reflections on clinical expertise and evidence based practice

... also possible to monitor carbon dioxide ‘upstream’ from expired gases Capnometry can measure partial carbon dioxide tension (PCO2) in a regional tissue bed, and the reason for monitoring this in ... Hence, a simple physiologic rationale exists for using carbon dioxide monitoring to obtain information about cellular metabolism and global perfusion Clinical experience and research shows that gross ... proposed as a measure of regional hypoperfusion that is technically simpler and easier to apply than gastric tonometry [10,11] There are other applications of carbon dioxide monitoring that may fulfil...

Ngày tải lên: 12/08/2014, 20:20

... organizational support for evidencebased practice on provider attitudes toward evidence- based practice, and effect of organizational support for evidence- based practice on provider use of evidence- based ... Figure evidence- based evidence- based practice effect of provider attitudes toward partial tudes toward support for evidence- basedon provider attiorganizational evidence- based practice, and practice ... evidence- based practice, effect of organizaand Path model of partial mediation effects of agency type on organizational support for evidence- based practice and attitudes toward evidence- based practice, ...

Ngày tải lên: 11/08/2014, 05:21

... intervention process Attention is also given to steps in assessing non-randomized population-wide interventions and evidence on oral health promotion based on expert opinion The requirement for evidence ... population-wide interventions and some issues in oral health promotion Evidence- Based Approach to Oral Disease Prevention The evidence- based approach to prevention begins with the identification and ... aspects of the evidence- base for prevention [17] Perceptions of the public and side effects are covered briefly in later sections Implementation, Monitoring and Reassessment Once a decision on the appropriate...

Ngày tải lên: 06/03/2014, 12:21

... Green and Aarons Implementation Science 2011, 6:104 http://www.implementationscience.com/content/6/1/104 implementation–exploration, adoption decision/preparation, active implementation, and sustainment and ... as: Green and Aarons: A comparison of policy and direct practice stakeholder perceptions of factors affecting evidence- based practice implementation using concept mapping Implementation Science ... Compatibility, EBP Limitations, Consumer Concerns, Impact On Clinical Practice, Beneficial Features (of EBP), Consumer Values and Marketing, System Readiness and Compatibility, Research and Outcomes Supporting...

Ngày tải lên: 10/08/2014, 11:20

... Goal facilitation and interference along a temporal dimension Despite the interviews focusing on perceived intergoal relations within a single consultation, the longitudinal and chronic nature of ... distinction between control factors and perceived intergoal relationships Implications for implementation science Implementation science is concerned with understanding and promoting the application ... advice on diet and exercise, discuss risks and also respond to issues that the patient brings up, and try to finish on time, amongst others GPs' management of diabetes in a clinical consultation...

Ngày tải lên: 11/08/2014, 05:21

... description of the Project's EBPs, state and community -based site selection, EBP training materials, and agency site level implementation and evaluation methods can be found in Torrey et al [6] and on ... Foundation for Innovation: Results of a Workshop for the National Science Foundation MR-1534-NSF RAND Corporation 2005 Dartmouth Evidence- Based Practices Center [http:// dms.dartmouth.edu/prc /evidence/ practices/] ... dms.dartmouth.edu/prc /evidence/ practices/] Evidence- Based Practices [http://www.mentalhealthprac tices.org] Patton MQ: Utilization-Focused Evaluation 3rd edition Thousand Oaks, CA: Sage Publications; 1996 Rogers...

Ngày tải lên: 11/08/2014, 05:22

... literature on diffusion, dissemination and sustainability of innovations in health service delivery and organisation London: National Co-ordinating Centre for NHS Service Delivery and Organisation R ... Professionals and Researchers London: National Co-ordinating Centre for NHS Service Delivery and Organisation R & D; 2001:1-101 Dopson S, Locock L, Chambers D, Gabbay J: Implementation of evidence- based ... Organizational structures, systems, roles, processes, relations, alignments, and capabilities • Institutionalization: Integration of evidence- based practice into the routine fabric of the organization...

Ngày tải lên: 11/08/2014, 05:22

... Goal facilitation and interference along a temporal dimension Despite the interviews focusing on perceived intergoal relations within a single consultation, the longitudinal and chronic nature of ... distinction between control factors and perceived intergoal relationships Implications for implementation science Implementation science is concerned with understanding and promoting the application ... advice on diet and exercise, discuss risks and also respond to issues that the patient brings up, and try to finish on time, amongst others GPs' management of diabetes in a clinical consultation...

Ngày tải lên: 11/08/2014, 16:20

... THE EVIDENCE- BASED PRACTICE THE EVIDENCE- BASED PRACTICE Methods, Models, and Tools for Mental Health Professionals Edited by Chris E Stout and Randy A Hayes John Wiley & Sons, Inc ➇ ... Introduction to Evidence- Based Practices Randy A Hayes 02  Evidence- Based Practices in Supported Employment 10 Lisa A Razzano and Judith A Cook 03  Assertive Community Treatment 04  Evidence- Based ... Rogers, Marianne Farkas, and William A Anthony 10  Evidence- Based Psychosocial Practices: Past, Present, and Future 220 Timothy J Bruce and William C Sanderson 11  Controversies and Caveats 244 Chris...

Ngày tải lên: 15/02/2014, 02:20

... achieve and maintain a clean mouth and to limit opportunistic infection via the damaged mucosa This information is based on Level IV evidence (expert opinion) 1) Mucositis Assessment Assess condition ... no interventions that have conclusively been shown to be effective, the following recommendations for the prevention and management of oral mucositis are based on available evidence and supplemented ... prevention of mucositis have some evidence supporting their use, no intervention has been conclusively validated by research Consequently, the recommendations in this information sheet have been based...

Ngày tải lên: 15/02/2014, 05:20

... book In Chapter 2—EvidenceBased Practice: Definition and Process—I define evidence- based practice and dispel some myths I also describe the five basic steps of evidence- based practice These include ... evidence- based practice (EBP) The “Reasons to Practice EBP” section includes ethical, legal, clinical, educational, and economic reasons The subsection on ethical reasons examines the code of ethics ... foundation for EBP Reasons to Practice EBP There are five major reasons for practicing EBP These include ethical, legal, clinical, educational, and economic reasons Ethical Reasons First and foremost,...

Ngày tải lên: 06/03/2014, 02:20

... Additional contributor contact information is available in Appendix G Introduction - Page VA/DoD Clinical Practice Guideline For Management of Substance Use Disorders DEFINITIONS CONDITIONS AND ... When one considers that medical harm from alcohol consumption shows a strong dose-response effect, these treatment-related reductions in consumption appear to be highly clinically meaningful EVIDENCE ... patient’s motivational level and personal goals should be assessed, and this information taken into consideration in selecting treatment goals and options Module B - Page 27 VA/DoD Clinical Practice Guideline...

Ngày tải lên: 31/03/2014, 13:20

... socioeconomic factors is open for further investigation and discussion Tugwell and co-workers suggest an evidence- based framework for equity-oriented knowledge translation to incorporate issues on ... neonatal health situation in Viet Nam Competing interests http://www.human-resources-health.com/content/7/1/36 Additional material Additional file Questionnaire on neonatal knowledge Questions ... several contextual barriers for research utilization among rural nurses, some of which are isolation and lack of knowledgeable professional colleagues There are reasons to believe that a long distance...

Ngày tải lên: 18/06/2014, 17:20

... emergence of EBPs On one hand, there is an appreciation of a model of practice built upon documented results rather than on the opinions of experts [64], and organizations such as the National Alliance ... emergent concept and practice in Australia and the UK International Journal of Social Psychiatry 2007, 53:108-122 Scheyett A, McCarthy E, Rausch C: Consumer and Family Views on Evidence- Based Practices ... restrictions on the rights of mentally ill individuals to serve on a jury, 37 imposed restrictions on their voting, 23 imposed restrictions on their holding elective office, and 27 imposed restrictions...

Ngày tải lên: 11/08/2014, 05:21

... integration and evaluation of health care organizational factors into the planning and study of the implementation of evidence- based practice within the context of the six-step QUERI model Based on ... implementation process As Green and Glasgow suggest, "If we want more evidence- based practice, we need more practice -based evidence" [49] Common concepts representing health care organizational factors ... target conditions are system-wide (i.e., related to organizational readiness to change) #2: Identify evidence- based guidelines and clinical recommendations: • Identify evidence- based practice...

Ngày tải lên: 11/08/2014, 05:21

... the collation and construction of best practice indicators for institutional audit and comparison Tools are available to measure the organizational context for evidence- based healthcare practice ... knowledge management and the learning organization: their production and consumption In The Blackwell Handbook of Organizational Learning and http://www.implementationscience.com/content/4/1/28 Knowledge ... incentive and reward structures, or the allocation of authority and decision rights, and the conditions for individual agency [87-89] Our own focus is therefore on identifying the organizational conditions...

Ngày tải lên: 11/08/2014, 05:21

... due to variation in local conditions and decision processes These techniques include small group meetings and invitations to regional or national conferences for clinical leaders and care managers ... standard evaluation and implementation techniques We believe this is one of the first formal applications of social marketing to promote the implementation of an evidence- based intervention among ... policy and practice leaders, clinicians, and operations staff to implement appropriate evidence- based practices into routine clinical care They work within distinct disease- or condition-specific...

Ngày tải lên: 11/08/2014, 05:21

... discrete practice (e.g., consistently using an evidencebased scale to assess the situation and implementing research -based interventions) to consistent ways or patterns of decision-making and practice ... literature on diffusion, dissemination and sustainability of innovations in health service delivery and organisation London: National Co-ordinating Centre for NHS Service Delivery and Organisation R ... are constantly reassessing our standard of nursing care' through exploration of related evidence and 'an expectation of staff to figure out good clinical care [and] ask questions and to wonder...

Ngày tải lên: 11/08/2014, 05:21

... bridge the gap between clinical guidelines and clinicians' behaviour? Arandomised controlled trial of an intervention to influence dentists' intention to implement evidence- based practice British Journal ... 195(7):403-407 Bonetti D, Eccles M, Johnston M, Steen IN, Grimshaw J, Baker R, Walker A, Pitts N: Guiding the design and selection of interventions to influence the implementation of evidence- based practice: ... http://www.implementationscience.com/content/2/1/27 Table 1: Comparison of the stages in an evaluation of complex interventions to stages of drug evaluation Evaluation of drugs Pre -clinical Phase I...

Ngày tải lên: 11/08/2014, 05:22