Pediatric Primary Care: Practice Guidelines for Nurses

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Limitations The generalizability of our findings is limited by the response rate and the sampling from a single geographic region and health system. Integration with prior work Our findings extend those of earlier qualitative studies[ 35 , 36 , 40 ] by prioritizing the factors that influence variation. Implications The clinicians in this sample did not express strong concerns about practice variation: about two-thirds agreed that variation is justified by relevant clinical differences, and the vast majority indicated that they already follow guidelines themselves.

Supporting information. S1 eTable. Survey results: Subgroup analyses by specialty and practice location. Acknowledgments We thank Phil Einspahr for his support in administering the survey. References 1. A systematic review of medical practice variation in OECD countries. Health Policy ; — Wennberg JE. Unwarranted variations in healthcare delivery: implications for academic medical centres.

BMJ ; — Time to tackle unwarranted variations in practice. View Article Google Scholar 4. Guideline-concordant therapy and reduced mortality and length of stay in adults with community-acquired pneumonia: playing by the rules. Arch Intern Med ; — An overview of the use and implementation of checklists in surgical specialities—a systematic review.

Int J Surg ; — Variation in critical care unit admission rates and outcomes for patients with acute coronary syndromes or heart failure among high- and low-volume cardiac hospitals. J Am Heart Assoc ; 4:e Same thyroid cancer, different national practice guidelines: When discordant American Thyroid Association and National Comprehensive Cancer Network surgery recommendations are associated with compromised patient outcome.

Surgery ; — Association between adherence to National Comprehensive Cancer Network treatment guidelines and improved survival in patients with colon cancer. Cancer ; — J Am Heart Assoc ; 5. View Article Google Scholar J Gen Intern Med ; — Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines.

The effects of clinical practice guidelines on patient outcomes in primary care: a systematic review. CMAJ ; — Reasons for intentional guideline non-adherence: A systematic review. Int J Med Inform ; — Acute pharyngitis: low adherence to guidelines highlights need for greater flexibility in managing paediatric cases. Acta Paediatr ; — Dig Dis Sci ; — Receipt of recommended surveillance among colorectal cancer survivors: a systematic review. J Cancer Surviv ; — Variations in self-reported practice of physicians providing clinical care to individuals with dementia: a systematic review.

J Am Geriatr Soc ; — Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA ; — Thou shalt versus thou shalt not: a meta-synthesis of GPs' attitudes to clinical practice guidelines. Br J Gen Pract ; — Clinicians' attitudes to clinical practice guidelines: a systematic review. Med J Aust ; — Healthcare Basel ; 4 3. Guideline uptake is influenced by six implementability domains for creating and communicating guidelines: a realist review.

J Clin Epidemiol ; — Rigorous development does not ensure that guidelines are acceptable to a panel of knowledgeable providers. Tools developed and disseminated by guideline producers to promote the uptake of their guidelines. Modifying unwarranted variations in health care: shared decision making using patient decision aids. Strategies for reducing regional variation in the use of surgery: a systematic review.

Ann Surg ; — Interventions to increase the use of electronic health information by healthcare practitioners to improve clinical practice and patient outcomes. Does clinical decision support reduce unwarranted variation in yield of CT pulmonary angiogram? Am J Med ; — Improving adherence to otitis media guidelines with clinical decision support and physician feedback.

Pediatrics ; e— Audit and feedback: effects on professional practice and healthcare outcomes. The effect of financial incentives on the quality of health care provided by primary care physicians. Does performance-based remuneration for individual health care practitioners affect patient care? Ann Intern Med ; — Leaders' experiences and perceptions implementing activity-based funding and pay-for-performance hospital funding models: A systematic review.

Strategies to reduce variation in the use of surgery.

Lancet ; — Factors that contribute to physician variability in decisions to limit life support in the ICU: a qualitative study. Intensive Care Med ; — A mixed methods approach to understand variation in lung cancer practice and the role of guidelines. Implement Sci ; Philadelphia guidance for advanced practice nurses in primary care. Edited by Eileen M Sullivan-Marx, et al. Bhatt, M. Sarasota , Florida , United States. Solomon, M. Designed for project management courses for business students, Project Management: A Managerial Approach, 9th Edition Binder Ready Version guides students through all facets of the steps needed to successfully manage a project.

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Pediatric Primary Care Nurse Practitioner

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Advanced Practice Nurses in Pediatrics - Akron Children's Hospital video

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Now, three colleagues of Dr. Inspire Science For Grades: K— Expanded Evidence-based practice boxes highlight the importance of current clinical research in daily practice. In Stock. In a single source there is a combination of the latest research evidence, guidelines and expert opinion — presented in a step-by-step approach, covering prevention, diagnosis, treatment and prognosis. Self care — practice of activities that individual initiates and perform on their own behalf in maintaining life ,health and well being; Self care agency — is a human ability which is "the ability for engaging in self care" -conditioned by age developmental state, life experience sociocultural orientation health and available resources Over the years and by demand, the class evolved to include basic introductory information and emphasis on the intuitive, interpersonal skills essential to effective midwifery care.

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The use of information technology to enhance diabetes management in primary care: a literature review. Informatics in Primary Care. Royal College of General Practitioners. The future direction of general practice, a roadmap. London: RCGP. Accesseed 12 Nov The organisation for economic co-operation and development OECD. List of current members and partners. Linton JD. Implementation research: state of the art and future directions. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration.

Ann Intern Med. Addressing the evidence to practice gap for complex interventions in primary care: a systematic review of reviews protocol. BMJ Open. Meta-ethnography: synthesizing qualitative studies. Newbury Park: Sage; Walsh D, Downe S. Meta-synthesis method for qualitative research: a literature review. J Adv Nurs. Meta-synthesis of qualitative findings. Qualitative Health Research. Evaluating meta-ethnography: systematic analysis and synthesis of qualitative research.

Health Technol Assess. Evidence from general medical practice. J Health Serv Res Policy. Public Health Resource Unit. Critical appraisal skills programme. England: Public Health Resource Unit; A scoring system for appraising mixed methods research, and concomitantly appraising qualitative, quantitative and mixed methods primary studies in mixed studies reviews.

Int J Nurs Stud. Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals. J Med Syst.


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Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Community Psychol. Mason A. New medicines in primary care: a review of influences on general practitioner prescribing. Journal of Clinical Pharmacy and Therapeutics ;33 1 Determinants of successful telemedicine implementations: a literature study. J Telemed Telecare. Dulko D. Audit and feedback as a clinical practice guideline implementation strategy: a model for acute care nurse practitioners.

Worldviews on Evidence-Based Nursing. Effectiveness of strategies to implement brief alcohol intervention in primary healthcare. A systematic review. Scandinavian Journal of Primary Health Care. Peleg M, Tu S. Decision support, knowledge representation and management in medicine. Yearb Med Inform. Barriers to evidence based practice in primary care: a review of the literature.

International Journal of Nursing Studies. Why don't physicians follow clinical practice guidelines? A framework for improvement. Understanding communication capacity. Communication patterns and ICT usage in clinical settings. J Healthc Inf Manag. IT solutions for patient safety—best practices for successful implementation in healthcare. Healthc Q. A review and a framework of handheld computer adoption in healthcare.

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Int J Med Inform. Technology acceptance among physicians: a new take on TAM.

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Implementation Science. Systematic review of health information exchange in primary care practices. Ogundele M. Challenge of introducing evidence based medicine into clinical practice : An example of local initiatives in paediatrics. Clinical Governance. The role of government policy in supporting nurse-led care in general practice in the United Kingdom, New Zealand and Australia: an adapted realist review. Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review. Journal of Advanced Nursing. Factors enabling advanced practice nursing role integration in Canada.

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Evidence-based practice in rural and remote clinical practice: where is the evidence? Australian Journal of Rural Health. Johnson KB. Barriers that impede the adoption of pediatric information technology. Arch Pediatr Adolesc Med. Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries.

International Journal of Medical Informatics. Barriers to diabetes management: patient and provider factors. Diabetes Research and Clinical Practice. Rapid appraisal of barriers to the diagnosis and management of patients with dementia in primary care: a systematic review. BMC Family Practice. Meta-synthesis of health behavior change meta-analyses. American Journal of Public Health.

Preventing overweight and obesity in young children: synthesising the evidence for management and policy making. Implementing guidelines and innovations in general practice: which interventions are effective? Towards pervasive computing in health care—a literature review.

Australian nurses in general practice based heart failure management: implications for innovative collaborative practice. European Journal of Cardiovascular Nursing. Factors influencing the implementation of fall-prevention programmes: a systematic review and synthesis of qualitative studies. Interventions to improve the management of diabetes in primary care, outpatient, and community settings: a systematic review. Diabetes Care. Grilli R, Lomas J. Evaluating the message: the relationship between compliance rate and the subject of a practice guideline.

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Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. Perspectives on context. London: Health Foundation; Process evaluation of complex interventions: Medical Research Council guidance.