Oxford Handbook of Cardiac Nursing

The Oxford Handbook of Cardiac Nursing is the indispensable companion for all those caring for cardiac patients. Fully revised and updated for the third edition and packed full of clinical information and practical advice, the book covers everything from assessment to cardiac rehabilitation. Each chapter has a list of pertinent evidence-based guidelines. This new edition contains the emergency treatment of stroke as well as a new section on genetics, and information on the management of valvular disease has been expanded.

2014 ◽  
Vol 14 (Supplement_1) ◽  
pp. 3-7 ◽  
Author(s):  
Ann Marie Flannery ◽  
Laura Mitchell

This clinical systematic review of and evidence-based guidelines for the treatment of pediatric hydrocephalus were developed by a physician volunteer task force. They are provided as an educational tool based on an assessment of current scientific and clinical information as well as accepted approaches to treatment. They are not intended to be a fixed protocol, because some patients may require more or less treatment. In Part 1, the authors introduce the reader to the complex topic of hydrocephalus and the lack of consensus on its appropriate treatment. The authors describe the development of the Pediatric Hydrocephalus Systematic Review and Evidence-Based Guidelines Task Force charged with reviewing the literature and recommending treatments for hydrocephalus, and they set out the basic methodology used throughout the specific topics covered in later chapters.


Author(s):  
Marinella Sommaruga

A large number of evidence-based guidelines are drawn up all over the world to improve standards of healthcare and to reduce inequalities in access to effective treatment. Evidence-based practice in psychology is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences. Despite widespread circulation and publicity of these guidelines, often they are not implemented effectively. Consequently, there is a substantial difference between evidence and practice, with best health outcomes not being achieved. The aim of this chapter is to describe and discuss the methodological process, development, and implementation of the Italian Guidelines for psychology activities in Cardiac Rehabilitation and Prevention, published in 2003 by the Working Group of Psychology of the Italian Society of Cardiac Rehabilitation and updated in the 2005 National Cardiac Rehabilitation guidelines issued by the Italian Programme for Guidelines.


Author(s):  
Bill Fulford

When David Sackett launched his program as the founder Director of Oxford’s Centre for Evidence Based Medicine, he defined the field (in his seminal book, How to Practice and Teach EBM) as combining best research evidence with clinical experience and with individual patients’ values. Yet contemporary evidence-based medicine is largely taken up with the first of these, with best research evidence. Clinical experience is all-too-often subordinated to evidence-based guidelines: these are indeed only guidelines, not, as Gill Leng the Deputy Director of NICE repeatedly reminds us, tram lines; but clinical experience is in practice subordinated by them, nonetheless. While as to individual patients’ values, the third element of David Sackett’s original definition, individual case histories, as the vehicle for understanding what matters or is important to a given patient, come right at the bottom of the hierarchy of contemporary EBM.


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