With regard to evidence-based treatment, the class 1 recommended treatment for Stage A heart failure patients who have a high chance of contracting left-ventricular dysfunction are classified as follows:
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have a strong family history for atherosclerotic vascular disease, diabetes mellitus, or hypertension with attendant risk factors for cardiovascular disease. According to Deswall and Mann (2006), the use of ARBs in heart failure patients significantly reduced mortality and morbidity rates. For asymptomatic Stage B patients (left-ventricular dysfunction), vulnerability can be reduced using therapies that diminish the risk of procuring additional injury, remodeling process, and progression of the disease.
Studies have shown that a number of barriers prevent the effective use of best available evidence. One of the barriers to implementation of evidence-based practice for heart failure patients is the lack of time and educational skills to handle the heart failure patients. This implies that there is limited relevance to practice. Chan (2012) argues that people who were educated almost 25 years ago probably did learn about EBP. Most nurses are finding it difficult to change their behaviour, as well as the constraining power of the phrase, “That is how it is done here.” This leads to inappropriate service delivery.
One way of overcoming the educational barriers is through ensuring that the educators spend more time teaching the students on how to carry use research in practice since it improves their skills and knowledge.
Adams (2010) notes that the nurse leaders need to place adequate evidence-based practice mentors at the bedside who will work closely with the clinicians thus assisting them to learn skills along with implementing them consistently.
Finally, evidence has shown that most healthcare practitioners are often not aware of the latest evidence-based guidance. As a result, there is need to ensure that the healthcare professionals including the front-line supervisors to be conversant with the new evidence-based guidance so as to effectively perform their roles especially when handling heart failure patients.
Deswal, A., & Mann, D. L. (2006).
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Define evidence based practice. Schmidt & Brown (2011) define evidence based practice as the practice or nursing our patient using the best available evidence, patient preferences, and clinical judgment (4). When we speak of best available evidence, we are gathering research findings from the expert to solve our clinical problem.
Immediate effects of adhesive tape on pain and disability in individuals with knee osteoarthritis. Rheumatology, 42, 865–869. DOI:10.1093/rheumatology/keg233. Level of Evidence (NHMRC Level III) (2) In this study spearheaded by Hinman from School of Health Sciences, University of Melbourne sought to ascertain effects of two knee-taping techniques on pain and observed disability among the chronic knee OA victims (Hinman, Bennell, Crossley & McConnell, 2003).
Various models, concepts, and theories were employed in obtaining a better research design. Such models included stress process model where the stressors of caregivers are mainly patient’s signs, symptoms, and the distress symptoms. Stress process
task of clinical practices, which can be classified by the proponents of evidence based medicine, which includes diagnosis and treatment (Boswell & Cannon, 2011).
Although a lot of work remains to be done in the medical field, the potential effects of the health practice can
This theory assumes that an initial few people are ready to accept new ideas or practices and implement them. However, after a certain time, the idea or practice is diffused amongst the population to a point known as
ram is furthered by the fact that this organization is full of highly educated, trained and qualified staff of doctors, nurses, scientists and other medical personnel all of who have a culture of helping and protect patient’s health.
The best way to disseminate these findings
This document looks at the clinical guidelines that are set out for the care providers, the challenges they face in meeting them, and their reactions to the new guidelines.
There are many challenges faced by healthcare providers, both generic and particular problems, but
This research aims to evaluate and present a report of the history of the actual search of the clinical question in CINHAL and a report of the history of the actual search of the clinical question in Joanna Briggs Institute. The researcher searched on the PICOT elements by typing it in the search field and then he clicked search.
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