How Does Term Affect Patient Care?

Once an area of evidence-based practice has been chosen for investigation, the reviewer must locate current evidence sources and, using a structured approach, assess each for applicability to the issue being investigated. The aim of this paper is to use a Rapid Critical Appraisal Checklist (Melnyk and Fineout-Overholt, 2011) to support these sources of evidence into a review that discusses the importance of daily, high-level, multidisciplinary communication and patient safety. The summaries of these evaluations will be provided as an appraisal of each study.

The National Guideline Clearinghouse provides information on clinical practice guidelines and the US Preventive Task Force provides recommendations for screenings and counseling based on the patient’s gender, age, race, etc. Both supply information for disease prevention and evidence based clinical practices that providers can use daily while caring for their patient. The recommendations and guidelines that are provided on the AHRQ website are ever evolving as new information becomes available thus allowing providers to keep up with current practice. The days of providing care based on “this is how it has always been done” are gone. The AHRQ guidelines and recommendations is the go-to website for medical providers looking to provide best care for their patients by following evidence based

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

NICE (2014) defines its clinical guidelines as recommendations, which are systematically-developed, on how healthcare professionals should care for a condition or conditions of patient. On the best available evidence, these recommendations are based (NICE 2014). Grol (2010) emphasizes the fact that to improve patient care, efforts are being made on evidence-based guidance, which is one way to do this. NICE guidelines are developed with methodological rigour using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument (Rapu & Matthews 2014). This instrument was designed as to assess, across the spectrum of health, the quality of practice guidelines (Brouwers et al. 2010). Furthermore, it provides guideline development directions and gives information that should be contained in guidelines (Brouwers et al. 2010). Established above, it provides a structure

Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.

Summaries – Evidence is taken from practice guidelines that were established by healthcare organizations and entered into the National Guidelines Clearinghouse databases. Summaries can be appraised rapidly because they are given a

Before the patients leave the clinic, the primary care nurse will give them a simple instruction such as doing the blood work, EKG and chest x-ray prior to pre-operative appointments. This is the end of primary care responsibility for the pre-operative process of patients undergoing surgical procedures. The accountability of making sure the patient is ready for the surgery is then handed over to the pre-operative management nurses. Cancellation of operations in hospitals is a significant problem with far reaching consequences (Kumar & Gandhi, 2012). One of the factors contributing to this cancelation is the pre-operative process itself.

By having form utility in a healthcare setting in the medical field, you must measure the patients experience and quality of health care, by having access to a patient portal, so that our clients can look up their lab results, make future appointments, send a message back to the doctor and getting refill request submitted. We also ask for feedback by completing our online survey. This will add value to our organization and also add satisfaction to our clients. By delivering perceived value above and beyond their expectations.

It synthesizes the results of various primary studies by using strategies that reduces biases and random errors. These reviews follow a strict scientific design and provide consistent estimates about the effects of interventions, therefore, conclusions are defensible. Systematic reviews shows where knowledge is lacking and can be used to guide future research. These reviews are usually carried out in the areas of clinical tests such as diagnostic, screening and prognostic; public health interventions; economic evaluations; adverse effects and how and why interventions work. Cochrane reviews are systematic reviews undertaken by Cochrane Collaboration members, aims to help people to make well-informed decisions about healthcare by preparing, maintaining, and promoting the accessibility of systematic reviews of the effects of healthcare

Management of the acutely ill adult is a complex and perplexed procedure. It requires underpinning knowledge of the pathophysiology of the disease currently affecting the patient, as well as ensuring that professionals are equipped to deal with the development of a rapid deterioration. The National Institute for Clinical Excellence (2007) explain that patients are sometimes inadequately treated due to staff not acting in a sufficient time manner, and so a systematic assessment of the patient recommended by the Resuscitation Council (2006) should initially be followed (Jevon, 2009).

The purpose of a systematic review is to attempt to find, evaluate and synthesize high quality research relevant to the research question. A systematic review uses carefully developed data collection and sampling procedures that are put in place in advance as a protocol. (Polit, 2012). A systematic review must contain the following: a clear inclusion and exclusion criteria, an explicit search strategy, systematic coding and analysis of included studies, and a meta-analysis if possible. (Hemingway & Brereton, 2009). Systematic reviews are conducted by nurse researchers to avoid reaching incorrect or misleading conclusions that

Higgins & Green in Cochrane Handbook for Systematic Reviews of Interventions described systematic review as a summary result of “available carefully designed healthcare studies (controlled trials) and provides a high level of evidence on the effectiveness of healthcare interventions. Judgments may be made about the evidence and inform recommendations for healthcare” (Higgins & Green, 2011). Systematic review is now replacing traditional narrative reviews as a way of summarizing research evidence. As Ralf W. Schlosser noted systematic reviews is replacing traditional narrative reviews because it “aim to minimize bias in locating, selecting, coding, and aggregating individual studies. This rigor in minimizing bias is what makes these reviews

Technological developments, social pressures, government norms and policies all have observed changes that have contributed to a part of success from clinical skills and political perspective, however little has it been helpful towards meeting the needs of patients and entire healthcare team.

Collection of assessment information and continual analysis and interpretation of data is important to make sure patient’s conditions is successfully monitored (Dresser, 2012). Elliott & Coventry, 2012; Levett-Jones et al., 2010; Preston & Flynn, 2010) state that, patients in acute care setting have been considered as having multiple health issues that can lead to their deterioration if early signs and symptoms are not recognised and managed appropriately in timely manner and within a correct clinical reasoning process. With constant observation, patient safety is implemented and surveillance is then incorporated in order to identify and prevent possible medical errors and adverse events that may be encountered. Clinical judgement and decision

Clinical practice guidelines (CPG) are designed to improve the quality of healthcare services, decrease unwanted, ineffective and harmful interventions for patients. CPG are used to facilitate treatments for each individual patient’s by maximizing the benefits, minimizing the risk of harm and obtain treatment with an acceptable cost. Researchers had proven that CPG is a bridge for change and improving health outcomes. The effectiveness of CPG is perceived to be helpful in clinical decision making. CPG are developed to assist healthcare providers such as doctors and nurses in decision making for specific clinical outcomes (Vlayen, et. al. 2005)