PubMed · 15258047
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Michael J Parker. 2004-07-17. Getting ethics into practice.. https://doi.org/10.1136/bmj.329.7458.126
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Nurses apply knowledge, perceptual and cognitive skills to analyze patient data and propose nursing interventions. The interventions' outcomes depend on their appropriateness which, in turn, depends on the accuracy of nurses' interpretations. The purpose of this paper is to discuss the use of evidenced-based practice (EBP) for nursing diagnostic reasoning, by means of a written case study. The principles of EBP in diagnostic reasoning are: validity of a diagnostic test; ability of a test to discriminate those who do or do not display a specific response; ability of a test to estimate the magnitude of a response; and the appropriateness of a diagnostic test within the clinical context. Gaps in nursing knowledge jeopardize the application of EBP principles in clinical nursing assessment and diagnosis. The authors present a framework to demonstrate the application of EBP to diagnostic reasoning.
Historically, landfills have been the dominant alternative for the ultimate disposal of municipal solid waste. This paper addresses the problem of siting a new landfill using an intelligent system based on fuzzy inference. The proposed system can accommodate new information on the landfill site selection by updating its knowledge base. Several factors are considered in the siting process including topography and geology, natural resources, socio-cultural aspects, and economy and safety. The system will rank sites on a scale of 0-100%, with 100% being the most appropriate one. A weighting system is used for all of the considered factors. The results from testing the system using different sites show the effectiveness of the system in the selection process.