Western Governors University
Student ID: 256940
Type of Sources / Appropriateness of Sources / Classification of Sources American Academy of Pediatrics and American Academy of Family Physicians article regarding acute otitis media is a filtered resource. It is an appropriate source for nursing practice because; it establishes clinical guidelines to diagnose and manage AOM. It also establishes guidelines when to treat the signs and symptoms of AOM, watchful waiting, or to treat with an antibiotic. This article is classified as an evidence based guideline because, it reviews multiple research literatures in a systemic manner and provides recommendations of practice. Block’s Causative Pathogens article is an unfiltered resource. It is an appropriate source for nursing practice because it provides the clinician with the most recent and up to date research on the topic. The article is primary research evidence because; its researchers acquired the data first hand. Kelly’s article regarding Current pediatric diagnosis and treatment is a general information resource. This article is not appropriate for clinician use because it only provides basic general background. It does not guide the clinician in diagnosing and treatment. McCracken’s article in the Pediatric Infectious Disease Journal is an unfiltered resource. It is an appropriate for nursing practice because it supports established guidelines and shows what will happen with continued antibiotic use. This is an evidence summary article because it lists all of the important information and the evidence supporting it. The last source of evidence is interviews with parents. This type of source is considered a general information resource. It is appropriate because, the interviews give firsthand experience of onset and signs and symptoms of AOM. This source of classifications is none of the listed. “Acute otitis media (AOM) is the most common infection for which antibacterial agents are prescribed for children in the United States. As such, the diagnosis and management of AOM has a significant impact on the health of children, cost of providing care, and overall use of antibacterial agents (AAFP, 2004). Watchful waiting can have many benefits for the children and the provider if used properly. Diagnosing AOM can be tricky. The signs and symptoms can also be related to other illnesses such as an upper respiratory virus. Throwing antibiotics at any illness use to be the course of action. However, now that there is evidence that bacteria have become resistant 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 follow up with the doctor if the symptoms progress, watchful waiting is an appropriate approach for treating the child. According to the research, placebo controlled trials have shown that children have responded well without antibacterial intervention. Giving the opportunity 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 exposed to antibiotics that are not needed, therefore creating a potential 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 preventing resistance to an antibiotic that may be useful in the near future. Watchful waiting is only appropriate if the patient meets 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 improve nursing practice in a healthcare setting. The article provides evidence based guidelines on how to properly diagnose AOM and the typical signs...