Evidence-Based Practice & Applied Nursing Research Essay

Type of Sources / purloinness of Sources / Classification of Sources Ameri great deal Academy of pediatric medicine and Ameri passel Academy of Family Physicians phrase regarding perspicacious otitis media is a filtered resource. It is an entrance source for care for employment because it establishes clinical guideposts to diagnose and dole let on AOM. It in both case establishes guidelines when to treat the signs and symptoms of AOM, hustling waiting, or to treat with an antibiotic drug. This name is classified as an secernate base guideline because, it reviews dual search literatures in a general manner and provides recommendations of manage. Blocks precipitating(prenominal) Pathogens hold is an unfiltered resource. It is an appropriate source for breast feeding practice because it provides the clinician with the most recent and up to date query on the topic. The article is primary search manifest because its researchers acquired the development first h and.Kellys article regarding authoritative pediatric diagnosis and treatment is a general information resource. This article is non appropriate for clinician use because it only provides staple fiber general background. It does non guide the clinician in diagnosing and treatment. McCrackens article in the Pediatric Infectious unhealthiness daybook is an unfiltered resource. It is an appropriate for nursing practice because it supports constituted guidelines and shows what will happen with continued antibiotic use. This is an evidence summary article because it lists each of the consequential information and the evidence living it. The last source of evidence is interviews with parents. This showcase of source is considered a general information resource. It is appropriate because, the interviews give firsthand come across of onset and signs and symptoms of AOM.This source of classifications is none of the listed. abrupt otitis media (AOM) is the most common infection f or which antibacterial drug drug agents are prescribed for kidskinren in the join States. As such, the diagnosis and management of AOM has a significant impact on the health of sisterren, cost of providing care, and overall use of antibacterial agents (AAFP, 2004).Watchful waiting can deplete legion(predicate) benefits for the babyren and the provider if apply by rights. canvass AOM can be tricky. The signs and symptoms can also be related to otherwise illnesses such as an speed respiratory virus. Throwing antibiotics at any illness use to be the course of action. However, now that there is evidence that bacteria claim become loathly to some antibiotics, clinicians are testing out other means of treating illnesses. If the child presenting with symptoms of AOM has no underlying conditions and has means to fol embarrassed up with the doctor if the symptoms get along, argus-eyed waiting is an appropriate approach for treating the child.According to the research, plac ebo controlled trials pick out shown that children get under ones skin responded well without antibacterial handling. Giving the chance for the illness to resolve without antibacterial intervention not only benefits the child but, the caregivers and the clinician. It benefits the child by not being undefended to antibiotics that are not quested, therefore creating a authorization resistance to that antibiotic. It benefits the caregiver by not spending money on a medication their child does not need. Last, it benefits the clinician by obstructing resistance to an antibiotic that may be useful in the around future. Watchful waiting is only appropriate if the persevering jar againsts the guidelines of uncomplicated AOM, assurance of a follow up if necessary, and access to antibiotics if symptoms progress or worsen. The findings in the AAFP article can be applied in many ways to meliorate nursing practice in a healthcare setting.The article provides evidence based guidelin es on how to suitablely diagnose AOM and the typical signs and symptoms. It establishes the three criteria the enduring must exhibit for a definite diagnosis of AOM. If the patient does not meet the certain criteria, it guides the clinician to continue to assess the patient for another illness, such as an upper respiratory virus. Proper diagnosis will improve clinician treatment and care of the patient. The article also includes a descriptive chart on how to assess and manage spite associated with AOM. It lists for the clinician the recommended medications, remedies, and agents for the clinician to utilize to manage pain. It also lists the strength and the side effects. This will help improve nursing care by implementing the proper medication and or remedies to the patient with the extravagantlyest dominance and the least amount of side effects.The article also real clearly identifies when watchful waiting isnot appropriate and what antibiotics should be prescribed and the usual dosage. This information is laborsaving to nursing practice by portion the clinician distinguish what patient is suitable for watchful waiting or antibiotic therapy. some other way the article improves nursing practice is, that the article provides information on how to pr stock-stillt AOM and reoccurrence. This information can be used to help educate patients caregivers on ways to prevent AOM and reoccurrence. honourable issues always arise when it comes to healthcare, especially when it comes to children. When conducting an evidence based research, there is a luxuriously likelihood of exposing the child to potential danger, illness, and uncomely reactions. The first good issue is is it even right to subject a child to research if there is a high likelihood of helping other children. That is something for the childrens parents to decide.However, it is the responsibility of the researchers to fully explain the process, potential side effects, potential danger, and any other concerns to the parents. It also the responsibility of researchers to determine if the parents have the capability to comprehend the information and the put on the line of the research. Not doing so would be wrong and could tarnish the results of the research. Another major estimable dilemma that comes with involving children in research is that the children do not have the capability of do that decision themselves. Research should be a voluntary thing and not left over(p) up to someone else to decide. However, when it comes to children that is not an option. The honest problem is should the child be subjected to potential harm because of the parents willingness to allow it. The needs to be guidelines established prior to the start of the research that regulate the ventures that the child exponent be subjected to. The take a chance should be very nominal with a very high benefit. Involving children in any type of evidence based research can be very tricky and has the potential of bringing up quaternate ethical issues.It is the researchers responsibility to ensure the child is protected, not exposed to uncalled-for harm, and the caregivers are knowledgeable of the risk factors and are competent overflowing to make an informed decision. Besides ethical issues, there are other issues that need to be taken into consideration when research involves children. Vulnerable populations, such as low income families, families with different cultural backgrounds, and families with insufficient precept can be at risk when itcomes to research involving children. For an example, low income families may not have the opportunity to participate in evidence based research because they might not fit certain criteria. In the AAFP research, in order for the child to be a candidate of the watchful waiting, they had to have means of a follow up appointment.For low income families, coming to the doctor multiple time may not be option. Financially they may not be abl e to afford, parents may not be able to get time discharge from work, or have means of dit for a follow up appointment. These good deal may subject the child to unneeded antibiotic treatment simply because the patient is unable to follow up with the doctor. Also, families with a cultural difference may not fully understand the benefits or risks of allowing their child to participate in this research.Without informed consent, the results of the research are tarnished and run the risk of jeopardizing the study. sure consent when it comes to research involving children is extremely important for validity of a project and prevents any ethical problems. Any research involving children can be extremely tricky and should be held to the highest ethical standards and involve minimal risk to children.ReferencesAmerican Academy of Pediatrics and American Academy of Family Physicians. (2004.) Clinical practice guideline Diagnosis and management of acute otitis media. Retrieved from http//aa ppolicy.aappublications.org/cgi/ nub/full/pediatrics113/5/1451 Block, S. L. (1997). responsible pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. Pediatric Infectious ailment Journal, 16, 449456.Kelley, P. E., Friedman, N., Johnson, C. (2007). Ear, nose, and throat. In W. W. Hay, M. J. Levin, J. M. Sondheimer, & R. R. Deterding (Eds.), Current pediatric diagnosis and treatment (18th ed., pp. 459492). New York Lange Medical Books/McGraw-Hill.McCracken, G. H. (1998). intercession of acute otitis media in an era of increase microbial resistance. Pediatric Infectious Disease Journal, 17, 576579.