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Evidence based practice 1
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Growing up in a remote town of Pakistan exposed me to the underprivileged communities lacking basic healthcare services. I was only twelve years old when my family suffered an inimitable loss, as my young cousin passed away owing to a dawdled diagnosis precipitating into delayed medical attention. This agonizing incident made me realize that availability of basic medical expertise, goes hand in hand with survival of the patients. Therefore, I started volunteering at a local community hospital fueling my passion for medicine merely with a few contented smiles. I began to appreciate the difference; a small act of kindness can make in the lives of fellow human beings. I decided to never settle for anything less than the best and never give up …show more content…
Inspired by the importance of evidence based medicine and its impact on patient care, I have utilized this exciting experience to expand my understanding of clinical medicine and refine my multitasking abilities. As apart my responsibilities I write research protocols and work closely with the internal review board on a number of NIH and industry trials. Under the supervision of an elite group of researchers and clinicians, I am currently part of a ground breaking research project “Immunological responses in patients with chronic hepatitis B infection during pregnancy” which can open new avenues for the understanding of immunological responses during HBV infection and may open new treatment options in future. I am also presenting a poster at the annual conference of American College of Gastroenterology. My clinical research experience has helped me understand the significance of empathy and establishment of a close doctor-patient relationship. I remember a pregnant female in her third trimester, with a history of chronic hepatitis B, who presented with intense pruritus. She was diagnosed with intrahepatic cholestasis of pregnancy leading to HBV flare. Working in collaboration with the OB-GYN team, we were able to manage her timely with an early delivery of a healthy baby and prevented inevitable complications. This experience taught me the value of team-work in saving lives and I was able to write a case report on this patient which is awaiting
Many people rush through their daily life without contemplating their actions, thereby missing vast opportunities for achievement. They waste valuable time engaging in frivolous matters instead of putting their energies towards more productive and meaningful purposes. In the words of the Dalai Lama: “Life is not about acquiring money and other facilities; it is about dedicating your life to helping others as much as you can.” The immeasurable value of helping others has been engrained in me since childhood. As a result of my own difficult family circumstances, I have become more sensitive, kind and mindful towards others and their own situations. I have developed a passion for helping others, which, in combination with a proclivity towards medicine has lead to my descion to become a Physician Assistant. I want to live a life where I can provide healthcare and aid to anyone who needs.
In this assignment as detailed in the module eleven handbook (South Trent School of Operating Department Practice, 2012) the author will aim to explore and describe the principles and methods of scientific enquiry that underpin Evidence Based Practice (EBP). Research and evaluate the choice of the various methods that can be used within the healthcare and theatre based setting and relate these practices to the Operating Department Practitioners (ODP’s) Standards of Proficiency (Health Professions Council. 2008).
In social work evidence based practice is considered to be a decision making process and practitioners rely on the evidence when working with clients. According to Aveyard and Sharp (2013), evidence based practice is not easy to put into practice and there are many barriers to evidence based practice such as lack of time, lack of awareness of research, lack of support and cooperation, and lack of authority and inadequate facilities (p. 145). Although there are challenges to implementing evidence base practice this is still a doable task in the field of social work. Therefore, practitioners need to explore the motivation, knowledge and skills needed by the individual, the organizational motivation, learning
Hepatitis is inflammation of the liver. There are currently five known viruses that cause can hepatitis (Microbiology, 10e). The hepatitis C virus (HCV) is transmitted through contact with the blood of an infected person; however, it is now more commonly spread among IV drug users that share needles. Healthcare workers are also at risk for contracting HCV, but with standard precautions, the risk is low. “Prior to 1992, some people acquired the HCV infection from transfusions of blood or blood products. Since 1992, all blood products have been screened for HCV, and cases of HCV due to blood transfusion now are extremely rare. HCV can be passed from mother to unborn child. Approximately 4 out of every 100 infants born to HCV-positive mothers become infected with the virus. A small number of cases are transmitted through sexual intercourse; however, the risk of transmission of HCV from an infected individual to a non-infected spouse or sexual partner without the use of condoms over a lifetime has been estimated to be between 1% and 4%. There have also been some outbreaks of HCV when instruments exposed to blood have been re-used without appropriate disinfection.” (Microbiology, 10e)
Hepatitis B is a DNA viral infection that causes damage and inflammation to the liver. It was first discovered in 1965 by Dr. Baruch Blumberg. The HBV virus is very contagious and is even thought to be the most serious form of viral hepatitis and the most common viral infection on Earth. “HBV is 100 times more infectious than HIV.” (Green, 2002, pg. 7) The virus can survive for about one week outside the body on a dry surface. According to Green (2002, pg. 7), “One in twenty Americans has been infected with the virus at some point in their lives.” Between the ages of 15-39 is when 75% of new HBV infections occur, according to Green (2002, pg.8).
My passion and admiration for the healthcare field began during my teenage years, when I was diagnosed with rheumatoid arthritis—a chronic, autoimmune disease affecting various joints throughout my body. As I went through years of treatment, my physician and other medical professionals were instrumental in helping me to maintain a positive attitude after my diagnosis. Their care was the impetus for my future goals, as I saw the genuine goodness that they felt from helping others. As a result of all the medical help and emotional support that I received from these medical providers throughout my youth, I have chosen to pursue a career in the service of others through the public health field.
While maintaining environmental awareness, Medshare truly strives to provide healthcare to developing communities in need around the world. In addition to providing tools and equipment, Medshare strives to educate and send Medical Mission Teams to the countries that they work with in order to maintain consistent medical care for the people of that region. Alone, knowing that the work that we were doing held true significance behind the health of an individual I will never meet was incredible. The experience of working at Medshare was quite humbling, I am currently less than an hour away from the nearest hospital and have access to immediate care when necessary whereas the people that Medshare serves have limited if any access to medical assistance. As cliche as it may sound, I often overlook how fortunate I am to have access to educated healthcare professionals within the United States. Volunteering at Medshare simply furthered my longing to work in the medical field, while also opening my eyes to the work that I could potentially do internationally. Although the work that we did seemed so insignificant, but the impact that it will have on others lives is quite
Evidence-based practice (EBP) is an interdisciplinary approach to clinical practice that many organizations are being utilized. “The benefits of EBP, including greater cost effectiveness, and better patient safety, clinical outcomes, and patient and staff satisfaction are widely acknowledged” (Embedding a culture of evidence-based practice, page 14). In this paper, I will discuss how evidence-based practice is being utilized in the organization I work for, how nurses at the bedside are encouraged to participate in planning and implement evidence-based changes and what factors are available for nurses to use when implementing evidence-based practice. I will also discuss how nurses can suggest or help improve evidence-based practice and sustain a positive environment for EBP.
WHO also organizes World Hepatitis Day on July 28 every year to increase awareness and understanding of viral hepatitis.” (Hepatitis B.)
...epersonalized. Although not every patient is easy to deal with and doctors are under colossal pressure, by inspiring students with a possible future in the medical field to get involved with type of community service early we can ameliorate the distressing situation. Coming into contact with, speaking to, and intimately understanding these incredible individuals can dramatically alter one’s perspective and ensure treatment with self respect and dignity. I strongly believe in this notion of early involvement. My changed view coupled with my future medical training in college will allow me to be a figure to emulate and hopefully inspire others to follow this path. By embarking on this monumental journey mankind has the opportunity to shape history and enrich the lives of others while personally experiencing the most rewarding of all endeavors: helping someone in need.
The use of evidence-base practice (EBP) has steadily grown over the past thirty years, but some hospital systems struggle with politics and organizational cultures that avoid change. It is important for health care leaders to remove barriers and provide an organizational framework of support to promote the use of best practices (Huber, 2014-a). In this post, I will discuss how infrastructure and culture affect implementing evidence-base practice and discuss the how evidence-base practice changes occur in my organization.
Evidence based practice contributes to the on-going knowledge base of nursing which leads to credibility and accountability of the profession. The Institute of Medicine (2010) stated that “Research and evidence based practice is a competency nurses need to attain to ensure the delivery of safe, patient-centered care” (para 5). The implications of Evidence Based Practice are, therefore, of the highest importance to the nursing profession.
ORGANIZATION DESCRIPTION: Charity Health began its Healthcare journey during the Great Depression as a response to the challenges of access to affordable care in Arizona. Robert Dantley, MD, and Larry Fisher became leading visionaries’ pioneers in the model of creating value-based healthcare coverage. They co-founded Charity Health in 1940 and introduced a new way of providing healthcare to communities as prepaid employer benefit. Originally the patient could use their benefits within the healthcare where the benefits were accepted, however the cost of an open network proved to be unsustainable.
Five strategies that I can do in my clinical practice to promote evidence-based practice: The impact of evidence-based practice has echoed across nursing practice, education and science. Nurses, together with other healthcare provide, need to response to the need of initiatives that maximize our contributions to the big picture of quality healthcare. As a nursing student, we are taught and stressed on the importance of evidence-based practice in every class; and below are the five strategies among lots of ways to promote it in our clinical practice. First and foremost, I believe we need to see problems first before trying to solve them.
...the opportunity to act as a triage nurse taking weights and blood pressures of our 1600 patients and seeing first-hand how hard it must be to receive quality medical care in their country. Many walked for hours and then stood waiting to be seen in the rain. To them, medical care is more a privilege than a right. This also seems to be true in the United States where the uninsured are turned away from many hospitals to ones, which often lack the resources for expensive operations. This experience has inspired me to serve the underserved.