Evidence Based Healthcare In Context

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Evidence-Based Healthcare in Context

Author : Jon Adams
Publisher : Routledge
Page : 272 pages
File Size : 44,9 Mb
Release : 2016-12-05
Category : Medical
ISBN : 9781351938051

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Evidence-Based Healthcare in Context by Jon Adams Pdf

With new methods of treatment standardisation resulting in various benefits for patient outcomes, evidence-based medicine and evidence-based practice have emerged as defining features of western healthcare provision in recent years. Most health professions are now adopting some form of 'evidence-based' framework for clinical training and practice. However, the rise of evidence-based healthcare has drawn sustained criticism regarding the limits of trial based evidence, the reductive character of epidemiological study designs, and the potential for an erosion of the importance of lay perspectives and clinical judgement. Evidence-Based Healthcare in Context introduces readers to the social, cultural and historical underpinnings of 'evidence' in healthcare, critically examining questions about what constitutes ’evidence’ and ’effectiveness’ from perspectives outside medicine, including those of patients, complementary medicine and midwifery. It focuses on the application of contemporary theoretical debates around the nature of medical and health knowledge, providing readers with a series of critical analyses of the production, application and translation of 'evidence' in a range of healthcare contexts. Featuring cutting edge work from leading social scientists in the UK, US, Canada, Norway, Australia and New Zealand, this volume draws on the latest empirical research to provide a thorough critical overview of this important field of health research.

Knowledge to Action?

Author : Sue Dopson,Louise Fitzgerald
Publisher : OUP Oxford
Page : 240 pages
File Size : 44,8 Mb
Release : 2005-05-12
Category : Medical
ISBN : 9780191531767

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Knowledge to Action? by Sue Dopson,Louise Fitzgerald Pdf

Health services can and should be improved by applying research findings about best practice. Yet, in Knowledge to Action?, the authors explore why it nevertheless proves notoriously difficult to implement change based on research evidence in the face of strong professional views and complex organizational structures. The book draws on a large body of evidence acquired in the course of nearly fifty in-depth case studies, following attempts to introduce evidence-based practice in the UK NHS over more than a decade. Using qualitative methods to study hospital and primary care settings, they are able to shed light on why some of these attempts succeeded where others faltered. By opening up the intricacies and complexities of change in the NHS, they reveal the limitations of the simplistic approaches to implementing research or introducing evidence-based health care. A unique synthesis of evidence, the book brings together data from 1,400 interviews with doctors, nurses, and managers, as well as detailed observations and documentary analysis. The authors provide an analysis, rooted in a range of theoretical perspectives, that underlines the intimate links between organizational structures and cultures and the utilization of knowledge, and draws conclusions which will be of significance for other areas of public management. Their findings have implications for the utilization of knowledge in situations where there is a professional tradition working within a politically sensitive blend of public service, managerial accountability, and technical expertise. Knowledge to Action? will be of interest to Academics, Researchers, and Advanced Students of Organizational Behaviour, Public and Health Management, and Evidence-Based Medicine; and also of particular interest to Practitioners, Clinicians, and Public Health Managers concerned with implementing change to clinical practice.

Evidence-Based Medicine and the Changing Nature of Health Care

Author : Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan
Publisher : National Academies Press
Page : 202 pages
File Size : 50,7 Mb
Release : 2008-09-06
Category : Medical
ISBN : 9780309113694

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Evidence-Based Medicine and the Changing Nature of Health Care by Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan Pdf

Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

Clinical Context for Evidence-Based Practice

Author : Bridie Kent,Brendan McCormack
Publisher : John Wiley & Sons
Page : 234 pages
File Size : 50,7 Mb
Release : 2011-11-22
Category : Medical
ISBN : 9781118275894

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Clinical Context for Evidence-Based Practice by Bridie Kent,Brendan McCormack Pdf

The Evidence-Based Nursing Series is co-published with Sigma Theta Tau International (STTI). The series focuses on implementing evidence-based practice in nursing and midwifery and mirrors the remit of Worldviews on Evidence-Based Nursing, encompassing clinical practice, administration, research and public policy. Clinical Context for Evidence-Based Practice provides insights into the key contextual issues to be considered in the implementation and assessment of evidence-based practice. Increasingly, implementation research is demonstrating that for evidence to be successfully implemented into practice, the context of practice needs to be considered. Clinical Context for Evidence-Based Practice addresses professional, educational, and organizational contextual issues that impact on the implementation of evidence into practice and the bringing about of practice change. Practical strategies that have been used effectively to overcome these contextual issues in a range of healthcare settings are identified. Specific contextual issues in different care settings are also addressed e.g. acute care, primary health care, peri-operative settings, paediatrics, aged care, mental health, midwifery. Each chapter is written by an internationally known and respected author, with experience of developing or reviewing contextual strategies that have an impact on the implementation and utilisation of research in practice. They explore how gaining a better understanding of context made a difference to the implementation process or outcome and address the potential to transfer different approaches to a range of healthcare settings. An informative, practical resource for nurses and other health care professionals Explores context-related models and approaches to implementation Informs implementation and enables effective decision making Critically appraises contextual factors across the spectrum of care Explores future directions and implications Includes case examples

Clinical Context for Evidence-Based Practice

Author : Bridie Kent,Brendan McCormack
Publisher : John Wiley & Sons
Page : 234 pages
File Size : 50,9 Mb
Release : 2010-09-07
Category : Medical
ISBN : 9781405184335

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Clinical Context for Evidence-Based Practice by Bridie Kent,Brendan McCormack Pdf

The Evidence-Based Nursing Series is co-published with Sigma Theta Tau International (STTI). The series focuses on implementing evidence-based practice in nursing and midwifery and mirrors the remit of Worldviews on Evidence-Based Nursing, encompassing clinical practice, administration, research and public policy. Clinical Context for Evidence-Based Practice provides insights into the key contextual issues to be considered in the implementation and assessment of evidence-based practice. Increasingly, implementation research is demonstrating that for evidence to be successfully implemented into practice, the context of practice needs to be considered. Clinical Context for Evidence-Based Practice addresses professional, educational, and organizational contextual issues that impact on the implementation of evidence into practice and the bringing about of practice change. Practical strategies that have been used effectively to overcome these contextual issues in a range of healthcare settings are identified. Specific contextual issues in different care settings are also addressed e.g. acute care, primary health care, peri-operative settings, paediatrics, aged care, mental health, midwifery. Each chapter is written by an internationally known and respected author, with experience of developing or reviewing contextual strategies that have an impact on the implementation and utilisation of research in practice. They explore how gaining a better understanding of context made a difference to the implementation process or outcome and address the potential to transfer different approaches to a range of healthcare settings. An informative, practical resource for nurses and other health care professionals Explores context-related models and approaches to implementation Informs implementation and enables effective decision making Critically appraises contextual factors across the spectrum of care Explores future directions and implications Includes case examples

Evidence-based Healthcare and Public Health

Author : John Armstrong Muir Gray
Publisher : Elsevier Health Sciences
Page : 453 pages
File Size : 43,7 Mb
Release : 2009-01-01
Category : Medical
ISBN : 9780443101236

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Evidence-based Healthcare and Public Health by John Armstrong Muir Gray Pdf

As the demand for health services rises & the pressure on these services grows, decisions about the use of scarce resources are becoming even more difficult to make & more explicit. This text provides healthcare managers with the knowledge they need.

Research for Evidence-Based Practice in Healthcare

Author : Robert Newell,Philip Burnard
Publisher : John Wiley & Sons
Page : 306 pages
File Size : 44,6 Mb
Release : 2010-11-08
Category : Medical
ISBN : 9781444331127

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Research for Evidence-Based Practice in Healthcare by Robert Newell,Philip Burnard Pdf

This is an essential, accessible introduction to the practicalities of research and evidence-based practice aimed at all pre-registration nursing and healthcare students. It places research and evidence in the context of clinical practice, introduces the main methodological approaches in qualitative and quantitative research, and describes the processes of research appraisal, dissemination and implementation. The new edition of Research for Evidence-Based Practice in Healthcare has been updated to include information for a broader health care audience. It engages students with the research and evidence agenda, demonstrates the relevance of research and evidence to nursing practice, and provides the skills needed to explore these areas in greater detail. Special features: · A practical guide to research methods and evidence-based practice · New edition of a successful student textbook · Includes a glossary of common research terms · Provides case studies, key points, further reading, and activities throughout · Accompanying website with links to further reading

How to Implement Evidence-Based Healthcare

Author : Trisha Greenhalgh
Publisher : John Wiley & Sons
Page : 280 pages
File Size : 48,5 Mb
Release : 2017-05-23
Category : Medical
ISBN : 9781119238515

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How to Implement Evidence-Based Healthcare by Trisha Greenhalgh Pdf

British Medical Association Book Award Winner - President's Award of the Year 2018 From the author of the bestselling introduction to evidence-based medicine, this brand new title makes sense of the complex and confusing landscape of implementation science, the role of research impact, and how to avoid research waste. How to Implement Evidence-Based Healthcare clearly and succinctly demystifies the implementation process, and explains how to successfully apply evidence-based healthcare to practice in order to ensure safe and effective practice. Written in an engaging and practical style, it includes frameworks, tools and techniques for successful implementation and behavioural change, as well as in-depth coverage and analysis of key themes and topics with a focus on: Groups and teams Organisations Patients Technology Policy Networks and systems How to Implement Evidence-Based Healthcare is essential reading for students, clinicians and researchers focused on evidence-based medicine and healthcare, implementation science, applied healthcare research, and those working in public health, public policy, and management.

Clinical Context for Evidence-Based Practice

Author : Bridie Kent,Brendan McCormack
Publisher : Wiley-Blackwell
Page : 0 pages
File Size : 41,7 Mb
Release : 2010-09-07
Category : Medical
ISBN : 1405184337

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Clinical Context for Evidence-Based Practice by Bridie Kent,Brendan McCormack Pdf

The Evidence-Based Nursing Series is co-published with Sigma Theta Tau International (STTI). The series focuses on implementing evidence-based practice in nursing and midwifery and mirrors the remit of Worldviews on Evidence-Based Nursing, encompassing clinical practice, administration, research and public policy. Clinical Context for Evidence-Based Practice provides insights into the key contextual issues to be considered in the implementation and assessment of evidence-based practice. Increasingly, implementation research is demonstrating that for evidence to be successfully implemented into practice, the context of practice needs to be considered. Clinical Context for Evidence-Based Practice addresses professional, educational, and organizational contextual issues that impact on the implementation of evidence into practice and the bringing about of practice change. Practical strategies that have been used effectively to overcome these contextual issues in a range of healthcare settings are identified. Specific contextual issues in different care settings are also addressed e.g. acute care, primary health care, peri-operative settings, paediatrics, aged care, mental health, midwifery. Each chapter is written by an internationally known and respected author, with experience of developing or reviewing contextual strategies that have an impact on the implementation and utilisation of research in practice. They explore how gaining a better understanding of context made a difference to the implementation process or outcome and address the potential to transfer different approaches to a range of healthcare settings. An informative, practical resource for nurses and other health care professionals Explores context-related models and approaches to implementation Informs implementation and enables effective decision making Critically appraises contextual factors across the spectrum of care Explores future directions and implications Includes case examples

Evidence-Based Practice Across the Health Professions

Author : Christopher Del Mar,Tammy Hoffmann,Sally Bennett
Publisher : Elsevier Health Sciences
Page : 366 pages
File Size : 44,9 Mb
Release : 2009-10-16
Category : Medical
ISBN : 9780729579025

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Evidence-Based Practice Across the Health Professions by Christopher Del Mar,Tammy Hoffmann,Sally Bennett Pdf

Inter-professional education that begins in undergraduate or graduate-entry programs has been accepted by universities as a proven method for fostering collaborative practice among health professionals yet there are few truly multidisciplinary books about evidence-based practice that meet the needs of undergraduate and postgraduate students enrolled in inter-professional courses. Evidence-based Practice across the Health Professions is designed to meet this need. It provides the reader with an excellent foundation in the knowledge and skills necessary to perform and understand the implications of evidence-based practice within a healthcare environment. It discusses the critical role of clinical reasoning and includes a range of practical strategies to facilitate shared decision making and effective communication with clients for improved client outcomes. Evidence-based decision making is common to all professions and provides an ideal platform for multidisciplinary work. With this in mind, to facilitate an understanding of how evidence may be integrated into clinical practice there are a number of chapters that contain worked examples from many different health professions that demonstrate appraisals of the methodological quality and interpretation of results for a number of different methodologies (such as randomised controlled trials, diagnostic studies, cohort studies, and qualitative research). Health professionals from a range of disciplines will benefit from familiarity with the intervention being evaluated, the context of the intervention, and the outcome measures used. Evidence-based Practice across the Health Professions is of direct relevance to all health profession students and practitioners engaged in client care and in making informed clinical decisions in order to achieve better client outcomes. worked examples of a wide range of case scenarios and appraised papers (some are discipline-specific and others are multidisciplinary) designed to be used by students from a wide range of health professions, thus facilitating the student’s ability to understand the needs of multi-disciplinary health-care teams in a real-life setting includes a detailed chapter on implementing evidence into practice and other topics that are not typically addressed in other texts, such as a chapter about how to communicate evidence to clients and another that discusses the role of clinical reasoning in evidence-based practice summary points at the end of each chapter supported by an Evolve resource package that contains revision questions that utilize a range of question formats

Evidence-based Public Health

Author : Amanda Killoran,Mike P. Kelly
Publisher : Oxford University Press
Page : 128 pages
File Size : 42,8 Mb
Release : 2009-11-26
Category : Medical
ISBN : 9780191008146

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Evidence-based Public Health by Amanda Killoran,Mike P. Kelly Pdf

Evidence-based Public Health: Effectiveness and efficiency continues the themes raised in Public Health Evidence - tackling health inequalities. Written by the same author team, this book is a comprehensive reference to evidence-based approaches in public health. It covers the context and role of evidence-based public health in England; frameworks for evaluating the effectiveness and cost effectiveness of public health policies and interventions; diversity, vulnerability and risk as a focus for understanding the role of social context in influencing health-related behaviours; approaches and methods to generate and synthesize evidence of what works to improve health and tackle health inequalities; current best available evidence on the effectiveness of a diverse range of interventions; and the role of evidence-based guidance and standards in changing policy and practice. This book will be essential reading for all those concerned with advancing an evidence-based approach to public health, and tackling health inequalities, including academics, researchers, policy makers, postgraduate students in public health, and anyone involved across different sectors of public health, including local government, health and education, Whilst based on work done in England by NICE, the book contains generic principles which are applicable internationally.

Implementing Evidence-Based Practice in Healthcare

Author : Gill Harvey,Alison Kitson
Publisher : Routledge
Page : 240 pages
File Size : 40,5 Mb
Release : 2015-03-24
Category : Medical
ISBN : 9781136768088

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Implementing Evidence-Based Practice in Healthcare by Gill Harvey,Alison Kitson Pdf

The successful implementation of evidence into practice is dependent on aligning the available evidence to the particular context through the active ingredient of facilitation. Designed to support the widely recognised PARIHS framework, which works as a guide to plan, action and evaluate the implementation of evidence into practice, this book provides a very practical ‘how-to’ guide for facilitating the whole process. This text discusses: undertaking an initial diagnosis of the context and reaching a consensus on the evidence to be implemented; how to link the research evidence with clinical and patients’ experience and local information in the form of audit data or patient and staff feedback; the range of diagnostic, consensus building and stakeholder consultation methods that can be helpful; a description of facilitator roles and facilitation methods, tools and techniques; some of theories that underpin the PARIHS framework and how these have been integrated to inform a revised version of PARIHS Including internationally-sourced case study examples to illustrate how the facilitation role and facilitation skills have been applied in a range of different health care settings, this is the ideal text for those interested in leading or facilitating evidence based implementation projects, from the planning stage through to evaluation.

Evidence-based Practice for Information Professionals

Author : Andrew Booth,Anne Brice
Publisher : Facet Publishing
Page : 324 pages
File Size : 43,9 Mb
Release : 2004
Category : Language Arts & Disciplines
ISBN : UOM:39015061775600

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Evidence-based Practice for Information Professionals by Andrew Booth,Anne Brice Pdf

Evidence-based practice is a paradigm that originated within healthcare but is rapidly migrating to other fields. It involves applying the results from rigorous research studies to professional practice in order to improve the quality of services to clients. Familiarity with these methods has caused an increasing number of information professionals to turn a critical eye to their own practice. Is it possible to adapt this model to librarianship and information work? To what extent are its skills and techniques transferable to the various areas of professional practice? Is it desirable for information professionals to integrate research findings into their day-to-day decision-making? These and other related issues are discussed in this book, the first to examine this key topic in depth. It is divided into three parts: The Context for Evidence-based practice; Skills And Resources for Evidence-based Information Practice; and Using the Evidence Base in Practice. This last part explores each of the six domains of evidence-based librarianship identified in research, to demonstrate the application of evidence-based information practice in a practical decision-making context. These chapters with their associated Special Topics present concise summaries of evidence-based information practice within generic areas of work, together with practical examples of the application of evidence-based principles and methods. Supported by a wealth of case studies drawn from a wide range of sectors, these contributions from leading-edge professionals cover the following key issues: why evidence-based information practice? a brief history of evidence-based practice how good is the evidence base? why don't librarians use research? formulating answerable questions identifying sources of evidence and searching the LIS literature appraising the evidence applying evidence to everyday practice and evaluating your performance disseminating the lessons of evidence-based practice examining the evidence base for reference services and enquiry work the contribution of evidence-based practice to educational activities towards evidence-based management evidence-based perspectives on information access and retrieval introducing an evidence-based approach to marketing and promotional activities. Readership: This book is of wide interest to all new and established information professionals, both those in fields such as healthcare where the evidence-based paradigm is already impacting on their work, and those in other fields encountering it for the first time. It is a core text in departments of library and information work.

Evidence Based Midwifery

Author : Helen Spiby,Jane Munro
Publisher : John Wiley & Sons
Page : 224 pages
File Size : 44,5 Mb
Release : 2009-10-13
Category : Medical
ISBN : 1444314610

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Evidence Based Midwifery by Helen Spiby,Jane Munro Pdf

Evidence based practice is now widely accepted as a fundamental tenet of midwifery. The importance of evidence in defining midwifery policy and practice in the UK health system, and others, is acknowledged and enduring. While the development and evaluation of research in midwifery is well charted, the question of how such evidence is incorporated into practice has, to date, received less attention and discussion in the midwifery profession. Answering this need, Evidence Based Midwifery focuses on the dissemination and use of evidence for midwifery practice, and explores midwives’ experiences in using the evidence base to inform policy and enhance clinical practice. Written by a highly-regarded and diverse group from the UK and international midwifery community, Evidence Based Midwifery addresses issues of relevance to all midwives whether clinical practitioners or educators, students or supervisors, researchers or managers. Issues that influence evidence based midwifery are discussed, and topics covered include problem based learning, implementation of evidence based guidelines and the involvement of service users. Edited by founder members of the Evidence Based Midwifery Network International collaboration with contributions from the UK, Greece, Canada and the Netherlands Primary focus on the incorporation of evidence into midwifery practice Real-life examples throughout

Values-Based Health & Social Care

Author : Jill McCarthy,Pat Rose
Publisher : SAGE
Page : 186 pages
File Size : 49,7 Mb
Release : 2010-06-22
Category : Medical
ISBN : 9780857029331

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Values-Based Health & Social Care by Jill McCarthy,Pat Rose Pdf

Is evidence-based practice really best practice? This is a hotly debated question in health and social care circles and the starting point for this book. Engaging firmly in the debate, Values-Based Health & Social Care calls into question the dominance of evidence-based practice and sets out an alternative vision of care which places holism, professional judgement, intuition and client choice at its centre. Bringing together writers from a range of health and social care backgrounds, the book describes the rise of evidence-based practice and explores major criticisms of the approach. It argues that evidence should be seen as part of a broader vision of practice which places equal value on: - a holistic vision of the needs of patients and clients. - professional knowledge and intuition, and - seeing patients and clients as partners in their care. Examples are used throughout the book to help readers link the concepts to practice. The book concludes with suggestions on how to develop a values-based approach in practice and through professional education. Values-Based Health & Social Care sets out key debates surrounding the nature of practice which will be of interest to students and practitioners alike.