O’Hagan et al. (2013) conducted an experimental research to determine fundamental factors of effective nurse-patient communication practices. As a peer-reviewed article, the article must meet the required standards. In this critique, the main parts of the article as well as its content are analyzed to evaluate the quality of information presented by its authors. The Title The title of the article is concise and contains the background information about the research.
What are the key features which characterize EBP? Are there any surprises? Melnyk and Fineout Overholt (2005) define EBP as an “approach that enables clinicians to provide the highest quality of care in meeting the multifaceted needs of patients and families” Rutledge and Grant (2002) define EBP as “care that integrates best scientific evidence with clinical expertise, knowledge of pathophysiology, knowledge of psychosocial issues, and decision making preferences of patients” Pravikoff and coworkers offer a simplified definition of EBP as “a systematic approach to problem solving for healthcare providers, including RNs, characterized by the use of the best evidence currently available for clinical decision-making in order to provide the most consistent and best possible care to patients” (Pravikoff, Tanner, & Pierce, 2005, p.40). Ingersoll (2000) includes both the patient and the practitioner in her definition, as she defines EBP as “the conscientious, explicit, and judicious use of theory driven research-based information in making decisions about care delivery to individuals or groups of patients and considers individual needs and
The person, furthermore the interpersonal process, is the concept that will be focused on while reviewing the theories of Peplau, King, and Henderson. Hildegard Peplau defined nursing as “a service for people that enhances healing and health by methods that are humanistic and primarily non-invasive;” more specifically nursing was a “significant therapeutic interpersonal process which functions cooperatively with other human processes that make health possible for individuals.” Through the interpersonal process, clinical judgment then is used to integrate scientific and artistic aspects to define and intervene in the patient’s problem (Fitzpatrick & Whall, 2005, para 8). The interpersonal process between patient and nurse represents the critical nursing phenomenon of focus. Basic to her description on nursing is her developmental perspective of human phenomena; nursing was defined as “a maturing
The records contain information that is used for different purposes: 1) Administrative tasks: Registering patients Scheduling appointments 2) Clinical practices (diagnostic & therapeutic decisions): Computerized prescriptions Lab tests Diagnostic measures Progress notes from different healthcare providers 3) Research practices QUALITY BENEFITS OF AN EMR Assessing data from paper medical records is time-consuming because it involves reviewing information manually — record by record. By contrast, an EMR makes data easily accessible and enables physicians to use their own data to improve quality of care. With efficient electronic access to clinical data, practices can systematically improve the quality of care in a number of areas: • Enhanced patient education materials Practices can customize information packets and Web site referrals for patients so that patients receive essential information about their health at the point of care and guidance from reputable, scientific sources. • Quicker turnaround times for results of lab tests and imaging studies Connectivity between practices and the clinical laboratories and imaging centers shorten the time necessary for diagnostic information to reach the practice and the patient. Physicians can initiate therapy
Research is the systematic investigation into and study of materials and sources in order to establish facts and reach new conclusions (Oxford Dictionary 2011). The ultimate goal of research is to develop, refine and expand upon a body of knowledge providing evidence to either support or reject clinical practice (Polit and Beck 2004). Evidence based practice is broadly defined as the use of the best clinical evidence in making client care decisions (Polit and Beck 2004), and is agreed to ensure safe practice (Sackett 1996). By giving care based on evidence, a nurse acts as an advocate, working to their Code (NMC 2008a), helping clients to access relevant health and social care. In this essay the author looks at the role of the nurse in managing the safe withdrawal of clients detoxifying from alcohol on an inpatient unit.
Concept Analysis of Effective Walker & Avant’s methodology (2005) is used to analyze the concept of the word effective; this provides clarity to the meaning of the concept and identifies its unique attributes, particularly in relation to medical treatment. Antecedents and consequences of presumed effective medical treatment are discussed followed by empirical referents, which aid in illuminating the concept of effectiveness. Assumedly, “effective” is an adjective most healthcare professionals and their patients would hope to use in describing the outcome of the treatment or the care provided. The purpose of this concept analysis is to understand that for physicians and nurses to provide truly effective treatment, it must attend to multiple needs of the patient, not just their illness. Not only is it important for healthcare providers to construct and implement a treatment plans, but also to involve patients in medical decision making about their treatment.
It is evident that she is aware of barriers to effective communication. Additionally, it is made apparent that communication skills are vitally and fundamentally important in clinical practice. When there is effective communication it creates positive health practices. The need for a therapeutic relationship (patient-centred) is to be the main focus of the student/nurse. The key success in this role is accurate assessment of the patient’s needs, abilities and commitment to meeting them with sensitivity.
An evidence-based practice is a continuous process that has the objective of bringing together clinical knowledge, the best scientific research evidence, and the opinion of the patient to provide high quality services focusing on their necessities and values. (Evidence-Based Practice, 2012). Experts consider that a best practice is a set of guidelines that have proven to be the most efficient courses of action. It involves reaching a certain level of agreement on research based knowledge, and the process of integrating it to improve healthcare delivery. They are usually set forth by an authority, which depending on the context could be a governing entity or management.
Personal and Professional Health Care Communication Annie Trinh HCS 350 December 11, 2013 Litanya Simien-Robnett Personal and Professional Health Care Communication Communication is an essential component of professional nursing. The knowledge and utilization of effective communication among professional health care providers directly effects their patient health outcomes. It allows health care professionals to obtain and share crucial data, teach and express their thoughts and concerns. It is a mode of transportation to utilize knowledge and convey a plan of action for progress and improvement. It is a way for professionals to embody and project change, to make a difference.
If a theory is proven, it can help to develop nursing science and be used in nursing practice to accomplish numerous results such as identifying standards of care to direct, evaluate, and predict patient care/outcomes, for example (Cherry & Jacob, 2011). Development of a sound theory commands the presence of not only key concepts, but also great insight toward the particular subject matter; it’s definitions, and the assumptions surrounding it. This is critical to ensure a well-educated appraisal and study follows. (Alligood & Tomey, 2010). Relatively speaking, applying the concepts of stress in relation to adaptation of a particular health circumstance, for instance, may provide a speculative overview that will yield a methodical interpretation of how these two incidents are entwined with one another (Cherry & Jacob, 2011).