Discussion
The best nursing care is evidence based practice which is based on knowledge and experience (Richardson-Tench et al. 2014, p. 13). Both documents use evidence-based practice to support their procedures. Document two presented two case studies that provided examples of when clinical staff have been presented with an aggressive patient and they have de-escalated the situation through all the techniques offered in the guidelines (Sim, Wain & Khong 2011, p. 870). Document one contained a variety of other sources and policies to broaden and support the guidelines presented on how to manage aggression (NSW Ministry of health 2015, p. 11).
Document one defines the terms of mechanical restraints, manual restraints and human rights (NSW Ministry of health 2015, p. 2). Applying the knowledge of human rights to managing and caring for patients is essential for safe and quality nursing care (Nursing and Midwifery Board of Australia 2016, p. 1). Nurses have the duty to recognise, respect and protect the civil, cultural, economic, political and social rights to all human beings (Nursing and Midwifery Board of Australia 2016, p. 1).
Document one also includes the suggestion of performing a risk assessment to help prevent aggression (NSW Ministry of health 2015, p. 4). Evaluating and assessing a patient’s emotions, behaviours and communication is essential to determine if they are potentially violent (Muir-Cochrane, Barkway & Nizette, D 2014, p. 89). It is also important to
Proper collection of blood cultures are necessary and the most direct method of determining whether or not a patient is septic. The purpose of obtaining blood cultures is to identify and isolate the bacteria that are causing an illness and then determine the best course of treatment based on the sensitivity of the bacteria to particular antibiotics. One of the most frustrating problems plaguing hospitals is the increased rate at which blood culture results are being returned as contaminated specimens. These results can lead to a significant increase in cost to the hospital and patient as well as an increased length in hospital
According a study done by Delaney, Cleary; Horsfall (2001), prevention and management of aggression is priority and should be the focus for all nursing staff. According to the evidence, prevention requires special skills and knowledge that staff can learn to utilize to predict and prevent aggression in patients, and there needs to be a more organized approach to data collecting and patient assessment to really understand the extent of the problem of aggression.
In this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn.
A lot of aggression is created by anxiety, regularly in light of the fact that individuals feel powerless and out of control. Aggression here and there results from frustration. To overcome defusing aggression as a barrier of communication, health and social care expert ought to stay calm and breath typically at all times, this will demonstrate that they are not going to become aggressive. Another methodologies is, health and social care expert ought to utilize listening skills to demonstrate that they are using so as to consider the other individual important non-verbal aptitudes to convey regard. In particular, as a care worker they ought to dependably attempt to meet the other individual's self-regard needs, this is by attempting to make
Because A&E often has difficult and violent patients, your manager has asked you to give these new nurses some guidance on how to deal with challenging behaviour that they may encounter.
In health and social care settings, aggression could often be the result of fear, frustration or stress; consequently resulting in barriers to effective communication. Therefore care practitioners should device strategies to overcome this barrier by dealing with aggressive behaviour appropriately. For example:
Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).
Pressure ulcers occur over bony prominences when skin is compressed for long periods of time, affecting the blood supply to certain areas, leading to ischaemia development (Waugh and Grant, 2001). Compression of skin is caused by pressure, shearing and friction, but can also occur due to pressure exerted by medical equipment (Randle, Coffey and Bradbury, 2009). NICE (2014) states that the prevalence of pressure ulcers in different healthcare settings in December 2013 was 4.7%, taken from data available for 186,000 patients. The cost of treating ulcers can vary depending on severity from £43 up to £374 (NICE, 2014). Evidence based practice skills are essential in nursing as it allows the best available evidence to be used to improve practice and patient care, while improving decision-making (Holland and Rees, 2010). I will be critiquing two research papers; qualitative and quantitative, using a framework set out by Holland and Rees (2010), and will explore the impact on practice. Using a framework provides a standardised method of assessing quality and reduces subjectivity.
Evidence-Based Practice (EBP) was initially a movement in medicine, dating back to early 20th century (Spring, 2007). It was described as a careful decision making process about the care of individual patients using best available evidence by Sackett, Rosenberg, Gary, Haynes, and Richardson (1996). Greenhalgh (2010) gave a similar definition but with more emphasis on the mathematical assessment of the potential benefit and harm. By now, EBP has been widely adopted by many health disciplines, including psychology. In 2005, the American
According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information
Evidence based Practice allows for there to be a relationship between the care of patients and the best practices available. In order to achieve this relationship EBP combines a few key components in the clinical setting to enhance decision making to provide the best care possible. These key components are:
Applying evidenced-based practice has three steps. Step one is making sure the research is creditable. Going into detail about step one should model a social work practice. In a social work practice, you always want to make sure you are looking for clarity and in some cases it helps to paraphrase it or reword it differently. As a social worker you have to be non-judgmental and try to understand every perspective. You have to be unbiased when it comes to wording and how it affects the meaning of the conversation. Also, making sure the research on the surveys or interviews are fair and represent the entire population. The second step is when you match your outcome of the research in your own “practice wisdom." As a social worker you want to compare the research you made with prior experience. You want to have different perspective and information that help you understand the client better. Lastly, the last step is to ask questions to the clients about their significance of what they have accomplished by working with you. Just asking what the client has learned can help
I currently work as an Assistant Medical Officer (AMO), trained in anaesthesia. My overall duty includes managing operation theatre (OT) procedure with the anaesthetic and surgeon. Also part my duty to observed patients in the recovery room and hand over the transaction process patients from recovery to the ward.
An evidence-based practice is an essential for the health science students where they have to study a research paper and have to critique on that research article to evaluate the usefulness of the study by comparing it to other papers. The critical appraisal is a systematic and structural way through which the limitation and the strength researching studies are appraised and also established clinical relevant (Porritt et al., 2014 as cited in Borbasi & Jackson, 2016). This paper will focus about the resilience that refers to the capacity of the individual to bounce back from adversities, persevere through negative times (Harker, Pidgeon, Klassen & king, 2016). This paper will discuss about the authorship, research questions, research design,
Evidence-based practice (EBP) offers a framework utilization of systematic high-quality research, an analysis which consistently enhances measurable client outcome and clinical decision-making grounded in rationality; EBP depends on data collected through experimental research and accounts for individual client characteristics and clinician expertise. The potential benefits of EBP comprise of increased service delivery and quality of care, heightened accountability, and a bridging of the research-practice gap (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000). It is imperative that research scholars are cognizant of research outcome dependability and validity prior to implementing results