Evaluating the Evidence: Guidelines
CPM Resource Center, Grand Rapids, MI, USA.AORN journal 09/2008; 88(2):184-96. DOI: 10.1016/j.aorn.2008.04.017
Guidelines are collections of practical information that assist with clinical decision making. Evidence-based guideline development includes a critique of the quality and an evaluation of the strength of published evidence. Evolution From opinion-based to evidence-based guidelines is incomplete in many of the organizations that author them, so perioperative nurses must become skillful at critiquing guideline development methodologies and clinical content. The AGREE instrument is useful for evaluating guideline development. Nurses have access to evidence-based guidelines registered online through the National Guideline Clearinghouse.
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ABSTRACT: It has been stated that something can be greater than the sum of its parts. This is the case with the current synergistic advancements in both evidence-based practice (EBP) and health information technology (HIT) at the point of care. Some would claim that EBP is leading the way for more meaningful adoption of HIT. Others will credit the advancements in HIT as the reason EBP is now becoming a reality. The greater opportunity for nurses remains in the ability to thoughtfully and boldly leverage the convergence of both as a catalyst in accelerating support to advance practice and technology at the point of care.
Conference Paper: A multiuser detection method based on support vector machine[Show abstract] [Hide abstract]
ABSTRACT: In this paper, a multi-user detector based on a Support Vector Machine (SVM) is proposed, which divides the receiving vector into two classes, +1 and -1, to attain detection. Differing from the MMSE detector, the SVM method can find an optimal hyperplane to separate the +1 and -1 from the training data. Simulation results show that under the Rayleigh channel, this detector can achieve a relatively low BER in comparison with the minimum mean square error (MMSE) detector.
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ABSTRACT: The nature of the work to transform culture and practice requires a clear vision of today's reality and a clear vision of a desired reality, coupled with a deep understanding of the healthcare system, skills, tools, and resources that bring sustainable outcomes. There is a major effort to bring technology to the healthcare system because of the belief that it can exponentially grow healthcare reform. Regardless of goals-such as implementing point of care (POC) automation; achieving evidence-based, integrated, interdisciplinary care; becoming the best place to give and receive care; or achieving Magnet status-the main lesson is that sustainable outcomes call for a framework-driven model, not just an initiative or project-driven mindset. This article discusses the importance of using a framework to achieve the desired goals in a community-based healthcare system.
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