Implementing Evidence-Based Practice in Healthcare

Implementing Evidence-Based Practice in Healthcare
Author: Gill Harvey
Publisher: Routledge
Total Pages: 292
Release: 2015-03-24
Genre: Medical
ISBN: 1136768157

The successful implementation of evidence into practice is dependent on aligning the available evidence to the particular context through the active ingredient of facilitation. Designed to support the widely recognised PARIHS framework, which works as a guide to plan, action and evaluate the implementation of evidence into practice, this book provides a very practical ‘how-to’ guide for facilitating the whole process. This text discusses: undertaking an initial diagnosis of the context and reaching a consensus on the evidence to be implemented; how to link the research evidence with clinical and patients’ experience and local information in the form of audit data or patient and staff feedback; the range of diagnostic, consensus building and stakeholder consultation methods that can be helpful; a description of facilitator roles and facilitation methods, tools and techniques; some of theories that underpin the PARIHS framework and how these have been integrated to inform a revised version of PARIHS Including internationally-sourced case study examples to illustrate how the facilitation role and facilitation skills have been applied in a range of different health care settings, this is the ideal text for those interested in leading or facilitating evidence based implementation projects, from the planning stage through to evaluation.

The Effect of Reproductive Life Planning on Rates of Unplanned Pregnancy and the Request for Preconception Counseling Prior to Pregnancy

The Effect of Reproductive Life Planning on Rates of Unplanned Pregnancy and the Request for Preconception Counseling Prior to Pregnancy
Author: Allison Lenihan (B.N)
Publisher:
Total Pages: 58
Release: 2018
Genre: Nursing
ISBN:

Unintended pregnancies make up 45% of the pregnancies in the United States and are more common in women between the ages of 18-24 and low-income or minority women (Finer & Zolner, 2016). ... This literature review will explore the importance of reproductive life planning and how it can reduce unplanned pregnancies and the risks that are associated with them. -- from the abstract

Disease Control Priorities, Third Edition (Volume 2)

Disease Control Priorities, Third Edition (Volume 2)
Author: Robert Black
Publisher: World Bank Publications
Total Pages: 419
Release: 2016-04-11
Genre: Medical
ISBN: 1464803684

The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

Examining Reproductive Life Planning Practices Among Title X Clinicians in the Midwest

Examining Reproductive Life Planning Practices Among Title X Clinicians in the Midwest
Author: Stephanie Westlake Edmonds
Publisher:
Total Pages: 179
Release: 2017
Genre: Family planning
ISBN:

Qualitative interviews were coded using a content analysis approach to two aims; one to examine how reproductive life planning was using during clinic visits and two, to identify the barriers and facilitators clinicians face when discussing reproductive life planning with patients. Findings from the survey and the interviews suggest that most clinicians are discussing pregnancy intentions with their patients. However, from the interviews, three types of scope of reproductive life planning emerged; those clinicians who screened their patients' pregnancy intentions, those who planted the seed in the patient's mind, and those who explored the context of a patient's life and their goals to contextualize how pregnancy and childbearing would fit into their lives in order to clarify pregnancy intention and move toward the corresponding health behaviors. It is argued that the third group of providers is using reproductive life planning as intended by experts. Finally, barriers to RLP discussions were examined as well as approached providers used to overcome the barriers. In conclusion, many clinicians are practicing reproductive life planning as intended, however many are not. Improved training and protocols are needed to ensure clinicians are providing their patients with the best reproductive life planning discussions. Additionally, systemic structures, like access to quality family planning services, need to be improved to aid clinicians in helping their patient plan their families.

Assessing the Influences on Rural Women's Reproductive Life Plans

Assessing the Influences on Rural Women's Reproductive Life Plans
Author: Lori Jagoda
Publisher:
Total Pages:
Release: 2015
Genre:
ISBN: 9781321806427

Rural women's unique personal, social, cultural, and economic characteristics influence their health care decision-making processes. To assess the influences on rural women and their Reproductive Life Plans, a cross-sectional descriptive study, based on the Health Promotion Model (HPM), was used. Thirty rural women, age 18-35 years, living in two Northern California counties, completed an anonymous on-line survey, while in a local beauty salon. The survey included basic demographic information along with questions regarding reproductive plans, contraceptive use, and the usefulness of the survey. The sample consisted of predominantly single, white, educated, religious young adult women who were long-term rural residents, with health insurance and regular healthcare providers. The majority of the sample indicated a desire for children in the future. The study results support the use of reproductive life planning among rural women, consistent with the Health Promotion Model. The results also indicate a need for further research related to the observed discontinuity of sexually active women who report they do not want to get pregnant, yet are not using contraception. Research is indicated evaluating the effectiveness of reproductive life planning in reducing unplanned pregnancies. Studies evaluating the influence of religious/spiritual beliefs, as well as income level, on reproductive life planning is also indicated. Nurse researchers and clinicians should serve as leaders in promoting reproductive life planning, consistent with nursing's focus on person/family-centered health promotion. Policy implications include instituting culturally tailored reproductive life planning as a reimbursed component of care and routinely provided by nurses and other health care providers.

The Best Intentions

The Best Intentions
Author: Committee on Unintended Pregnancy
Publisher: National Academies Press
Total Pages: 393
Release: 1995-06-16
Genre: Social Science
ISBN: 0309556376

Experts estimate that nearly 60 percent of all U.S. pregnancies--and 81 percent of pregnancies among adolescents--are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issues--health care and welfare reform, and the new international focus on population--are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitions--"unintended" versus "unwanted" versus "mistimed"--and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals. May

The Whole Life Fertility Plan

The Whole Life Fertility Plan
Author: Kyra Phillips
Publisher: Harlequin
Total Pages: 288
Release: 2015
Genre: Health & Fitness
ISBN: 0373892969

"A lifelong holistic guide for women to take control of their fertility."--

The Turnaway Study

The Turnaway Study
Author: Diana Greene Foster
Publisher: Simon and Schuster
Total Pages: 384
Release: 2021-06
Genre: Political Science
ISBN: 1982141573

"Now with a new afterword by the author"--Back cover.