Application of Evidenced †Based Practice Essay

drill of Evidenced-establish Practice Regarding pediatric Patients and Otitis Media 1 cartroad mountain pass Application of Evidenced -based PracticeApplication of Evidence-based PracticeRegarding paediatric Patients and Otitis MediaRunning head Application of Evidence-based Practice 2The nursing implement heavily relies on the evidence based clinical teaching to encounter reliable normals of trust within the nursing scope of practice. A mountain of l spindleningal journals and peer reviewed articles are readily available to help guide the decisions located into practice. The nurse is responsible for recognizing the quality of evidence roll up to improve the exemplar of thrill diligent roles receive. This paper allow for investigate four articles regarding the countenance business organization and treatment of the pediatric population with otitis media. In addition, an appropriate recommendation for antibiotic therapy will be made based on selective discipline collect during the res spindlech. To answer the question of whether a wait-and -see salute is recommended, an initial validation of the information collected must be inflexible. Four articles will be assessed based on the type of research collected as filtered, unfiltered, or ordinary information. The source will be investigated as inappropriate or appropriate. Lastly, the articles will be classified as primary research evidence, evidence summary, or evidence-based road map. In addition to the four articles, a study and interview from live patients of the clinic will be discussed. The first article by the American academy of paediatrics and American honorary society of Family Physicians discusses the diagnosis and management of acute otitis media. This article is a filtered preference as several large studies have been finished on the topic. The article is from a reliable and reputable source and is determined to be appropriate. The type of research is an evidence summary a s salubrious as providing evidenced based guidelines for practice. The second article by The Pediatric morbific disease Journal provides unfiltered information. The author Dr. Block discusses evidenced collected within studies of her own as thoroughly as collected data from Running head Application of Evidenced-based practice 3previous studies and as a result the article is mainly primary research. This source would be considered inappropriate for a nurse evaluating a standard practice to recommend. The information designateed within the article is too broad and does not recommend a best practice standard. The article is an unfiltered article based on the root word of a multitude of studies and expert opinion presented. A physician whitethorn find this article useful if investigating which pathogen would best respond to a specific antibiotic. The third article is a general informative resource for the clinic to apply evidence based practice. The resource is a filtered article w hich provides appropriate information relating to general practice. The research is evidence summary as well as evidence-based guideline. This article provides general information regarding pain and treatment of ear problems. This article may by appropriate for the diagnosis of specific ear conditions and treatments however may not be appropriate to determine if a wait-and-see approach is obtained. The last article reviewed discusses treatment of otitis media in an era of transfer magnitude microbial resistance. This is an unfiltered resource and appropriate for determining if a practice change should be implemented. The type of research is evidence summary and evidence-based guidelines. This article would support an evidenced based approach to support a change of practice within the clinic. Finally, interviews collected from patients who utilize the clinic is unfiltered information and inappropriate to base a clinical change of practice. The type of research is primary research evidence. This information may be helpful for determining the type of culture who utilizes the clinic and how evaluate the community may perceive a change in practice. only pieces of information collected has valuable information, however from nursing standards an article should present stream evidence based practice standards.Running headApplication of Evidenced-based Practice 4 The evidence presented within one article supports a watchful waiting approach to treating acute ear infections in children. entropy is strongly supported with evidenced based practice guiding the appropriate course of treatment as prescribed by physicians. For example, The American Academy of Pediatrics and American Academy of Family Physicians have provided a practice guideline for the diagnosis and treatment of acute otitis media. This article should be considered the gold standard of practice for physicians and presents filtered information. The article clearly provided recommendations based on the p resentation of the patient in addition to practice standards. The article is current and is supported by regulatory licensing agencies. Future research goals are also discussed along with current recommendations. This informative practice guideline should be reviewed with additional information to full support a practice change within the clinic. However, additional current studies would be required to implement a change of practice with more supportive data. Considering multiple resources were obtained to investigate a change in practice, some articles were outdated and referenced studies which may not be applicable to young practice. In conclusion, research does support a more watchful approach to treating patients more supportive current data would be required so an informed decision can be made.To implement a form _or_ system of government change within a clinic, a committee should be accomplished to review current evidence based literature to support a change in practice. A review of current recommendations for practices can be investigated along with a discussion with a larger pediatric aesculapian facility. Having a mitigate understanding of current trends from neighboring establishments can better prepare the facility for a change in practice. Educational information should be prepared for parents to establish a clear understanding of wherefore a practice change has been implemented. Nursing will have a vital role in educating families and possibly reminding practitioners of practice Running head Application of Evidenced-based practice 5 recommendations. By the nursing staff having the friendship of best practice, they can countenance a higher quality of care for their patients. Ethical concerns and vulnerable populations should be considered when researching and changing clinical practiceguidelines.The practitioner and nursing staff must assure they are implementing practice changes to improve quality of care for their patients. Well suppor ted and researched standards should only be implemented. The patient population of the clinic should not be uses as a test group or population without prior knowledge or informed consent. During the march of informed consent, all risks must be explained to the patient and family. Patients must be educated by the practitioners and nursing staff regarding the implementation of a tender practice. The staff must be aware of credible resources for data solicitation and applications to practice. Reassurance of protecting patient privacy should be discussed with patients and parents. The nurses must continue to advocate for human rights during the research process by identifying vulnerable populations. These populations may embroil children, pregnant woman, elderly, and cultural differences. If any language barriers exist, the nursing staff should be prepared to have alternate communication methods. State and federal guidelines must be followed during any research process and advocate for those who cannot advocate for themselves.ReferencesBlock, S.L. (2008). tributary Pathogens, Antibiotic Resistance and Therapeutic Considerations in Acute Otitis Media. Pediatric infective Disease Journal, 15(4), 448-456.Hay, W.W., Levin, J.J, Sondheimer, & Deterding, R.R. (2006). Current pediatric diagnosis and treatment. Ear, Nose and Throat. (pp. 159-492). Denver, Colorado Lange.McCracken, G.H. (1998). interposition of Acute Otitis Media in an Era of Increasing Microbial Resistance. Pediatric Infectious Disease Journal, 17(6), 576-579.American Academy of Pediatrics. (2004). Diagnosis and Management of Acute Otitis Media, 113(5), 1451-1465.