With Reference to the CYP IAPT Core Principles, critically discuss Evidence Based Practice and Routine Outcome Monitoring and the challenges of implementing these within the modality of parenting and within the wider context of practise within the children centres Introduction Studies published by Green, Meltzer, McGinnity, Goodman and Ford in 2004 estimated that 9.6% or nearly 850,000 children and young people aged between 5 -16 had a mental health disorder and it was estimated that a staggering 76% of those CYP with anxiety and depression disorders were not accessing mental health services compared to 35% of adults. As a result of such studies, The children and young people’s improving Access to Psychological Therapies programme (CYP IAPT) was conceived and aimed to transform the delivery of Child and Adolescent Mental Health Services (CHAMS) across England. CYP IAPT has four core principles, Evidence Based Practice (EBP), Routine Outcome Monitoring (ROM), Participation, and Reflective Practice. This essay will focus on the two principles of EBP and ROM and will consider the challenges of implementing these within the modality of parenting and within the wider context of practise within the children centres.
It was a privilege to work with Laura on a team rehabilitating a severely impaired brainstem CVA patient. She uses evidence based practice to modify treatment approaches to promote positive outcomes for both her patients physical needs as well as cognitive-communicative needs. A perfect example of this was scheduling her PT session prior to an SLP comm/cog session with increasing cardiovascular effort to promote improved cognitive
Human beings are different in nature. So as each practitioner’s qualities are different. Furthermore, evidence-based practice appears to share very similar definitions,
Organizational Culture and Readiness Having a positive attitude towards Evidence Based Practice (EBP) and valuing the importance of EBP practice for patients is the most important factor in the practice of EBP among nurses (Stokke, K., Olsen, N., Espehaug, B., & Nortvedt, M. (2014). An “Organizational Culture and Readiness Assessment” survey was conducted among nurses at a hospital following the Appendix K in (Melnyk & Fineout-Overholt, 2011, p 594). Most nurses agreed that the hospital is prepared for further implementation of Evidence Based Practice (EBP). Majority of them believe that the nursing staff, the physician team, and administrators actively practice EBP. The rationale behind this comes from the overall environment of the hospital.
As Manager it is important that you ensure and encourage staff to embrace the idea of evidence based practice.
Evidence- Based Practice Evidence based practice has influenced the way that induvials view sexually transmitted disease. It allows us to look at the information we have gathered previously, interpret it and then determine what needs to be changed and what seems to be working properly. When looking at EBP, we can tell that with the use of protection such as condoms and dental dams, the percentage of STDs being transmitted has lowered. When sexually active individuals did not use preventative measure, the percentage of STDs grew. EBP also has proven to show that the more partners one has, the risk of catching an STD becomes higher.
Retrieved from http://www.mghpcs.org/pcs/magnet/Documents/Monday/MM_010713.pdf McClellan, M. (2013). Improving health care quality: The path forward. Brookings. Retrieved from https://www.brookings.edu/testimonies/improving-health-care-quality-the-path-forward/ Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas.
Outcome-based practice represents a prescriptive approach to practice. According to these definitions, knowledge is created by researchers, and handed to practitioners to be applied in practice situations. The second type of definition suggests that practitioners investigate practice problems, and assess research in accordance with their clinical judgment and then, thirdly, collaborate with our residents. Some define outcome-based practice with a focus not on the research, but rather on the practitioner; on her or his professional judgment, skills, and knowledge acquisition processes.
Introduction Melnyk and Fineout-Overholt (2019) defined Evidence-Based Practice (EBP) as a problem-solving approach to clinical decision-making. It involves using the best available evidence through a systematic search and critical appraisal of relevant evidence, combined with clinical expertise and patient preferences, to improve individual, group, community, and system outcomes. EBP is a lifelong approach to clinical decision-making that combines the best available evidence with clinical expertise and patient values to improve outcomes (Melnyk & Fineout-Overholt, 2019). The University of Missouri Hospital, locally known as MU Health Care, is an organization that emphasizes its mission, vision, and values, all critical elements of evidence-based practice.
Thank you for your participation and I found very interesting the information about the benefits of Evidence-Based Practice for instance safety. Studies also reported that in addition to safety, the evidence-based practice offers another advantage that is related to decreasing healthcare costs and reducing medical complications. Indeed, the promise implicit in an evidence-based approach to patient care, that is, the potential for improved patient outcomes at a reduced cost and for shared decision making with a well-informed patient, has led to an increased adoption of the principles of evidence-based medicine (EBM) worldwide. EBM is increasingly used by individual practitioners wishing to be better informed about clinical problems arising daily
The goal is to improve the health and safety of patient while also providing care in a cost-effective manner to improve the outcome for both the patient and the health care system at large. According to Melyn and Fineout-overholt(2005)Evidence-based practice should be a problem-solving approach to clinical practice that integrates a systematic search for critical appraisal of the most relevant evidence to answer a burning clinical question.
Background and Significance There is a great demand on nurses in clinical practice to implement evidence based practice (EBP) in their daily care. However, Implementing EBP is not easy and can be challenging for healthcare organizations (Koehn & Lehman, 2008; Majid et al., 2011). In Saudi Arabia (SA), healthcare organizations have been challenged to foster an environment that embraces EBP in clinical practice. Unfortunately, most of the efforts to support healthcare providers’ implementing EBP into their practice are focused on medical staff; little is done to support nursing staff and other healthcare professionals. The Ministry of National Guard Health Affairs (MNGHA) in Riyadh, SA, where this capstone project was implemented, is facing the
It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as
EBP was first initiated as a strategy for research and implementation in medical science by using blind studies and clinical trials in order to develop effective treatments from collected evidence. The challenge of EBP is that it has proven to be a failed practice in many fields. For example, using random clinical trials (RCT) where results are influenced by multi factors in leadership development is not an appropriate research strategy for evidence-based practices. The growth of evidence based practices has spreaded rapidly as a methodology for providing what works and to establish predictable results in fields other than clinical care and medicine and with this practice there will be controversies. It is said that random clinical trials are not always the best for decisions it can be misleading.
Evidence based practice (EBP) is a process of integrating high quality evidence into practice or care provided by health professionals and decision makers in health care. This discussion will explore the meaning of the term Evidence Based Practice further and discuss its origins. EBP requires finding the best available evidence to inform practice, its greatest benefit being the best possible care for a client. Other benefits and limitations will be further discussed below. EBP demands the client be seen as an individual and their unique circumstances be considered in the application of evidence
