scholarly journals Best Practice Guidelines and Recommendations for Health Care Providers

2021 ◽  
Author(s):  
◽  
Bernadette Portillo
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Practice Guidelines ◽  
Best Practice ◽  
International Association ◽  
International Crime ◽  
Care Providers ◽  
Victim Identification ◽  
Best Practice Guidelines ◽  
Guidelines And Recommendations

Human trafficking (HT) is a federal and international crime and is regarded as one of the most pressing human rights issues. Adult and minor victims are trafficked by force (rape, beatings, confinement), fraud, and coercion resulting in profound physical and psychological injuries (Chisolm-Straker et al., 2019, p. 72; Department of Homeland Security, 2020; Vera Institute of Justice, 2014, p. 6). Most clinicians fail to recognize HT victims (Egyud et al., 2017; Leslie, 2018; Mason, 2018; McDow & Dols, 2020; Mostajabian et al., 2019; Patient Safety Monitor Journal, 2017; Stevens & Dinkle, 2020). This policy brief’s purpose is to provide health care providers with a validated HT screening tool and best practice guidelines and recommendations to aid in victim identification. The strategies outlined are those published by the Vera Institute of Justice’s HT Victim Identification Tool and are endorsed by the Emergency Nurses Association and the International Association of Forensic Nurses (Chisolm-Straker et al., 2019; Egyud et al., 2017; Leslie, 2018; McDow & Dols, 2020; Mostajabian et al., 2019; Peck, 2020; Stevens & Dinkle, 2020, p. e1; Vera Institute of Justice, 2014). These proposals will increase the likelihood that patients experiencing sexual and labor exploitation will be identified (Chisolm-Straker et al., 2019; Egyud et al., 2017; Leslie, 2018; McDow & Dols, 2020; Mostajabian et al., 2019; Peck, 2020; Stevens & Dinkle, 2020, p. e1; Vera Institute of Justice, 2014)

Maintaining Safe Breastfeeding Practices During the COVID-19 Pandemic: An Overview of the Evidence to Inform Clinical Guidelines

2021 ◽  
Vol 40 (3) ◽  
pp. 140-145
Author(s):  
Tiffany Gwartney ◽  
Allyson Duffy
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Best Practice ◽  
Newborn Health ◽  
Care Providers ◽  
Postnatal Transmission ◽  
Breastfeeding Practices ◽  
Evidential Support ◽  
Guidelines And Recommendations ◽  
The Impact

The impact of the COVID-19 pandemic upon the health care landscape has prompted many organizations to revise policies in response to ever-changing guidelines and recommendations regarding safe breastfeeding practices. The application of these professional guidelines into clinical practice is fraught with barriers, inconsistencies, and often-minimal evidential support. Key concerns for health care providers and patients include antenatal versus postnatal transmission, milk transmission, and separation care versus rooming-in, including the subsequent impacts upon breastfeeding and bonding. While SARS-CoV-2 is a novel virus, the volume of literature to support best practice for couplet care continues to be developed at a rapid pace. The benefits of breastfeeding are steeped in evidence and outweigh the potential risk of transmission of COVID-19 from mother to newborn. Health care organizations must continue to seek guidance for policy revision within the ever-growing body of evidence for best practice and evaluate current practices for feasibility during and after hospitalization.

scholarly journals Interpreting in Sexual and Reproductive Health Consults With Burma Born Refugees Post Settlement: Insights From an Australian Qualitative Study

2021 ◽  
Vol 6 ◽  
Author(s):  
Amita Tuteja ◽  
Elisha Riggs ◽  
Lena Sanci ◽  
Lester Mascarenhas ◽  
Di VanVliet ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Best Practice ◽  
Qualitative Methodology ◽  
Future Research ◽  
Care Providers ◽  
Face To Face ◽  
Consultation Room ◽  
Privacy And Confidentiality

Interpreters work with health care professionals to overcome language challenges during sexual and reproductive (SRH) health discussions with people from refugee backgrounds. Disclosures of traumatic refugee journeys and sexual assault combined with refugees’ unfamiliarity with Western health concepts and service provision can increase the interpreting challenges. Published literature provides general guidance on working with interpreters in primary care but few studies focus on interpretation in refugee SRH consults. To address this, we explored the challenges faced by providers of refugee services (PRS) during interpreter mediated SRH consultations with Burma born refugees post settlement in Australia. We used qualitative methodology and interviewed 29 PRS involved with migrants from Burma including general practitioners, nurses, interpreters, bilingual social workers, and administrative staff. The interviews were audio-recorded, transcribed, and subjected to thematic analysis following independent coding by the members of the research team. Key themes were formulated after a consensus discussion. The theme of “interpretation related issues” was identified with six sub-themes including 1) privacy and confidentiality 2) influence of interpreter’s identity 3) gender matching of the interpreter 4) family member vs. professional interpreters 5) telephone vs. face-to-face interpreting 6) setting up the consultation room. When faced with these interpretation related challenges in providing SRH services to people from refugee backgrounds, health care providers combine best practice advice, experience-based knowledge and “mundane creativity” to adapt to the needs of the specific patients. The complexity of interpreted SRH consultations in refugee settings needs to be appreciated in making good judgments when choosing the best way to optimize communication. This paper identifies the critical elements which could be incorporated when making such a judgement. Future research should include the experiences of refugee patients to provide a more comprehensive perspective.

scholarly journals A Retrospective Look at TPN with Pancreatitis: Do Recommendations Match Guidelines? (P12-036-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Carmen Shaw ◽  
Joshua Phelps ◽  
Christi Arthur ◽  
Tina Maddox
Keyword(s):  
Enteral Nutrition ◽  
Teaching Hospital ◽  
Practice Guidelines ◽  
Best Practice ◽  
International Association ◽  
Feeding Strategy ◽  
University Teaching ◽  
Nutrition Support ◽  
Data Repository ◽  
Best Practice Guidelines

Abstract Objectives The objective of this project was to assess if best practice guidelines for the use of total parenteral nutrition (TPN) in pancreatitis are being followed at a university teaching hospital. Methods This retrospective study was an exploratory analysis of de-identified data pulled from a university teaching hospital clinical data repository and electronic medical records for patients who had a diagnosis of pancreatitis between the years of 2014 and 2018. Variables of interest included diagnosis, reason for initiating TPN, diet order, past medical history, age, gender, and race. Feeding modalities were compared to best practice guidelines for nutrition support initiation in pancreatitis provided by the American Society for Parenteral and Enteral Nutrition (ASPEN), European Society for Parenteral and Enteral Nutrition (ESPEN), American Pancreatic Association and the International Association of Pancreatology (IAP/APA), Best Practice in Surgery group at the University of Toronto, and the American College of Gastroenterology (ACG). Results A total of 57 patients were admitted between 2014 and 2018 with the diagnosis of pancreatitis. Chart reviews of each patient were assessed for an initial nutrition regimen of either enteral nutrition (EN) or TPN. Of the 57 patients started on nutrition support, 12 patients (21%) received a trial of EN prior to starting TPN. After exclusion of eight patients who had a diagnosis of either ileus, small bowel obstruction (SBO) or bowel perforation, there were 37 (65%) patients who were started on TPN initially without an EN trial. Conclusions Despite best practice guidelines from multiple groups advocating for EN over TPN, it was found that TPN appears to be a first line feeding strategy in the majority of patients admitted with or who developed pancreatitis at this hospital. Development of an interdisciplinary nutrition support team at this hospital is recommended to facilitate adherence to best practices regarding treatment of patients with pancreatitis. Funding Sources Not Applicable.

Behavioural Interventions in Primary Care: An Implementation Trial

2008 ◽  
Vol 27 (2) ◽  
pp. 179-189 ◽  
Author(s):  
Dan Bilsker ◽  
John Anderson ◽  
Joti Samra ◽  
Elliot Goldner ◽  
David Streiner
Keyword(s):  
Primary Care ◽  
Health Care Providers ◽  
Best Practice ◽  
Management Approach ◽  
Care Providers ◽  
Intervention Delivery ◽  
Effective Strategies ◽  
Best Practice Guidelines ◽  
Risky Alcohol ◽  
Depression Intervention

Developing effective strategies to keep health care providers' practice current with best practice guidelines has proven to be challenging. This trial was conducted to determine the potential for using brief educational sessions to generate significant change in physician delivery of mental health and substance use interventions in primary care. A 1-hour educational session outlining interventions for depression and risky alcohol use was delivered to a sample of 85 family physicians. The interventions used a supported self-management approach and included free patient access to appropriate selfmanagement resources. The study initially evaluated physicians' implementation of these interventions over a 2-month period. Physician uptake of the depression intervention was significantly greater than uptake of the risky-drinking intervention (32% versus 10%). A follow-up at 6-months posttraining (depression intervention only) demonstrated fairly good maintenance of intervention delivery. Implications of these findings are discussed.

scholarly journals Best practice guidelines and recommendations on the molecular diagnosis of myotonic dystrophy types 1 and 2

2012 ◽  
Vol 20 (12) ◽  
pp. 1203-1208 ◽  
Author(s):  
Erik-Jan Kamsteeg ◽  
Wolfram Kress ◽  
Claudio Catalli ◽  
Jens M Hertz ◽  
Martina Witsch-Baumgartner ◽  
...  
Keyword(s):  
Myotonic Dystrophy ◽  
Molecular Diagnosis ◽  
Practice Guidelines ◽  
Best Practice ◽  
Best Practice Guidelines ◽  
Guidelines And Recommendations

scholarly journals The impact of acute care clinical practice guidelines on length of stay: A closer look at some conflicting findings

2014 ◽  
Vol 3 (4) ◽  
pp. 25 ◽  
Author(s):  
Moriah Ellen ◽  
G. Ross Baker ◽  
Adalsteinn Brown
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Acute Care ◽  
Health Care Providers ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Organizational Support ◽  
Full Potential ◽  
Care Providers ◽  
The Impact

Systematic reviews have found that clinical practice guidelines (CPGs) are associated with lower lengths of stay (LOS), but a secondary analysis of Ontario acute care hospitals found few significant relationships between CPGs and LOS. This research explored possible reasons for these findings and what other factors may impact the CPG-LOS relationship. Semi-structured interviews were conducted with staff from nine hospitals whose jobs dealt with developing, implementing, monitoring, updating, or evaluating CPGs. Interviews were analyzed utilizing methods outlined by Aurebach. A variety of leaders and hospital types were represented. Five main factors influencing relationships between CPGs and LOS were identified: 1) the purpose of implementation, 2) evidence base for CPG content and selection, 3) health care professionals’ response to change and compliance, 4) dissemination strategies, and 5) organizational support and resources. The interviews suggested possible reasons why CPGs are not realizing their full potential impact on LOS in Ontario hospitals, ranging from poor compliance to resistance from health care providers. CPGs themselves are not perceived to be the reason for ineffectiveness; rather, organizational- and individual-level barriers seem to be the causes.

scholarly journals Clinical Practice Guidelines for the Diagnosis and Management of Intravascular Catheter-Related Infection: 2009 Update by the Infectious Diseases Society of America

2009 ◽  
Vol 49 (1) ◽  
pp. 1-45 ◽  
Author(s):  
Leonard A. Mermel ◽  
Michael Allon ◽  
Emilio Bouza ◽  
Donald E. Craven ◽  
Patricia Flynn ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Clinical Practice ◽  
Infectious Diseases ◽  
Health Care Providers ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Providers ◽  
Intravascular Catheter ◽  
Management Guidelines

Abstract These updated guidelines replace the previous management guidelines published in 2001. The guidelines are intended for use by health care providers who care for patients who either have these infections or may be at risk for them.

Primer on Clinical Practice Guidelines

2013 ◽  
Vol 26 (2) ◽  
pp. 103-111 ◽  
Author(s):  
Eunice Y. Pyon
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care Providers ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Health Care Professionals ◽  
Guideline Development ◽  
Improve Patient Care ◽  
Care Providers ◽  
Quality Guideline

Clinical practice guidelines (CPGs) are valuable tools for health care providers and support evidence-based medicine (EBM). Many organizations, including medical associations and government-affiliated agencies, develop and publish guidelines using varying methods. Unfortunately, many guidelines are not appropriately developed and certain recommendations are not based on the best available evidence. Recent efforts by EBM advocates are contributing to the improved quality of CPGs and more tools are becoming available to promote high-quality guideline development and use. This article describes the guideline development process and associated concerns and the advances in the field of CPGs. Tools to access and evaluate guidelines are also provided. Health care professionals equipped with an understanding of the process of guideline creation and tools for evaluation can appropriately utilize guidelines to improve patient care.

Sign in / Sign up

Export Citation Format

Share Document