Patient-focused care and evidence based nursing is a crucial aspect of nursing t
ID: 3118928 • Letter: P
Question
Patient-focused care and evidence based nursing is a crucial aspect of nursing to care for the people who are specifically subjecting to violence in homes and in countries either due to war or due to slavery. Thereby the most important challenge today registered nurses are facing that the people who are extremely subjecting to abuse such as drug dependence and drug abuse followed by violence are mainly psychotic result in mania. Thereby registered nurses and licensed practicing nurses must follow and implement interdisciplinary approach for client care who are at extreme violence and sexual abuse.
The mid range theory in case of nursing practice are limited and possess very low scope compare to other grand theories and complete disparity in concepts associated with practice.
This theory potentially is based on evidence -based practices and predominantly and highly predictive of behavior and associated behavioral change at different levels of organization.
Care and disease assessment associated treatment assessment improves outcome. Registered nurses (RNs) must be self esteemed in collecting from patients and they must implement the proper diagnosis plant along with physicians.
Interdisciplinary team-primary nursing model: In this aspect, patients are cared in the absence of nurses and also provide health care with the help of interdisciplinary team followed by expidite the nursing care sooner to the patients. Maintaining proper ethical based research and evidence based nursing practice on the patient treatment data will improve good public health outcomes. In case medical treatment is not working to the patient properly implementing “Do” step or the “Plan” step associated data collection and review is crucial to get better patient outcomes. Registered nurses must develop potential self-care and risk for considerable self-concept can produce potentially very good outcome. Professional nurses are mainly ensured in taking and implementing clinical decision incase patient’s situation is worse finally it is crucial to collect clinical data as an evidence . RN s must responsible for making clinical decisions to take immediate action when a patient's condition worsens.
For example evidence based collection of data for a patient suffering from atheroscleorosis or hyperlipidemia improves efficient heatlh outcome in the communities. The nurse has to get the information regarding the patient's food habits. Thyroid hormone functioning must be checked to determine the causes of hyperlipidaemia. According to the current guidelines of hypertension classification, systolic blood pressure falling in the range between 140 to 159 comes under stage 1 hypertension (diastolic blood pressure is 90 to 99); If the sysolic blood pressure is greater than or equal to 160 or diastolic blood pressure is equal to or greater than 100, it is considered as stage 2 hypertension. The given patient’s blood pressure is stage 1 hypertension. The nurse has to obtain his family of hypertension because most cases of hypertension are inherited. Blood lipid measurement and kidney functioning are the important areas of consideration. Regular exercise with meditation helps to control blood pressure to some extent. Exercise with change in food habits such as eating only vegetarian food, avoiding oily foods, fatty non-vegetarian food, alcohol and smoking are the important measurements to control hyperlipidiaemia. Exercises that relieve stress can help to control both the situations of hypertnsion and hyperlipidaemia.
Evidence based information is crucial for future prevention of nosocomial infections.
Prevention: Infection control team in the hospitals must make sure to prevent wide spread of the infection to the healthy communities by providing them with vaccines, injections, giving pretreatment.
Sterilization procedures must be followed once any therapy given to any patient when care offered by nurses. Those methods as follow:
Health care professionals including nurses and care workers, doctors must ensure to defend the prevailing of particular virus (HIV, Zika or Ebola or flu etc.) infectious bacteria via various routes of transmission. Registered nurses occupational safety and health administration (OSHA), must ensure in preventing the transmission blood borne parasites to the other hosts by implementing aseptic methods associated with patient safety.
Patient Privacy and clinical trials of new psychological medicines are two predominant and crucial areas in which these are considered as most conflicting associated with the psychological or psychodynamic models of treatment.
If a patient of is psychic or schizophrenic, then as per following law every health practitioners must keep the treatment information as confidential. Economically patients will take advantage to gain certain sort of benefit incase if health practitioners reveal their information.
In case of clinical trials also, even though if there is no considerable agreement in examining the medicine with the patient, due to acute or chronic side effects produced by non-approved drug leading to patient efficiency to go for legal proceedings as per law.
Explanation / Answer
Solution:
CLINICAL TRIALS:
The increasing trend toward conducting clinical trials outside the United States is an important consideration in discussing ways to improve the efficiency of trials. The number of patients enrolled in clinical trials is decreasing in the United States and increasing abroad. According to Woodcock, when development programs are conducted entirely outside the United States, the FDA questions the extent to which the results can be translated to U.S. clinical practice. The applicability of foreign trials results depends on the disease being studied and the state of current clinical practice in that area.
Califf suggested that the difficulties inherent in conducting clinical trials in the United States have contributed to the relative decline in U.S. Citing a recent paper that he coauthored, he noted that one-third of phase III trials for the 20 largest U.S. pharmaceutical companies are being conducted solely outside the United States. For these same firms and studies, a majority of study sites (13,521 of 24,206) are abroad. Califf stated that the situation is the same across study sponsors—NIH, industry, and academia all look to conduct trials internationally.
Califf suggested that globalization is a positive trend overall, one in which he and his home organization, the Duke Clinical Research Institute (DCRI), are engaged. However, the current situation in which clinical research is being sent abroad just to get trials completed is unsustainable. One reason for this situation is that clinical trials in a number of other countries cost less than they currently do in the United States. If a large outcome trial requires enrolling tens of thousands of patients, for example, selecting trial sites in Russia or India instead of the United States can result in hundreds of millions of dollars in savings. The overall cost associated with gathering the necessary resources to conduct a clinical trial is an important factor in the choice of a trial site. For instance, physician salaries in a number of countries are lower than in the United States. In these countries, the charges to clinical trial sponsors for conducting a clinical trial with physician involvement are lower than they would be in the United States. Some also argue that clinical trials conducted outside of the United States are of higher quality because of better adherence to trial protocols and better patient follow-up.