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Patients' and carers' experiences of healthcare after stroke in Scotland - Essay Example

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Name…………………………………………………………………………….xxxxxx Institution……………………………………………………………………….xxxxxx Course……………………………………………………………………………xxxxx Professor………………………………………………………………………….xxxxx @2012 Summative Assessment – EBP Introduction `My name is Lilia, married with three teenage children…
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Patients' and carers' experiences of healthcare after stroke in Scotland

Download file to see previous pages... The service users are unique individuals with different care needs. Evidence based practice refers to the organised use of empirical information in decision making about the health care of individual patients. Evidence-based practice entails the use of research evidence in delivering health services in a bid to enhance patient outcomes. Evidence-based practice (EBP) began in the medical field with researchers conducting numerous randomized clinical trials to improve healthcare. The challenge arises in the incorporation of research findings in clinical practice. It involves the integration of clinical expertise and clinical evidence from systematic research and using the information in decision making for patient care. EBP main objectives are integration of variables contributing to treatment of the patient. These variables are clinical expert opinion, external empirical evidence from research work and patient’s value and perspectives all towards the provision of high quality health care services based on the needs and choices of the patient. This can be summarised as shown in “ASHA’s trilateral figure”. Decision making that is evidence based is influenced by the practitioner’s skills as well as experiences. Clinician skills draw from expertise and multiple observations on patients especially on their response to different interventions. Clinical expertise is instrumental in averting the mechanical application of guidelines, decision rules and care maps. Moreover clinical expertise greatly influences the following parameters: quality of initial assessment (the clinical state of the client and prevailing circumstances), problem formulation, decision about evidence in light of availability of healthcare resources, exploring patient preferences, clinical intervention delivery, and evaluation of patient outcome (Melynk and Overholt, 2012). The main role played by the clinician is the interpretation of best current research evidence in relation to the clients preferences, environment, cultural believe and value in regard to health and personal well being. For instance, in the case of stroke survivors, the clinician identifies the secondary condition that the patient is suffering from as part of their recovery. These conditions include incontinence, spastic movement, and lack of mobility among others. The evidence based practice would be aimed at managing this condition along with the medical needs and preferences of the patient and the caregiver (Fitzpatrick 2007). In order to develop EBP skills the following steps are followed 1. Assess the patient condition and record the facts about their specific case 2. Formulate relevant clinical questions derived from the case that the EBP program seeks to respond to. 3. Identify appropriate resources and conduct a research to acquire evidence related to the case 4. Determine the evidence validity and applicability depending on the resources at your disposal as a care giver and the patients need. 5. Communicate the information to the patient to air their preferences before implementing research findings. 6. Evaluate the effectiveness of the EBP on the managing the ...Download file to see next pagesRead More
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