Evidence-Based Health Care

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EVIDENCE-BASED HEALTH CARE

Evidence-Based Health Care

Evidence-Based Health Care

Introduction

Evidence-based health care is the conscientious use of current best evidence in making decisions about the care of individual patients or the delivery of health services. Current best evidence is up-to-date information from relevant, valid research about the effects of different forms of health care, the potential for harm from exposure to particular agents, the accuracy of diagnostic tests, and the predictive power of prognostic factors [1]. Evidence-based clinical practice is an approach to decision-making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits that patient best [2]. Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research

Discussion

UK is in the middle of a health care crisis. Many British citizens do not have health insurance and have no means of attaining it. Health insurance should be made affordable for all citizens of the United States. This is one of the wealthiest countries in the world, yet we lack the basic necessities that people in other countries provide to their citizens.

The amount of British citizens that do not have health insurance is staggering. There are over nine million children in the United States that have no insurance. Many of this is caused by lack of funding, education and class status. Parents either have jobs where the insurance has been cut due to costs, or the insurance that is offered is too much for them to pay. In order for our children to grow up healthy, we need to make sure that they have access to doctors. In addition to the nine million children that lack health insurance, there are over 46 million adults without health insurance. The reasons for this lack of insurance are again, either their work place has cut out the benefit packages they offered in the past, or the parents just cannot afford it. A person should not have to choose between insuring their family, and paying their mortgage.Aggression in healthcare systems poses a major problem for nurses because they are the most susceptible to suffer violence. Many studies have already been done regarding aggression problems of patients. However, there is a paucity of research on the effects of training courses on nurses' attitudes on the reasons of patient aggression and its management.

An extensive review of the literature related to managing patient aggression and violence in healthcare demonstrates that there is a growing interest in this area. However, the exploration of client's and practitioners' respective views is less evident within the literature, Such work as has been done has focused on specific approaches such as seclusion, and has commonly relied on interview material.

Nurses' attitudes towards patient aggression may influence their behavior towards patients. Thus, their enhanced capacity to cope with aggressive patients may nurture more ...
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