There are some key distinctions between Randomized Controlled Trials (RCT) in a psychotherapeutic context and a medical context. There are key differences between the design of an RCT to evaluate a new drug and an RCT to evaluate a new form of couples’ therapy. However, it is important to begin by defining and understanding the importance of RCT in research (O'Brien, 2013). O'Brien (2013) defines RCT as a research technique that has been through the ages. It first was applied in medical studies
The journal I read was Individual Music Therapy for Depression: randomized controlled trial. The idea of this trial was to try to understand weather music therapy and long side of standard care is beneficial or not. At the time the most common treatment for depression was medication and psychotherapy. In the past there have been studies done on the efficiency of music therapy and they concluded that it was beneficial. However only one study was done were the participants were apart of the working
Liem E, Lin C, Suleman M et al. Anesthetic requirement is increased in redheads. Anesthesiology. 2004;101(2):279-283. This study is a randomized controlled trial that was conducted with the approval of the University of Louisville Human Studies Committee. The trial was supported by grants from the National Institutes of Health, the Joseph Drown Foundation, and the Commonwealth of Kentucky Research Challenge Trust Fund. No conflicts of interest were apparent, nor did the authors have any financial
of the patient’s pain. In a systematic review conducted by Liu et al,2 three short-term randomized controlled trials with a total of 277 patients with GBS were found that met the criteria for inclusion into their review of pain treatment methods in patients with Guillain-Barré Syndrome. In order to be included into the review, studies had to be randomized controlled trials or quasi-randomized controlled trials and that reported on pain assessment. The first study included in the review had eighteen
Tea Preparation on the Severity and Duration of Upper Respiratory and Flu Symptoms: A Randomized, Double-Blind Placebo-controlled Study. The Journal of Alternative and Complementary Medicine,6, 327-334 Melchart, D., Walther, E., Linde, K., Brandmaier, R., Lersch, C. (1998). Echinacea Root Extracts for the Prevention of Upper Respiratory Tract Infections: A Double-Blind, Placebo-Controlled Randomized Trial. Archives of Family Medicine, 7,6 Percival, S. (2000) Use of Echinacea in Medicine
necessary for randomized, controlled trials? The following sentences are different scenarios that answer the question. Informed consent should not be waived unless the treatment is offered inside and outside the trial. Treatment should not involve more than minimal risk compared to alternatives. Genuine clinic must value the treatments the same. No reasonable person should have a preference for one treatment or another (Truog et al. 1999). If the treatments can be found in and outside of the trial, then
Introduction: Fibromyalgia is an extremely disabling condition associated with chronic widespread musculoskeletal pain and reduced pain thresholds (Wolfe et al., 2010)(Kelley et al., 2011). Observational studies have shown that over a 12 month period 25% of men and women surveyed over the age of 65 will consult a primary care physician for musculoskeletal pain (Jordan et al., 2010). Overall, between 46% and 80% of people over the age of 65 report experiencing pain on a daily basis and 15% of women
stores (i.e. Whole foods, Sprouts), groceries (i.e. Ralphs, Vons), and drug stores (CVS, Walgreen). In this paper, the effectiveness, efficacy of researches conducted, side effects and dosages have been focused on based research articles, randomized controlled trials and meta-analysis. St. John’s wort which is also known as Hypericum Perforatum, is the widely used herbal antidepressant in the world. Use of St. John’s wort goes back to middle ages. During the middle ages, it was used to treat insanity
of Catheter-Related Infections in Critically Ill Adults: A Randomized Controlled Trial. The Journal of the American Medical Association, 301(12), 1231-1241. doi: 10.1001/jama.2009.376 Ye-benes, J., Vidaur, L., Serra-Prat, M., Sirvent, J., Batlle, J., Motje, M., . . . Palomar, M. (2004). Prevention of catheter-related bloodstream infection in critically ill patients using a disinfectable, needle-free connector: A randomized controlled trial. American Journal of Infection Control, 32(5), 291-295. doi:
When performing evidence based practice research, the Iowa Model uses a team or individual approach to assist nurses in the journey to quality care. The Iowa Model begins by offering a process of selecting a proper clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is formulated as a question to improve a technique or procedure. Once the researcher determines that an ample amount of reported investigation exists on the desired question, information may
In the past, health care managers tended to focus on cost and quality, thus “doing things right” and leaving “doing the right things” to other forces and chance. This situation is rapidly changing and everyone involved in decision making must use evidence to enable them to make decisions about “doing the right things.” These skills are necessary for provision of health care in the 21st century . INTRODUCTION Evidence-based medicine (EBM) has been described as “the conscientious, explicit, and judicious
This paper addresses the use of cognitive behavioral therapy (“CBT”) to treat somatoform disorders and analyzes CBT both in general and how it compares to other treatments for the same disorder. Given the somewhat limited analysis of this treatment area by medical and mental health professionals, and as a result of the relatively recent nature of the analysis that does exist, various recommendations are discussed with respect to improvement of the existing treatment methodology. Somatoform Disorders
movement are very limited and finding valid article with less bias was difficult too. The review article is constructed from the research studies conducted on general population, finding age specific effect was impossible due to the limitation in valid trials. However, using the filters like study type, year publication etc., helped me to narrow down the search and the content with much
Pain is often overlooked and disregarded as an unimportant health issue by health care providers. However, according to the National Institutes of Health, pain affects more Americans than diabetes, heart disease, and cancer combined. It is the most common reason people seek health care, the leading cause of disability, and a major contributor to health care cost (National Institutes of Health [NIH], 2013). By managing pain, patient outcomes improve and health cost decreases because the patient is
EVIDENCE-BASED PRACTICE 9 Nurses must, at all times, put the wellbeing of the patient at the forefront of care PONV is an undesired side effect of anesthesia. About 10% of all surgical patients will develop postoperative nausea and vomiting (PONV) (Tinsley & Barone, 2012). It is the nurse?s responsibility to do everything in his or her power to alleviate patients enduring nausea and possible vomiting after surgery. A crucial first step in evidence-based practice (EBP) is converting information
Brown et al (2017) document dignity was commonly understood as independence, privacy, comfort and care, individuality, respect, communication, physical appearance and being seen as human. To successfully deliver the dignity care to end of life patient, it requires that nurses need to obey the 6Cs of nursing (care, compassion, competence, communicate, courage and commitment) in order to the standard care not fall behind (DH, 2012). By following NMC code (2015) we are now taking forward this work in
Does the use of pacifiers have a negative effect on breastfeeding success rates? The World Health Organization (WHO) and UNICEF programme, the UK Baby Friendly Initiative, recommends exclusively breastfeeding up to the first six months of life and as a dietary supplement after that. To successfully start and maintain breastfeeding for a longer duration, and to avoid supplementary forms of feeding, these organisations recommend that artificial teats or pacifiers should not be given to infants who
Although we did not have time for the lecture on Chapter 15, I found myself intrigued with the information I read on solution-focused therapies. The term solution-focused therapy kept coming up in my classes, but I really did not have an understanding of exactly what it entailed. In reviewing this chapter, I not only learned a lot, but also found myself in agreement with much of what I read. While there is no such thing as a one size fits all therapy, Solution-focused therapy has a lot to offer clients
Physical activity is the key to success in the treatment of chronic low back pain (CLBP), and exercise itself has the most permanent and long lasting effects (Abenhaim et al. 2000). Although the variety of conservative, complementary, and surgical treatments available, such as medication, thermotherapies, ergonomic and self-care advices, and patient education, proven to be beneficial for CLBP, at the present time the main aim is to provide effective interventions as well as reduce the health care
Clinical alarms hazards threat hospital settings. There were “566 deaths related to monitoring alarms” reported from a separate Manufacturer and User Facility Device Experience (MAUDE) database (Cvach, 2012, p. 269). Pelletier (2013) reported one of the biggest contributing factors to patient deaths was related to “alarm fatigue” (p. 292). The purpose of this paper is to review research and explore best practices to support alarm management and the prevention of alarm fatigue and patient harm