Engaging in Evidence Based Practice and Clinical Effectiveness Essay

Engaging in Evidence Based Practice and Clinical Effectiveness - Essay Example (Parahoo, 1997) EBP is also a key factor in the NMC (2008) Code of Professional Conduct, which states that nursing professionals are personally accountable for their quality of care giving, and must provide the highest quality of service to patients that is consistent with evidence-based research. In 2005, NICE was combined with the Health Development Agency as an independent organization to deliver quality healthcare based on professional standards of medical practice in a standardized manner across public healthcare institutions and in order to assist with government programs intended to improve the quality of service in the industry. Nurses are increasingly expected to base their practice on empirical medical research data represented in scientific literature or established medical treatment practices that are generated through research publications (Burns & Grove 1999). The purpose of this report is to apply the principles of Evidence Based Practice (EBP) to the use of supplemental oxygen (O2) in hospitals as a treatment response for myocardial infarction (MI). The rationale for this search is that supplemental oxygen is used in hospitals and clinics traditionally in ways that is inconsistent with latest medical research and this has led to a recent change in practice in healthcare institutions as well as in public policy that still may not be represented in everyday nursing practice. By applying EBP principles, a nurse can review the medical literature and research regarding the use of oxygen in MIs by focusing on the most recent clinical trials. By understanding the use and contra-indications of supplemental O2 in MIs as accepted in published literature, nurses on coronary care units (CCU) can be more prepared for work in the workplace. In order to effectively search the topic of oxygen use in clinical applications related to heart treatment, it w as important to clearly define the research by using the PICO framework (Patients, Interventions, Comparisons and Outcomes) to develop the areas of inquiry. The search criteria focused on were based initially the keywords: â€Å"Myocardial, Infarction, Hyperoxic, Coronary, and Oxygen†. Published papers were identified through a search of online databases via the University of Plymouth intranet site including; CINAHL, MEDLINE, SwetsWise, Taylor & Francis, Oxford Journals & ScienceDirect. In the search, very few original research studies published between 2001 to 2011 were found, it was required to revise the search to include a more specialized use of keywords, all relating to â€Å"oxygen and myocardial function†. Five research papers were then selected as representative of consensus in medical research through peer review and implementation in cardiac treatment programs. CRITICAL REVIEW OF LITERATURE Previously oxygen was given as a standard aspect of MI treatment, re gardless of the patient’s level of oxygen saturation level, as part of the standard response of health practitioners to a critical care emergency such as a heart attack. Although NICE (2010) have amended their guidelines to recommend that patients only be given oxygen if their blood saturation level is below 94% , many nurses on general wards are still giving oxygen to critical heart attack patients as a regular aspect of treatment, as they are unaware of its detrimental effects in counter-indications or the latest research on the topic. Since many hospitals are

Business Plan Assignment Coursework Example | Topics and Well Written Essays - 750 words

Business Plan Assignment - Coursework Example We believe in creating a long-term value for our clients, employees and the community via an insightful professional program. RABCO Accounting consultant will be a highly visible consulting firm that would be well known for its highly professional duties regarding accounting, taxation and auditing. In the long run, we will be looking on the means to expand our services to include the partnering with the upcoming businesses that requires guidance in their efforts to make profits. The firm will offer the technical services in an effort to ensure that the firms can stand in the highly competitive business environment. The assistance to the growing firms will ensure a long relationship that would result to the profits in our firm. The mission and vision of the company will propel our goals. We target to become the best consulting company in the country in the next five years. This goal will only be enabled by our hard and dedicated work to providing excellent services to our clients. The clients will give as a support by referring their colleagues to us if only there are satisfied beyond reasonable doubt with the services we provide to them. RABCO Consulting Company was mainly motivated to enter into the market by the growing number of clients that want the accounting services nationally (Hovers, n.d.). There are however a growing number of graduates that are qualified and were ready to offer their skills in the accounting firms. The company enters into the field with the intention to offer efficient services to enhance the productivity and to grow their profits, Given that there are some well-known accounting firms in the land, it will not be easy for RABCO LTD to make an impact at the first entry (Wiley, 2008). The company will rely on small companies that do not have adequate finances to hire the services of the giant accounting firms. The firm will have