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Evidence-Based Psychiatric Practice

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Evidence-based psychiatric practice(EBPP) Evidence-based psychiatric practice (EBPP) is a broad term referring to clinical practice that is informed by evidence about interventions and considers patient needs, values, and preferences and their integration in determining individual care. EBPP uses evidence-based medicine (EBM) to assess the quality of evidence relevant to the risks and benefits of treatments (including lack of benefit). According to the Centre for Evidence-Based Medicine, “Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients”. Multiple Types of Research Evidence 1. Clinical observation (including individual case studies) and …show more content…

Systematic case studies are particularly useful when aggregated—as in the form of practice research networks—for comparing individual patients with others with similar characteristics. 4. Single-case experimental designs are particularly useful for establishing causal relationships in the context of an individual. 5. Public health and ethnographic research are especially useful for tracking the availability, utilization, and acceptance of mental health treatments. 6. Process–outcome studies are especially valuable for identifying mechanisms of change. 7. Studies of interventions as these are delivered in naturalistic settings (effectiveness research) are well suited for assessing the ecological validity of treatments. 8. RCTs and their logical equivalents (efficacy research) are the standard for drawing causal inferences about the effects of interventions (context of scientific verification). 9. Meta-analysis is a systematic means to synthesize results from multiple studies, test hypotheses, and quantitatively estimate the size of effects. How to practice evidence –based psychiatry There is 5 step in applying evidence base practice (medicine process) Step 1 Formulate the question It is begins with a clinical question, which involve issues related …show more content…

1-Clinical Expertise Team of expert psychiatric nursing clinicians dealing with patients with schizophrenia who hear auditory hallucinations. They start the research in 1992, the interventions for auditory hallucinations at that time were limited to psychiatric medication and reality orientation such as in therapeutic communication they evaluate the evidence and decided more research-based interventions they needed for auditory hallucinations. 2-Theory/models They select two guides for their research : 1) the symptom management model 2) self-control of psychotic symptoms model These models provide a powerful patient-centered framework for assessments, interventions and evaluation of patient outcomes related to hearing voices. This include : patients as partners in treatment and assume they are experts about their symptoms and the management of their symptoms. Focusing as partners increases patient empowerment and leads to the recovery

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P3 research: I will now compare different research methodologies for health and social care. There are two types of research that are commonly used when research projects are being taken out, which aim to benefit health and social care related services. These two types of research are called quantitative research and qualitative research. The difference between these two is how they collect the information they need in different way and use different kinds of sources, but both benefit the health system. Without research being carried out medical professionals/and laboratory scientists would not be able to provide us with improved medications that can improve our health.

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news outlet that offers on line news and opinion covering a variety of topics to include politics, business, technology, and culture. The Psychiatric Times is a medical trade monthly publication. It offers news, special reports, and resources for psychiatrists and other mental health workers. The two articles reviewed are relative to the topics discussed in Slate et al. (2013)

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Evidence-based decision making becomes the process for achieving evidence-based practice. In decision making process, it involves asking focused answerable questions, obtaining evidence, and application of the findings to practice, and reexamining the process (Brown & Ecoff, 2011). Initial assessment of a problem is the earliest or first step to EBP decision making. The assessment unveils so much about a problem at hand, such as identifying a problem, recognition of key stakeholders and their understanding and attitude towards the identified problem (Brown & Ecoff, 2011).

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Evidence Based Treatments Evidence-based treatment is a principle and technique of evidence-based choices and interventions. The main idea is to improve social function. This treatment provides significant effects on individuals and offers new ways to improve dysfunction. Evidence-based programs are interventions and programs that have been proven effective through research.

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In the future, I will remember to provide a holistic care to the patient. This includes their physical injuries along with their spiritual and mental wellbeing. I will provide care that is patient-centered. As in the other IPE classes, patient-centered care is an essential aspect of interprofessional teamwork. It is vital to keep the priority on the patient’s wellbeing.

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Between the time span of the study of diverse patients, the naturalistic study sees how well the patients function in society. It involves observing participants in their natural environment. This kind of research is often used in situations, conducting laboratory research because it is cost prohibitive, impractical, or would immensely impact the participant's behavior. The reason why this research is necessary is because there has not been a lot of research on what treatment is most effective for this disorder. Therapists and patients in a community were recruited for the existing

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Introduction In reviewing the literature, and the research guidelines as stipulated by the various authorities, including the NMC (2008:6) and other researchers ((Houser and Oman 2011), evidence based practice is regarded to be a critical in the evaluation and determination of the method of health care delivery. This is fundamental requirement as it ultimately promotes the knowledge and skills in nursing and the practitioners alike. Therefore, it is essential that appropriate skills are employed by informed judgements on various aspects concerning health. The evidence must be reliable and valid (Parahoo 2006) which in turn would promote credibility of the researchers and health professionals from the viewpoint of implementing best practice

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The literature offers a variety of definitions for the term evidence-based practices (EBP). One description of EBP is that it can be used as a decision-making process which is supported by the best available evidence and professional judgement. Gibbs (2003) and Gambrill (2001) refer to this as a framework or model that is more than the use of research-supported interventions because it embodies a comprehensive approach to practice. Adopting such an approach provides practitioners with the freedom to choose interventions that have available evidence for decision-making, rather than making intervention decisions on the basis of other criteria. Alternatively, evidence-based practice is used to refer to specific interventions that have been reviewed and met a level of evidentiary standard.

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1) Define the terms meta analysis and meta synthesis. Why did we use meta synthesis in the research design? Meta synthesis is a deliberate and intelligent way to deal with breaking down information over subjective investigations. It is a procedure that empowers analysts to recognize a particular research question and after that scan for, select, assess, compress, and join subjective confirmation to address the explored question.

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Conclusion The opportunity to work on this learning goal will help me to understand the effectiveness of DBT as a form of therapy for various mental illnesses. Furthermore, it will enable me to understand the skills that can help to enhance a patient’s outcomes and to be successful in this mental health

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Introduction The idea of schizophrenia was originally labelled “dementia praecox” by Emil Kraepelin (1919) who considered it to be a degenerative disorder. This cynical view of schizophrenia continued into the contemporary diagnostic classifications. As recently as DSM-III (APA, 1980), the depiction of the patient with schizophrenia was particularly despairing: “A complete return to pre-morbid functioning is unusual – so rare, in fact, that some clinicians would question the diagnosis. However, there is always the possibility of full remission or recovery, although its frequency is unknown.

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During the brief time that we have been engaged in developing Evidence-Based Nursing we have been fascinated by the reactions of friends, professional colleagues, and the media. The overwhelming majority of responses to the concepts of evidence-based nursing and the creation of this journal have been positive. But there have also been misgivings, sometimes generated by misunderstandings. This editorial addresses the following criticisms which we have encountered in person and in print: (1) evidence-based practice isn’t new: it’s what we have been doing for years,(2) evidence-based nursing leads to “cookbook” nursing and a disregard for individualised patient care and, (3) there is an over-emphasis on randomised controlled trials and systematic

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So, by conducting a research the counselor is able to prove the treatment is effective. The counselor is also able to see if the interventions and outcome is proper to used to demonstrate their work towards the benefit of the

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Literature review Symptom types of Schizophrenia Schizophrenia is generally divided according to symptom types. The symptoms of schizophrenia have been divided into three specific complexes (i.e., positive symptoms, negative symptoms and cognitive deficits; Buchanan, 2007), while others use a dichotomous model, such as type I and type II Schizophrenia (Crow, 1980) that roughly corresponds to positive and negative symptoms of schizophrenia (Andreasen, 1982). Positive symptoms were characterized over the past 150 years by active excesses in normal functioning; while negative symptoms of schizophrenia are characterized by a loss of normal functioning (Berrios, 1985; Rector, Beck & Stolar, 2005). Hence, while there are different symptom types, all typologies and dimensional models acknowledge negative symptoms. Negative symptoms of schizophrenia are thought to be a marker of dysfunction and cognitive impairments (Rabinowtiz et al., 2012).

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The appropriate treatment of mental disorders implies the rational use of pharmacological, psychological and psychosocial interventions in a clinically meaningful, balanced, and well-integrated way.. CONTINUITY OF CARE: Some mental and behavioral disorders follow a chronic course. The needs of patients and their families are complex and changing, and continuity of care is important. Some of the measures to ensure continuity of care include: • special clinics for groups of patients with the same diagnosis or

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