clinical Practice ◽  
Respiratory Rate ◽  
Nursing Care ◽  
Clinical Skill ◽  
Evidence Based ◽  
Respiration Rates ◽  
Essential Aspect

Barry Hill and Sarah H Annesley discuss the importance of monitoring respiratory rate and why it is a crucial clinical skill This article will introduce Respiratory Rate and the role of adequate respiration, as well as explore respiratory rate monitoring as an essential aspect of nursing care. It will also give rationale to the importance of respiratory rate monitoring as a clinical skill and introduce normal and abnormal respiration rates and patterns. Furthermore, it will provide a ‘how to’ guide on respiratory rate monitoring and use contemporary evidence-based literature to underpin respiratory rate monitoring for clinical practice.

Sustainability in changing clinical practice promotes evidence-based nursing care

2003 ◽  
Vol 41 (5) ◽  
pp. 509-518 ◽  
Author(s):  
Lars Wallin ◽  
Anne-Marie Boström ◽  
Karin Wikblad ◽  
Uwe Ewald
Keyword(s):  
Clinical Practice ◽  
Nursing Care ◽  
Evidence Based ◽  
Evidence Based Nursing

Breakdown in the nursing care of families in the ICU

1997 ◽  
Vol 6 (1) ◽  
pp. 64-71 ◽  
Author(s):  
CA Chesla ◽  
D Stannard
Keyword(s):  
Patient Care ◽  
Healthcare System ◽  
Nursing Care ◽  
Healthcare Providers ◽  
Family Care ◽  
Interpretive Phenomenology ◽  
Icu Patients ◽  
Clinical Observations ◽  
The Family ◽  
Emotional Work

BACKGROUND: Factors that can lead to breakdown in the care of the families of patients in the ICU include gaps in the healthcare providers' education and skill in working with families, unclear lines of responsibility for various aspects of family care, and insufficient support or supervision for the difficult emotional work of family care. OBJECTIVE: The purpose of this study was to highlight instances in which negative or difficult aspects of nursing care of family members of ICU patients were evident, so that needed changes in caring for the families could be emphasized. METHOD: Interpretive phenomenology was used to analyze transcribed audiotape recordings of interviews with 130 nurse participants and clinical observations of 48 nurse participants. The interpretive account is based on more than 100 narratives of patient care relayed in interviews and on observational notes that focused on care of the family. RESULTS: The five general nursing approaches that constrained family care in ICUs were nurses' efforts to (1) distance the family physically from the patient and the patient's bedside, (2) distance themselves from the patient and the patient's family, (3) characterize the family's perspective as pathological, (4) dissipate responsibility for family care, and (5) take an elemental rather than a systemic perspective. CONCLUSIONS: The breakdowns in family care observed in this study were neither new nor unique. In order to truly realize a patient- and family-focused healthcare system, an infusion of knowledge and skill must occur at the bedside with individual nurses.

Choosing the Best Evidence to Guide Clinical Practice: Application of AACN Levels of Evidence

2014 ◽  
Vol 34 (2) ◽  
pp. 58-68 ◽  
Author(s):  
Mary H. Peterson ◽  
Susan Barnason ◽  
Bill Donnelly ◽  
Kathleen Hill ◽  
Helen Miley ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Nursing Care ◽  
Best Practice ◽  
Clinical Decision Making ◽  
Improve Patient Care ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Levels Of Evidence ◽  
Evidence Based Nursing

Evidence-based nursing care is informed by research findings, clinical expertise, and patients’ values, and its use can improve patients’ outcomes. Use of research evidence in clinical practice is an expected standard of practice for nurses and health care organizations, but numerous barriers exist that create a gap between new knowledge and implementation of that knowledge to improve patient care. To help close that gap, the American Association of Critical-Care Nurses has developed many resources for clinicians, including practice alerts and a hierarchal rating system for levels of evidence. Using the levels of evidence, nurses can determine the strength of research studies, assess the findings, and evaluate the evidence for potential implementation into best practice. Evidence-based nursing care is a lifelong approach to clinical decision making and excellence in practice.

scholarly journals Ensuring Consistent European-Wide Urological Care by the Use of Evidence-Based Clinical Practice Guidelines: Can We Do Better

2017 ◽  
Vol 2 (Suppl. 1) ◽  
pp. 1-7
Author(s):  
Emma Jane Smith ◽  
Steven MacLennan ◽  
Anders Bjartell ◽  
Alberto Briganti ◽  
Thomas Knoll ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Best Practice ◽  
Scientific Evidence ◽  
Healthcare Providers ◽  
Evidence Base ◽  
Evidence Based ◽  
Robust Methods ◽  
Practice Recommendations

The European Association of Urology (EAU) annually updates 21 clinical practice guidelines in which summaries of the evidence base and best practice recommendations are made. The methodology applied to achieve this and integrate stakeholder opinion is continuously improving. However, there is evidence to suggest wide variation in clinical practice indicating that many patients receive suboptimal and heterogeneous care. Studies from certain countries suggest that 2 out of 5 patients do not receive care according to the current scientific evidence, and in 1 out of 4 cases the care provided is potentially harmful. Clearly, the harmonisation of care in alignment with evidence-based best practice recommendations is something to strive for. Development of robust methods to disseminate and implement guideline recommendations and measure their impact is an objective the EAU is committed to improving. An important strategy for achieving harmonisation in urological care across Europe is to ensure the availability of high-quality clinical practice guidelines and to actively promote their implementation by clinicians and healthcare providers.

scholarly journals Integrating evidence-based interventions in clinical settings in Jordan: a policy brief

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 933
Author(s):  
Mohammad Alzaatreh ◽  
Obay A. Al-Maraira ◽  
Nazih Abu Tabar ◽  
Mohammad R. Alsadi ◽  
Huthaifah Khrais ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Research Utilization ◽  
Action Plan ◽  
Healthcare Providers ◽  
Clinical Settings ◽  
Evidence Based ◽  
Analysis And Evaluation ◽  
New Evidence

Background: Evidence-based nursing practice (EBNP) is considered a major and very important global paradigm shift. Unfortunately, most healthcare providers and researchers embrace the concept of evidence-based practice (EBP) without integrating this concept in clinical settings. The current situation of EBP and new practice guidelines utilization in Jordan are scarce. This policy brief aimed to discusses the process of utilizing nursing EBP in clinical settings in Jordan. Methods: The authors adopted an action plan utilizing a systematic approach to develop and implement specific strategies and policies to integrate EBP in clinical settings in Jordanian hospitals. We present an experience of one country in terms of introducing a policy brief to establish an EBP policy accompanied by developing an EBP unit in the hospital's country. Results: A comprehensive description of this policy is provided with reference to the eminent steps of policy analysis and evaluation. In fact, EBP policies and clinical practice guidelines should keep a live document and revise regularly or as needed. Overall, the authors suggest the development of a unit for EBP to deal with issues related to clinical practice guidelines. Conclusions: Expected outcomes for the introduction of the EBP unit and its policy include increase research utilization and accelerated adoption of new evidence, increase the quality of care provided, increase patient, staff, and managers satisfaction, and decrease staff workload by reducing complications associated with medical errors and outdated interventions.

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