ABSTRACT
Maldigestion occurs when digestive enzymes are lacking to help break complex food components into absorbable nutrients within the gastrointestinal tract. Education is needed to help patients manage the intricacies of digestive enzyme replacement therapies and ensure their effectiveness in reducing symptoms of maldigestion.
Subject(s)
Enzyme Replacement Therapy , Exocrine Pancreatic Insufficiency/drug therapy , Gastrointestinal Agents/therapeutic use , Lactase/therapeutic use , Lactose Intolerance/drug therapy , Pancrelipase/therapeutic use , Gastrointestinal Agents/pharmacology , Humans , Lactase/pharmacology , Pancrelipase/pharmacologyABSTRACT
Hyperthyroidism is a treatable endocrine disorder. Having a working knowledge of the current evidence-based guidelines for treating hyperthyroidism aids in improved patient care.
Subject(s)
Antithyroid Agents/therapeutic use , Evidence-Based Nursing/standards , Hyperthyroidism/drug therapy , Hyperthyroidism/nursing , Nursing Care/standards , Nursing Staff, Hospital/education , Practice Guidelines as Topic , Education, Nursing, Continuing , Humans , United StatesABSTRACT
Background: Improved outcomes for patients with asthma have been proven with the use of the Expert Panel Report 3 (EPR-3) evidence-based asthma guidelines. These clinical guidelines are tools developed for providers to direct appropriate high-quality patient care that leads to positive outcomes. However, research has shown health care providers do not routinely follow the evidence-based asthma guidelines adequately. Objective: To develop and implement an evidence-based asthma protocol in a community clinic and improve provider adherence and attitudes/beliefs to the EPR-3 guidelines resulting in improved asthma outcomes, asthma control, and self-management for patients with asthma. Methods: The study was conducted in 2 parts over a period of 3 months. First, all medical providers at a community clinic were invited to participate in the research study. The intervention included implementing the asthma protocol within the current electronic health record (EHR). A pre- and postintervention questionnaire measuring provider's adherence and attitudes to evidence-based practice was administered. In addition, pre- and postclinic aggregate data for International Classification of Diseases codes specific to asthma that correlate to 7 identified aims based on the EPR-3 guidelines were collected. Results: Results show statistical significance among the provider attitudes/beliefs with the intervention, the greatest effect being found for the medical doctors. Four of the 7 aims showed improvement. Conclusions: The findings of this application research quality improvement study indicate that providing necessary tools and resources needed to adhere to evidence-based asthma guidelines can positively affect providers' adherence and attitudes/beliefs toward evidence-based guidelines.
ABSTRACT
Hypertension requires careful management, including lifestyle mod- ification and drug therapy. Use of angiotensin-receptor blockers, beta blockers, and calcium channel blockers is discussed.
Subject(s)
Adrenergic Agents/therapeutic use , Angiotensin-Converting Enzyme Inhibitors/therapeutic use , Antihypertensive Agents/therapeutic use , Calcium Channel Blockers/therapeutic use , Hypertension/drug therapy , Nurse's Role , Adult , Aged , Aged, 80 and over , Education, Nursing, Continuing , Female , Humans , Male , Middle Aged , Nursing Staff, Hospital/education , Patient Education as TopicABSTRACT
Hypertension requires careful management, including lifestyle modification and drug therapy. Use of thiazide diuretics and ACE inhibitors is discussed.
