EVIDENCE BASED PRACTICE IS NURSING

Evidence Based Practice Is Nursing

Evidence Based Practice Is Nursing

Task A: Review of the Sources

Source

Type of Resource

general information, filtered, or unfiltered

Source appropriate or inappropriate

Yes or No and justify your answer with evidence

Type of Research

primary research evidence, evidence summary, evidence-based guideline, or none of these

American Academy of Pediatrics and American Academy of Family Physicians. Clinical practice guideline: Diagnosis and management of acute otitis media.

(AAP/AAFP, 2004)

Filtered

Yes. This article is an evidence-based clinical practice

guideline which has provided suggestions to clinicians' primary care

to manage the children under 12 years of age with acute otitis

Media (AOM).

Evidence Based Guideline

Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. Pediatric Infectious Disease Journal.

(Block, 1997)

Unfiltered

Yes. This article discusses about the antibiotics use in AOM

Primary Research Evidence

Ear, nose, and Throat, Current pediatric diagnosis and treatment. In Hay

(Kelley, Friedman & Johnson, 2007)

Unfiltered

No. this provides a detail account of the ear infections, the disease, treatments and the complications. It has few indications of the watchful waiting for treating children with AOM.

Primary Research Evidence

Treatment of acute otitis media in an era of increasing microbial resistance. Pediatric Infectious Disease Journal

(McCracken, 1998)

Filtered

Yes. This article provided the etiologies of the bacterial and viral of AOM and it also discusses the history of diseases through the therapy of antibiotics.

Primary Research Evidence

Results from interviews with parents who have brought their children into the clinic for acute otitis media.

General

Yes. These interviews were appropriate because it showed the problems faced by the children with AOM.

Evidence Summary

Task B: Article Review

Discuss whether watchful waiting is an appropriate approach for treating children with acute otitis media, based on the evidence presented in the article.

Acute otitis media is the most frequently diagnosed disease in children in the United States and the majorly cited indication for the therapy of antibiotics in a child in America. Majority of the children suffering from AOM have typically being treating with the drugs of antimicrobial. Nevertheless, a strategy known as the watchful waiting strategy is being used in which the treatments are limited for the children whose conditions does not get better with the lack of medication. This strategy has been applied by many countries of Europe in order to minimize the use of antimicrobial drugs. In the Scotland and Netherlands, this technique has been given recommendation for the children as young as 6months old. In 2004, this article of clinical practice guideline issued by the American Academy of Pediatrics and the American Academy of Family Physicians adopted the strategy of watchful waiting for the children under 23 months for whom the disease was "not serious"(defined in an adaptation of a previous definition, the presence of mild otalgia and temperature below 39 ° C during the last 24 hours) and in the diagnosis of acute sinusitis (Klein & McCracken, 1998).

 Adopting a strategy of watchful waiting is based on clinical findings that showed relatively high rates of spontaneous improvement in children with acute otitis media. Moreover, spontaneous improvement rates similar to rates seen in studies among children who received placebo were never discovered (Little et al, 2002).

Task C:

Discuss how you would apply the findings in the attached article to improve nursing practice in the ...