EVIDENCE FOR NURSING REPORT 2022

I have submitted all the requirements, in question number4 need to explain from m y last placement which I did in Rehab and most of the patients were elder. and if I find more that need to be added than will send it to you.

EVIDENCE FOR NURSING Assessment Item 2: Understanding research concepts
Due date: 19th April Weight: 35% Submission via Turnitin
Intent
This assessment allows you to demonstrate your understanding of evidence based practice concepts and processes
and apply your knowledge to case studies.
Instructions
 Read the questions carefully and answer all parts of the questions.
 If required, provide references.
 Follow the word limits.
PART One: Evidence based practice concepts (17.5 marks)
1. According to the Registered Nurse Standards for Practice (2016), what is the role of evidence based
practice in the nursing profession? (100 words±10% , 4 marks). Needs referencing.
According to the registered nurse standards for practice, evidence best practice is important in the nursing
profession to promote decision making process and engage in safe and quality nursing care. The standards states
that by using best available evidence, the nurse can engage in accurate documentation and decision making process
and contribute to quality improvement too. The standard also explains that use of best evidence can support nurse
to develop proper care plan and achieve agreed outcomes for patient. To summarize, it is a practice that can enable
nurse to engage in safe, accurate and quality nursing care (Nursing and Midwifery Board of Australia 2017).
2. How can the Evidence Based Practice Model enhance nurses’ clinical decision-makings? (100 words±10%,
4 marks). Needs referencing.
Evidence based practice model can help nurse to improve clinical decision making process. This is said because it
provides access to best evidence to clarify all doubts and make justifiable decisions related to care. However, this is
dependent on critical appraisal skills and knowledge of evaluating different research designs. Once nurses acquire
these skills, they can get access to those information which can be directly incorporated in care and decision making
process. It can help them to scrutinize the consequences and challenges of any action based on review of evidence
and then take sound decisions for the recovery of patient (Stevens 2013).
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3. One of the components of Evidence Based Practice is consideration of the patient’s values and
preferences. What does this mean? Using an example, explain the importance of this component (100
words±10%, 4 marks). Needs referencing.
Evidence based practice involved not just use of research literature into clinical practice, but also integration
of patient’s value and preferences in care. This means that while planning any treatment, the impact of this
treatment on patient’s personal or belief related to care should be considered. For instance, when diet
change is necessary for any patient, the patient’s socio-cultural preference related to type of food and
cooking style should be considered. By exploring patient’s preference, it means to always take patient’s
consent related to treatment before implementing it. This form of active engagement with patient will
reduce conflict during the process (Siminoff 2013).
4. Reflecting on your last clinical placement or clinical work experience, explain four barriers and four
enablers to the implementation of evidence-based practice in the clinical settings? (100 words±10%, 4
marks).
I completed my last clinical placement in a rehabilitation setting with elderly patient. While trying to implement
evidence based practice in this setting, I experiences four barriers to implement it. These four barriers included
lack of skills to appraise research evidence, low confidence in utility of EBP, lack of time and workload. However,
there were also enabling factors that helped to overcome these challenges. These four enablers included
mentor’s support in use of best evidence, motivation to improve practice, access to research skills resource and
workplace culture. My workplace favoured adaptation of EBP as all nurses got support from their leaders in
using best evidence in practice.
5. Why are randomised controlled trials considered to be ‘higher level evidence’? (50 words±10%, 1.5
marks). Needs referencing
Randomized controlled trials are considered to be high level of evidence because it used randomization and
blinding approach that helps to minimize bias and reduce the impact of selection bias on study outcome. The
process of random allocation and allocation concealment works to reduce all sorts of bias (Bondemark and
Ruf 2015).
PART TWO: The case study (17.5 marks)
No need to use references in your answers to the questions below.
Read the article by Erkkila at al. (2011), titled ‘Individual music therapy for depression: randomised controlled trial’.
A copy of this article is in the Assessment 2 folder.
6. Can you trust the results of this study? What are the strengths and weaknesses of this paper? (Hint: refer
to the CASP for randomised controlled trials to guide you in the critical appraisal of this study) (200
words±10%, 9 marks).
The randomized controlled trial by Erkkila et al. (2011) focused on determining the efficacy of music therapy on
treatment of depression in working age people compared to standard care. The study was done with 79 adults
with unipolar depression and the setting for the study was a music therapy clinic in Finland. The participants
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were randomized to music therapy and standard care group in the ratio of 10: 7. The allocation process was
received using email and the allocation process was concealed from the investigators. The rational for taking the
above ratio of treatment and control group was clearly explained too. Thus, the above process of randomization
and allocation concealment helped to eliminate any bias or influence of confounding factors on research. To
further enhance the trustworthiness of data, the follow up of participants was done at baseline, 3 months and 6
months. In both the groups, loss to follow up was higher in 3 months compared to 9 months. Proper recording of
follow-up ensured the efficacy of intervention at short term and long term could be evaluated. The main finding
was that music therapy along with standard care is effective for treatment of depression. The research paper is
trustworthy as all confounding elements were considered and this study has the potential to translate evidence
into clinical practice.
7. Was music therapy effective in treating the depression of the patients? (Hint: present and interpret the
results for depression outcome- see Table 2 for the summary of the results- you need to consider the
results for intervention and control groups, whether the difference between these groups is statistically
significant, and if the estimation of the results for the wider population is precise (100 words±10%, 5
marks)
To assess the effectiveness of music therapy, the study assessed primary outcome measure of depression
and the secondary outcome measure of anxiety, general functioning and quality of life. Based on the review
of findings for each group in table 2, it was found that the outcome for each arm was greater for music
therapy group compared to the control group. However, no statistically significant different in secondary
outcome at 6 months for both the group was found. The response rate was more precise at 3 months for
music therapy compared to the response rate at three months. Thus, the study showed the effectiveness of
music therapy in treating depression.
8. Would you recommend music therapy for patients with depression? (Justify your answer taking into
consideration the benefits, harms, and the cost of the intervention) (100 words, ±10% 3.5 marks)
I would recommend music therapy for patients with depression because this intervention has the benefit of reducing
depressive outcome and decreasing anxiety in patients with depression. Another reason for recommendation is that
there is little harm or side-effects to the patient because of music therapy. It involves minimum cost investment too
and it required no additional training for staffs too. Hence, music therapy can be easily implemented to relax
depressive patient without any patient safety risk. The only consideration needed for implementing this therapy is to
take patient’s preference for choice of music and delivering the same as per patient’s preference.
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References:
Bondemark, L. and Ruf, S., 2015. Randomized controlled trial: the gold standard or an unobtainable
fallacy?. European Journal of Orthodontics, 37(5), pp.457-461.
Nursing and Midwifery Board of Australia 2017. Registered nurse standards for practice. Retrieved from:
https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/registered-nurse-
standards-for-practice.aspx
Siminoff, L.A., 2013, December. Incorporating patient and family preferences into evidence-based medicine. In BMC
medical informatics and decision making (Vol. 13, No. S3, p. S6). BioMed Central.
Stevens, K., 2013. The impact of evidence-based practice in nursing and the next big ideas. The Online Journal of
Issues in Nursing, 18(2).
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