Critiquing Research Evidence for Use in Practice: Revisited.

Nurse practitioners need to critically appraise the abundance of research evidence and clinical practice guidelines to make astute decisions about the implementation of the best available evidence to clinical practice. There are numerous ways to appraise research and practice guidelines that are designed to inform clinical practice with the overall goals of improving patient outcomes. This article presents existing tools to appraise the research evidence in addition to a guide for providers on critical appraisal of a research study.

Implementation of a professional portfolio: a tool to demonstrate professional development for advanced practice.

The literature has a gap related to professional development for APRNs. In the United States, many health care organizations use clinical advancement programs for registered nurses, but APRNs are not often included in these programs. If APRNs are included, advancement opportunities are very limited.

Novice to expert: the evolution of an advanced practice evaluation tool.

Professional performance evaluation provides an opportunity to measure the practice of health providers within healthcare settings. Standardized evaluation can be challenging as a result of diverse practice arenas, multiple evaluators and standards of care. Using Benner's novice to expert model, a Performance Excellence and Accountability tool (PEAC Tool(©)) has been designed to measure advanced practice providers performance based upon facets of professional practice.

Health-related quality of life in children and adolescents with sickle cell disease.

Objective: To assess health-related quality of life (HRQOL) in children and adolescents with sickle cell disease (SCD).

Design, Setting, And Participants: The PedsQL 4.0 Generic Scales, a multidimensional self-report instrument that has been shown to be valid and reliable for use in children and adolescents with chronic illness, consists of 23 items that assess physical, emotional, social, and school functioning.

Effects of distraction on pain, fear, and distress during venous port access and venipuncture in children and adolescents with cancer.

This study evaluates the effect of self-selected distracters (ie, bubbles, I Spy: Super Challenger book, music table, virtual reality glasses, or handheld video games) on pain, fear, and distress in 50 children and adolescents with cancer, ages 5 to 18, with port access or venipuncture. Using an intervention-comparison group design, participants were randomized to the comparison group (n = 28) to receive standard care or intervention group (n = 22) to receive distraction plus standard care. All participants rated their pain and fear, parents rated participant fear, and the nurse rated participant fear and distress at 3 points in time: before, during, and after port access or venipuncture.

Ethnicity, traditional health beliefs, and health-seeking behavior: guardians' attitudes regarding their children's medical treatment.

Introduction: The purpose of this research was to examine ethnic variation in attitudes about traditional health beliefs concerning the use of home remedies and self-medicating behavior among guardians for their children.

Method: As part of a community health care utilization study of children, questions were included regarding guardians' traditional health beliefs. Survey questions were adapted from the National Health Interview Survey or developed by the researchers.