It also affords us the opportunity of changing our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work. In this way we develop self-awareness and skills in critical thinking and problem solving (Carelock, 2001). The central aim of the following discussion is to explore and analyse an incident that occurred while attending clinical placement in a maternity clinic in London. To begin, the incident will be briefly described and the people involved introduced. Pseudonyms, in line with the Nursing and Midwifery Council’s (NMC) (2008) Code of Professional Conduct, are used to maintain confidentiality and protect the identities of all parties involved.
Scott & McSherry (2008) also define evidence based nursing is a process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient outcomes. We will also discuss nursing’s simultaneous reliance on and critique of EBP in the context of critical reasoning. There will also be discussion of a study done that examined the effects of integrating evidence based practice into clinical practicum among RN-BSN students and the limitations of evidence based practice and an alternate view of decision making. Lastly we will discuss evidence that challenges the traditional practice regarding injection sites (Cocoman & Murray 2010). According to Guem et al.
A reflection on the facilitators and barriers to the provision of optimal supportive and palliative care in the clinical setting. This essay shall critically engage with the issue surrounding supportive and palliative care. We shall begin with evaluating the philosophies, history and definitions within the supportive and palliative care, including concepts such as; quality of life, health and wellbeing, communication and the conflicts between the medical and nursing models. Following this introduction to the key areas, we shall then evaluate some facilitators and barriers as they are perceived in practice. This evaluation will engage with reflections on practise in my own experience, and vignettes are offered as a means to facilitate the discussion about the complex nature of supportive and palliative (S&PC) care and the disparities found between theory and practice.
Give one alternative way to reword the thesis so that it is more argumentative and specific. On my way to becoming a nurse, I find that understanding lawsuits is very important. Make two (2) specific suggestions to assist the author in providing a better sense of direction in his/her introduction. The Main idea seems to be mostly about lawsuits and the ways they effect nurses and patients. I would emphasis this in the introduction so we have an idea of the topic of the paper.
She wants to “discover and describe” the role that knowledge has in the nursing practice. She calls her work “articulated research” and it distinguishes a difference between practical and theoretical knowledge (Tomey and Alligood, 2006, p. 142). According to Benner: knowledge development in a “practical discipline” consists of extending practical knowledge (know-how) through theory-based scientific investigations and through the chartings of the existent “know-how” developed through clinical experience in the practice (Tomey and Alligood, 2006, p. 142). Although this idea may seem common sense, it is the basis for all of the work that Benner has produced. She sees that knowing how to do something is different than the theory of scientific event and often practical knowledge can be more important than the theoretical framework that has been taught.
The aim therefore, is to critique and evaluate the chosen article in terms of strengths and weaknesses, to demonstrate an understanding of the research process and to relate this to professional practice. According to Smith (1997), good critiquing skills will prevent nurses from accepting inept research findings. However the task of critiquing is according to LoBiondo-Wood & Haber (2006) a challenging one and can only be effectively achieved through much practice and skill. Framework for analysis The framework used to critique this piece of research is the LoBiondo-wood and Haber (2002, (appendix 2). The framework suggests questions we should ask ourselves to cover all aspects of the research to evaluate it effectively.
Evidenced based practice (EBP) has been introduced into the National Health Service (NHS) so that the best possible evidence is used to inform decisions that affect and improve the quality of care that is provided for patients (Parahoo, 1997, pg:13-16). Appleby (1995) cited in McKenna et al (1999) pg:39-42 describes EBP as “A shift in the culture of healthcare provision away from basing decisions on opinion, past practice and precedent, toward making more use of research and evidence to guide clinical decision making.” Parahoo (1997) pg:33 suggests that the main sources of knowledge which nurses use to guide their practice are tradition, intuition, experience and research. McKenna et al (1999) pg:39-42 highlights that only 15% of the care delivered to patients by nurses is based upon valid research. The topic that will be discussed during the course of this assignment is venous ulceration
Management in Health Care (EBP) This assignment will aim to discuss the implementation of a nursing initiative, which could change practice. It will focus upon the process of change in relation to evidence-based practice. Then go on to discuss barriers to change, the role of change agents and how different management and leadership styles influence the change process. The implementation of research based evidence into nursing practice has long been recognised as an important issue. The aim of evidence based practice (EBP) being to help clinicians base their actions on best current evidence.
NIL | Evaluating Practice through Theories and Models | Assignment 1: Essay | | Contents 1) Introduction…………………………………………………………………….3 2) Discussion a) Nightingale’s model……………………………………………………….4 b) Orem’s model………………………………………………………………6 c) Team Nursing model……………………………………………………....7 3) Evaluation (Pros and Cons)…………………………………………………..8 4) Case Study……………………………………………………………………...9 5) Conclusion……………………………………………………………………..11 6) References……………………………………………………………………..12 7) Introduction Nursing needs a systemic approach, a guide to optimise the efficiency and efficacy in delivering nursing care to clients. This guide, or theory, is engendered through the use of concepts of theoretical and empirical perception and schemes to justify the connections between the concepts used. Theories are developed for the intention to provide the necessary guidance for the nurse to guide one’s nursing practice. As defined by Meleis (2007), “nursing theory is a conceptualization of some aspect of nursing reality communicated for the purpose of describing phenomena, explaining relationships between phenomena, predicting consequences, or prescribing nursing care”. For instance, Florence Nightingale brought to mind a favourable co-relation between nature and wellbeing.
This essay offers a discussion of the importance of evidence based practice within the healthcare environment. Evidence based decision making in clinical practice takes into consideration, the patient’s wellbeing, where the procedure can take place and the clinical circumstances (####,####). #####,(####) suggest that evidence based research findings are the best type to inform health professionals with regards to decisions, actions and interactions with patients. #### & ####,(####) also found that nurse’s believe there is a need to evaluate the evidence so that clinical actions can be changed if the research shows the actions are more cost effective and the results are still in the patients best interest (#### & ####.,####). A choice of articles