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"Evidence Based Practice"

Rasha Khatib, Yurany A Arevalo, Mark A Berendsen, Shyam Prabhakaran, Mark D Huffman
AIMS: We performed a systematic review to evaluate stroke presentation, evaluation, management, and outcomes among studies conducted in low- and middle-income countries (LMIC). METHODS: We searched MEDLINE (Ovid), Embase (Elsevier), and the Global Health (EBSCOhost) databases between January 2005 and June 2017 for studies conducted in LMICs defined by the World Bank. We pooled prevalence estimates using an inverse-variance weighting method and stratified by the country income group...
July 19, 2018: Neuroepidemiology
Miya L Barnett, Lauren Brookman-Frazee, Juan Carlos Gonzalez, Chanel Zhan, Adriana Rodriguez, Nicole A Stadnick, Anna S Lau
This study analyzed qualitative therapist reports of adaptations to the delivery of multiple evidence-based practices (EBPs) within the context of a system-driven reform of children's community mental health services to understand how therapists adapt EBPs as well as contexts of these adaptations to identify when these adaptations are made. The study sought to complement and expand upon previous quantitative survey findings of two categories of Augmenting and Reducing/Reordering adaptations to EBPs. Data included interviews from 60 therapists (88...
July 19, 2018: Journal of Clinical Child and Adolescent Psychology
Colby Chlebowski, Sandy Magaña, Blanche Wright, Lauren Brookman-Frazee
OBJECTIVES: As implementation of evidence-based practices (EBPs) in publicly funded children's mental health services has become increasingly common, concerns have been raised about the appropriateness of specific EBPs to the diverse client populations served in these settings. Exploring stakeholder perspectives can provide direction for refinements of EBPs when delivered with Latinx families. The current study used qualitative methods to examine therapist and Latinx parent perceptions of therapist-parent interactions and the intervention process when therapists are trained to deliver AIM HI ( An Individualized Mental Health Intervention for ASD ), a structured, parent-mediated intervention for autism spectrum disorder (ASD)...
July 19, 2018: Cultural Diversity & Ethnic Minority Psychology
Nancy C Edwards, Kathryn Smith Higuchi
BACKGROUND: Evidence-based improvements in long-term care (LTC) are challenging due to human resource constraints. AIMS: To evaluate implementation of a multimodal, participatory intervention aimed at improving evidence-based care. METHODS: Using a qualitative descriptive design, we conducted and inductively analyzed individual interviews with staff at midpoint and end-point to identify action plan implementation processes and challenges. The 9-month intervention engaged professional and unregulated staff in an on-site workshop and provided support for their development and implementation of site-specific action plans...
July 18, 2018: Worldviews on Evidence-based Nursing
Hannele Saunders, Katri Vehviläinen-Julkunen
AIM: A discussion of key considerations related to selecting instruments and tools for evaluating healthcare professionals' evidence-based practice competencies. DESIGN: A discussion paper. DATA SOURCES: Articles published in international peer-reviewed journals from January 2000 to November 2017 on validated instruments for assessing healthcare professionals' performance-based evidence-based practice competencies. IMPLICATIONS FOR NURSING: Validated evidence-based practice competency instruments based on actual performance to evaluate the evidence-based practice competencies of healthcare professionals are currently available in the field of medicine...
July 17, 2018: Journal of Advanced Nursing
Solvor Nybakken, Maria Strandås, Terese Bondas
AIM: To explore how formal caregivers perceive and interpret aggressive behaviour in nursing home residents living with dementia, by synthesizing knowledge from published qualitative studies. BACKGROUND: Nursing home caregivers are exposed to aggressive behaviour from residents living with dementia. The way caregivers perceive aggressive behaviour may affect their feelings and actions related to situations and thus nursing care. Knowledge about caregivers' perceptions of aggressive behaviour has previously not been synthesized...
July 17, 2018: Journal of Advanced Nursing
Chetan P Phadke, Jaclyn Schwartz, Hubert Vuagnat, Elena Philippou
No abstract text is available yet for this article.
July 13, 2018: Archives of Physical Medicine and Rehabilitation
Julie B Cooper, Michelle Turner, Meera Patel, Jennifer Markle, Caron Amend, Randall Absher, Jackie Roh
Objective. To assess the effectiveness of a longitudinal evidence-based medicine (EBM) curriculum to improve pharmacy resident knowledge and skills in evidence-based practice as measured by the Fresno Test. Methods. Residency program director and clinical pharmacist preceptors in a community teaching hospital developed a longitudinal EBM curriculum for a postgraduate year one (PGY1) pharmacy practice residency. The program was offered as a yearlong series of 1-hour meetings to train residents in evidence-based practice...
June 2018: American Journal of Pharmaceutical Education
Fernanda Saltiel, Ana P G Miranda-Gazzola, Rayane O Vitória, Elyonara M Figueiredo
Background: Pelvic floor muscle function (PFMF) is a target of the physical therapist intervention for women with urinary incontinence (UI). However, possible variations in PFMF terminology might hamper communication among researchers and health care professionals in Women's Health. Objective: The objective of this study was to investigate the terminology of PFMF regarding clear terms and conceptual and operational definitions. Data Sources: Data sources include PUBMED, CINAHL, LILACS, and SCIELO...
July 13, 2018: Physical Therapy
(no author information available yet)
No abstract text is available yet for this article.
August 2018: International Journal of Speech-language Pathology
Nev Jones, Cherise Rosen, Shirley Helm, Sheila O'Neill, Larry Davidson, Mona Shattell
Whereas a growing literature has sought to understand challenges involved in the dissemination and implementation of specific evidence-based practices (EBP), few studies have centered on the perspectives of front-line community providers regarding best practices, clinical ideals and barriers to quality improvement for clients with psychosis. The goal of this project was to lay a foundation for future work aimed at improving the overall quality and impact of the multifaceted services typically provided to adults with psychosis served by the public mental health system...
July 16, 2018: American Journal of Orthopsychiatry
J Wilkinson, S Bhattacharya, J M N Duffy, M S Kamath, J Marjoribanks, S Repping, A Vail, M van Wely, C M Farquhar
The history of obstetrics and gynaecology is not a tale of evidence-based practice. Tradition, expert opinion, and the lure of new technology have frequently superseded evidence as the primary driver for clinical decision making. The proof can be found in a litany of dubious interventions which have gained widespread popularity despite an absence of high quality data attesting to their effectiveness and, in some cases, ample credible evidence demonstrating harm. As a specialty, we have relied on investigations including X-ray pelvimetry and antenatal stress tests, subjected innumerable women to stilboestrol and thalidomide, and have performed routine episiotomy in all primigravid women 1,...
July 16, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
María B Sánchez, Ian Loram, Paul Holmes, John Darby, Penelope B Butler
BACKGROUND: Physical therapy evaluations of motor control are currently based on subjective clinical assessments. Despite validation, these can still be inconsistent between therapists and between clinics, compromising the process of validating a therapeutic intervention and the subsequent generation of evidence-based practice (EBP) guidelines. EBP benefits from well-defined objective measurements that complement existing subjective assessments. RESEARCH QUESTION: The aim of this study was to develop an objective measure of head/trunk control in children with Cerebral Palsy (CP) using previously developed video-based methods of head/trunk alignment and absence of external support and compare these with the existing subjective Segmental Assessment of Trunk Control (SATCo)...
June 30, 2018: Gait & Posture
Ole Jakob Storebø, Erlend Faltinsen, Morris Zwi, Erik Simonsen, Christian Gluud
Much remains unclear about the benefits and harms of methylphenidate for children and adolescents with attention-deficit/hyperactivity disorder (ADHD). Between 2012 and 2018, we conducted two Cochrane systematic reviews on methylphenidate for ADHD. This article explores the main findings in relation to evidence-based practice and our current understanding of ADHD.
July 13, 2018: Clinical Pharmacology and Therapeutics
James McCormack, Glyn Elwyn
No abstract text is available yet for this article.
July 12, 2018: BMJ evidence-based medicine
Ranita Hisham, Su May Liew, Chirk Jenn Ng
OBJECTIVE: This study aimed to compare the evidence-based practices of primary care physicians between those working in rural and in urban primary care settings. RESEARCH DESIGN: Data from two previous qualitative studies, the Front-line Equitable Evidence-based Decision Making in Medicine and Creating, Synthesising and Implementing evidence-based medicine (EBM) in primary care studies, were sorted, arranged, classified and compared with the help of qualitative research software, NVivo V...
July 12, 2018: BMJ Open
Anne Kristin Snibsøer, Donna Ciliska, Jennifer Yost, Birgitte Graverholt, Monica Wammen Nortvedt, Trond Riise, Birgitte Espehaug
BACKGROUND: Self-reported scales and objective measurement tools are used to evaluate self-perceived and objective knowledge of evidence-based practice (EBP). Agreement between self-perceived and objective knowledge of EBP terminology has not been widely investigated among healthcare students. AIM: The aim of this study was to examine agreement between self-reported and objectively assessed knowledge of EBP terminology among healthcare students. A secondary objective was to explore this agreement between students with different levels of EBP exposure...
2018: PloS One
Muhammad W Darawad, Nedal Alfasfos, Ismael Zaki, Malek Alnajar, Sawsan Hammad, Osama A Samarkandi
Background: Critically ill patients are hypermetabolic and have increased energy requirements, making nutritional support a vital intervention. In the Intensive Care Units, enteral nutrition is based on opinions rather than evidence-based practices. Therefore, there is a need to identify the barriers to evidence based practice protocols for enteral feeding of patients in Jordanian ICUs. Aims: To explore Jordanian ICU nurses' perceived barriers for enteral nutrition that hinders them from utilizing the recommended EN guidelines...
2018: Open Nursing Journal
Inés María Comino-Sanz, Clara Sánchez-Pablo, Laura Albornos-Muñoz, Idoia Beistegui Alejandre, Maider Jiménez De Vicuña Marin, Larraitz Uribesalgo Pagalday, Esther Gamarra Santa Coloma
OBJECTIVES: The aim of this project was to promote evidence-based practice with regard to fall prevention and management, by implementing the recommendations from the best available evidence to reduce fall rates. INTRODUCTION: Falls are a main cause of disability in older people and the most common adverse event in all hospital patients. It is essential to implement the recommendations from evidence-based interventions to reduce these events. METHODS: A pre and post implementation audit method was used in a neurology ward, which employed the Joanna Briggs Institute Practical Application of Clinical Evidence System (JBI PACES) and Getting Research Into Practice (GRiP) module...
July 2018: JBI Database of Systematic Reviews and Implementation Reports
Helen Ramsbottom, Lisa Collier Farmer
PROBLEM: Less than 30-day readmission has become a national problem. This pediatric medical center discovered that the primary diagnosis of Mood Disorder, not otherwise specified, was the third most common readmission diagnosis hospital-wide. Administration actively sought a resolution to less-than-30-day readmissions because All-Patient-Refined-Diagnostic-Related Groups would soon include pediatric hospitals with reimbursement impact. METHODS: The Iowa Model for evidence-based practice framed the work of case management to identify readmission risk, reduce readmissions, and improve patient quality...
July 10, 2018: Journal of Child and Adolescent Psychiatric Nursing
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