Abstract
This paper assesses the merits and notes potential problems found within Sandra Tanenbaum's research article, "Evidence-Based Practice in Mental Health: Practical Weaknesses Meet Political Strengths." The article was first published in the Journal of Evaluation in Clinical Practice in 2003 and focuses on the effectiveness and value of Evidence-Based Practice (EBP) in mental health.

From the Paper
"This paper shall assess the merits and notes potential problems found within Sandra Tanenbaum's research article, "Evidence-based practice in mental health: practical weaknesses meet political strengths." The article was first published in the Journal of Evaluation in Clinical Practice in 2003 and focuses on the effectiveness and value of Evidence-Based Practice (EBP) in mental health. Problem..."

Tags:mental, health, evidence

Abstract
This paper discusses Sandra Tanenbaum's research article, "Evidence-based Practice in Mental Health: Practical Weaknesses meet Political Strengths." It assesses the merits of the article as well as its potential problems. The paper analyzes all the aspects of the research study and then enumerates its strengths and limitations.

Table of Contents:
Problem
Purpose of the Study
Research Questions
Study Design
Subjects and Setting
Data Collection Methods
Data Analysis Procedures
Strengths and Limitations of the Research

From the Paper
"Two of the major weaknesses in Tanenbaum's study are in her selection of evidence and the overall lack of descriptive information concerning her methods. The limitation of evidence selection is not unique to Tanenbaum's research but is instead a major problem associated with all literature-based qualitative research papers, as it is easy to see the selection of content as "cherry picking" specific items that support the author's point of view. As for the second limitation, Tanenbaum places the majority of descriptive information in the Abstract to her paper and this makes it difficult to assess the overall design of the study. It also makes it difficult to assess the validity of the study, and to that extent it is not known how or why the study is valid. However, as Tanenbaum provides a balanced presentation of materials, it can be inferred that the study is as valid as a qualitative research paper using an archival methodology can be. She also recommends that more research is needed in EBP, and points out areas in which this research can be attempted."

Tags:qualitative, design, EBP

Abstract
The paper discusses how health care restructuring has been the impetus for innovative health care delivery models to provide integrated primary care. The paper looks at two of the most widely used strategies to meet the challenges; case management and care management (Doyle, Vallejo, Horgan & Foust, 2003). The paper also relates that among the challenges are patient predictors of improvement and evaluating benchmark outcomes (Holley, Hodges & Jeffers, 1998). The paper then relates that while nursing professional practice is evidence-based practice, the actual implementation of evidence-based models into mental health nursing can be met with opposition. The paper goes on to discuss how despite the challenges, the community care model is effective.

From the Paper
"Health care restructuring has been the impetus for innovative health care delivery models to provide integrated primary care. The two most widely used strategies to meet the challenges are case management and care management (Doyle, Vallejo, Horgan & Foust, 2003). Among the challenges are patient predictors of improvement and evaluating benchmark outcomes (Holley, Hodges & Jeffers, 1998). While nursing professional practice is evidence-based practice, the actual implementation of evidence-based models into mental health nursing can be met with opposition."

Tags:case, care, management

Abstract
This paper explains that Hispanic women are more likely to be injured during intimate partner violence incidents than non-Hispanic women; therefore, domestic violence (DV) among Latinos is considered an especially serious problem among the growing Latino population. Next, the author reveals that, although a high percentage of female victims of DV do go to emergency rooms, within the Latino population, psycho-cultural concerns are leading to underreporting of such incidents, which complicates the development of actions to counter DV. The paper urges the development and implementation of an evidence based practice protocol (EBPP) as a tool to be used in primary care medical practices within this population to screen for potential DV cases. Several figures, tables and extensive appendixes are included in the paper.

Table of Contents:
Table of Contents
Abstract
Introduction
Intimate Partner Violence
Clinical Practice Problem
Assessing DV Concerns
Study Aim and Objectives
Related Literature
Increasing Concerns
Myths and Facts Regarding DV
Studies Reveal
Inadequate Reporting
Need to Educate DV Victims
Domestic Violence and Hispanic Women
Domestic Abuse Screening Tests
EBP Process for EBPP
Analysis and Conclusion
Evidence Based Support

From the Paper
"The prevalence of domestic violence among Hispanic women in the United States reportedly increases each year, simultaneously posing a high threat for the development of mental illness among this population. According to Rodriguez, Heilemann, Fielder, Ang, Nevarez, and Mangione (2008), Hispanic women who experience physical violence are at increased risk for mental and physical problems including depression, anxiety and substance abuse. To increase reports of domestic violence, it proves crucial on understand the cultural beliefs and practices of Hispanic women. This knowledge and awareness consequently will facilitate healthcare providers to specifically assess Hispanic women who present with signs and symptoms of physical abuse.
"Many Hispanic women believe their role in the family and community is inferior in comparison to males. Some of these women are brought up in homes with male role models who controlled and manipulated other family members. A number of these women also suffered sexual abuse when a child. It is common for Hispanic women to perceive violence as acceptable since many grew up in abusive homes. Young females who become involved in abusive relationships during early adulthood often come from a family with history of intimate partner violence (Pailler, Kassam-Adams, Datner, & Fein, 2007). For Latino women, the family is of utmost importance. Therefore, women frequently neglect their own health needs. Maternidad Latina (2008) observes that pressure to "keep the family together" may come from family or church members, even if it means suffering more abuse. Religious and societal beliefs may contribute to woman feeling guilty if/when she leaves her abusive partner or acts against his will. Hispanic women, particularly immigrants, may not be familiar with U.S. laws that protect women and children against violence, and not realize these laws may differ considerably from those in other countries. The Hispanic woman may also fear involving the law because of her immigration status. Other factors which may restrain Hispanic women from seeking help include the language barrier and lack of financial means."

Tags:intimidation, warning signs, intervention, mental health disorders, trauma history

Abstract
This paper analyzes evidence based practice with regards to nursing. In other words, nursing students engaged in evidence-based practice must rely on previous research and scientific findings to develop protocols for caring for patients that are most likely to result in a positive outcome.

Contents:
Evidence Based Practice - Analysis
Predictive Accuracy of the HESI Exit Exam - Article 1

From the Paper
"Evidence based practice can be used in nursing to help nursing staff develop (1) effective methods of care, (2) design interventions that are evidence based that apply to a patients specific needs and can (3) enable better follow up care based on evidence based results. Evaluating previous evidence enables nursing staff to make decisions grounded in evidence rather than theory, thus improving the likelihood of a positive patient outcome.
When in a nursing program, the best way to begin having an evidence based practice includes reviewing previous cases and evidence regarding certain health situation. A nursing student should take great care to survey all available research regarding a particular case, condition or situation. From this evidence the student can draw conclusions that are most likely to lead to efficient care and a positive patient outcome. "

Tags:students, nurse, care, patients, Alzheimer, health

Abstract
Nursing is grounded in theory but nursing theory can only be advance through research which tests the theory. Even when discussing the merits and drawbacks of theory-guided practice versus evidence-based practice, it becomes clear that the two types of practice cannot easily be separated. There are convincing arguments on both sides of this issue. However, nurses normally rely on evidence-based practice when delivering patient care and also when considering a major change. Theory cannot lead to safe nursing practice or to best practice. Evidence-based practice results in efficiency and safety, and it is the only means for deciding on best practice.

From the Paper
Theory-guided Practice vs Evidence-Based Practice Introduction Nursing is grounded in theory but nursing theory can only be advanced through research which tests the theory. Even when discussing the merits and drawbacks of theory-guided practice versus evidence-based practice, it becomes clear that the two types of practice cannot easily be separated. There are convincing arguments on both sides of this issue. However, nurses normally rely on evidence-based practice when delivering patient care and also when considering a major change. Theory cannot lead to safe nursing practice or to best practice. Evidence-based practice results in

Tags:theory, evidence, nursing

Abstract
The paper relates that the emergence of the phenomenon of evidence based practice (EBP) has caused a great deal of controversy in the world of social work as well as other service related professions. The paper traces the historical roots of evidence based practice and provides multiple perspectives from the research on EBP. The paper then evaluates the benefits and risks of its implementation in social work and community services.

Outline:
What is Evidence Based Practice (EBP)
What is Evidence?
History of EBP
Multiple Perspectives on EBP
The Benefits of EBP
Risks and Objections to EBP
Summary
Conclusion

From the Paper
"The nature of the social work profession is to assist people who are in need of services. People who chose to work in helping professions such as social work and community services are charged with the task of helping people overcome problems by providing a variety of resources. Commitment to the welfare of clients is one of the most important aspects of being a social worker and/or any other worker in a service profession. The emergence of the phenomenon that is Evidence Based Practice (EBP) has caused a great deal of controversy in the world of social work as well as other service related professions. Therefore, it is important to exam the methods by which social workers assist clients using EBP and to more discretely define EBP and its various components. Despite these accepted facts, there is substantial evidence that across the varied settings in which many social workers are employed, including mental health, substance abuse, public health, child protection, and so on, large numbers of clients perhaps half or more who are offered treatment do not engage, and among those who begin treatment, many possibly another half or more drop out of treatment before any significant impact could be expected (Bellamy et. Al, 2008)."

Tags:treatments, interventions, clinicians, practitioners

Abstract
The paper discusses articles by nurses who have contemplated the implications of EBP when applied to both nursing research and practice. The paper demonstrates how each author centers on specific aspects concerning EBP, which may be empirical, practical, or even political (macro) in nature. The paper discusses how the main concern about this new framework is its applicability to nursing practice; the authors agreed that EBP should not be implemented as a practice based only on research information. The paper relates that EBP is not only criticized from an empirical and practical point of view, but for its political aspects as well.

Outline:
Introduction
Critical Discussions of Evidence-Based Practice in Nursing
Summary/Conclusion

From the Paper
"It is crucial, then, that a thorough look into nursing as a practice is conducted in order to assess the efficiency of nursing practice, based on both on its theoretical foundations and applications. Among the perspectives currently dominant and prevalent in the nursing profession is the utilization of evidence-based practice or EBP, which is defined as the "conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients" (Estabrooks, 1998:21)."

Tags:reflective, empirical, political, theory

Abstract
In this article the writer notes that evidenced-based practice (EBP) implies that decisions about treatment options will depend largely on evidence of their clinical effectiveness. Further, the writer explains that the major purpose of EBP is the elimination of the use of expensive, ineffective, or dangerous medical decision-making. This paper presents and analyzes alternatives that could potentially offer a solution to the issue of EBP gaps and barriers to effective health care. The writer concludes that there must be an improvement of the access that is seen where evidence-based resources are concerned and barriers must be eliminated when it comes to making EBP an integral part of the solution to the problem of better patient care and lower healthcare costs.

Outline:
Executive Summary
Problem Identification
Context of Issue
Issue Statement
The Stakeholders Involved
Policy Goal and Objectives
Evaluation Criteria
Policy Alternatives
Comparison and Conclusion
Alternatives
Result Analysis
Recommendation
References

From the Paper
"Many patients today are not seeing the quality of care that they actually need, despite the fact that evidence-based practice (EBP) has been evolving. Patients are too often receiving inconsistent, wasteful, and even harmful interventions when it comes to nursing. There has been an increasing emphasis on the outcomes of patient care, and this is changing the focus of tasks, practices, and opinion-driven decisions to more of a focus on practices that are guided by evidence."
"There are, however, still some problems that remain unresolved, and these include the gap that is seen between evidence and practice, the unnecessary variations in practice, and the rising cost of healthcare, among others."

Tags:clinical, treatment, nursing, care

Abstract
In this paper, the author considers the role of a nurse from a perspective based on a six week student placement in nursing practice. This involved; two weeks with the primary care and community nurses (otherwise known as District Nurses); a week with a health visitor; two weeks of two units of mental health, one in a mental health rehabilitation unit and another in community mental health and a week in an acute elderly rehabilitation ward in a hospital.

Outline
As an Assessor of Care: Conducting Assessments
As an Advocate: Representing the Interests of the Client
As a Primary Carer: Providing Frontline Care
As a Manager of Care: Coordinating all the Care Required
As a Counsellor: Providing Talking and Listening Therapies
As an Educator: Promoting Health Through Educating Clients
As a Researcher: Providing Evidence Based Practice

From the Paper
"The role of the 21st century nurse in the United Kingdom is a highly varied, dynamic and multidimensional one. This is more important perhaps, due to the changes that have come about in the last two decades of the last century. There are demographic, epidemiological, political, economic and technological changes that have forcibly caused the NHS to undergo great organisational changes in the 1980s and 1990s. And now recently the government continues to outline further changes in the health care system which puts an emphasis on partnership and continuity of care between hospitals and the community. All this has seen nurses continuously readapt themselves in the role they play in the delivery of health care (Melia 2004)."

Tags:district, hospital, nhs