Application of Evidenced - Based Practice Essay Example for Free

Application of Evidenced Based Practice Essay Application of Evidenced-based Practice Regarding pediatric Patients and Otitis Media 1 Running head: Application of Evidenced -based Practice Application of Evidence-based Practice Regarding Pediatric Patients and Otitis Media Running head: Application of Evidence-based Practice 2 The nursing practice heavily relies on the evidence based clinical information to determine current standards of practice within the nursing scope of practice. A multitude of informational journals and peer reviewed articles are readily available to help guide the decisions placed into practice. The nurse is responsible for recognizing the quality of evidence collected to improve the standard of care patients receive. This paper will investigate four articles regarding the appropriate care and treatment of the pediatric population with otitis media. In addition, an appropriate recommendation for antibiotic therapy will be made based on information gathered during the research. To answer the question of whether a wait-and -see approach is recommended, an initial validation of the information collected must be determined. Four articles will be assessed based on the type of research collected as filtered, unfiltered, or general information. The source will be investigated as inappropriate or appropriate. Lastly, the articles will be classified as primary research evidence, evidence summary, or evidence-based guideline. In addition to the four articles, a study and interview from current patients of the clinic will be discussed. The first article by the American Academy of Pediatrics and American Academy of Family Physicians discusses the diagnosis and management of acute otitis media. This article i s a filtered resource as several large studies have been completed on the topic. The article is from a reliable and reputable source and is determined to be appropriate. The type of research is an evidence summary as well as providing evidenced based guidelines for practice. The second article by The Pediatric Infectious disease Journal provides unfiltered information. The author Dr. Block discusses evidenced collected within studies of her own as well as collected data from Running head: Application of Evidenced-based practice 3 previous studies and as a result the article is mainly primary research. This source would be considered inappropriate for a nurse evaluating a standard practice to recommend. The information presented within the article is too broad and does not recommend a best practice standard. The article is an unfiltered article based on the foundation of a multitude of studies and expert opinion presented. A physician may find this article useful if investigating which pathogen would best respond to a specific antibiotic. The third article is a general informative resource for the clinic to apply evidence based practice. The resource is a filtered article which provides appropriate information relating to general practice. The research is evidence summary as well as evidence-based guideline. This article provides general information regarding pain and treatment of ear problems. This article may by appropriate for the diagnosis of specific ear conditions and treatments however may not be approp riate to determine if a wait-and-see approach is supported. The last article reviewed discusses treatment of otitis media in an era of increasing microbial resistance. This is an unfiltered resource and appropriate for determining if a practice change should be implemented. The type of research is evidence summary and evidence-based guidelines. This article would support an evidenced based approach to support a change of practice within the clinic. Finally, interviews collected from patients who utilize the clinic is unfiltered information and inappropriate to base a clinical change of practice. The type of research is primary research evidence. This information may be helpful for determining the type of culture who utilizes the clinic and how accepting the community may perceive a change in practice. All pieces of information collected has valuable information, however from nursing standards an article should present current evidence based practice standards. Running head: Application of Evidenced-based Practice 4 The evidence presented within one article supports a watchful waiting approach to treating acute ear infections in children. Data is strongly supported with evidenced based practice guiding the appropriate course of treatment as prescribed by physicians. For example, The American Academy of Pediatrics and American Academy of Family Physicians have provided a practice guideline for the diagnosis and treatment of acute otitis media. This article should be considered the gold standard of practice for physicians and presents filtered information. The article clearly provided recommendations based on the presentation of the patient in addition to practice standards. The article is current and is supported by regulatory licensing agencies. Future research goals are also discussed along with current recommendations. This informative practice guideline should be reviewed with additional information to fully support a practice change within the clinic . However, additional current studies would be required to implement a change of practice with more supportive data. Considering multiple resources were obtained to investigate a change in practice, some articles were outdated and referenced studies which may not be applicable to modern practice. In conclusion, research does support a more watchful approach to treating patients; more supportive current data would be required so an informed decision can be made. To implement a policy change within a clinic, a committee should be established to review current evidence based literature to support a change in practice. A review of current recommendations for practices can be investigated along with a discussion with a larger pediatric medical facility. Having a better understanding of current trends from neighboring establishments can better prepare the facility for a change in practice. Educational information should be prepared for parents to establish a clear understanding of why a practice change has been implemented. Nursing will have a vital role in educating families and possibly reminding practitioners of practice Running head: Application of Evidenced-based practice 5 recommendations. By the nursing staff having the knowledge of best practice, they can advocate a higher quality of care for their patients. Ethical concerns and vulnerable populations should be considered when researching and changing clinical practice  guidelines. The practitioner and nursing staff must assure they are implementing practice changes to improve quality of care for their patients. Well supported and researched standards should only be implemented. The patient population of the clinic should not be uses as a test group or population without prior knowledge or informed consent. During the process of informed consent, all risks must be explained to the patient and family. Patients must be educated by the practitioners and nursing staff regarding the implementation of a new practice. The staff must be aware of credible resources for data collection and applications to practice. Reassurance of protecting patient privacy should be discussed with patients and parents. The nurses must continue to advocate for human rights during the research process by identifying vulnerable populations. These populations may include children, pregnant woman, elderly, and cultural differences. If any language barriers exist, the nursing staff should be p repared to have alternate communication methods. State and federal guidelines must be followed during any research process and advocate for those who cannot advocate for themselves. References Block, S.L. (2008). Causative Pathogens, Antibiotic Resistance and Therapeutic Considerations in Acute Otitis Media. Pediatric Infectious Disease Journal, 15(4), 448-456. Hay, W.W., Levin, J.J, Sondheimer, Deterding, R.R. (2006). Current pediatric diagnosis and treatment. Ear, Nose and Throat. (pp. 159-492). Denver, Colorado: Lange. McCracken, G.H. (1998). Treatment of Acute Otitis Media in an Era of Increasing Microbial Resistance. Pediatric Infectious Disease Journal, 17(6), 576-579. American Academy of Pediatrics. (2004). Diagnosis and Management of Acute Otitis Media, 113(5), 1451-1465.

Sylvia Plath :: essays papers

Sylvia Plath Sylvia Plath is a writer whose life has generated much interest. This may be because of her tragic, untimely death and her highly personal writings. Studying Sylvia^s life lets her readers understand her works better. Many of the imagery and attitudes in her poetry are based on her life experiences. Throughout her short life, Sylvia Plath loved the sea. She spent her childhood years on the Atlantic coast just north of Boston. This setting provides a source for a lot of her poetic ideas. Sylvia Plath was born in Boston, Massachusetts, on October 27, 1932. Her parents were Aurelia Schober and Otto Emil Plath. Her father was a professor of biology and German at Boston University. He was of German descent and had emigrated from Grabow when he was fifteen. Her mother was a first generation American, she was born in Boston of Austrian parents. Both of them being German indirectly lead to their meeting in 1929. Aurelia Schober took a German class taught by Otto Plath. She was working on a master's degree in English and German at Boston University at the time. Otto Plath was guided by discipline. As his young family grew, Otto Plath's career flourished. He published the book Bumblebees and Their Ways not long after Sylvia's birth. During this time, his writing occupied most of his time. This excluded any chance for a social life. In 1936, the Plath's moved to Winthrop, Massachusetts. Otto's health had began to fail. He diagnosed his own illness as lung cancer and refused to see a doctor. Sylvia spent much of her time by the ocean. She would go exploring by herself or she would play with her younger brother, Warren because her father needed quite. She would also visit her grandparents who lived nearby on the ocean at Point Shirley. Four years later Otto Plath died of diabetes mellitus. In 1942, the family moved away from the sea. Aurelia Plath decided she must return to work in order to support her family. Despite her own health problems, she began teaching nearby. In the summer of 1942, Aurelia was offered the job of designing and teaching a course at Boston University. She accepeted and the whole family moved. Sylvia Plath's eight years in Wellesley helped her grow and develop her writing skills. Sensitive, intelligent, compelled toward perfection in everything she attempted, she was, on the surface, a model daughter, popular in school, earning straight A's, winning the best prizes. Yet her success only bred problems. When she moved to Wellesley, she was

Study Skills and Daily Homework

I think that daily homework is necessary for a student. Daily homework is a important factors in life of education. A lot of students face daily homework in school for years. I think that there are a lot of useful points. Firstly, I will explain that homework supply a person that he or she is regular. Secondly, I will talk that daily homework develop achievement. Thirdly, I will explain that daily homework supply feel of relaxing. Firstly, a lot of student study lesson in only exams time and generally they postpone many things.Therefore, in points daily homework is essential for students. If they had daily homework, they had to get up early and both will daily homework and will not postpone something. For instance, my sister is student at high school and generally her teacher gives daily homework. My sister was a irregular person in past but she is regular in terms of daily homework. As a result, I think that if you want to be a regular person, daily homework is the best way for it. Secondly, I believe that daily homework is a important way for both study lesson and repeat lesson.When students stroll away, I think that a lot of students don’t find time for studying lesson but while they are doing daily homework, they remember that what explain in lesson and students repeat in term of daily homework. For example, my cousin Ali always don’t like studying lesson because he thinks that studying lesson is boring but generally Ali is successful for and doing daily homework. In conclusion, daily homework shoes achievement. Moreover, I think that daily homework supply feels of relaxing. When a student do daily homework, he or she feels relax because he or she thinks that I don’t have homework, now I can do what want.For instance, my teachers give a lot of daily homework so I always do homework in the evening. After I do daily homework, I relax and sometimes I watch TV or search on the Internet. As a result, when people do something, they relax and this is the best feels. As a result, daily homework is important for students. Daily homework has a lot of advantages like repeating lesson, giving feel of relaxing and be a regular person I believe that daily homework play a important role in my achievement at university or high school. Therefore daily homework is necessary for a student. All right, why do you try doing your daily homework?

Evaluation Of The United States - 1422 Words

evaluate at the present time. However, it would have been conceivable to retain just-in-time production in the near future. As an underlying response to unreliability brought on by the terrorist danger, a few producers no more depend on just-in-time deliveries (World Ocean Review, 2010). America s seaports and the federal government united to make significant gains in bracing and solidifying port facilities against intruder attacks. From that point forward, public port authorities have made terrorism detection and counteractive action one of their top needs. With the consolidated efforts of port authorities and activities of government organizations inside the FBI and Department of Homeland Security (DHS), including the U.S. Coast Guard, Customs and Border Protection (CBP), Transportation Security Administration (TSA), Federal Emergency Management Agency (FEMA), Immigration and Customs Enforcement and the Domestic Nuclear Protection Office, ports are fundamentally more secure now than preceding 9/11 (Maritime Journal, 2011). Lastly, since 9/11, the Port Security Grant Program has received approximately $2.6 billion in support for 11 rounds of grant awards. AAPA praises Congress and the Organization for the provisions and will continue recommendations for the government submission of $400 million a year for a different and devoted project to assist port facilities for improvement of their physical security. 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