EBT 1 Task 2

Topics: Ethics, Informed consent, Research Pages: 5 (1372 words) Published: July 8, 2014


EBT 1 Task 2
Andrea Thomas
Western Governors University

EBT 1 Task 2
A. Review of the Sources of Evidence
B. Sources of Evidence Being Reviewed
C. A1- Classification of Types of Sources of Evidence
D. A2- Appropriateness of Sources of Evidence
E. A3- Classification of Sources of Evidence
In text citations
Classify each source of evidence as either a general information resource, a filtered resource, or an unfiltered resource. Discuss whether each source of evidence is appropriate for this nursing practice situation. Classify each source of evidence as primary research, evidence summary, evidence-based guideline, or none of these. AAP/AAFP, 2004

This source of evidence is a filtered resource.
This source of evidence is appropriate because it shows clear guidelines for the diagnosis and management of AOM. It also discusses guidelines on appropriate time to treat AOM, watchful waiting and the absence of treatment. This source of evidence is an evidence base guideline because it systematically reviews several pieces of research literature and gives practice recommendations. Block, 1997

This source of evidence is an unfiltered resource.
This source of evidence is inappropriate due to the age of the article. The article was published in 1997, thus the research is not current. It does discuss the problem of antibiotic resistance in causative organisms but does not discuss watchful waiting. This source of evidence is evidence summary.

Kelly, Friedman and Johnson, 2007
This source of evidence is a general information resource.
This source of evidence is appropriate because it describes AOM. It provides information on assessment and treatment. It provides rationale of the findings. This source of evidence is none of these.

McCracken, 1998
This source of evidence is an unfiltered resource.
Even though this resource was published in 1998, this source of evidence is appropriate because corroborates already established guidelines that provide the risks of overuse of antibiotic therapy. This source of evidence is an evidence summary because it provides data information and supporting evidence. Interviews

This source of evidence is a unfiltered source.
This source of evidence is inappropriate because the information given by a parent is not able to be used in policy making decisions. This source of evidence is none of these.

Part B1. Review of the Article “Clinical Practice Guideline” Based on the article, “Diagnosis and Management of Acute Otitis Media” the ‘Watchful Waiting’ approach is an appropriate form of treatment of AOM in children in certain situations In this study, children age >2 to 12 that have no additional chronic diagnoses or birth defects are included. This resource provides evidence-based information supporting that waiting 48-72 hours before initiating antibiotic for the treatment of AOM should be considered by providers. This resource includes results from the Dutch College of General Practitioners’ guidelines, the AHRQ evidence report and a 30 year random trial in the United Kingdom that included the use of placebos. These evidence-based results have assisted in creating guidelines for the recommendation of treatment. In these guidelines, providers are informed to obtain accurate time of onset of signs and symptoms, identify actual signs and symptoms, decide if the child is the appropriate age or has any other health risks, the severity of the AOM, and assess whether follow-up will be obtained. If these guidelines are met, the “Watchful Waiting” approach is appropriate for the child ("Diagnosis and Management of Acute Otitis Media", 2004). Part C. Application of Findings

In the resource “Diagnosis and Management of Acute Otitis Media,” one way to apply the findings into clinical practice is provider education. If the physicians are willing to accept the changes, a learning process should be implemented. A...

References: Block, S. L. (1997). Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. Pediatric Infectious Disease Journal, (16), 449-456.
Diagnosis and Management of Acute Otitis Media. (2004, May 1). Retrieved May 1, 2014, from http://pediatrics.aappublications.org/content/113/5/1451.full
Kelley, P. E., Friedman, N., & Johnson, C. (2007). Current pediatric diagnosis and treatment (18th ed.). New York, NY: Lange Medical Books/McGraw Hill.
McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. Pediatric Infectious Disease Journal, (17), 576-579.
Research Concerning Children and Young People — University of Leicester. (n.d.). Retrieved from http://www2.le.ac.uk/institution/committees/research-ethics/research-concerning-children-and-young-people-guidelines
Research ethics - Wikipedia, the free encyclopedia. (n.d.). Retrieved May 3, 2014, from http://en.wikipedia.org/wiki/Research_ethics
Research Ethics: Research Involving Children and Youth -- ResearchEthics.ca. (n.d.). Retrieved from http://www.researchethics.ca/children-and-youths.htm
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