Chamberlain College of Nursing NR449 Evidence-Based Practice
Evidence Matrix Table
Independent (I)
Dependent (D)
Size and Selection
Major Findings
(sample not a real article)
Smith, Lewis (2013),
What should I eat? A focus for those living with diabetes. Journal of Nursing Education, 1 (4) 111-112.
How do educational support groups effect dietary modifications in patients with diabetes?
D-Dietary modifications
Education
Qualitative
Convenience sample-selected from local support group in Pittsburgh, PA
Focus Groups
Support and education improved compliance with dietary modifications.
de Vries K, Green AJ (2012) Therapeutic use of cannabis. Nursing Times; 108: 9, 12-15.
Describe the potential uses of cannabis in palliative care, and to help nurses advocate for patients by providing information about cannabis use and legality. How should nurses react when patients ask about medical marijuana?
None; not an experimental research design.
Literature Review
Untold quantities of research studies in published journals.
Peer-reviewed and professional literature. Legal documents.
Cannabis remains illegal in most areas, but nurses are responsible to remain informed of changes in the law. Until then, patients should be advised according to the law in the state.
Green, A.J. & deVries, K. (2010). Cannabis use in palliative care. Joural of Clinical Nursing 19. Retrieved online: http://www.advancedholistichealth.org/PDF_Files/Palliative%20care.pdf
Provide a historical overview of cannabis use in clinical interventions, especially with regards to hospice and palliative care. What does research reveal related to the use of medical marijuana in palliative care, and how should this inform best practices?
None; not an experimental research design.
Literature Review
Databases from 1996 and Internet
Peer-reviewed and professional literature. Legal documents.
Although cannabis remains illegal in many areas, nurses need to educate themselves and inform patients regarding the benefits of medical marijuana. When possible, and when it is legal, nurses can advise patients on how to use legal medical marijuana.
3
4
5
NR449 Evidence Matric Table.docx Revised10/20/14 ns/cs
Marijuana Medical Marijuana: The Interplay between State and Federal Law History of Criminalization The Current War on Drugs Political Issues The legal status of medical marijuana in the United States is something of a paradox. On one hand, federal government has placed a ban on the drug with no exceptions. On the other hand, over one-third of the states have that legalizes the cultivation, distribution, and consumption of the drug for medical purposes. As such, the
In Germany it is still an offence under the drug laws to posses the drug but the laws are some what more liberal. For example the prosecution may not press charges where the drug was found to be in 'low quantity 'and was for personal use. Thus patients have received lower penalties. The progress in Germany is such that in April 2000, the German company THC Pharm received the
Gilman asserts that the debate should not be about the medical value of marijuana, but how the drug should be delivered. The Genetic Science Learning Center outlines several delivery methods of medical marijuana. First of all is smoking. The benefits of this method include that it delivers all of the plant's active compounds, and that it is easy to regulate the dose. Disadvantages of this method are that there is
Medicalmarijuanaprocon.org/bin/procon/procon.cgi?database=5-B-Subs-1.db&command=viewone&op=t&id=1&rnd=414.848519162785)." March 1, 2007 Lester Grinspoon One of the more controversial uses of marijuana is the fact that it is believed to alleviate inflammation which opens the doors for arguments with regard to disorders including fibromyalgia which doctors still debate the existence of. However, as long as the patient is suffering and can match the set criteria for the disorder, who is society to argue that it does not exist and
Legislators and drug enforcers are not physicians and should not substitute their belief system for demonstrable scientific studies showing that medical marijuana does benefit patients. The federal argument often begins with a denial of this, as if any study that suggests there is no benefit is automatically preferred to the hundreds that show there is. The next claim made is that the harm is greater than the curative power, which
" By characterizing the use of illegal drugs as quasi-legal, state-sanctioned, Saturday afternoon fun, legalizers destabilize the societal norm that drug use is dangerous." Allowing medical use of marijuana sends the wrong message to children. Children entering drug abuse treatment have routinely reported that they heard that marijuana is medicine'and, therefore, believed it to be good for them. Those in favor of medical marijuana believe that studies such as the 1999 U.S.
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