Please follow the steps in the assignment column. There is a link between assignment 1,2 & 3. Go through the assignment 1 & 2 before starting assignment 3. It would be better if we do discuss about Palliative care area. We need to check the MARKING RUBRIC 3 which gives you complete idea.
Word count : 1500
Due date : 16/06/2019
references : 10--15
Please follow the steps.
user id : nela0004
password : AUS2012#ANu
Enter in to subject :Shared PALL8432 Understanding Literature for Evidence-Based Practice - 2019 S1 (Internal & Distance) click "Assessment details" in assessment information section. Then you will get the details of requirement for assignment 3 This is very important for me to get more marks as I didn't get much score in assignment 1 & 2
You can check assignment 1 feedback to make assignment 3. FEEDBACK FOR ASSIGNMENT 2 WILL COME AVAILABLE ON 11TH June.
YOU CAN FIND THE MARKING RUBRIC BELOW STUDY GUIDE WEEK 9.
UNDERSTANDING LITERATURE FOR EVIDENCE-BASED PRACTICE
Subject: Understanding the literature for evidence- based practice
After conducting the first and second assignment, I have gained a better a good understanding about different aspects of evidence based practices. In this letter, I intended to show a brief understanding of the evidence-based practice. For this purpose, an area of practice has been selected and then different factors have been represented here that have the drive or underpin the practice. In that case, the area of evidence-based practice that has been selected to be discussed is palliative care.
From my past experience, I have a very good conception about the evidence-based practice so that I can take a better decision about the delivery of an effective treatment or medication for the patients. I have achieved the knowledge that evidence-based healthcare is one of the careful utilisation of the evidence about the patients to develop decisions regarding the care of patients and offer better delivery of healthcare services to the patients. I have learned that the evidence that needs to be used in the evidence-based practice is up-to-date as well as relevant information that has been gained by conducting the valid research and applying better diagnostic tests. I think that for offering better treatment facilities to the patients, it is highly important to conduct a comprehensive assessment of the patients so that the proper medication can be identified. This is because; medicines have different side effects so that it can create allergies on patient’s bodies or create other side effects such as nausea, breathlessness on the patients (Fleiszer et al. 2016). Therefore, for offering good healthcare facilities to the patients, it is important to assess the health condition of the patients (Saunders & Vehviläinen-Julkunen, 2016).
I have gained the knowledge that nurses are the largest workforce in a healthcare setting so that they hold a strategic position for influencing the quality of the palliative care delivery. Palliative care is one of the socialised healthcare services for people who are suffering from serious illness (Kelley & Morrison, 2015). Therefore, the goal of palliative care is improving the quality of life for people who are suffering from the diseases and the family of the patients. As a nurse, I have recognised various factors that are helpful for me in developing palliative care services. By following Head et al. (2018), for developing the palliative care treatment facilities for the patients, I always consider different evidence so that based on the evidence I can take a proper treatment-related decision about the patients and offer them useful healthcare facilities. Therefore, I think that considering the evidence about the patients can be one of the driving factors for taking palliative care.
I have observed that palliative care patients needed a comprehensive assessment after their admission in hospitals. Moreover, seriously ill patients are screened for nausea, pain, along with constipation during their admission (Pastor, Cunningham, White, 2016). Patient with a severe illness is tested for the shortness’s of the breath so that strategy can be implemented to manage the health condition of the patients. In my workplace, I have the habit of being perfectionists so that I can offer the exact healthcare facilities to patients. The tendencies of mine to be perfectionists involve me in documenting the health conditions of the patients in the digital and non-digital databases that help me in consulting the health condition of the patients with the doctors more appropriately so that better treatment process can be identified for the patients.
Along with that, I and my workplace always respect the automation of the patients based on the evidence gathered about the patients. For this reason, before deciding any treatment process for the critically ill patients, I always discuss various treatment process with the patients and their families so that they can determine the best method of treatment as per their budgets. I think that for taking care of a patient who is critically ill, it is highly relevant to discuss different treatment process as various processes if treatment includes various risks along with the benefits. Therefore, before starting any medication process for palliative care, considering the risks of the process of medication with the patients and their families are highly important (Ciocănel et al. 2018). Additionally, I have a better communication skill that helps me in applying proper communication technique to communicate the patients and their families so that I can identify their needs about the treatment of the patients. Moreover, better communication is always helpful for me in communicating the present and future condition of the patients. Additionally, better communication skill is also useful in collecting evidence about the patients so that it can help decide on the treatment.
Along with that, it is also useful to communicate various treatment processes with the patients and their families so that they can select the proper treatment process (Parikh et al. 2017). Therefore, it can be said that communication skills are highly influential for me in taking care of a seriously ill patient. By discussing the facts mentioned above, I can say that palliative care nurses need to use evidence-based practices instead of individual experiences and traditional practices during conducting palliative care processes.
From the journal of the Straus, Tetroe and Graham, (2009), I have learnt that according to the Canadian Institute of health research, knowledge translation refers to the dissemination, synthesis and exchange of knowledge so that it can help improve health and strengthen the system of healthcare. I have learned that knowledge translation is highly effective in translating knowledge into the action. The journal is also helpful for me in understanding that knowledge translation ensures that decision makers of all level of a healthcare organisation are aware of the utilisation and access of research evidence so that decision making can be conducted with efficiencies.
I always tried to apply knowledge translation during offering services to patients critically. The main reason behind using knowledge translation is it helps in making a better decision. From the example that I have applied in the previous question, it can be said that I always offer palliative care services to the customers based on the pieces of evidence that I have gathered from different sources. This is because; I think that gathering evidence is highly useful to decide the process of medication. For taking good care of the patients with serious illness, I first create knowledge and then apply the knowledge. For creating knowledge, mainly three different phases are followed such as inquiry of knowledge, synthesis of knowledge and creation of varying knowledge tools (Straus, Tetroe, & Graham, 2011). After collecting the evidence, I apply the knowledge in making a better decision so that proper care can be taken for the patients with serious illness. For taking a better choice for patients, I identify the problem first with the help of identification, review and select the knowledge. Then, I adapt my knowledge to local contexts. After that, I assess the barriers, and then I choose and implement the intervention. Then, I monitor the utilisation of the knowledge and evaluate the outcome. At last, I sustain the use of knowledge. For improving the decision-making process, I always try to apply the knowledge translation research so that I can measure the gaps in the process of decision making and enhance knowledge synthesis.
On the other hand, from the article of Grol & Wensing (2004), I have learned about different barriers in offering the evidence-based services to the patients. The journal article has helped me in understanding that various obstacles associated with providing evidence-based services are related to the cognitive factors, attitude of physicians, organisational and social contexts and economic contexts. Issues about the cognitive factors are not following proper guidelines, insufficient utilisation of evidence, and lack of knowledge about various complications that arise in offering evidence-based services (De Vleminck et al. 2016). Issues about economic factors are not allocating financial compensation. Issues about organisational and social contexts are conflicts among physicians, lack of sufficient staff and ineffective support by the management. Issues about the attitude of the physicians mainly include rigid guidelines, utilisation of the guidelines for several times (Grol & Wensing, 2004). All these facts create a barrier in offering better evidence-based services. For this reason, I always try to avoid this barrier I offering better palliative services to the patients. For avoiding the issues, I still maintain the guidelines provided to the nurses. Moreover, I still maintain excellent communication with the other colleagues and share information with them so that we can develop better teamwork to offer services to patients with a critical illness.
If I change practices in the healthcare setting of our organisation, then I will increase the number of staffs to handle the emergency. Along with that, I will also develop training for the staff so that they can follow guideline with efficiencies.
From the above discussion, it can be said that for offering evidence-based services, it is always necessary to collect the evidence from the reliable sources so that better decision can be made for patients to provide them with an effective treatment. Along with that, it is also necessary to carefully apply the evidence in the decision-making process to take care of patients with serious illness.
I have conducted a critical discussion about the evidence based practice and then I have critically reflected the current practice and the evidences which underpin the practice. Along with that, I have applied critical thinking approach to discuss different facts about the evidence-based practices, knowledge translation and about the barriers of EBP. I think that I have taken a good care about the spelling, grammar, referencing and writing skills so that I think that I deserve a pass in the paper.
|Critical discussion of evidence-based practice (30%)||Superficial. Demonstrates a simplistic or naïve understanding of Evidence based practice.||Discussion uses a wide range of appropriate literature and critically (strengths and limitations) compares and contrasts with clinical practice or other health care systems.||Discussion uses the literature beyond the suggested readings. Understands & applies major academic debates in literature.||Comprehensive and creative range of appropriate literature / evidence used in discussing the understanding of evidence-based practice.|
|Critical reflection on current practice and the evidence that underpins it (30%)||Contains statement of opinion with little critical analysis. Attempts made at applying the learning experience to understanding self, others, and work setting. Shallow depth of analysis.||Opinions and self-critique argued and backed with analytical, logical argument.||Opinions expressed and backed with analytical, logical argument and wide range of appropriate evidence. Also includes discussion on how learning contributed to student understanding of self, others and work place setting/health care system.||Opinions expressed clearly and concisely, supported by creative, analytical and logical argument. Also includes how learning contributed to student understanding of self, others and work place setting/health care system.|
|Sound critical thinking and has developed a schema of important factors to consider in knowledge translation and barriers of EBP. (35%)||Contains statement of opinion with little analysis or supporting evidence. Largely presents ideas from readings/study materials.|
As very little is known about the behavior of dementia patients and people looking after them so there is not much evidence provided about the same. So, I have graded this part with pass marks.
|Opinions argued and backed with analytical, logical argument and evidence. Critical reflection demonstrates the ability of the student to question their own biases, stereotypes, preconceptions.||Opinions expressed and backed with analytical, logical argument and wide range of appropriate evidence. Critical reflection demonstrates the ability of the student to question their own biases, stereotypes, preconceptions. Comparison and contrast used.||Opinions expressed clearly and concisely, supported by creative, analytical and logical argument. Critical reflection demonstrates the ability of the student to question their own biases, stereotypes, preconceptions. Critical reflection shows tremendous thought and effort.|
|Grammar, spelling, writing skills, referencing (5%)||Adequate|
I have graded myself pass for part of the section ,that is APA referencing as I need to improve in it.
|Sound use of these, enabling clarity of expression.||Very good; high level of expression. The language is clear and expressive||Excellence in clarity and creativity of written expression. The language is clear and expressive. The reader can create a mental picture of abstract concepts and the situation being described.|