Clinical Context for Evidence-Based Nursing Practice.
Material type: TextSeries: Evidence Based Nursing SerPublisher: Hoboken : John Wiley & Sons, Incorporated, 2010Copyright date: ©2012Edition: 1st edDescription: 1 online resource (229 pages)Content type: text Media type: computer Carrier type: online resourceISBN: 9781118275887Subject(s): Context effects (Psychology) | Evidence-based nursingGenre/Form: Electronic books.Additional physical formats: Print version:: Clinical Context for Evidence-Based Nursing PracticeDDC classification: 610.73 LOC classification: RT84.5 -- .C567 2010ebOnline resources: Click to ViewIntro -- Table of Contents -- Introduction -- References -- Context: overview and application -- Introduction -- Defi ning context -- Models and frameworks -- Parihs -- Context assessment index -- The ottawa model of research use -- Mode 2 thinking and context for evidence-based practice -- Global factors -- Conclusion -- References -- Making context work in primary health care -- Introduction -- What is primary health care? -- Phc as a philosophy of practice -- Phc as a set of strategies -- Phc as a level of service provision -- Principles of primary health care -- What are the challenges? -- Making context work in primary care -- Assessing community need -- Engaging community -- Example 1-context determined by the locale -- Example 2-context determined by the people -- Example 3-context determined by the social system -- Conclusion -- References -- Making context work in acute care -- Introduction -- The acute care context in relation to use of evidence in practice -- Characteristics of acute care contexts -- Evidence of the infl uence of acute care context on the use of research in practice -- Interventions and strategies to implement interventions -- Ingredients of successful implementation -- Application of research evidence in the acute care context-a case example -- Conclusion -- References -- Making context work in pediatrics -- Introduction -- Medication safety -- Evidence from practice -- Overcoming the barriers to implementing evidence into practice -- Family-centered care -- Empowering families -- Family-centered environment -- Changing practice -- Conclusion -- References -- Making context work in the perioperative setting -- Introduction -- Meta-analyses -- Preoperative fasting -- Thromoembolism prevention -- Mechanical bowel preparation before colon surgery -- Double gloving to prevent sharps injuries -- Randomized clinical trials.
Preoperative showers -- Prevention of perioperative hypothermia -- Non-experimental studies -- Case-control studies -- Outbreak investigations -- Failure modes and effects analysis -- Descriptive studies -- Case reports -- Other sources of evidence expert opinion -- Scientifi c principles -- Manufacturers' instructions -- Clinical practice guidelines and perioperative standards -- Summary -- Additional resources -- References -- Midwifery in the context of new and developing technologies -- Introduction -- Defi ning healthcare technology -- Defi ning birth technologies -- Understanding the complexity of technology and its relevance to midwifery -- Philosophical perspectives on birth technology -- Midwives and birth technology: major theoretical positions -- Birth technology competence -- Pregnant women's use of the internet in pregnancy -- Current context of midwifery care -- The midwifery model of care -- International defi nition of the midwife -- Global health: the world health organization -- Millennium development goals -- Global statistics on internet usage -- Inappropriate use of technology -- Use of technology during pregnancy and childbirth -- Conclusion: the instantaneous age and the role of modern technology in childbirth -- References -- Making context work in mental health -- Introduction -- Contextualizing mental health care -- The practice of reviewing: the evolution of scientifi c literature -- Interpreting the evidence type of research -- Content focus of articles -- Characteristics of samples -- Setting characteristics -- Measures -- Implications of "context" for practice: effect of peer review on practice -- Benchmarking practice: its place in the hierarchy of evidence -- Interpreting the evidence assessment outcomes -- Equivalence of pit and cbt in routine settings.
Effectiveness of therapies in routine settings benchmarked against therapies in effi cacy studies -- Implications of benchmarking practice for mental health practice -- Summary of how the different contexts of reviewing and benchmarking practices impact on mental health and practice environments -- Concluding comments -- References -- Making context work in aged care -- Introduction -- Aged care settings and providers -- Best practice in aged care -- A program of research on evidence-based aged care -- Infl uences on evidence-based aged care -- Leadership: epicenter of change or root of resistance -- Social relations: harmony or autocracy -- Caregiver quality: altruism or nihilism -- Summary: maximize relationships, minimize stress -- References -- Enabling context with policy -- Introduction -- Evidence and policy making -- The policy-making process -- The place of evidence in the policy process -- From policy to practice -- Taking account of policy in implementation strategies -- Bridging the gaps between practice, policy, and research -- Summary -- References -- Context in context -- Introduction -- Attributes of context -- Contextual antecedents -- Common contextual factors -- Considering these individual contexts-context within contexts -- The impact of the changing world on contextual factors for evidence-based healthcare? -- Way forward -- References -- Index.
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.
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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2018. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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