Evidence Based Presentation

Evidence Based Presentation

Description

Utilizing the Clinical Focus and Clinical Guideline that was approved in Unit 4, develop a
PowerPoint presentation addressing the clinical focus of concern, the evidence based solution to
the problem, and how the clinical might be implemented in a specific clinical setting.

Introduction

� Identify the PRACTICE PROBLEM.

� Describe WHY this practice problem is of significance to nursing.

� Identify the current specific standardized guideline selected for use in this Project and that
addresses the problem.

� Provide a Working Link to the Clinical Guideline.

Directions:

Describe the quality of the clinical guideline

� Identify the authors of the guideline and describe how the guideline was developed.

� Address the credentials and credibility of the developers of the guideline.

� Analyze the quality of the research base supporting the guideline, best practice, or bundle since it
was published. What new research has been published in support of the guideline?

Provide a summary of the current best evidence for use in practice

� Identify the best evidence that supports the standardized guideline, best practice, or bundle. (The
research that has been completed that provides the evidence that supports the guideline, best
practice, or bundle). Identified from references of the guideline, best practice, or bundle chosen.

� Briefly summarize at least SIX (6) research articles providing this support. (3 each) Look for
meta-analyses, integrative reviews of research, clinical trials, and quasi-experimental studies
related to the chosen topic.

� Utilize the evidence table to identify the levels of evidence each research study represents.
Utilize the following chart to determine the level of evidence:

Updated: August 2012 MN504 � Unit 9 Page 1 of 3

Level

I Evidence for a systematic review or metaanalysis of all relevant RCTs or evidencebased clinical practice guidelines based on
systematic reviews of RCTs.

Level

II Evidence obtained from at least one welldesigned RCT

Level

III Evidence obtained from one well-designed controlled trials without randomization

Level IV Evidence from well-designed case-control and cohort studies

Level V Evidence from systematic reviews of descriptive or qualitative study

Level VI Evidence from single descriptive quantitative or qualitative study

Level

VII Evidence from the opinion of authorities and/or reports of expert committees

� Present the data in the Summary of Evidence Table Format as follows:

Body of Evidence Summary Table

Identify how the guideline fits into a practice setting

� Identify a practice setting that would benefit from implementing the practice change supported by the guideline.

� Identify possible barriers and facilitators to the change. Who would support the change? Who would resist the change? Why?

� Answer the question: Who Makes the Decision to Change Practice?

Updated: August 2012 MN504 � Unit 9 Page 2 of 3

Planning for Change

� Provide a plan for how the guideline might be implemented.

� Who?

� What?

� Why?

� When?

� Identify cost factors to implement the change.

Outcomes

� Identify the specific patient-centered and nursing sensitive outcome(s) expected to result from implementation of the clinical
guideline

� Describe how the outcome will be measured

� Discuss who will collect outcome data, analyze it, and make changes based on the results

Summary

� Identify four summary points Provide a full reference list Reflection

� Provide a thoughtful reflection on the experience of developing the evidence based presentation and how it has influenced your
understanding of clinical practice changes

Creating a Professional Presentation

GUIDELINE FOR A PROFESSIONAL PRESENTATION

� Create slides that are not busy with narratives. If the audience can read your slides and know the details of your presentation, then
you are providing far too much on the slides. The presenter should never be reading the slides.

� In keeping with constructivist learning, slides should be another way to engage the audience via charts, symbols, and clear, crisp,
and professional graphics. I also encourage you to refrain from using clip art as it does not convey a professional appearance.

� Do NOT use full sentences and minimize bulleted points: be creative!

� Full speaker�s notes with in-text citations are REQUIRED: this is the content that is graded. The speakers’ notes should be
exactly what you would say to the audience.

Depression guideline

Clinical focus of concern

Practice problem:

Depression and Eating disorders- Interventions in the treatment and management of:

Anorexia nervosa

Bulimia nervosa and

Related eating disorders

Significance to nursing

Reduce depression

Promote better eating behaviors

Guidelines on weight loss

Enhances health

Standardized guidelines

National Institute for Health and Care Excellence

Clinical guideline number 9 published in 2004

Working link: NICE. Retrieved from: http://www.nice.org.uk/Guidance/CG/Published

http://publications.nice.org.uk/depression-in-adults-cg90

Quality of clinical guideline

Team involves professionals, hence credible

They include

Andrea Sutcliffe – Centre for clinical practice lead

Lucy Betterton- Communications manager

Christine Sealey – Guidelines commissioning manager

Elaine Paton- Guidelines coordinator

Guidelines Development Group:The Guideline Development Group (GDG)
oversees the development process.

Development of guidelines

2002- Remit for the guidelines received from department of health and
national assembly for Wales

2002- List of stakeholder revised

2003- First consultation draft

2003- Final consultation draft/modification in light of comments received

Credibility is enhanced

Source

Evidence

Lenz, A., Taylor, R., Fleming, M., Serman, N. (2014). Effectiveness of
Dialectical Behavior Therapy for Treating Eating Disorders. Journal of
Counseling & Development, 92(1): 26-35.

Dialectical behaviors therapy help decrease episodes among
women diagnosed with eating disorders routinely assessment
is required when planning for treatment among people with
eating disorders

Samantha, M et al., (2010). Eating Disorders and Trauma History in Women
with Perinatal Depression. Journal of Women’s Health (15409996), 20(6):
863-870

Eating disorder histories were present in more than a third
of women admitted in a clinic. Those with bulimia nervosa
reported more severe depression and as well history of
physical and sexual trauma. Therefore screening for cases of
psychopathology is essential in women within perinatal
depression.

Bueno,B et al. (2014). Late Onset Eating Disorders in Spain: Clinical
Characteristics and Therapeutic Implications. Journal of Clinical Psychology,
70(1): 1-17.

Routinely assessment is required and should be considered
when planning treatment

Robinson, P. etal. (2014). Study Protocol for a randomized controlled trial of
mentalization based therapy against specialist supportive clinical management in
patients with both eating disorders and symptoms of borderline personality
disorder. BMC Psychiatry, 14(1): 1-21

Treatment of MBT-ED in patients requires mentalization and
use of qualitative information.

Schwitzer, A. (2012). Diagnosing, Conceptualizing, and Treating Eating
Disorders Not Otherwise Specified: A Comprehensive Practice Model. Journal
of Counseling & Development, 90(3): 281-289.

Propose preventive, intermediate, psychotherapeutic and
CBT and motivational intervention strategies

Nagata, T., Yamada, H., Teo, A., & Yoshimura, C. (2013). Using the mood
disorder questionnaire and bipolar spectrum diagnostic scale to detect bipolar
disorder and borderline personality disorder among eating disorder patients.
BMC Psychiatry, 13(1):1-8.

Mood disorder questionnaire and bipolar spectrum diagnostic
scale can be used in screening for both bipolar and
borderline personality disorder.

Halmi, K. (2013). Perplexities of treatment resistence in eating disorders. BMC
Psychiatry, 13(1):1-12.

Understanding the biological features and neurocircuitry of
core eating disorders psychopathology and behaviors may
enhance successful treatment interventions.

The evidence based solution to the problem

How the clinical might be implemented in a specific clinical
setting

People with depression and eating disorders

Those concerned with their weight gain-either overweight or
underweight

Barriers/facilitators

Inadequate information

Lack of guidelines

Facilitators embrace positive depression and eating behaviors

Change is supported by relevant bodies such as NICE, NHS,.

It may be resisted by the same organization and the patients

Decision to change practice is made by professional bodies

Planning to change

Is implemented by the credible institution such as NICE

They provide guides on improving eating disorders and
managing depression

To adopt to better approaches

At the right time

Cost is also considered

Outcome

Depression is reduced

Measured by PHQ-9

Better ways to lose weight

Measured using BMI

Nurses or medical personnel collects, analyses and make
changes to data.

The discussion enhances understanding of the topic.

References

Bueno,B et al. (2014). Late Onset Eating Disorders in Spain: Clinical Characteristics and
Therapeutic Implications. Journal of Clinical Psychology, 70(1): 1-17.

Halmi, K. (2013). Perplexities of treatment resistence in eating disorders. BMC Psychiatry,
13(1):1-12.

Lenz, A., Taylor, R., Fleming, M., Serman, N. (2014). Effectiveness of Dialectical Behavior
Therapy for Treating Eating Disorders. Journal of Counseling & Development, 92(1): 26-35.

Nagata, T., Yamada, H., Teo, A., & Yoshimura, C. (2013). Using the mood disorder
questionnaire and bipolar spectrum diagnostic scale to detect bipolar disorder and borderline
personality disorder among eating disorder patients. BMC Psychiatry, 13(1):1-8.

National Institute for Health and Care Excellence (NICE). (2014). Eating disorder. Retrieved
from: http://www.nice.org.uk/guidance/index.jsp?action=byId&o=10931&history=t

Robinson, P. etal. (2014). Study Protocol for a randomized controlled trial of mentalization
based therapy against specialist supportive clinical management in patients with both eating
disorders and symptoms of borderline personality disorder. BMC Psychiatry, 14(1): 1-21.

Samantha, M et al., (2010). Eating Disorders and Trauma History in Women with
Perinatal Depression. Journal of Women’s Health (15409996), 20(6): 863-870

Schwitzer, A. (2012). Diagnosing, Conceptualizing, and Treating Eating Disorders Not
Otherwise Specified: A Comprehensive Practice Model. Journal of Counseling &
Development, 90(3): 281-289.

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