RESUMEN
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.
Asunto(s)
Terapia de Reemplazo Enzimático , Insuficiencia Pancreática Exocrina/tratamiento farmacológico , Fármacos Gastrointestinales/uso terapéutico , Lactasa/uso terapéutico , Intolerancia a la Lactosa/tratamiento farmacológico , Pancrelipasa/uso terapéutico , Fármacos Gastrointestinales/farmacología , Humanos , Lactasa/farmacología , Pancrelipasa/farmacologíaRESUMEN
Hyperthyroidism is a treatable endocrine disorder. Having a working knowledge of the current evidence-based guidelines for treating hyperthyroidism aids in improved patient care.
Asunto(s)
Antitiroideos/uso terapéutico , Enfermería Basada en la Evidencia/normas , Hipertiroidismo/tratamiento farmacológico , Hipertiroidismo/enfermería , Atención de Enfermería/normas , Personal de Enfermería en Hospital/educación , Guías de Práctica Clínica como Asunto , Educación Continua en Enfermería , Humanos , Estados UnidosRESUMEN
Hypertension requires careful management, including lifestyle mod- ification and drug therapy. Use of angiotensin-receptor blockers, beta blockers, and calcium channel blockers is discussed.
Asunto(s)
Adrenérgicos/uso terapéutico , Inhibidores de la Enzima Convertidora de Angiotensina/uso terapéutico , Antihipertensivos/uso terapéutico , Bloqueadores de los Canales de Calcio/uso terapéutico , Hipertensión/tratamiento farmacológico , Rol de la Enfermera , Adulto , Anciano , Anciano de 80 o más Años , Educación Continua en Enfermería , Femenino , Humanos , Masculino , Persona de Mediana Edad , Personal de Enfermería en Hospital/educación , Educación del Paciente como AsuntoRESUMEN
Hypertension requires careful management, including lifestyle modification and drug therapy. Use of thiazide diuretics and ACE inhibitors is discussed.
Asunto(s)
Inhibidores de la Enzima Convertidora de Angiotensina/uso terapéutico , Antihipertensivos/uso terapéutico , Hipertensión/tratamiento farmacológico , Inhibidores de los Simportadores del Cloruro de Sodio/uso terapéutico , Adulto , Anciano , Anciano de 80 o más Años , Educación Continua en Enfermería , Femenino , Humanos , Masculino , Persona de Mediana Edad , Personal de Enfermería en Hospital/educaciónRESUMEN
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.