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Related Concept Videos

The Scientific Method in Nursing Process01:18

The Scientific Method in Nursing Process

The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be safely...
Systematic Error: Methodological and Sampling Errors01:15

Systematic Error: Methodological and Sampling Errors

In the case of systematic errors, the sources can be identified, and the errors can be subsequently minimized by addressing these sources. According to the source, systematic errors can be divided into sampling, instrumental, methodological, and personal errors.
Sampling errors originate from improper sampling methods or the wrong sample population. These errors can be minimized by refining the sampling strategy. Defective instruments or faulty calibrations are the sources of instrumental...
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...

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Related Experiment Videos

Challenges to using evidence from systematic reviews to stop ineffective practice: an interview study.

Sasha Shepperd1, Richard Adams, Alison Hill

  • 1Department of Public Health, University of Oxford, UK. sasha.shepperd@dph.ox.ac.uk

Journal of Health Services Research & Policy
|June 20, 2013
PubMed
Summary

Implementing evidence-based guidance for decommissioning health services faces challenges. Overcoming barriers requires resources, clinician engagement, and monitoring of clinical practice variations.

Keywords:
commissioningsystematic review evidence

Related Experiment Videos

Area of Science:

  • Health Services Research
  • Evidence-Based Practice
  • Healthcare Management

Background:

  • Systematic review evidence is crucial for developing guidance on decommissioning ineffective health services.
  • Clinicians and commissioners face significant challenges in implementing this evidence.

Purpose of the Study:

  • To examine the challenges in using systematic review evidence for developing decommissioning guidance.
  • To understand problems faced by clinicians and commissioners during the implementation of this guidance.

Main Methods:

  • Qualitative study involving interviews.
  • 23 clinicians and 15 commissioners from nine commissioning organizations in England were interviewed.

Main Results:

  • Identified generic barriers: healthcare system contradictions, evidence volume, local context application difficulties, and patient expectations.
  • Intervention-specific barriers: industry influence, lack of monitoring systems, and unreliable procedure coding.

Conclusions:

  • Commissioner practices are influenced by health policy, knowledge agencies, and power dynamics.
  • Effective evidence-based decommissioning requires adequate resources, long-term clinician engagement, alternatives, and addressing perverse incentives.
  • Data on current practice and monitoring implementation variations are essential precursors.