Effect of an Evidence Based Protocol for Childhood Fever Management on Quality of Care Provided by Nurses

Background: Chronic Obstruction Pulmonary Disease (COPD) is disease characterized by obstruction air flow in the breath not wholly reversible. One treatment can be done on improving exercise tolerance is exercise respiration as pursed lip breathing ( PLB ). Purse lip breathing is a techniques of breathing carried out to expelling air by creating power through in move closer /pursed lips. Purpose: provide an illustration of the application of the practice of evidence based nursing of pursed lip breathing in patients COPD in RSUP Persahabatan Jakarta. Method: the implementation of the practice of evidence based nursing pursed lip breathing is applied to 12 people sample ( 10 men and 2 women ) diagnosed with COPD exacerbation. Result: the majority of sex respondents is man as many as 10 ( 83,3 % ) persons and women as many as 2 ( 16,7 % ) a person .mean the age of respondents is 61,5 years ± 10.4 .mean the value of PEF ( Peak Expiratory Flow ), the value of the saturation oxygen , the value of respiratori rate before the intervention in a consecutive manner is 131.6 ± 44.6; 92.1 ± 2.44; 31.5 ± 2 . While value after the intervention is 175.0 ± 60.0; 97,1 ± 1.6; 22,6 ± 1.7 with P value = 0.001, α = 0.05. Conclusions: there are significant influence the application of pursed lip breathing between before and after the intervention in patients COPD. Advice: Intervention evidence based nursing can be applied to all patients COPD so reached the quality of care of nursing based on research

Download Full-text

Med-on-@ix

Clinical Technologies ◽

10.4018/978-1-60960-561-2.ch323 ◽

2011 ◽

pp. 974-994

Author(s):

In-Sik Na ◽

Max Skorning ◽

Arnd T. May ◽

Marie-Thérèse Schneiders ◽

Michael Protogerakis ◽

...

Keyword(s):

Quality Of Care ◽

Evidence Based Medicine ◽

Vital Signs ◽

Personal Data ◽

Clinical Findings ◽

Evidence Based ◽

Physician Shortage ◽

Virtual Presence ◽

Based Medicine

The aim of the project Med-on-@ix is to increase the quality of care for emergency patients by the operationalisation of rescue processes. The currently available technologies will be integrated into a new emergency telemedical service system. The aim is to capture all the necessary information comprising electrocardiogram, vital signs, clinical findings, images and necessary personal data of a patient at the emergency scene and transmit this data in real time to a centre of competence. This would enable a “virtual presence” on site of an Emergency Medical Services physician (EMS-physician, the German Notarzt). Thus, we can raise the quality of EMS in total and counter the growing problem of EMS-physician shortage by exploiting the existing medical resources. In addition, this system offers EMS-physicians and paramedics consultation from a centre of competence. Thereby referring to evidence-based medicine and ensuring the earliest possible information of the hospital.

Download Full-text

Indian nurses’ views on a collaborative model of best practices: Evidence-based practice, job satisfaction, learning environment, and nursing quality

Journal of Nursing Education and Practice ◽

10.5430/jnep.v8n9p87 ◽

2018 ◽

Vol 8 (9) ◽

pp. 87

Author(s):

Kaisa Bjuresäter ◽

Sister Tessy Sebastian ◽

Bhalchandra Kulkarni ◽

Elsy Athlin

Keyword(s):

Job Satisfaction ◽

Quality Of Care ◽

Clinical Practice ◽

Nursing Students ◽

Learning Environment ◽

Evidence Based Practice ◽

Positive Impact ◽

Evidence Based ◽

Collaborative Model

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.

Download Full-text

Article Commentary: Optimizing Surgical Care: A Contemporary Assessment of Temperature, Oxygen, and Glucose

The American Surgeon ◽

10.1177/000313481007600618 ◽

2010 ◽

Vol 76 (6) ◽

pp. 571-577 ◽

Cited By ~ 2

Author(s):

Ashley Dickinson ◽

Motaz Qadan ◽

Hiram C. Polk

Keyword(s):

Immune Response ◽

Quality Of Care ◽

Innate Immune Response ◽

Surgical Care ◽

Innate Immune ◽

Surgical Patients ◽

Evidence Based

Factors such as temperature, oxygen, and glucose have recently been implicated in the development of surgical sepsis by either promoting or attenuating protective components of the innate immune response. Reducing infective sequelae and the improvement of the quality of care of surgical patients is a top practice priority today. These factors and their associated effects are discussed through the examination of recent clinical and scientific studies to provide an up-to-date evidence-based review.

Download Full-text

The ACP Evidence-Based Guide to Complementary and Alternative Medicine

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2011/601271 ◽

2011 ◽

Vol 2011 ◽

pp. 1-2 ◽

Cited By ~ 2

Author(s):

Sungmi Lian

Keyword(s):

Quality Of Care ◽

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Evidence Based Medicine ◽

Published Data ◽

Evidence Based ◽

Practice Of Medicine ◽

Based Medicine ◽

Complementary And Alternative

Complementary and alternative medicine (CAM) is no longer new terminology in the healthcare system but,evidence-based CAMis still an unfamiliar term. Evidence-based medicine, a practice of medicine based on the recommendation derived from a systematic, scientific study of published data, is accepted as the standard in the healthcare.ACP Evidence-Based Guide to Complementary and Alternative Medicineby Bradly Jacobs and Katherine Gundling is reviewed. Up-to-date reference books like theACP Evidence-Based Guide to Complementary and Alternative Medicineis an essential tool for improving quality of care when the providers aim to practice evidence-based medicine.

Download Full-text

Using a disease pathway management approach to improve the quality of breast cancer care in Ontario.

Journal of Clinical Oncology ◽

10.1200/jco.2016.34.7_suppl.109 ◽

2016 ◽

Vol 34 (7_suppl) ◽

pp. 109-109

Author(s):

Andrea Eisen ◽

Jasmin Soobrian ◽

Ashley Tyrrell ◽

Clement Li ◽

Derek Muradali ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Care ◽

Performance Measurement ◽

Quality Indicators ◽

Cancer Care ◽

Evidence Based ◽

Breast Cancer Care ◽

Patient Journey ◽

The Impact

109 Background: Disease Pathway Management (DPM) is used by Cancer Care Ontario (CCO) to set priorities for cancer control, plan cancer services, and improve the quality of care in Ontario by promoting standardization. The DPM approach applies a framework to examine the performance of the entire system from prevention to end of life care, and to identify any gaps within the system. In 2014, DPM began its breast cancer pathway initiative by mapping the patient journey, depicting evidence-based best practice along the breast cancer care continuum, identifying where further guidance is needed for clinical decision making, and identifying gaps in quality of care and performance measurement indicators. Objective: To evaluate the impact of DPM on quality assessment of breast cancer care in Ontario. Methods: DPM convened a multidisciplinary breast cancer working group (WG) of 40 experts from across Ontario. The WG held 12 meetings and used guidelines developed by CCO’s Program in Evidence Based Care (or other sources as needed) to generate pathways for the prevention, screening and diagnosis, treatment, and follow-up care for breast cancer. The pathways were used as a framework to review the existing inventory of provincial breast cancer quality indicators, and to identify areas where evidence based guidance is needed. The pathways were subjected to an extensive review process before publication. Results: The expert WG identified 28 priority areas, including opportunities to develop guidance in areas where it is lacking (e.g. role of perioperative breast MRI; indications for contralateral prophylactic mastectomy) and system barriers that may hinder optimal care (e.g. biomarker assessment). The WG also used the pathways as a framework for evaluating performance measurement indicators by mapping 48 existing quality indicators for breast cancer to the pathway. Conclusions: The CCO DPM Breast Cancer pathways facilitated a province-wide, multidisciplinary process to promote quality standards, to identify gaps and overlaps in performance and quality measurement, and to recommend additional indicators more relevant to the quality of breast cancer care in Ontario.

Download Full-text

The Use of an Evidence-Based Portfolio in the Management of Change in Dental Practice

Primary Dental Care ◽

10.1308/135576106778529026 ◽

2006 ◽

Vol os13 (4) ◽

pp. 142-146

Author(s):

John Hall

Keyword(s):

Quality Of Care ◽

Clinical Governance ◽

Evidence Based ◽

Dental Practice ◽

Management Of Change ◽

General Dental Practice ◽

Key Skills

In this paper the author gives his opinion about the problems of getting practices to change systems in order to institute clinical governance. There are many reasons why practices need to change and for this change to be monitored. This paper explains the need for change and the use of the evidence-based portfolio, which is produced by candidates for the Membership of the Faculty of General Dental Practice (UK) [MFGDP(UK)] examination. It can also be produced by individuals who are not taking the MFGDP(UK) examination in conjunction with the Faculty of General Dental Practice (UK)'s key skills programme. It provides a mechanism for demonstrating change and for assessing the quality of care provided by a general dental practice. The author concludes that the evidence-based portfolio will enable a practitioner to apply clinical governance in a practical way.

Download Full-text