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Implications of Evidence based practice for nursing
Implications of Evidence based practice for nursing
Implications of Evidence based practice for nursing
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Critiquing research
As a central feature of national research and development strategies, clinical effectiveness emphasizes the importance of rigorous experimental research in nursing (Gillibrand et al, 2002). Research in its broadest sense is an attempt to gain solutions to problems (Clark, 1987). More precisely, it is a collection of data in a rigorously controlled situation for the purpose of prediction or exploration. Nurses must be able to understand the accumulating quantities of research literature in order to apply the results to health promotion and care (Martin & Thompson, 2000).
Evidence-based practice has now become a key phase in nursing and is an issue that requires attention. In the United Kingdom, a recent National Health Service review identifies the need for research to address local clinical practice gaps, which are derived from patients’ needs and perspectives (Department of Health, 1999). Good, robust research is required in order to raise standards of nursing care. Close collaboration between research and practice is vital to the future success of nursing research. Nursing practice is becoming increasingly more evidenced based, it is important that care has its foundations in sound research. It is therefore important that all nurses have the ability to critically appraise research in order to identify what is best practice.
This assignment will appraise the published quantitative research conducted by Grice, Picton and Deakin, 2003); “Study examining attitudes of staff, patients and relatives to witnessed resuscitation in adult intensive care units”. The aimed of this study was to describe perception of medical and nursing staff and patients and relatives in relation to inclusion of rel...
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...ke generalisations. Some clinical complications in A&E is discussed from the findings. Study suggests that patients and relatives views should be sought and their views should be respected. The authors also discussed other clinical ethical issues and the gap between patients’ knowledge.
This study suggests the need of support network such as a trained staff nurse or a chaplain for patient’s family during witnessed resuscitation to provide explanation, prevent interference and to provide emotional support during the process.
The main recommendation this study reviewed emphasises the need for further research into family witnessed resuscitation, Overall, the study approaches appeared to be orientated towards qualitative methods rather than quantitative, and appeared to be critiquing the study according to qualitative rather than quantitative criteria.
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
As a nursing student, I have had some exposure to death during patient care. My first encounter with direct death was witnessing a patient after attempted resuscitation efforts die in the emergency department. As I observed others reactions, I noticed I was the only one who seemed fazed by the preceding events and the end result, although I didn’t show it outwardly. During my Aging and End of life clinical rotation, I have been exposed to a near death experience with a family and I had the rewarding experience of forming a relationship with the patient’s wife during the short hour I was in their home. From reading the accounts in this book, it confirmed to me the importance of catering to the needs of the family and the dying as an important issue to address as they are critical to overall care.
This can be seen in the case study as ethical and legal arise in resuscitation settings, as every situation will have its differences it is essential that the paramedic has knowledge in the areas of health ethics and laws relating to providing health care. The laws can be interpreted differently and direction by state guidelines may be required. Paramedics face ethical decisions that they will be required to interpret themselves and act in a way that they believe is right. Obstacles arise such as families’ wishes for the patients’ outcome, communicating with the key stakeholders is imperative in making informed and good health practice decision. It could be argued that the paramedics in the case study acted in the best interest of the patient as there was no formal directive and they did not have enough information regarding the patients’ wishes in relation to the current situation. More consultation with the key stakeholders may have provided a better approach in reducing the stress and understanding of why the resuscitation was happening. Overall, ethically it could be argued that commencing resuscitation and terminating once appropriate information was available is the right thing to do for the
Mohr, M., & Kettler, D. (1997). Ethical aspects of resuscitation. British Journal of Anaesthesia, 253.
Research based practice is arguably the hallmark of professional nursing and is essential for high quality clinical and cost effective nursing care (ICN 2009)
The idea of family presence during resuscitation is not a new concept, but it still remains controversial with no widespread implementations through out the medical community. A family presence during resuscitation is becoming more popular with healthcare providers but still is not accepted by all healthcare providers. The risk and benefits are often debated when deciding if the family should be present. Despite the few negative outcomes associated with family witnessed resuscitation, they are outweighed by the positive outcomes. Family
The cases used for analysis in the current paper were based on a larger study of 14 cases conducted by Seymour in 1997. The data was from two different hospital ICUs within the same city in 1995 and the first two months of 1996. It was purposive sampling, so for participants to gain entry into the study they had to be in a critical condition and at a high risk of death. Along with this, patients had to be over the age of 18, not ‘brain dead’, and have a next of kin appointed. Participants were chosen who were critically ill as they were judged as being able to highlight the interactions that would occur between health care professionals and surrogates- next of kin and their health care team.. Participants who fitted these criteria were approached once they had been in ICU for no less than 24 hours and no more than 72 hours. Since particip...
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
Cullum, N. Ciliska D. and R. Haynes, Marks (2008;) Evidence – based Nursing: An Introduction.
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
In health care, evidence-based research is crucial. Nurses revolve their practice on evidence so that they may provide the best health care. Without research, there would be no evidence to prove health care related findings (Shmidt & Brown, 2012). With appropriate
Nurses are both blessed and cursed to be with patients from the very first moments of life until their final breath. With those last breaths, each patient leaves someone behind. How do nurses handle the loss and grief that comes along with patients dying? How do they help the families and loved ones of deceased patients? Each person, no matter their background, must grieve the death of a loved one, but there is no right way to grieve and no two people will have the same reaction to death. It is the duty of nurses to respect the wishes and grieving process of each and every culture; of each and every individual (Verosky, 2006). This paper will address J. William Worden’s four tasks of mourning as well as the nursing implications involved – both when taking care of patients’ families and when coping with the loss of patients themselves.
This paper is an academic critique of an article written by Lautrette, et al. (2007) titled: “A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU” and accurately reflected the content of the article and the research study itself. The abstract explained the article in more detail, while remaining concise. The type of research study, sample size, variables, intervention, measurement method, findings, and conclusion were all mentioned in the abstract.
The nurse stated during the interview that “holding the hand of the patient just diagnosed with a terminal illness” (Appendix A) is difficult and requires a variety of techniques to face the situation. There are many ways to approach a dying patient, and one study identified four themes that help nurses in creating a “’curtain of protection’ to mitigate the grieving process and allow them to provide supportive nursing care” (Gerow et al., 2010). Of the four approached, there is one that appears to make the greatest impact on the nurse; the fact that initial patient deaths are formative. In this case, a study found that “significant death experiences early in a nurse’s career set the foundation for how the nurse began caring for future dying patients” (Gerow et al., 2010), which was further explained as the fact that those who had enough support and mentorship early on in their nursing practice were more likely to not be emotionally damaged by the event, and were able to better approach similar situations in the future. I plan on implementing this strategy in the future by surrounding myself with colleagues and mentors within my practice that I am comfortable confiding in whenever I happen to be struggling. A strong support network is key for maintaining proper emotional health, which is important for a nurse to have when working with vulnerable patients and providing competent
A new study has found that family members who observed resuscitation efforts were significantly less likely to experience symptoms of post-traumatic stress, anxiety and depression than family members that did not. The results, published in an online article in The New England Journal of Medicine, entitled “Family Presence during Cardiopulmonary Resuscitation,” were the same regardless of the survival of the patient. The study involved 570 people in France whose family members were treated by emergency medical personnel at home. These EMS teams were unique in that they were comprised of a physician, a nurse trained in emergency medicine, and two emergency medical technicians. The study found that the presence of relatives did not affect the results of CPR, nor did it increase the stress levels of the emergency medical teams. Having family present also did not result in any...