Clinical Practice Assignment
Clinical Practice Assignment
Clinical Practice Assignment
Week 4 discussion Connection Between Theory and Advanced Clinical Practice While the focus of this course is nursing theory, some nurses say that theory has no role in clinical practice. What are your thoughts? Does nursing theory have a role in clinical practice? How would you use nursing theory to improve or evaluate the quality of clinical practice? Be sure to include an example that demonstrates your thoughts. Don’t forget to include a scholarly reference!Clinical Practice is a bimonthly peer-reviewed open access medical journal. It covers good clinical practice and health care. The journal was established in 2004 as Therapy by Future Drugs Ltd, obtaining its current name in 2012 when it was published by Future Medicine. It is now published by Open Access Journals, an imprint of the Pulsus Group, which is on Jeffrey Beall’s list of “Potential, possible, or probable” predatory open-access publishers after being acquired by the OMICS Publishing Group in 2016
The American Academy of Family Physicians (AAFP) develops evidence-based clinical practice guidelines (CPGs), which serve as a framework for clinical decisions and supporting best practices. Clinical practice guidelines are statements that include recommendations intended to optimize patient care. They are informed by a systematic review of evidence, and an assessment of the benefits and harms of alternative care options. CPGs should follow a sound, transparent methodology to translate best evidence into clinical practice for improved patient outcomes. Additionally, evidence-based CPGs are a key aspect of patient-centered care.
This manual summarizes the processes used by the AAFP to produce high-quality, evidence-based guidelines. The AAFP’s development process adheres to the following standards and principles:
Institute of Medicine (IOM): Clinical Practice Guidelines We Can Trust—Standards for Developing Trustworthy Clinical Practice Guidelines (CPGs)(www.nationalacademies.org)
Council on Medical Specialty Societies: Principles for the Development of Specialty Society Clinical Guidelines(www.cmss.org)
Council on Medical Specialty Societies: Code for Interactions with Companies(www.cmss.org)
Clinical practice guidelines should be developed using rigorous evidence-based methodology with the strength of evidence for each guideline explicitly stated.
Clinical practice guidelines should be feasible, measurable, and achievable.
Clinical performance measures may be developed from clinical practice guidelines and used in quality improvement initiatives. When these performance measures are incorporated into public reporting, accountability, or pay for performance programs, the strength of evidence and magnitude of benefit should be sufficient to justify the burden of implementation.
In the clinical setting, implementation of clinical practice guidelines should be prioritized to those that have the strongest supporting evidence, and the most impact on patient population morbidity and mortality.
Research should be conducted on how to effectively implement clinical practice guidelines, and the impact of their use as quality measures.
I. Development of Evidence-based Clinical Practice Guidelines (CPGs)
a. Definition: Clinical practice guidelines are statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options. Rather than dictating a one-size-fits-all approach to patient care, clinical practice guidelines offer an evaluation of the quality of the relevant scientific literature, and an assessment of the likely benefits and harms of a particular treatment. This information enables health care clinicians to select the best care for a unique patient based on his or her preferences.
b. AAFP’s Commission on Health of the Public and Science (CHPS) and Board of Directors provides oversight for the development and approval of its clinical practice guidelines.
c. Principles for Development (IOM 1.1, CMSS-P 11, C
