Improving quality of care through successful implementation of evidence-based practice for child with cancer: a case study of a 3-year-old child with rhabdomyosarcoma

2013 ◽  
Vol 11 (3) ◽  
pp. 218
Author(s):  
C-C Chao ◽  
L-Y Huang ◽  
C-C Sheng
2013 ◽  
Vol 9 (3) ◽  
pp. e90-e95 ◽  
Author(s):  
Jason A. Efstathiou ◽  
Deborah S. Nassif ◽  
Todd R. McNutt ◽  
C. Bob Bogardus ◽  
Walter Bosch ◽  
...  

Successful implementation of the National Radiation Oncology Registry should improve the quality of care for patients with cancer treated with radiation.


2018 ◽  
Vol 8 (9) ◽  
pp. 87
Author(s):  
Kaisa Bjuresäter ◽  
Sister Tessy Sebastian ◽  
Bhalchandra Kulkarni ◽  
Elsy Athlin

Introduction: This study is a part of a project aimed at implementing and evaluating the Collaborative Model of Best Practice, (CMBP) to promoting evidence-based practice (EBP) in health care contexts. The aim of the study was to assess nurses’ interest, attitudes, utilisation, and views on promotors of and resources related to EBP before and after taking part in the CMBP project, and to investigate their views on the CMBP in relation to collaboration between the academy and clinical practice, the earning environment, job satisfaction, and nursing quality.Methods: A descriptive, comparative design was used with pre- and post-test measurements. The Research Utilization Questionnaire (RUQ) and study-specific questions were distributed to ward nurses (n = 67) in a rural Indian hospital.Results: Most of the nurses thought that the CMBP had a positive impact on quality of care, on their attitudes to, interest in, and knowledge EBP, and on their job satisfaction. They also considered that the collaboration between the nursing college and clinical practice had a positive impact on the learning environment and that more resources were available at the end of the project.Conclusions: The CMBP project was an attempt to improve the quality of care for patients and the learning environment for nursing students and nurses on the project wards. The results indicated fulfilment of these goals, which strengthens the usability of the model. Implementation of EBP is challenging and requires long-lasting activities and comprehensive support from leaders and facilitators. More studies are needed in which EBP is systematically implemented, accomplished, evaluated, and reported.


2014 ◽  
Vol 10 (3) ◽  
pp. 190-192 ◽  
Author(s):  
Leonard Kaizer ◽  
Vicky Simanovski ◽  
Irene Blais ◽  
Carlin Lalonde ◽  
William K. Evans

Ontario is undergoing health system funding reform, which will transform the funding of selected clinical services to a patient-based approach anchored in evidence-based practice and quality of care. In support of this approach, a new systemic treatment funding model is being developed, with planned implementation on April 1, 2014.


Midwifery ◽  
2015 ◽  
Vol 31 (11) ◽  
pp. 1045-1053 ◽  
Author(s):  
Farzaneh Pazandeh ◽  
Reinhard Huss ◽  
Janet Hirst ◽  
Allan House ◽  
Alireza Akbarzadeh Baghban

Author(s):  
Brittany V. Allard ◽  
Michelle Lee D'Abundo

The field of health care needs to change in order to address challenges such as rising health care costs, aging populations and the need to treat increasing numbers of people with chronic health conditions. All of this must be accomplished while reducing costs and maintaining quality of care. Health care professionals are being tasked with facilitating this change. Like many other health care professions, athletic training has turned to evidence-based practice to assure that athletic trainers are trained to deliver the highest quality of care in the most efficient way to their patients. The transition to integrating evidence-based practice will be challenging and will require a massive diffusion of innovation throughout the field of athletic training.


Author(s):  
Mantana Vongsirinavarat ◽  
Witaya Mathiyakom ◽  
Warin Krityakiarana ◽  
Ninwisan Hengsomboon ◽  
Ratchanok Kraiwong

Purpose: Healthcare professionals are encouraged to use evidence-based practice (EBP) to improve the quality of care and the patient’s quality of life. Knowledge and skill set specific to EBP, critical resources such as time and accessibility to databases, and clinician’s attitude toward EBP are needed for successful implementation of EBP. However, little is currently known about these factors among Thai Physical Therapists (PTs). This study aimed to explore the patterns of attitudes, perceived knowledge, and barriers toward EBP in Thai PTs. Method: An online questionnaire was used to obtain information regarding attitudes, knowledge, and barriers from Thai PTs. Descriptive statistics were used to describe the responses. Multiple logistic regression was used to determine the association between personal and work characteristics and the responses related to attitude, knowledge, and barriers. Results: A total of 719 Thai PTs responded to the questionnaire. Based on this sample, Thai PTs had positive attitudes and perceived themselves as having sufficient background EBP education and skills. They were confident in performing a literature search, critically appraisal, and applying research in their practice. However, the frequencies of searching and reading of literature were relatively low. Less than half of respondents understood terms related to EBP asked in the survey instrument. The barriers to EBP were insufficient time and limited research and statistical skills. PTs who were younger and having higher education were more likely to have better attitudes and knowledge. Conclusions: Despite the positive attitude and perceived knowledge of EBP, time allocation, formal training of EBP skills during academic preparation, and continuing education are required to overcome the barriers toward EBP. The discrepancy between the perception and practice of EBP observed calls for further investigation of actual skills and the barriers to the implementation of EBP.


Author(s):  
Carolina Maria de Sá Guimarães ◽  
Luciana Mara Monti Fonseca ◽  
Juliana Cristina dos Santos Monteiro

ABSTRACT Objective: To develop and validate a prototype mobile application on breastfeeding for health professionals. Method: Methodological study. To build this prototype, information obtained from interviews with six health professionals who were certified as international breastfeeding consultants was employed. For validating the prototype, screenshots were sent to each professional participating in the first phase, as well as an adapted instrument to assess appearance, content, and language. Results: Most assessments were “great” or “good”. The participating professionals have also made important considerations for content enhancement, mainly for the clinical content. Conclusion: The prototype was positively assessed by the professionals, fulfilling the proposed objective. This study is highly important for breastfeeding care professional practice, since it presents a tool which improves quality of care by contributing to the best evidence-based practice.


2019 ◽  
Vol 9 (6) ◽  
pp. 14 ◽  
Author(s):  
Jude Ominyi ◽  
Chinwe Florence Samantha Ezeruigbo

Background and objective: Evidence-based practice (EBP) is widely acknowledged as an essential aspect of healthcare delivery. Nurse managers are expected to contribute to the development of organisational cultures promoting EBP. However, there are indications that nurse managers are not necessarily empowered to drive implementation due to hierarchical constraints. This study explores how nurse manager’s position in the hospital hierarchy influences EBP implementation in nursing, in the Nigerian acute care settings.Methods: A qualitative case study methodology is utilised to gather data from two large acute care settings in Nigeria. Drawing on semi-structured interview, twenty-one ward managers and two nurse managers were interviewed. Data were transcribed and inductively analysed to generate four overarching themes.Results: Nurse managers were hugely constrained by lack of autonomy to mobilise resources for EBP related activities. The hierarchical structure of the settings promoted top-down decision-making processes which in turn, limited nurse manager’s visibility in the boardroom. Consequently, nurse managers were excluded from key strategic planning within the organisation and could not drive EBP implementation.Conclusions: Findings highlight need for nurse managers to have greater visibility and managerial influence to enable them create opportunities for implementation of EBP in nursing. Implications for nursing management: Administratively, there is need for nurses to have greater involvement in management. Adequate authority and leadership visibility as well as managerial influence would enable nurse managers create opportunities for successful implementation.


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