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"Evidence Based Practice"

Navine G Haworth, Linda K Jones
OBJECTIVE: To explore final-year students and new graduates from 2 North American chiropractic colleges regarding perceptions of the clinical educational experience in a hospital vs the institutional clinical setting. METHODS: A qualitative exploratory descriptive design was used for this research. Students and new graduates were invited to participate from a United States and Canadian chiropractic college. Semistructured interviews were conducted with 49 students and 14 new graduates lasting 60 minutes...
February 20, 2019: Journal of Chiropractic Education
Anne Gallen, Naonori Kodate, Dearbhla Casey
BACKGROUND: Although patient safety and quality are cornerstones of healthcare practice, evidence is limited of the knowledge, skills and competence of practicing nurses and midwives in Ireland. OBJECTIVES: To investigate the perceptions of nurses and midwives regarding their continuing professional development-based preparedness for, and participation in quality and safety in the clinical setting. DESIGN: A cross-sectional survey was undertaken across the Republic of Ireland in 2016 examining nurses and midwives' perceptions of their knowledge and skills in quality and safety methods and tools, their views of competence in this field using the domains from the Quality and Safety Education for Nurses (QSEN) framework (person-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics), and their participation in practice related to their access to quality and safety data...
February 6, 2019: Nurse Education Today
Blake Boggenpoel, Vuyolwethu Madasa, Tarryn Jeftha, Conran Joseph
INTRODUCTION: The upsurge in the use of clinical prediction models in general medical practice is a result of evidence-based practice. However, the total number of clinical prediction rules (CPRs) currently being used or undergoing impact analysis in the management of patients who have sustained spinal cord injuries (SCIs) is unknown. This scoping review protocol will describe the current CPRs being used and highlight their possible strengths and weaknesses in SCI management. METHODS AND ANALYSIS: Arksey and O'Malley's scoping review framework will be used...
February 1, 2019: BMJ Open
Alexandra Caulfield, Deniz Vatansever, Gabriel Lambert, Tine Van Bortel
OBJECTIVE: To assess existing literature on the effectiveness of mental health training courses for non-specialist health workers, based on the WHO guidelines (2008). DESIGN: A systematic review was carried out, complying with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. DATA SOURCES: After examination of key studies in the literature, a comprehensive search was performed within the following electronic databases on 31 May 2017: PubMed, PsycINFO, CINAHL (using EBSCOHost interface), Cochrane, Web of Science...
February 1, 2019: BMJ Open
Nicole M Robertson, Emily M Nagourney, Suzanne L Pollard, Trishul Siddharthan, Robert Kalyesubula, Pamela J Surkan, John R Hurst, William Checkley, Bruce J Kirenga
Introduction: Almost 90% of chronic obstructive pulmonary disease (COPD) deaths occur in low- and middle-income countries (LMICs), where there are large rural populations and access to health care for COPD is poor. The purpose of this study was to compare urban-rural provider experiences regarding systemic facilitators and barriers to COPD management and treatment access. Methods: We conducted a qualitative study using direct observations and in-depth semi-structured interviews with 16 and 10 health care providers in urban Kampala and rural Nakaseke, Uganda, respectively...
January 4, 2019: Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation
Lisa A Ruble, John H McGrew, Wing Hang Wong, Kristen N Missall
Although data-based decision making is an evidence-based practice, many special educators have difficulty applying the practice within daily routines. We applied the Theory of Planned Behavior (TPB) to understand the influences that promote or hinder early childhood special educators' intentions to collect data. We assessed three influences on behavioral intention to collect data derived from the TPB: (a) attitude toward collecting data, (b) social norms for collecting data, and (c) perceived behavioral control for collecting data...
June 2018: Journal of Early Intervention
Robert L Gates, Mitchell Price, Danielle B Cameron, Stig Somme, Robert Ricca, Tolulope A Oyetunji, Yigit S Guner, Ankush Gosain, Robert Baird, Dave R Lal, Tim Jancelewicz, Julia Shelton, Karen A Diefenbach, Julia Grabowski, Akemi Kawaguchi, Roshni Dasgupta, Cynthia Downard, Adam Goldin, John K Petty, Steven Stylianos, Regan Williams
PURPOSE: The American Pediatric Surgical Association (APSA) guidelines for the treatment of isolated solid organ injury (SOI) in children were published in 2000 and have been widely adopted. The aim of this systematic review by the APSA Outcomes and Evidence Based Practice Committee was to evaluate the published evidence regarding treatment of solid organ injuries in children. METHODS: A comprehensive search strategy was crafted and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles...
January 31, 2019: Journal of Pediatric Surgery
Zoe Belshaw, Natalie Jane Robinson, Marnie Louise Brennan, Rachel S Dean
Preventive healthcare is the focus of a large proportion of UK small animal veterinary consultations. The evidence base for how to optimise these consultations is limited. Therefore, evidence-based practical recommendations are needed for veterinary surgeons conducting these consultations. The aim of this study was to use an evidence-based methodology to develop the first consensus recommendations to improve dog and cat preventative healthcare consultations (PHCs).Evidence from multiple sources was systematically examined to generate a list of 18 recommendations...
February 14, 2019: Veterinary Record
Mary Jo Knobloch, Kevin V Thomas, Jackson Musuuza, Nasia Safdar
BACKGROUND: Despite efforts to prevent health care-associated infections (HAIs), these infections continue to challenge health care systems. The Centers for Disease Control and Prevention emphasizes implementation of evidence-based practices. Within the complex health care environment, sustained implementation calls for work systems that harness expertise of interprofessional teams, which, in turn, calls for suitable executive, mid-level, and local leadership. The purpose of this review is to highlight the need to study leadership when using a systems approach to reduce HAIs...
February 12, 2019: American Journal of Infection Control
Jennifer Watling Neal, Zachary P Neal
BACKGROUND: Although there is growing recognition that the implementation of evidence-based practices is a social process, the conceptualization of social capital in implementation frameworks often conflates bonding and bridging social capital. This conflation makes it difficult to concretely operationalize social capital and limits the concept's utility for explaining implementation outcomes. DISCUSSION: We propose a new framework of implementation capital that merges an existing conceptual framework of implementation outcomes with an existing operational framework of social capital...
February 14, 2019: Implementation Science: IS
Sherill Nones Cronin, Jill Berger, Debbie Nelson, Celeste R Romp, Reetta Stikes, Gracie Wishnia
Nursing professional development specialists may find it challenging time and cost-wise to meet the educational needs of nurses in the areas of research and evidence-based practice amidst competing education priorities. Furthermore, it may be difficult to find presenters with the necessary knowledge and expertise to do so. Collaboration among local hospitals to provide a high-quality research education program can advance scholarly work within the community and can help each organization meet selected Magnet® requirements in an economical way...
February 11, 2019: Journal for Nurses in Professional Development
Oana Mitrofan, Hristina Petkova, Astrid Janssens, Jonathan Kelly, Eve Edwards, Dasha Nicholls, Fiona McNicholas, Mima Simic, Ivan Eisler, Tamsin Ford, Sarah Byford
BACKGROUND: Perspectives of young people with eating disorders and their parents on helpful aspects of care should be incorporated into evidence-based practice and service design, but data are limited.AimsTo explore patient and parent perspectives on positive and negative aspects of care for young people with eating disorders. METHOD: Six online focus groups with 19 young people aged 16-25 years with existing or past eating disorders and 11 parents. RESULTS: Thematic analysis identified three key themes: the need to (a) shift from a weight-focused to a more holistic, individualised and consistent care approach, with a better balance in targeting psychological and physical problems from an early stage; (b) improve professionals' knowledge and attitude towards patients and their families at all levels of care from primary to 'truly specialist'; (c) enhance peer and family support...
January 2019: BJPsych Open
Brynmor Lloyd-Evans, David Osborn, Louise Marston, Danielle Lamb, Gareth Ambler, Rachael Hunter, Oliver Mason, Sarah Sullivan, Claire Henderson, Steve Onyett, Elaine Johnston, Nicola Morant, Fiona Nolan, Kathleen Kelly, Marina Christoforou, Kate Fullarton, Rebecca Forsyth, Mike Davidson, Jonathan Piotrowski, Edward Mundy, Gary Bond, Sonia Johnson
BACKGROUND: Crisis resolution teams (CRTs) offer brief, intensive home treatment for people experiencing mental health crisis. CRT implementation is highly variable; positive trial outcomes have not been reproduced in scaled-up CRT care.AimsTo evaluate a 1-year programme to improve CRTs' model fidelity in a non-masked, cluster-randomised trial (part of the Crisis team Optimisation and RElapse prevention (CORE) research programme, trial registration number: ISRCTN47185233). METHOD: Fifteen CRTs in England received an intervention, informed by the US Implementing Evidence-Based Practice project, involving support from a CRT facilitator, online implementation resources and regular team fidelity reviews...
February 14, 2019: British Journal of Psychiatry: the Journal of Mental Science
Inga M Zadvinskis, Bernadette Mazurek Melnyk
No abstract text is available yet for this article.
February 2019: Worldviews on Evidence-based Nursing
Douglas Redd, Yijun Shao, Yan Cheng, Qing Zeng-Treitler
Medical treatments change over time for multiple reasons, including introduction of new treatments, availability of new scientific evidence, change in institutional guidelines, and market efforts by pharmaceutical and medical device companies. Monitoring and analyzing these secular trends will also inform the evaluation of evidence based practice as well as outcome research. Using a large national clinical dataset from the United States Veterans Health Administration (VHA), we measured the change in prevalence of all diseases, medications, and procedures by year from 2001 to 2014...
February 12, 2019: Journal of Medical Systems
Nathaniel J Williams, Hannah E Frank, Lindsay Frederick, Rinad S Beidas, David S Mandell, Gregory A Aarons, Philip Green, Jill Locke
BACKGROUND: Implementation researchers have typically studied organizational culture and climate by testing whether individual dimensions are linked to the implementation of evidence-based practices (EBPs) rather than examining how the overarching social context influences implementation. This approach may limit implementation theory and strategy development to the extent that individual dimensions of culture and climate interact, mutually reinforce or counteract one another, or exhibit non-linear relationships...
February 12, 2019: Implementation Science: IS
Sarah McCue Horwitz, Kristen Lewis, Alissa Gleacher, Nicole Wang, Donna M Bradbury, Meredith Ray-LaBatt, Kimberly Eaton Hoagwood
OBJECTIVE: The authors documented rates of sustained use of an evidence-based practice following training sponsored by New York State (NYS), and they identified clinician characteristics related to sustained use. METHODS: Clinicians (N=89) who were employed in licensed NYS Office of Mental Health agencies serving children and adolescents and who were trained to proficiency in Managing and Adapting Practice (MAP) in 2016 were contacted between 9 and 18 months later and asked whether they were still using (users) or had stopped using (nonusers) MAP and their reason for doing so...
February 13, 2019: Psychiatric Services: a Journal of the American Psychiatric Association
Sarah H Ailey, Tricia J Johnson, Andrea Cabrera
Patients with autism spectrum disorder and/or intellectual disability (ASD/ID) face unique health care challenges. In addition to hospital experiences characterized by fear and insufficient staff training, these patients have 1.5-times longer lengths of stay (LOS) than patients without ASD/ID, and 3.4% of patients with ASD/ID have prolonged LOS (i.e., ≥30 days). Little research exists on factors related to prolonged LOS of patients with ASD/ID, hindering efforts to develop and implement evidence-based practices to improve care and reduce prolonged LOS...
February 8, 2019: Journal of Psychosocial Nursing and Mental Health Services
Jill Theresa Messing
Intimate partner violence (IPV) is a pervasive problem in the United States. IPV is often repetitive and may escalate; in a small number of cases, IPV leads to homicide. This article presents an evidence-based practice (EBP) model for risk-informed social work intervention with survivors and perpetrators of IPV. The EBP model combines the best available research evidence, practitioner expertise, and client self-determination to determine the most appropriate intervention. IPV risk assessment instruments provide the best available evidence of future reassault, severe reassault, or homicide...
February 7, 2019: Social Work
Rinad S Beidas, Kevin G Volpp, Alison N Buttenheim, Steven C Marcus, Mark Olfson, Melanie Pellecchia, Rebecca E Stewart, Nathaniel J Williams, Emily M Becker-Haimes, Molly Candon, Zuleyha Cidav, Jessica Fishman, Adina Lieberman, Kelly Zentgraf, David Mandell
BACKGROUND: Efficacious psychiatric treatments are not consistently deployed in community practice, and clinical outcomes are attenuated compared with those achieved in clinical trials. A major focus for mental health services research is to develop effective and cost-effective strategies that increase the use of evidence-based assessment, prevention, and treatment approaches in community settings. OBJECTIVE: The goal of this program of research is to apply insights from behavioral economics and participatory design to advance the science and practice of implementing evidence-based practice (EBP) for individuals with psychiatric disorders across the life span...
February 12, 2019: JMIR Research Protocols
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