OTITIS MEDIA

Otitis Media

Abstract

Evidence-Based Practice (EBP) has its origins in medicine, beginning its development in USA since the discipline of clinical epidemiology, where the group of Sackett, in the late 70's, trying to incorporate research clinical decision making for patients. Another Canadian group led by Guyatt in the 90's promoted the use of research-based mathematical statistics as evidence. At the same time the gap between books and periodical literature, the variability in clinical care in patients with the same disease, the gap between scientific and clinical practice and the gap between research and practice facilitated the birth of this new paradigm. The below paper discusses the antibiotic treatment of children suffering from otitis media and ethics in evidence based practice.

Table of Contents

Task A: Review of the Sources1

Task B: Article Review2

Otitis Media2

Utilizing watchful waiting2

Task C: Findings of the Articles(Watchful Waiting)3

Task D: Ethical Issues4

References5

Acute Otitis Media

Task A: Review of the Sources

Source

Type of Resource

Source inappropriate or appropriate

Type of Research

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

(AAP/AAFP, 2004)

Filtered

The source is highly appropriate and relevant to the nursing practice situation because the information presented is by professionals with years of experiences. This in addition to the constant improvement approach (Academy), makes the source a highly authentic and relevant.

Evidence Based Guideline

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

(Block, 1997)

Filtered

The source is relevant and appropriate as it is a literary piece of journal which is completely authentic simply because of its nature as a scholarly article. The appropriateness is accepted because of the reliability of the source which is periodically viewed by highly professional peers.

Primary Research Publication

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

(Kelley, Friedman & Johnson, 2007)

Filtered

The source is not considered appropriate because the work is not directly related to medicine and nursing practice. Although the authors like Friedman (economics) are highly credible, it is essential to keep in mind that nursing practice is not their field of expertise.

Primary Research Publication

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

(McCracken, 1998)

Unfiltered

The source is relevant and appropriate as it relates to the treatment of acute otitis media, and is a literary Piece of journal which is completely authentic simply because of its nature as a scholarly article.

Primary Research Evidence

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

General

The first hand experiences of the parents are highly authentic and important for the field of nursing practice reflecting their appropriateness.

Evidence Summary

Task B: Article Review

Otitis Media

The term Otitis Media means the otitis inflammation, and it is the middle ear inflammation. The throat infection generally causes this inflammation as it has a connection with the ear through the eustachian tube. The middle ear is almost like a pea size air filled cavity, its limit is outside the inner ear and ear drum in the inner ...