Bowling (2009) defines RCT as an experimental method for the evaluation of the effectiveness of health services and interventions in relation to specific conditions. RCT involves the random allocation of participants between experimental groups, whose members receive the treatment or other intervention, and control group whose members receive a standard or placebo treatment. Also, it is a gold standard in testing the efficacy of an intervention (UCL, 2011). To commence the article assessment is the view of the abstract. The heading and abstract of the study was well outlined, concise and focused on the sample population, methodology, data analysis as well as the result of the study.
In these studies, the effect of escitalopram was compared to that of an inactive control (placebo). The clinical studies were coducted on three continents and in 21 countries. Approximately 170 centres participated in the studies, and recruitment of the more than 2,000 patients was completed in record time. Since SSRIs are mainly perscribed in general practice, it was extremely important for the studies to be conducted in a primary care setting. The studies were therefore conducted in a specialist setting and in general
In the present situation of perceived impotence and absence of reliable estimates about the real efficacy of present medical interventions, no guarantee exists that the efficacy and safety of the new therapies can be assessed without a comparable control group. The patients had rights to receive safety, at least no adverse effects’ therapy. Moreover, the well-designed RCTs ensured that all patients can receive the best feasible care as recommended by WHO. The RCT currently was standard supportive care, which was rehydration with oral or intravenous fluids to replace fluids and electrolytes and treatment of specific symptoms. If we were keep to approaching the untested drugs in an uncontrolled way, we may never know whether seriouser circumstance
Integrative behavioural couple therapy was also found by Christensen and Jacobson (1998) examining couple conflicts and aiming to help couple accept that all couples could feel incompatible as a natural course. General aim behind this therapy is to help couples get satisfaction and harmony out of their relationship . IBCT model is inspired by TBCT, although TBCT aims to change any negativity to positive (behavioural exchange) and teach couples how to create a better communication pattern and focus on solutions when facing problems . There are many debates on whether IBCT is more beneficial compared to TBCT and which therapy technique responds better or quicker. For instance, Baucom et al.
Introduction The purpose of this paper is to compare and contrast three psychotherapeutic models, namely, Adlerian Therapy (AT), Aaron Beck’s Cognitive Therapy (CT) and Solution Focused Brief Therapy (SFBT). The paper covers the similarities and differences of the underlying assumptions and the key concepts of the theories. Next, their therapeutic goals and relationships are explored. Lastly, the techniques and procedures of the therapies are discussed. The conclusion provides an overall summary of the major themes in this paper.
Although suppliers and hospital management are thought to focus on the cost savings and efficiency aspects of standardization, they actually strive to promote patient safety, along with clinicians (International Organization for Standardization 2013). Patients have difficulty seeing the effects of standardization on their care, but find it beneficial for both themselves and their clinicians. The process of standardization is important to consider when implementing an initiative. Buy-in from key stakeholders in the generation phase is necessary to achieve success. Suppliers find that clinician support provides input legitimacy and lends credibility to their initiative.
Duffy and Chenail (2008) stated when using a research approach in counseling, the counselor needs to make sure they understand the value and the purpose of the research study. The research needs to be appropriate to the client needs. Therefore, the counselor should be aware of the role and the responsibilities when using research for their client that they might not be any biases or cultural sensitive towards the client, if the counselor does not feel comfortable using the research the counselor can also reference “The Code of Ethics of the American Counseling Association”. Sherpis and Daniels (2017) specified when a counselor is conducting a research study or using a research they should consider the dignity and welfare of the client. The counselor needs to make sure to respect clients at all times.
To my surprise when I did the write up for this paper I had came across many clinical practice guidelines on medication safety. It had highlighted that in order to prevent medication errors, hospital organization should have an established guidelines and computer prescribe system is highly recommended. The development of guidelines involves many parties contribution such
There are many risks involved when dealing with pharmaceutical products. There are technical risks and commercial risks. That technical risks would involve drugs that never make it into the market after a lot of time and money has been wasted on it. There is a lot of financial risks during the research and development phase because most products get discarded before they reach the
For client who uses emotional-focused coping mechanism, they would feel that CBT is not suitable for them as they are always being talked out of their emotions and are being forced to deal with problems in a more structured problem-focused way. Therapist can deal with this problem by using their clinical experience to observe how their clients cope with issues to know whether CBT is suitable for