Critical Review Assignment 2022

Running head: NURSING
Critical Review
Name of the Student
Name of the University
Author’s Note

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Table of Contents
Introduction................................................................................................................................2
2. Discussion..............................................................................................................................2
2.1 Evidence based practice (EBP) and its significance........................................................2
2.2 Rationale for chosen domain of the NHS Outcomes framework and relevance to
practice...................................................................................................................................3
2.3 Analysis and synthesis of the research paper and its relation to NHS outcomes
framework..............................................................................................................................4
2.4 Analysis of the chosen study (CASP tool).......................................................................5
2.5 Discussion and Justification of the effects of the study...................................................9
2.6 Reflection.......................................................................................................................10
3. Conclusion............................................................................................................................10
References................................................................................................................................12
Appendix-.................................................................................................................................15

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Introduction
According to Bele et al. (2019) and Albach, Wagland and Hunt (2017), PROM
(Patient Related Outcome Measurement) in children and in cancer patients, simultaneously,
had higher utilisation of health related services. National Health Services (NHS) have
standardized certain protocols for long-term illness and effective way of measuring them. The
study chosen by Peters et al. (2014) surveyed among patients with chronic diseases in
England based on the NHS frameworks. Edbrooke-Childs, Wolpert and Deighton (2016) and
Kendrick et al. (2016) independently proposed that use of PROM in patient care had huge
utilisation in healthcare development of patients, especially of those with mental illness. The
assignment focuses on the study of Peters et al. (2014), which addressed the change in health
status of patients with chronic diseases using PROM. The usefulness of the evidence based
practice of the nurse and its correlation with the study is discussed here. The analysis and
review of the article is done along with focus on strengths, and weaknesses of the study and
its future implementation.
2. Discussion
2.1 Evidence based practice (EBP) and its significance
Evidence based approach can be defined as an efficient method of patient care by
utilizing clinical expertise, and information such as patient characteristics, preferences, which
also involves use of clinical research, and provides effective decisions concerning patient
management and treatment. The various steps included in the evidence-based practice
involve- asking question, finding information or evidences, critical appraisal of the evidence,
integrating evidence with clinical expertise, and evaluation (LoBiondo-Wood & Haber 2017).
The Nursing and Midwifery Council (NMC) (2015) states that a registered nurse must

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undergo evidence based practice effectively for comprehensive care of patients. The nurse
must utilize all the available resources, and think critically for patient-based approach.
Evidence-based approach in nursing has improved the quality of patient care and
standard of patient outcome. Adult nursing has greatly improved due to the evidence-based
practice. It is very important for an adult nurse to provide patient care therapeutically, which
also involves improving their quality of life. So, an adult nurse needs to intervene medically
as well as collaborate with patient-family, social workers and other health experts for patient
physical and emotional wellbeing. Using EBP as a method of approach, can improve the
quality of care, because it involves the professional efficiency of the individual with other
factors. Clinical research and scholarly knowledge, along with the preference of the patients
help to provide individualistic care to patients, and help the patient physically and
psychologically (Saunders and Vehvilainen-Julkunen 2015). McCormack and McCance
(2016) revealed that EBP helps nurses to select protocols based on scholarly evidences, and
impact on people, which greatly improves patient outcome. Before EBP, the nurses had to
rely on knowledge of seniors or traditional methods which were often biased based on
personal preferences. So, use of EBP is more effective and unbiased and scientifically or
statistically more efficient methods.
2.2 Rationale for chosen domain of the NHS Outcomes framework and relevance to
practice
The domain selected from NHS digital (2019) is health-related outcome of people
with long-term illness. The King’s Fund (2019) suggested that about 15 million of the total
population of England are living with chronic-diseases or long-term conditions. It is mostly
prevalent in older people (58% of people above 60), and in poorer section of society (60% of
total poor population). They also revealed that the future of health of these people are not
much significantly explored or actions are taken. So, it is very important as an adult nurse and