The nursing executive at St. Louis Hospital in Summerville, hears about your consultant work for the cities of Ironridge (pollution and homelessness problems) and Summerville (safety risk, i.e. no helmets etc…), and he asks you to help him evaluate the hospital’s evidence-based practice program and recommend an EBP model. He strengthened the staff education department a few years ago with a new MSN-prepared director who could use a consultant to get the evidence-based practice program off of the ground.
A) Preliminarily, you need to help the staff understand the differences between various translation documents. Therefore, in this discussion, compare and contrast two of these five types of research summaries: meta-analysis, meta-synthesis, systematic research reviews, clinical practice guidelines, and care protocols. What are the differences in their purposes, audiences, and authors?
B) Compare and contrast two of the models of EBP. Which would you recommend in this situation (situation of pollution, homelessness, safety) and why? (Ace star model, Joanna Brigs Model, The Advancing Research and Clinical Practice Through Close Collaboration Model (ARCC) , The Iowa Model of EBP to Promote Quality Care)
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A. Meta-analysis is one of the most commonly used evidence-based practices (EBP) because of its efficiency and simplicity in terms of compiling quantitative data. Crombie and Davies (2009) state that meta-analysis “provides a precise estimate of treatment effect, giving due weight to the size of the different studies included.” Meta-analyses were responsible for informing the United States and other Western countries of the dangers posed by cigarette smoking over a long period of time. Haidich (2010) notes that meta-analysis is useful for “important medical questions” that “are typically studied more than once” and they are the “most frequently cited form of clinical research.” Therefore, meta-analyses are developed for a large audience in order to warn them of a specific risk (cigarettes, alcohol, carcinogens, etc.). Usually the authors are researchers near the top of their fields who are colleagues of other researchers conducting the original research....
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