This article is Part 1 of a two-part series designed. Evidenced-Based Case Management Practice, Part 1. The Systematic Review

Size: px
Start display at page:

Download "This article is Part 1 of a two-part series designed. Evidenced-Based Case Management Practice, Part 1. The Systematic Review"

Transcription

1 CE Professional Case Management Vol. 14, No. 2, Copyright 2009 Wolters Kluwer Health Lippincott Williams & Wilkins Evidenced-Based Case Management Practice, Part 1 The Systematic Review Terry Throckmorton, PhD, RN, and Pamela E. Windle, MS, RN, NE-BC, CPAN, CAPA ABSTRACT Objectives: This article aims to (1) describe the steps in the development of a systematic review, (2) discuss the use of systematic reviews in developing an evidence base for case management practice, and (3) present listings of agencies that provide systematic reviews on clinical topics and resources to evaluate systematic reviews for application to practice. Primary Practice Settings: Evidence-based practice is mandated for all healthcare professionals regardless of setting. For nonacademic settings, a lack of library resources may make this mandate difficult to accomplish. Systematic reviews are available through agency Web sites and, therefore, are accessible to anyone with Internet access. Findings/Conclusions: Evidence-based practice supports professionalism, patient safety, and quality care. However, most case managers, have heavy workloads and limited time to complete literature reviews adequate to provide a basis for clinical decision making. For that reason, systematic reviews are developed and published by a variety of professional groups, including clinicians, academics, researchers, and library systems. This article focuses on the systematic review and includes definitions, a comparison of types of reviews, the process for completing systematic reviews, sources of systematic reviews, and tools used to critique them. Implications for Case Management Practice: Systematic reviews can be helpful tools to allow busy case managers to provide the safest and most effective care to their patients. They can support the development of guidelines specific to case management such as transitioning care to other institutions or to the patient s home, management of the patient in the community, and prevention of recidivism or unplanned return to an acute care setting. Key Words: case management, critical appraisal, evidence-based practice, research, sources of evidence, systematic review This article is Part 1 of a two-part series designed to provide information on sources of evidence for incorporation into practice. Part 1 describes the systematic review, how it is conducted, tools to critique reviews, and how they can be used to support practice. Part 2 will address meta-analysis, how the process differs from systematic review, how to evaluate a meta-analysis, and how to use the evidence in practice. Evidence-based practice (EBP) has been with us in various forms and degrees throughout the history of our profession. Over the last years, a very refined comprehensive approach to establishing an evidence base for clinical practice has evolved. Healthcare, and certainly case management, has moved from the original few reference citations supporting practices to the more formal research utilization process, and then to the current comprehensive evidence-based approach to supporting practice decisions. As the process has developed, the required skills and the volume of work have also escalated. Each of us as practicing clinicians, case managers, educators, practitioners, and managers should be knowledgeable of the process involved in EBP and the skills required. This article addresses the systematic review, one aspect of EBP that, when available for a specific topic, can save case managers and other healthcare professionals a significant amount of time and work. The authors have no conflict of interest. Address correspondence to Terry Throckmorton, PhD, RN, The Methodist Hospital, 6565 Fannin, MGJH , Houston, TX (TAThrockmorton@ tmhs.org). 76 Professional Case Management March/April 2009

2 EVIDENCE-BASED PRACTICE Evidence-based practice is the conscientious, deliberate, and judicious use of the best available evidence (Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996) in conjunction with clinical experience and patient preference to make decisions about patient care (American Psychological Association, 2006; Gambrill, 2003; Gilgun, 2006; Ingersoll, 2000). As the definition implies, best evidence means that the clinician actually knows what evidence exists and what portion of the evidence represents the best available evidence. Obviously, reviewing the literature for all available studies and critiquing them to determine the best current approach requires a time commitment that most case managers do not have. This process also often requires levels of expertise in research and statistical analysis that clinicians may not have acquired. In its best form, the process also includes analysis of any available unpublished research. The solution for accomplishing EBP for most areas of practice, including case management, is to utilize systematic reviews of research. TYPES OF REVIEWS A systematic review is the use of scientific methods to assemble, critically appraise, and synthesize pertinent studies that address a specific clinical question (Pai et al., 2004; Sweet & Moynihan, 2007). Systematic reviews, one of the higher levels of evidence, are very different from the standard literature reviews that have served us in the past. Literature reviews, sometimes called narrative reviews, are often developed to provide evidence around a specific variable for a research study or as a basis for designing a process improvement or similar project. Narrative reviews may or may not be biased toward the proposed intervention the investigator planned to study. There is often a critique of the study designs and an effort to define what has not been covered in previous research. Unlike systematic reviews, standard literature reviews do not usually have stringent criteria for (1) what types of studies are included and (2) rigorous evaluation of the validity and reliability of the measurement and outcomes. There may or may not be bias in the presentation of the studies. There is usually not a significant effort to determine what unpublished evidence is available and what those studies indicate. Occasionally, studies presented at professional meetings are included in the review. See Table 1 for definitions of terms used in this article. Systematic reviews can be classified as investigations in themselves, with a stated methodology and collection of data for analysis. They involve an exhaustive review of the literature for specific types of studies outlined in explicit selection criteria. Each article is critiqued using standard critique guidelines, and conclusions are drawn about the validity of the data and the applicability of the findings to practice. Systematic reviews are divided into two types: qualitative and quantitative or meta-analysis (Cook et al., 1997; Duke University Medical Library, 2004). Qualitative systematic reviews are summaries of all the studies found on a well-defined topic along with an evaluation of the scientific merit of the studies. Quantitative reviews or meta-analyses are systematic reviews in which the results of multiple studies are TABLE 1 Definitions Terms Evidence-based practice Narrative or descriptive review Systematic or qualitative review Meta-analysis or quantitative review Critical appraisal Definitions Evidence-based practice is the conscientious, deliberate, and judicious use of the best available evidence (Sackett et al., 1996) in conjunction with clinical experience and patient preference to make decisions about patient care (American Psychological Association, 2006; Gambrill, 2003; Gilgun, 2006; Ingersoll, 2000). Narrative reviews are literature summaries related to a specific topic that are most frequently completed to support a research study or project. There may or may not be a critique of the included articles, and there is often no description of the search strategy. A systematic review is the use of scientific methods to assemble, critically appraise, and synthesize pertinent studies that address a specific clinical question (Pai et al., 2004; Sweet & Moynihan, 2007). Systematic reviews may also be called qualitative reviews (Cook, Mulrow, & Haynes, 1997). Quantitative reviews or meta-analyses are systematic reviews in which the results of multiple studies are pooled and analyzed as though they were one study (Cook et al., 1997; Sackett et al., 1996). Critical appraisal is the systematic review of a research study using standard criteria to determine its scientific merit. Vol. 14/No. 2 Professional Case Management 77

3 Evidence-based practice is the conscientious, deliberate, and judicious use of the best available evidence in conjunction with clinical experience and patient preference to make decisions about patient care. pooled and analyzed as though they were one study. These three types of reviews narrative, qualitative systematic, and quantitative systematic may also be called reviews, overviews, and meta-analysis by some experts (Centre for Evidence-Based Dentistry, 2008; Sackett et al., 1996). Case managers can use the systematic reviews to provide a broader base of evidence on which to base practice and make decisions. For example, The Cochrane Library of Systematic Reviews includes a review on transitioning patients to a nurse-led step-down unit before transitioning home and another manuscript on day centers for patients with mental illness. The available reviews may support a specific process for transitioning care but more often will support nursing interventions that improve the quality of care for patients transitioned to different levels inside and outside of the care system. HOW IS ASYSTEMATIC REVIEW CONDUCTED? Step 1: Determining Whether the Review Is Necessary and Feasible Researchers who decide to undertake a systematic review begin by sharing their idea with the subject and methodology experts. Experts in this area can provide advice about the worth and feasibility of the topic. Surveying the systematic review sources is also important to ensure that the proposed work has not already been done. A general survey of the available literature will allow the investigator to estimate need and feasibility. If there is no research available, then the systematic review is not feasible. Before progressing any further, the investigator may want to consider where the review will be published. Each organization that maintains a library of systematic reviews has requirements for how the review is to be conducted and the format for how the report is to be written. The Cochrane Library (Oxman, 1995) is probably the best known and has published its manual on its Web site. Step 2: Formulating the Research Question The criteria for the question are similar to those for any evidence-based literature search: population or medical problem, specific intervention of interest, comparison group, outcome of interest, and specific study design. Each criterion should be clearly defined. An example would be as follows: Population: Patients being transferred from hospital to nursing home Intervention: Use of a standard format for handoff from nursing home to Emergency Medical Transport to hospital Comparison Group: Standard reporting process Outcome: Reduction in errors related to incomplete reporting Study Design randomized controlled trials Step 3: Selecting a Study Protocol There are multiple approaches to designing the protocol for the systematic review, most of which are defined by the organization for which the review will be done. Investigators who are not working with a specific systematic review collective can still adopt the format of one of the groups such as the Cochrane Collaboration ( The investigator should be aware of the time commitment and the cost of conducting a systematic review. Most reviews commonly last from 6 to 18 months. Costs include the investigator s time, photocopying, interlibrary loans, and possibly long-distance phone calls to speak with the authors of unpublished studies. In this technological age of and the Internet, photocopying and phone expenses may be diminished, but some costs should be expected. Step 4: Determining a Search Strategy and the Extent of the Search Initially, the investigator should determine what disciplines are likely to have published literature related to the topic and whether there are any previously completed reviews. Then the related search drives are identified. The criteria for the question are expanded to determine inclusion and exclusion criteria. In other words, how terms must be defined, what is acceptable as a treatment, and how the outcomes should be measured. In addition to standard search drives, citation indexes can be used to identify the authors who are repeatedly cited by other researchers. These studies are usually the baseline or landmark studies related to your topic. Other approaches that may be used are manual searches of journal index pages and searches of the reference lists in articles already selected for the review. Finally, unpublished studies can be obtained from the abstracts presented at conferences. The abstracts of many professional associations are published on their Web sites or in their journals. The authors can be contacted for the details of the studies. 78 Professional Case Management March/April 2009

4 TABLE 2 Samples Critical Appraisal Skills Program Centre for Evidence Based Medicine AHRQ Systems to Rate the Strength of Scientific Evidence Summary Systematic Review Critical Appraisal Worksheet Pediatric Critical Care Web site University of Glasgow Evaluation of systematic reviews of treatment or prevention interventions Netting the Evidence Duke University Medical Library curriculum/journalclub/pdf s/systematic_review.pdf; inter&q=systematic+review+critical+appraisal+worksheet evidencebasedpractice/checklists/#d.en Step 5: Matching References With the Criteria for Inclusion This process eliminates those that do not measure up, analyzing the validity of the results and ranking the articles according to value. It facilitates the investigator s effort to provide the best available evidence on a specific, precisely defined topic. Step 6: Organizing and Writing the Review Readers who hope to use the systematic review will expect that the final document includes a description of each step and the process used to accomplish it. The readers can then estimate the rigor of the review and better assess the validity of the completed review for their purposes. See Table 2 for sources of appraisal instruments. Uses and Availability Obviously, systematic reviews constitute a significant investment in terms of time, expense, and expertise. For the busy case manager with large caseloads for follow-up who has very little time to complete the well-designed and executed literature searches, current systematic reviews are great finds. Systematic reviews may provide an overview of research related to community care of patients with chronic disease or of independent nursing functions that may enhance the patient s transition from hospital or interim care to home. For example, the TABLE 3 Systematic Review Sources The Cochrane Collaboration BMJ Systematic Reviews in Health Care National Guidelines Clearinghouse Agency for Healthcare Research and Quality PubMed Clinical Queries Joanna Briggs Institute Health Information Research Unit Task Force on Community Preventive Services Centre for Evidence Based Medicine Clinical Evidence Health Links, University of Washington MD Consult Nursing Best Practice Guidelines &SiteNodeID 133&BL_ExpandID &AA_Shell Vol. 14/No. 2 Professional Case Management 79

5 (As) with any new approach, patient preferences must be considered. The best case management process can be very ineffective or inefficient if the process does not work well with your population or institution or is not accepted by management. Cochrane Database of Systematic Reviews includes a systematic review on telephone follow-up of patients discharged home and one on home-based versus center-based physical activity programs in older adults. Currently, the majority of the systematic reviews are disease management focused with a much smaller number related to healthcare process. However, many of the clinical systematic reviews can be used by case managers to determine the optimum route for patients to take through the system and into the community on the basis of the current best evidence for disease management and rehabilitation. Issues related to transition of care from home, through the varied outpatient and inpatient points, and back to home have long been recognized by nurses, but have only recently received general recognition as a necessary focus for caregivers. As the research in this area begins to accumulate, researchers may decide that a systematic review is necessary. In the interim, case managers are in an excellent position to collaborate with nurse investigators to design and conduct the research needed to support practice and safeguard the patient. SOURCES OF SYSTEMATIC REVIEWS Sources of systematic reviews have incrementally increased as the demand for EBP has grown. Some of these sources are listed in Table 3. Each of these Web sites was accessed on December 10, Most of the sources are Web based and easily accessible to case managers in any setting with computer access. Commercial search drives, such as Nursing Reference Center, Dynamed, Clinical Evidence, Up to Date, and MD Consult are available by subscription. Just as sources of systematic reviews have increased, so have Web sites with criteria for the evaluation of systematic reviews. Because there are many individuals and organizations conducting systematic reviews with varying degrees of rigor, evaluation of the validity of the review is an important step before applying the results to changes in practice. A sampling of these Web sites is listed in Table 2. All Web sites were accessed on December 10, SUMMARY Systematic reviews, clearly, can be helpful for busy case managers in their attempt to plan the most current and safest care for their patients. However, as with any other tool, there is an inherent responsibility in case management to evaluate the validity of the resulting recommendations. In addition, case managers will want to compare the populations included in the research for similarity with the ones with which they are working. Finally, as with any new approach, patient preferences must be considered. The best case management process can be very ineffective or inefficient if the process does not work well with your population or institution or is not accepted by management. Patients make decisions about their healthcare on the basis of circumstances or preferences that may not have been considered in the research for the systematic review. Case managers and clinical nurses are in the best position to understand the bases for patients decisions and to adjust best practices to meet the needs of patients. A systematic review identifying best processes in discharging patients to the next continuum of care or transferring to the next level of care, when available, might reveal some differences in the processes and provide helpful suggestions that may result in improved options for the case manager and interdisciplinary team in making the transition. Systematic reviews about the efficacy of specific types of community resources may assist the case manager in determining referrals, the need for follow-up evaluation of the program, and the criteria to use in evaluating it. REFERENCES American Psychological Association. (2006). APA presidential task force on evidence based practice. Washington, DC: Author. Centre for Evidence-Based Dentistry. (2008). Systematic reviews. Retrieved December 10, 2008, from index.aspx?o 1059 Cochrane Database of Systematic Reviews. (2008, 4th Quarter). Retrieved December 10, 2008, from Cook, D. J., Mulrow, C. D., & Haynes, R. B. (1997). Systematic reviews: Synthesis of best evidence for clinical decisions. Academia and Clinic, 126(5), Duke University Medical Library. (2004). Evaluating a systematic review article. Retrieved December 10, 2008, from pdaformat/overviewpda.html 80 Professional Case Management March/April 2009

6 Gambrill, E. (2003). Evidence-based practice: Implications for knowledge development and use in social work. In A. Rosen & E. Proctor (Eds.), Developing practice guidelines for social work intervention (pp ). New York: Columbia University Press. Gilgun, J. (2006). The four cornerstones of qualitative research. Qualitative Health Research, 16(3), Ingersoll, G. L. (2000). Evidence-based nursing: What it is and what it isn t. Nursing Outlook, 48(4), Oxman, A. (Ed). (1995). Preparing and maintaining systematic reviews. In Cochrane Collaboration handbook, section VI. Oxford, UK: Cochrane Collaboration. Pai, M., McCulloch, M., Gorman, J., Pai, N., Enanoria, W., Kennedy, G., et al. (2004). Systematic reviews and meta-analyses: An illustrated step-by-step guide. The National Medical Journal of India, 17(2), Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: What it is and what it isn t. British Medical Journal, 312, Retrieved from bmj.bmjjournals.com/cgi/content/full/312/7023/71 Sweet, M., & Moynihan, R. (2007). Improving population health: The uses of systematic reviews. Retrieved February 12, 2009, from reports Terry Throckmorton, PhD, RN, is an experienced researcher and has served on several institutional review boards and scientific review committees. She has served for two terms as institutional review board vice chair for a large oncology center. She is a nurse scientist for a large medical center hospital system and has taught research and statistics at Texas Woman s University. Pamela E. Windle, MS, RN, NE-BC, CPAN, CAPA, is an experienced perianesthesia nurse manager, has conducted several research studies in her department, is very active with nursing professional organizations, and is an ASPAN past president. She has been the JoPAN research columnist and is currently the coeditor for the second edition of Nursing PeriAnesthesia Core Curriculum book. Vol. 14/No. 2 Professional Case Management 81

Evidence based practice: Colorectal cancer nursing perspective

Evidence based practice: Colorectal cancer nursing perspective Evidence based practice: Colorectal cancer nursing perspective Professor Graeme D. Smith Editor Journal of Clinical Nursing Edinburgh Napier University China Medical University, August 2017 Editor JCN

More information

How to Find and Evaluate Pertinent Research. Levels and Types of Research Evidence

How to Find and Evaluate Pertinent Research. Levels and Types of Research Evidence AACN Advanced Critical Care Volume 24, Number 4, pp. 416-420 2013 AACN Clinical Inquiry Bradi B. Granger, RN, PhD Department Editor How to Find and Evaluate Pertinent Research Adrianne Leonardelli, MLIS

More information

The optimal use of existing

The optimal use of existing Weighing the Evidence Jaynelle F. Stichler, DNSc, RN, FACHE, EDAC, FAAN The optimal use of existing research evidence to guide design decisions is referred to as evidence-based design. Sackett, Rosenberg,

More information

ECLEPS CEL Workshop July 16, 2008 Evidence Based Practice (EBP)

ECLEPS CEL Workshop July 16, 2008 Evidence Based Practice (EBP) ECLEPS CEL Workshop July 16, 2008 Evidence Based Practice (EBP) Definition: Evidence Based Practice Evidence based nursing practice is the conscientious, explicit and judicious use of theoryderived, research-based

More information

Objectives. EBP: A Definition. EBP: A Definition. Evidenced-Based Practice and Research: The Fundamentals. EBP: The Definition

Objectives. EBP: A Definition. EBP: A Definition. Evidenced-Based Practice and Research: The Fundamentals. EBP: The Definition Objectives Evidenced-Based Practice and Research: The Fundamentals March 22, 2011 EBP Boot Camp Presentation by Cynthia A. Oster, PhD, MBA, RN, CNS-BC, ANP Upon completion of this educational activity,

More information

Evidence-Based Practice for Nursing

Evidence-Based Practice for Nursing Evidence-Based Practice for Nursing The Essentials of Baccalaureate Education for Professional Nursing Practice Pages 15-20 in: http://www.aacn.nche.edu/educationresources/baccessentials08.pdf AACN Essential

More information

Objectives. Preparing Practice Scholars: Implementing Research in the DNP Curriculum. Introduction

Objectives. Preparing Practice Scholars: Implementing Research in the DNP Curriculum. Introduction Objectives Preparing Practice Scholars: Implementing Research in the DNP Curriculum 2011 Symposium Produced by Members of NONPF s Research SIG To discuss the levels of DNP research competencies currently

More information

Systematic Review. Request for Proposal. Grant Funding Opportunity for DNP students at UMDNJ-SN

Systematic Review. Request for Proposal. Grant Funding Opportunity for DNP students at UMDNJ-SN Systematic Review Request for Proposal Grant Funding Opportunity for DNP students at UMDNJ-SN Sponsored by the New Jersey Center for Evidence Based Practice At the School of Nursing University of Medicine

More information

Exploring the Science of Evidence Based Nursing. Presented by Geneva Craig, PhD, RN

Exploring the Science of Evidence Based Nursing. Presented by Geneva Craig, PhD, RN Exploring the Science of Evidence Based Nursing Presented by Geneva Craig, PhD, RN Exploring To make a careful investigation or study of something Making a careful search Searching for the purpose of discovery

More information

Clinical Development Process 2017

Clinical Development Process 2017 InterQual Clinical Development Process 2017 InterQual Overview Thousands of people in hospitals, health plans, and government agencies use InterQual evidence-based clinical decision support content to

More information

Chapter 2: Evidence-Based Nursing Practice

Chapter 2: Evidence-Based Nursing Practice Nieswiadomy, 7e IRM Chapter 2 1 Chapter 2: Evidence-Based Nursing Practice LEARNING OUTCOMES 1. Summarize the importance of evidence-based practice in the field of nursing 2. Differentiate between research

More information

Washington State Council of Perioperative Nurses October 14, 2011 Janet G. Schnall, MS, AHIP HEAL-WA University of Washington Health Sciences

Washington State Council of Perioperative Nurses October 14, 2011 Janet G. Schnall, MS, AHIP HEAL-WA University of Washington Health Sciences Washington State Council of Perioperative Nurses October 14, 2011 Janet G. Schnall, MS, AHIP HEAL-WA University of Washington Health Sciences Libraries Seattle, WA schnall@uw.edu Objectives By the end

More information

Objectives. Evidence Based Resources for Answering Clinical Questions: Only a Click Away. What is Evidence Based Practice?

Objectives. Evidence Based Resources for Answering Clinical Questions: Only a Click Away. What is Evidence Based Practice? Evidence Based Resources for Answering Clinical Questions: Only a Click Away Janet G Schnall, MS, AHIP Objectives Describe web resources to use for evidencebased nursing (EBN) practice Identify strategies

More information

The Quest to Shape Health Policy Through Nursing Research Lessons from Legends: Power, Policy and Practice KUMC School of Nursing April 19, 2013

The Quest to Shape Health Policy Through Nursing Research Lessons from Legends: Power, Policy and Practice KUMC School of Nursing April 19, 2013 The Quest to Shape Health Policy Through Nursing Research Lessons from Legends: Power, Policy and Practice KUMC School of Nursing April 9, 0 Quest is Three Fold: Professional quest to guide nursing practice

More information

Nursing skill mix and staffing levels for safe patient care

Nursing skill mix and staffing levels for safe patient care EVIDENCE SERVICE Providing the best available knowledge about effective care Nursing skill mix and staffing levels for safe patient care RAPID APPRAISAL OF EVIDENCE, 19 March 2015 (Style 2, v1.0) Contents

More information

Essential Skills for Evidence-based Practice: Evidence Access Tools

Essential Skills for Evidence-based Practice: Evidence Access Tools Essential Skills for Evidence-based Practice: Evidence Access Tools Jeanne Grace Corresponding author: J. Grace E-mail: Jeanne_Grace@urmc.rochester.edu Jeanne Grace RN PhD Emeritus Clinical Professor of

More information

Assessing competence during professional experience placements for undergraduate nursing students: a systematic review

Assessing competence during professional experience placements for undergraduate nursing students: a systematic review University of Wollongong Research Online Faculty of Science, Medicine and Health - Papers Faculty of Science, Medicine and Health 2012 Assessing competence during professional experience placements for

More information

Disclosures. The Nuts and Bolts of Orthopaedic Nursing Research. Objectives. Learner Outcome 12/7/2016

Disclosures. The Nuts and Bolts of Orthopaedic Nursing Research. Objectives. Learner Outcome 12/7/2016 The Nuts and Bolts of Orthopaedic Nursing Research Dawn Denny, PhD, RN, ONC Disclosures Conflict of Interest I hereby certify that, to the best of my knowledge, no aspect of my current personal or professional

More information

Level 1: Introduction to Evidence-Informed Practice

Level 1: Introduction to Evidence-Informed Practice Evidence-Informed Practice Workshop Series Level 1: Introduction to Evidence-Informed Practice Session Outline What is Evidence Informed Practice Levels of Evidence Develop a research-able question PICO

More information

Relevant Courses and academic requirements. Requirements: NURS 900 NURS 901 NURS 902 NURS NURS 906

Relevant Courses and academic requirements. Requirements: NURS 900 NURS 901 NURS 902 NURS NURS 906 Department/Academic Unit: School of Nursing, Doctoral (PhD) Degree Level Expectations, Learning Outcomes, Indicators of Achievement and the Program Requirements that Support the Learning Outcomes Expectations

More information

Effect of DNP & MSN Evidence-Based Practice (EBP) Courses on Nursing Students Use of EBP

Effect of DNP & MSN Evidence-Based Practice (EBP) Courses on Nursing Students Use of EBP Effect of DNP & MSN Evidence-Based Practice (EBP) Courses on Nursing Students Use of EBP Richard Watters, PhD, RN Elizabeth R Moore PhD, RN Kenneth A. Wallston PhD Page 1 Disclosures Conflict of interest

More information

FANNP 28TH NATIONAL NNP SYMPOSIUM: CLINICAL UPDATE AND REVIEW OCTOBER 17-21, 2017

FANNP 28TH NATIONAL NNP SYMPOSIUM: CLINICAL UPDATE AND REVIEW OCTOBER 17-21, 2017 How Can NNPs Perform Evidence-Based Practice at the Bedside? Bobby B. Bellflower, DNSc, APRN-BC, NNP-BC Associate Professor, Director of DNP Programs University of Tennessee Health Science Center Neonatal

More information

Institute of Medicine Standards for Systematic Reviews

Institute of Medicine Standards for Systematic Reviews Institute of Medicine Standards for Systematic Reviews Christopher H Schmid Tufts University ILSI 23 January 2012 Phoenix, AZ Disclosures Member of Tufts Evidence-Based Practice Center Member, External

More information

SYSTEMATIC REVIEW METHODS. Unit 1

SYSTEMATIC REVIEW METHODS. Unit 1 SYSTEMATIC REVIEW METHODS Unit 1 GETTING STARTED Introduction Schedule Ground rules EVALUATION Class Participation (20%) Contribution to class discussions Evidence of critical thinking Engagement in learning

More information

Evidence-Based Practice Pulling the pieces together. Lynette Savage, RN, PhD, COI March 2017

Evidence-Based Practice Pulling the pieces together. Lynette Savage, RN, PhD, COI March 2017 Evidence-Based Practice Pulling the pieces together Lynette Savage, RN, PhD, COI March 2017 Learning Objectives Delineate the differences between Quality Improvement (QI), Evidence Based Practice (EBP),

More information

KNOWLEDGE SYNTHESIS: Literature Searches and Beyond

KNOWLEDGE SYNTHESIS: Literature Searches and Beyond KNOWLEDGE SYNTHESIS: Literature Searches and Beyond Ahmed M. Abou-Setta, MD, PhD Department of Community Health Sciences & George & Fay Yee Centre for Healthcare Innovation University of Manitoba Email:

More information

Rapid Review Evidence Summary: Manual Double Checking August 2017

Rapid Review Evidence Summary: Manual Double Checking August 2017 McGill University Health Centre: Nursing Research and MUHC Libraries What evidence exists that describes whether manual double checks should be performed independently or synchronously to decrease the

More information

Evidence-based Practice, Research, and Quality Improvement What s the Difference?

Evidence-based Practice, Research, and Quality Improvement What s the Difference? Evidence-based Practice, Research, and Quality Improvement What s the Difference? Susan B Stillwell, DNP, RN, CNE, ANEF, FAAN Associate Professor School of Nursing University of Portland Portland, OR Quality

More information

Evidence-Based Nursing Practice. Day 1: Intro To EBNP

Evidence-Based Nursing Practice. Day 1: Intro To EBNP Evidence-Based Nursing Practice Day 1: Intro To EBNP Dec 11, 2015 Francesca Frati, BFA, MLIS Julia Kleinberg, BA, MLIS EBNP for infection prevention & control Two day-long workshops designed to help develop

More information

Course Instructor Karen Migl, Ph.D, RNC, WHNP-BC

Course Instructor Karen Migl, Ph.D, RNC, WHNP-BC Stephen F. Austin State University DeWitt School of Nursing RN-BSN RESEARCH AND APPLICATION OF EVIDENCE BASED PRACTICE SYLLABUS Course Number: NUR 439 Section Number: 501 Clinical Section Number: 502 Course

More information

Evidence Based Practice or Practice Based Evidence: what is the difference? Dr Anne Payne Associate Professor of Dietetics

Evidence Based Practice or Practice Based Evidence: what is the difference? Dr Anne Payne Associate Professor of Dietetics Evidence Based Practice or Practice Based Evidence: what is the difference? Dr Anne Payne Associate Professor of Dietetics Overview 1. What is Evidence Based Practice (EBP)? 2. What is Practice Based Evidence..

More information

Evidence-Based Practice. An Independent Study Short Course for Medical-Surgical Nurses

Evidence-Based Practice. An Independent Study Short Course for Medical-Surgical Nurses Evidence-Based Practice An Independent Study Short Course for Medical-Surgical Nurses This module was developed by the Clinical Practice Committee of the Academy of Medical-Surgical Nurses, in accordance

More information

Facilitating Undergraduate Nursing Students Appraisal of Evidence

Facilitating Undergraduate Nursing Students Appraisal of Evidence Marquette University e-publications@marquette College of Nursing Faculty Research and Publications Nursing, College of 1-1-2014 Facilitating Undergraduate Nursing Students Appraisal of Evidence Margaret

More information

Preparing the Way for Routine Health Outcome Measurement in Patient Care. Keywords: Health Status; Health Outcomes; Electronic Medical Records; UMLS.

Preparing the Way for Routine Health Outcome Measurement in Patient Care. Keywords: Health Status; Health Outcomes; Electronic Medical Records; UMLS. Preparing the Way for Routine Health Outcome Measurement in Patient Care Paterson, Grace I.; Zitner, David. Medical Informatics, Dalhousie University, Halifax, NS B3H 4H7 email: grace.paterson@dal.ca Keywords:

More information

Evidence-based Practice (EBP) Robin Newhouse, PhD, RN, NEA-BC

Evidence-based Practice (EBP) Robin Newhouse, PhD, RN, NEA-BC Evidence-based Practice (EBP) Robin Newhouse, PhD, RN, NEA-BC Participants will be able to: Objectives 1. Describe the evidence based practice process for decision making to promote quality patient care.

More information

Nursing & Health Sciences Research Journal

Nursing & Health Sciences Research Journal Prentiss and Butler: What s in a Name: Performance Improvement, Evidence-Based Practic EDUCATION Nursing & Health Sciences Research Journal Journal homepage: https://scholarlycommons.baptisthealth.net/nhsrj/

More information

4/30/2018. The Ethics of Evidenced Based Case Management. Objectives. Evidence - Based Case Management Practice

4/30/2018. The Ethics of Evidenced Based Case Management. Objectives. Evidence - Based Case Management Practice The Ethics of Evidenced Based Case Management Mary McLaughlin Davis, DNP, NEA-BC, ACNS-BC, CCM Objectives Describe Evidenced Based Case Management List the ethical constructs Identify the ethical constructs

More information

Technology Overview. Issue 13 August A Clinical and Economic Review of Telephone Triage Services and Survey of Canadian Call Centre Programs

Technology Overview. Issue 13 August A Clinical and Economic Review of Telephone Triage Services and Survey of Canadian Call Centre Programs Technology Overview Issue 13 August 2004 A Clinical and Economic Review of Telephone Triage Services and Survey of Canadian Call Centre Programs Publications can be requested from: CCOHTA 600-865 Carling

More information

Evidence Based Practice Template: Rotating PIV Sites in Adults

Evidence Based Practice Template: Rotating PIV Sites in Adults Professional Nursing Staff Organization Evidence Based Practice Template: Rotating PIV Sites in Adults Statement of problem/issue: Rotation of peripheral intravenous catheter sites in the adult population

More information

METHODOLOGY. Transparency. Conflicts of Interest. Multidisciplinary Steering Committee Composition. Evidence Review

METHODOLOGY. Transparency. Conflicts of Interest. Multidisciplinary Steering Committee Composition. Evidence Review METHODOLOGY In order to support the accuracy, integrity and clinical relevance of recommendations from the Women s Preventive Services Initiative, the recommendation development process is based on adaption

More information

The influence of workplace culture on nurses learning experiences: a systematic review of the qualitative evidence.

The influence of workplace culture on nurses learning experiences: a systematic review of the qualitative evidence. The influence of workplace culture on nurses learning experiences: a systematic review of the qualitative evidence. Kate Davis, RN, BNsg, Master of Clinical Science (Evidence Based Healthcare) The School

More information

JBI Database of Systematic Reviews & Implementation Reports 2013;11(12) 81-93

JBI Database of Systematic Reviews & Implementation Reports 2013;11(12) 81-93 Meaningfulness, appropriateness and effectiveness of structured interventions by nurse leaders to decrease compassion fatigue in healthcare providers, to be applied in acute care oncology settings: a systematic

More information

Nurse Practitioner Student Learning Outcomes

Nurse Practitioner Student Learning Outcomes ADULT-GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER Nurse Practitioner Student Learning Outcomes Students in the Nurse Practitioner Program at Wilkes University will: 1. Synthesize theoretical, scientific,

More information

U.H. Maui College Allied Health Career Ladder Nursing Program

U.H. Maui College Allied Health Career Ladder Nursing Program U.H. Maui College Allied Health Career Ladder Nursing Program Progress toward level benchmarks is expected in each course of the curriculum. In their clinical practice students are expected to: 1. Provide

More information

Master of Clinical Science

Master of Clinical Science Master of Clinical Science Venous Thromboembolism (VTE) Risk Assessment and Prophylaxis: A Comprehensive Systematic Review of the Facilitators and Barriers to Healthcare Worker Compliance with Clinical

More information

Post-Professional Doctor of Occupational Therapy Elective Track in Aging

Post-Professional Doctor of Occupational Therapy Elective Track in Aging Post-Professional Doctor of Occupational Therapy Elective Track in Aging Michelle Webb, OTD, OTR/L, RAC-CT, CAPS Program Director mwebb@rmuohp.edu Amy Wagenfeld, PhD, OTR/L, SCEM, CAPS, FAOTA Elective

More information

Evidence-Based Nursing Practice

Evidence-Based Nursing Practice Evidence-Based Nursing Practice Day 2: What is a systematic review? Critically appraising a systematic review Levels of evidence Using critical appraisal to synthesize evidence for a P&P Dec 18, 2015 Francesca

More information

Building & Strengthening Your Evidence Based Practice Literature Searches

Building & Strengthening Your Evidence Based Practice Literature Searches Building & Strengthening Your Evidence Based Practice Literature Searches Created and Presented by: Ken Wright, MSLS Health Sciences Librarian ktwright@mchs.com 614-234-5222 1 Outline of Evidence-Based

More information

Allison J. Terry, PhD, MSN, RN

Allison J. Terry, PhD, MSN, RN Allison J. Terry, PhD, MSN, RN Assistant Dean of Clinical Practice Associate Professor of Nursing Auburn University at Montgomery Montgomery, Alabama 9781284117585_FM.indd 1 World Headquarters Jones &

More information

Running Head: READINESS FOR DISCHARGE

Running Head: READINESS FOR DISCHARGE Running Head: READINESS FOR DISCHARGE Readiness for Discharge Quantitative Review Melissa Benderman, Cynthia DeBoer, Patricia Kraemer, Barbara Van Der Male, & Angela VanMaanen. Ferris State University

More information

2016 ANNUAL CONFERENCE

2016 ANNUAL CONFERENCE 2016 ANNUAL CONFERENCE American Congress of Rehabilitation Medicine Co ntinui ng E ducation Activity Development Guidance Document The information contained in this document has been prepared for the exclusive

More information

TITLE: Pill Splitting: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

TITLE: Pill Splitting: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines TITLE: Pill Splitting: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines DATE: 05 June 2015 CONTEXT AND POLICY ISSUES Breaking drug tablets is a common practice referred to as pill

More information

Strategies to Promote Student Publication in an Evidence-Based Practice Course

Strategies to Promote Student Publication in an Evidence-Based Practice Course Strategies to Promote Student Publication in an Evidence-Based Practice Course MARGARET CARRIE HARVEY, PHD, APRN, ACNP-BC ASSOCIATE PROFESSOR UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER MEMPHIS, TENNESSEE,

More information

LESSON ELEVEN. Nursing Research and Evidence-Based Practice

LESSON ELEVEN. Nursing Research and Evidence-Based Practice LESSON ELEVEN Nursing Research and Evidence-Based Practice Introduction Nursing research is an involved and dynamic process which has the potential to greatly improve nursing practice. It requires patience

More information

Winona State University

Winona State University Winona State University Doctor of Nursing Practice SCHOLARLY PROJECT GUIDELINE 2014 2015 Graduate Programs in Nursing Committee Approved: January 12, 2015 TABLE OF CONTENTS Focus of the Practice Doctorate

More information

Nursing Science and Evidence-Based Practice

Nursing Science and Evidence-Based Practice 388984WJN33310.1177/0193945910388984E ditorialwestern Journal of Nursing Research The Author(s) 2011 Reprints and permission: http://www. sagepub.com/journalspermissions.nav Editorial Nursing Science and

More information

Critical appraisal of systematic reviewsijn_1863

Critical appraisal of systematic reviewsijn_1863 414..418 International Journal of Nursing Practice 2010; 16: 414 418 TIPS AND TRICKS Critical appraisal of systematic reviewsijn_1863 Dónal P O Mathúna PhD Senior Lecturer in Ethics, Decision-Making and

More information

Introducing Evidence-based Practice

Introducing Evidence-based Practice Barker-3919-Ch-01:Barker-3919-Part-I-Ch-01 25/07/2009 5:48 PM Page 1 Part I Introducing Evidence-based Practice Barker-3919-Ch-01:Barker-3919-Part-I-Ch-01 25/07/2009 5:48 PM Page 2 Barker-3919-Ch-01:Barker-3919-Part-I-Ch-01

More information

Draft National Quality Assurance Criteria for Clinical Guidelines

Draft National Quality Assurance Criteria for Clinical Guidelines Draft National Quality Assurance Criteria for Clinical Guidelines Consultation document July 2011 1 About the The is the independent Authority established to drive continuous improvement in Ireland s health

More information

Post-Professional Doctor of Occupational Therapy Advanced Practice Track

Post-Professional Doctor of Occupational Therapy Advanced Practice Track Post-Professional Doctor of Occupational Therapy Advanced Practice Track Michelle Webb, OTD, OTR/L, RAC-CT, CAPS Program Director mwebb@rmuohp.edu 122 East 1700 South Provo, UT 84606 801-375-5125 866-780-4107

More information

Title:The impact of physician-nurse task-shifting in primary care on the course of disease: a systematic review

Title:The impact of physician-nurse task-shifting in primary care on the course of disease: a systematic review Author's response to reviews Title:The impact of physician-nurse task-shifting in primary care on the course of disease: a systematic review Authors: Nahara Anani Martínez-González (Nahara.Martinez@usz.ch)

More information

Standards of Practice for Professional Ambulatory Care Nursing... 17

Standards of Practice for Professional Ambulatory Care Nursing... 17 Table of Contents Scope and Standards Revision Team..................................................... 2 Introduction......................................................................... 5 Overview

More information

Introduction and Overview of Evidence Based Practice

Introduction and Overview of Evidence Based Practice Introduction and Overview of Evidence Based Practice Dr Helen Noble Queens University Belfast, Lecturer, Health Services Research. Associate Editor, Evidence Based Nursing School of Nursing & Midwifery

More information

Curriculum Guide: DNP

Curriculum Guide: DNP Curriculum Guide: DNP The Doctor of Nursing Practice (DNP) program focuses on the development of nurse leaders who use evidence based practice for optimizing health care delivery through effective systems

More information

GRADUATE PROGRAM IN PUBLIC HEALTH

GRADUATE PROGRAM IN PUBLIC HEALTH GRADUATE PROGRAM IN PUBLIC HEALTH CULMINATING EXPERIENCE EVALUATION Please complete and return to Ms. Rose Vallines, Administrative Assistant. CAM Building, 17 E. 102 St., West Tower 5 th Floor Interoffice

More information

Objectives. Brief Review: EBP vs Research. APHON/Mattie Miracle Cancer Foundation EBP Grant Program Webinar 3/5/2018

Objectives. Brief Review: EBP vs Research. APHON/Mattie Miracle Cancer Foundation EBP Grant Program Webinar 3/5/2018 APHON/Mattie Miracle Cancer Foundation EBP Grant Program Webinar Mary Baron Nelson, PhD RN Katherine Patterson Kelly, PhD RN Objectives Identify the process for submitting a LOI for an APHON EBP grant,

More information

SINCE 1999, EIGHT STUDIES have investigated the IMPACT OF HESI SPECIALTY EXAMS: THE NINTH HESI EXIT EXAM VALIDITY STUDY

SINCE 1999, EIGHT STUDIES have investigated the IMPACT OF HESI SPECIALTY EXAMS: THE NINTH HESI EXIT EXAM VALIDITY STUDY IMPACT OF HESI SPECIALTY EXAMS: THE NINTH HESI EXIT EXAM VALIDITY STUDY ELIZABETH L. ZWEIGHAFT, EDD, RN Using an ex post facto, nonexperimental design, this, the ninth validity study of Elsevier's HESI

More information

Reviewing the literature

Reviewing the literature Reviewing the literature Smith, J., & Noble, H. (206). Reviewing the literature. Evidence-Based Nursing, 9(), 2-3. DOI: 0.36/eb- 205-02252 Published in: Evidence-Based Nursing Document Version: Peer reviewed

More information

The Staff Nurse s Role in Nursing Research. 2 Contact Hours

The Staff Nurse s Role in Nursing Research. 2 Contact Hours The Staff Nurse s Role in Nursing Research 2 Contact Hours Objectives: 1. Define terms relevant to nursing research. 2. Explain how evidence-based practice incorporates research findings into practice.

More information

NURS 324: Cornerstone of Professional Nursing Spring 2016

NURS 324: Cornerstone of Professional Nursing Spring 2016 NURS 324: Cornerstone of Professional Nursing Spring 2016 Instructor: Eileen A. Taff, MSN, RN, NE-BC, CCRC Email: etaff@moravian.edu Phone: (610) 730-2502 Faculty Office Hours: by appointment. Class meets:

More information

Effectiveness and safety of intravenous therapy at home for children and adolescents with acute and chronic illnesses: a systematic review protocol

Effectiveness and safety of intravenous therapy at home for children and adolescents with acute and chronic illnesses: a systematic review protocol Effectiveness and safety of intravenous therapy at home for children and adolescents with acute and chronic illnesses: a systematic review protocol Helena Hansson 1 Anne Brødsgaard 2 1 Department of Paediatric

More information

Appendix A. thoughtful consideration of the factors that influence the scholarly nature of the

Appendix A. thoughtful consideration of the factors that influence the scholarly nature of the Appendix A Stages of the DNP Scholarly Project Stages of the DNP Scholarly Project Overall Proposal Student Advisor Committee Members Share responsibility for thoughtful consideration of the factors that

More information

Evolving Evidence to Excellence. Kathleen R. Stevens, RN, EdD, ANEF, FAAN Academic Center for Evidence-Based Practice

Evolving Evidence to Excellence. Kathleen R. Stevens, RN, EdD, ANEF, FAAN Academic Center for Evidence-Based Practice Evolving Evidence to Excellence Kathleen R. Stevens, RN, EdD, ANEF, FAAN Academic Center for Evidence-Based Practice Copyright 2014 Let s Discuss Connection between evidence and improved nursing practices,

More information

Clinical audit: a guide

Clinical audit: a guide Clinical audit: a guide All nurses are expected to take part in clinical audits. Stephen Ashmore and Tracy Ruthven explain how it should be done HEALTHCARE PROFESSIONALS across the NHS are being encouraged

More information

A Systematic Review of the Liaison Nurse Role on Patient s Outcomes after Intensive Care Unit Discharge

A Systematic Review of the Liaison Nurse Role on Patient s Outcomes after Intensive Care Unit Discharge Review Article A Systematic Review of the Liaison Nurse Role on Patient s Outcomes after Intensive Care Unit Discharge Zeinab Tabanejad, MSc; Marzieh Pazokian, PhD; Abbas Ebadi, PhD Behavioral Sciences

More information

Nurses are Knowledge Workers

Nurses are Knowledge Workers The Nurse as Scholar: Promoting Evidence- Based Nursing Practice Among Direct Care Nurses Elizabeth W. Bayley, PhD, RN Louanne A. Stratton, PhD, RN Nemours Strategic Plan for Research and Scholarly Activity

More information

Evidence-Based Nursing Practice (Infection prevention & control)

Evidence-Based Nursing Practice (Infection prevention & control) Evidence-Based Nursing Practice (Infection prevention & control) Session 5: Critical appraisal Part 2: Implementation/evaluation, case control & cohort studies April 14, 2015 Francesca Frati, MLIS Jacynthe

More information

Critical Appraisal of a Therapy Paper (Randomized Controlled Trial)

Critical Appraisal of a Therapy Paper (Randomized Controlled Trial) Critical Appraisal of a Therapy Paper (Randomized Controlled Trial) Goal: Participants will be able to critically appraise an article addressing therapy. Objectives: 1. Learn how build a PICO question

More information

Strategies for Overcoming Barriers in Implementing Evidence-Based Practice

Strategies for Overcoming Barriers in Implementing Evidence-Based Practice SUNY Downstate Medical Center Department of Nursing Nursing Research and Evidence- Based Practice Conference May 26, 2010 Strategies for Overcoming Barriers in Implementing Evidence-Based Practice Veronica

More information

34 Systematic Review in Evidence-Based Nursing

34 Systematic Review in Evidence-Based Nursing 34 Systematic Review in Evidence-Based Nursing evidence-based decision evidenced-based medicine information paradigm shift health caregiver randomizes control trial meta-analysis systematic review Rosenberg,

More information

Doctor of Nursing Practice (DNP) Post-Master s DNP

Doctor of Nursing Practice (DNP) Post-Master s DNP Doctor of Nursing Practice (DNP) Post-Master s DNP Stephanie Richardson PhD, RN Program Director srichardson@rmuohp.edu 122 East 1700 South Provo, UT 84606 801.375.5125 866.780.4107 Toll Free 801.375.2125

More information

Service Line: Rapid Response Service Version: 1.0 Publication Date: June 22, 2017 Report Length: 5 Pages

Service Line: Rapid Response Service Version: 1.0 Publication Date: June 22, 2017 Report Length: 5 Pages CADTH RAPID RESPONSE REPORT: SUMMARY OF ABSTRACTS Syringe and Mini Bag Smart Infusion Pumps for Intravenous Therapy in Acute Settings: Clinical Effectiveness, Cost- Effectiveness, and Guidelines Service

More information

Post-Professional Doctor of Occupational Therapy Elective Track in Administration and Practice Management

Post-Professional Doctor of Occupational Therapy Elective Track in Administration and Practice Management Post-Professional Doctor of Occupational Therapy Elective Track in Administration and Practice Management Michelle Webb, OTD, OTR/L, RAC-CT, CAPS Program Director mwebb@rmuohp.edu Ellen Hudgins, OTD, OTR/L

More information

13. Research utilization is essentially synonymous with evidence-based practice. A) True B) False

13. Research utilization is essentially synonymous with evidence-based practice. A) True B) False 1. Research utilization is a process that begins with: A) A clinical problem that needs to be solved B) A problem-focused trigger C) A knowledge-focused trigger or research finding D) A well-worded clinical

More information

Faculty of Nursing. Master s Project Manual. For Faculty Supervisors and Students

Faculty of Nursing. Master s Project Manual. For Faculty Supervisors and Students 1 Faculty of Nursing Master s Project Manual For Faculty Supervisors and Students January 2015 2 Table of Contents Overview of the Revised MN Streams in Relation to Project.3 The Importance of Projects

More information

Weber State University. Master of Science in Nursing Program. Master s Project Handbook

Weber State University. Master of Science in Nursing Program. Master s Project Handbook Weber State University Master of Science in Nursing Program Master s Project Handbook Page 1 of 24 Table of Contents Introduction to the Master s Project... 5 Master s Project Development Process... 6

More information

PROGRAMME SPECIFICATION KEY FACTS. Health Sciences. Part-time. Total UK credits 180 Total ECTS 90 PROGRAMME SUMMARY

PROGRAMME SPECIFICATION KEY FACTS. Health Sciences. Part-time. Total UK credits 180 Total ECTS 90 PROGRAMME SUMMARY PROGRAMME SPECIFICATION KEY FACTS Programme name Award School Department or equivalent Programme code Type of study Total UK credits 180 Total ECTS 90 Health Services Research MSc Health Sciences Health

More information

Critique of a Nurse Driven Mobility Study. Heather Nowak, Wendy Szymoniak, Sueann Unger, Sofia Warren. Ferris State University

Critique of a Nurse Driven Mobility Study. Heather Nowak, Wendy Szymoniak, Sueann Unger, Sofia Warren. Ferris State University Running head: CRITIQUE OF A NURSE 1 Critique of a Nurse Driven Mobility Study Heather Nowak, Wendy Szymoniak, Sueann Unger, Sofia Warren Ferris State University CRITIQUE OF A NURSE 2 Abstract This is a

More information

Quality Standards. Process and Methods Guide. October Quality Standards: Process and Methods Guide 0

Quality Standards. Process and Methods Guide. October Quality Standards: Process and Methods Guide 0 Quality Standards Process and Methods Guide October 2016 Quality Standards: Process and Methods Guide 0 About This Guide This guide describes the principles, process, methods, and roles involved in selecting,

More information

Publishing Journal Articles: Strategies for your Success

Publishing Journal Articles: Strategies for your Success Publishing Journal Articles: Strategies for your Success Marilyn H. Oermann, PhD, RN, ANEF, FAAN Thelma M. Ingles Professor of Nursing Editor, Nurse Educator and Journal of Nursing Care Quality Duke University

More information

NURSING (MN) Nursing (MN) 1

NURSING (MN) Nursing (MN) 1 Nursing (MN) 1 NURSING (MN) MN501: Advanced Nursing Roles This course explores skills and strategies essential to successful advanced nursing role implementation. Analysis of existing and emerging roles

More information

The Monthly Publication of the National Hospice and Palliative Care Organization

The Monthly Publication of the National Hospice and Palliative Care Organization The Monthly Publication of the National Hospice and Palliative Care Organization Print-friendly PDF From June 2013 Issue Determining Caseloads Gilchrist Hospice Care on Its Process By Regina Shannon Bodnar,

More information

Evidence Tables and References 6.4 Discharge Planning Canadian Best Practice Recommendations for Stroke Care Update

Evidence Tables and References 6.4 Discharge Planning Canadian Best Practice Recommendations for Stroke Care Update Evidence Tables and References 6.4 Discharge Planning Canadian Best Practice Recommendations for Stroke Care 2011-2013 Update Last Updated: June 21, 2013 Table of Contents Search Strategy... 2 What existing

More information

CLINICAL INFORMATICS

CLINICAL INFORMATICS INTER-PROFESSIONAL COMMUNICATIONS CLINICAL INFORMATICS Adarsh K. Gupta, DO, MS, FACOFP Director, Center for Information Mastery Associate Professor, Family Medicine Director, Center for Medical Weight

More information

A systematic review to examine the evidence regarding discussions by midwives, with women, around their options for where to give birth

A systematic review to examine the evidence regarding discussions by midwives, with women, around their options for where to give birth A systematic review to examine the evidence regarding discussions by midwives, with women, around their options for where to give birth Cathy Shneerson, Lead Researcher Beck Taylor, Co-researcher Sara

More information

Disposable, Non-Sterile Gloves for Minor Surgical Procedures: A Review of Clinical Evidence

Disposable, Non-Sterile Gloves for Minor Surgical Procedures: A Review of Clinical Evidence CADTH RAPID RESPONSE REPORT: SUMMARY WITH CRITICAL APPRAISAL Disposable, Non-Sterile Gloves for Minor Surgical Procedures: A Review of Clinical Evidence Service Line: Rapid Response Service Version: 1.0

More information

Essential Skills for Evidence-based Practice: Strength of Evidence

Essential Skills for Evidence-based Practice: Strength of Evidence Essential Skills for Evidence-based Practice: Strength of Evidence Jeanne Grace Corresponding Author: J. Grace E-mail: Jeanne_Grace@urmc.rochester.edu Jeanne Grace RN PhD Emeritus Clinical Professor of

More information

Executive Summary. This Project

Executive Summary. This Project Executive Summary The Health Care Financing Administration (HCFA) has had a long-term commitment to work towards implementation of a per-episode prospective payment approach for Medicare home health services,

More information

CWOCN Indiana University Health Indiana University School of Nursing Indianapolis, IN JWOCN Deputy Editor

CWOCN Indiana University Health Indiana University School of Nursing Indianapolis, IN JWOCN Deputy Editor Joyce Pittman PhD, ANP-BC, FNP-BC, CWOCN Indiana University Health Indiana University School of Nursing Indianapolis, IN JWOCN Deputy Editor jpittma3@iuhealth.org None relevant to this presentation The

More information

Faculty Awareness when Teaching Transforming Evidence-based Literature into Practice

Faculty Awareness when Teaching Transforming Evidence-based Literature into Practice Faculty Awareness when Teaching Transforming Evidence-based Literature into Practice Guillermo Valdes, DNP, RN-BC, Patricia R. Messmer, PhD, RN-BC, FAAN Benjamín León School of Nursing, Miami Dade College,

More information