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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
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
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
Mohr, M., & Kettler, D. (1997). Ethical aspects of resuscitation. British Journal of Anaesthesia, 253.
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
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
Research based practice is arguably the hallmark of professional nursing and is essential for high quality clinical and cost effective nursing care (ICN 2009)
Evidence - Based Nursing, An introduction (2008, p.1) “ At is core evidence based ‘anything’ is concerned with using valid and relevant information in decision making” “high quality research is the most important source of valid information”.
(2007). The 'Standard' of the 'Standard'. A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU. The New England Journal of Medicine, 356(5), 469-478. Patton, D. (2004).
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.
The nurse becomes the confidant, the guide through the darkness, a source of comfort for those experiencing the trauma of losing a child. To successfully fulfill these nursing roles, in addition to roles that must be fulfilled to meet other patient’s needs, one must acknowledge their own definition of death and educate themselves on cultural and societal norms associated with death and dying. It is important to identify one’s own definition of death and dying but also understand that one’s preference does not define the death experience for others. The individuality and uniqueness of each death experience means that one definition of death may be hard for one to accomplish. It is important to maintain an open mind, nonjudgmental spirit, and impartiality for the cultures and practices of others surrounding death and dying. A culturally competent nurse is not only responsible for acknowledging the cultural norms of others but also respecting and educating themselves about the death rituals of their patient’s culture and providing the family with as many resources to safely and effectively fulfill their cultural practices. Education is empowering for the nurse who is navigating the death and dying process. Education often supplements ones credibility with the dying patient and their family which can ease overall anxiety and further promote ones role as a patient advocate and provider of
The nursing discipline embodies a whole range of skills and abilities that are aimed at maximizing one’s wellness by minimizing harm. As one of the most trusted professions, we literally are some’s last hope and last chance to thrive in life; however, in some cases we may be the last person they see on earth. Many individuals dream of slipping away in a peaceful death, but many others leave this world abruptly at unexpected times. I feel that is a crucial part to pay attention to individuals during their most critical and even for some their last moments and that is why I have peaked an interest in the critical care field. It is hard to care for someone who many others have given up on and how critical care nurses go above and beyond the call
The purpose of this study was to explain how nurses and physicians in the intensive care units (ICUs) make end-of-life decisions. The research question was how the ICU physicians and nurses portrayed their thoughts and showed their experience in end-of-life decision making. The researchers used a qualitative, descriptive research design to develop a systemic research project and also used grounded theory methods by Strauss and Corbin as the theoretical model. The researchers focused on the population that was ICU nurses and physicians in a Magnet designated, Midwestern hospital. The data were collected from the one-on-one unstructured interviews, the interview transcripts, and the field notes. One research member conducted the interviews with
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.