Clinical Log 2 : Clinical Assessment

paper I will discuss my findings and also give a patient care situation in which I describe how

The key steps involved in evidence based practice come from a thirst for knowledge that once ignited makes the next step to asking a well worded clinical question easier. A well formulated question improves patient outcomes and supports the implementation of change. One such method looks at foreground and background questions. A background question is usually a basic knowledge question and is usually answered by a textbook. Foreground questions are usually specific and once answered can help in clinical changes. An acronym useful for formulating a well worded question is PICOT. ( Stillwell, Fineout-Overholt, Melnyk, Williamson, 2010).

Research reviewers can vary in their approach and design to systematizing their review. For example, reviewers can decide to include studies with only certain design characteristics or those using a full range of designs (Brown, 2014). Furthermore, the qualitative, quantitative, and mixed method approaches can be distinguished by a systematic analysis of the research method (Boswell & Cannon, 2017).

This assignment provides an analysis of an observation of patient experience in a clinical area, following the assignment brief outlined in appendix A.

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

Undecided, initially, because of her age the possibility of an inaccurate diagnosis, the differences of both the reliability and validity which may occur because of the difference in age, race, gender as well as socioeconomic status. However, in Clara’s case, it may just be a phase like many toddlers and adolescents go through. On the contrary, it can also be something a little more severe because of the fact that she is adopted,

Evidence Based Practice is crucial to support care provided to patient. It is imperative to get evidence base on proven clinical practice that provides valuable insights about human health and illness as per Polit and Beck (2017). The researcher must pick a topic to be research on and A PICOT question formulated. These questions help as a guidance on the research. The researcher then check to see what can be retrieve that are of importances to topic. In most case narrowing of the questions may help. The levels of evidence are important because it help with identifying hierarchy of evidence. The higher the Hierarchy of evidence the better evidence base information.

An example of a clinical situation I observed that could have been improved if Evidence-based practice

As every patient is unique and has his/her own condition, nurses and other health care providers need a source to follow as a guideline. Evidence based practice can be used as good guideline for health care provider, and it also can show different ways of care and their results. Evidence based practice has a huge role in the world of nursing profession. One of the biggest goals of nurses is to apply the evidence into their practice in a right way, even though a lot of nurses could not apply the evidence into their practice in the right way. ((Schmidt & Brown, 2015). Role of a professional nurse is to implement the evidence into practice in a right way, and create the right result from it. There are a lot aspects involved in evidence based practice

Evidence based practice has a great impact on health care system, nursing practice, teaching, and science. The necessity for evidence based quality enhancement and healthcare alteration underscores the requirement for redesigning and implementing care that is effectual, secure and competent (Stevens, K., Ma., 2013). The movement of evidence based practice commenced with the identification of the problems faced in healthcare system. The unacceptable gap between what we know and what we do in the patients care(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. 2001). The main intend of evidence based practice in health care is to provide the resources by which the most latest relevant evidence from research and studies can be judiciously

I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

Reliability refers to coherence, stability and dependability in test results, generally using internal consistency to express the levels of reliability in the test. The higher reliability indicates the higher level of accordance, stabilization and dependability in test results. Reliability is the precondition of validity (Guba and Lincoln, 1981). The same findings may not generate if the same research is repeated, because many influencing factors may work in the process of research. The process of establishment in reliability research includes: the research rigorously collect and explain data in consistent investigation (internal checks); the process is transparent (sample design, field work, inquiry and rational data). Patton (1987) suggests that the use of triangulation in multiple approaches can increase the reliability in results.

Mr Johan experiences symptoms of panic attack when he feels self-conscious in front of other people when performing certain tasks. He reported feeling faint and had black out of thoughts during those episodes, whereby he was not able to think of anything. Both his hands would tremble and become numb. He would also be sweating but experienced no symptoms of pounding heart or choking

Mixed methods researchers advance the weight or priority to the collection of quantitative and qualitative data. Three options are available to the researcher for prioritizing data: