924402 Question 1 Evidence based practice is a method that improves clinical practice in nursing by applying scientifically proven finding to advance service delivery to patients. These practices ensure that nurses respect the standards of the nursing practice to ensure quality service delivery(Malik, McKenna & Griffiths, 2016). These practice plays several roles in nursing such as the nurses use this method to make decisions in their assessments. Nurses communicate effectively with their patients and establish a therapeutic relationship while respecting their rights and culture. Additionally, nurses become accountable, responsible thereby gaining professional satisfaction.(Fairbrother, Cashin, Conway, Symes & Graham, 2016). Question 2 Through Evidence based practice nurses are able make effective decisions through systematic and comprehensive analysis of clinical evidence(LoBiondo-Wood & Haber, 2014). Nurses conduct this analysis through systematic techniques that collect the necessary evidence to assist in the assessment. Registered nurses work collaboratively to identify factors that affect their patients and community at large. They also make decisions based on their experiences, actions and knowledge to determine their practice. These nurses are also accountable and responsible for their actions and decisions they make. This ensures that they make decisions to provide quality and safety while respecting the rights and beliefs of their client.(Bartlett & Allen, 2013) Question 3 Based on the evidence-based practice standards registered nurses are required to respect their client’s values and preferences. This is achieved by having a person-centered
924403 experience with their patients in order to relate better with their patients’ needs and values. According to these standards it is the right of the patients to make decisions on their treatment based on their personal values and beliefs. Person centered approach is crucial in helping nurses understand how patients will respond to treatment they are given(Mackey & Bassendowski, 2017). For example, a patient who is fasting based on their religion needs it is the obligation of nurses to respect their beliefs and look for alternative treatments. Question 4 Evidence based practice is a method that improves the service delivery in healthcare system. As nurses this practice ensures we follow the right procedures in decision making leading to provision of quality services in our field. However, there are many limitations that hinder the implementation of this practice. These limitations include: Lack of enough support from managers who are supposed to lead us in implementing this practice(Barends et al., 2017). Lack of enough resources to sustain this practice as it requires a lot of resources for sustainability. Limited time to implement the practice. Nurses requires sufficient time to this practice in their profession less time hinders them from implementing this practice. Additionally, insufficient education on how to implement this method also hinders this practice in nursing.(Mabbott, 2011). There are several ways of overcoming these barriers in evidence-based practice. This include:
924404 ï‚·Availability of enough time- nurses require enough time during their practice this helps them in discussing several ideas with their colleagues and give opinions on how to improve the system. ï‚·Sufficient support from nurse managers- managers act as role models in implementing practices at work places. This support gives the nurses morale and the confidence of implementing this practice. ï‚·Provision of knowledge- knowledge about this practice is essential in ensuring its implementation. This can be done by introduction of in-service programs where the nurses are where the nurses get an opportunity to discuss various concepts and understand the practice. ï‚·Provision of enough organizational resources this will help in supporting and sustaining the practice. Question 5 Trials in which researchers pick participant randomly and solely decide the ones that will receive treatment and the ones that will receive placebo are known as randomized controlled trials(Gourlan et al., 2015). They are regarded to produce higher levels of evidence because of reduce selection and allocation bias thereby lowering the possibility of recording systematic mistakes(Hariton & Locascio, 2018). Question 6 The findings of the case study that was done cannot be relied upon as the limitations overweighedthe strengths. The case study on the effect of music as therapy for people with depression was done randomly with a control group that received only standard clinical care
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924405 and another group that received music therapy. It was decided that all the participants would be included in the study whether or not they withdrew from it. The strengths of the trial were: ï‚·The procedures put in place were applied strictly and measures were put in place to assess the results if the music therapy turned out to be efficient. ï‚·Additionally, analysis of the results was made through methods such as brain imaging and computational methods this increased the accuracy and reliability of the results. The limitations of this study include: ï‚·Lack of transparency in the clinical treatment used and as such the method applied is regarded as insufficient. ï‚·The case study used a combination of music therapy and standard care instead of music therapy alone. Given that the study was seeking to address if music therapy on depressed individuals was more effective than standard care only the music therapy should have been used and not a combination of both. ï‚·The study did not include the whole population so the results represented a particular group of people. It should have included participants from all the ages to increase the credibility of the findings. ï‚·The study did not evaluate the health economics which is important determining the cost effectiveness of the study that will be useful in future studies.
924406 Question 7 According to the results from the trial music therapy is effective in managing people with depression. The subjects who received both the music therapy and standard care showed greater improvement than the ones who were only accorded standard care. Based on the results in table 2 the Montgomery-Aberg depression rating scale, global assessment of functioning group and hospital anxiety depression scale they all indicated that the group that underwent music therapy had higher improvement as compared to the other group. Furthermore, the music therapy group recorded higher rates in response within the three months with a higher record of odd ratio as compared to the group that received standard care. Question 8 Based on this study’s findings I would recommend the uses of music therapy as a treatment to patients suffering from depression. Despite the process being slightly expensive than standard care music therapy helps the patients to improve their brain functions, anxiety and levels of depression(Bastemur, Dursun-Bilgin, Yildiz & Ucar, 2016). Additionally, most of the patients in the study preferred music therapy with most of them attending the sessions as compered to the other group. Music therapy helps the patients to be active and express their feelings and this helps them to cope better with depression thereby improving their quality of life. References
924407 Barends, E., Villanueva, J., Rousseau, D., Briner, R., Jepsen, D., Houghton, E., & ten Have, S. (2017). Managerial attitudes and perceived barriers regarding evidence-based practice: An international survey.PLOS ONE,12(10), e0184594. Bartlett, J., & Allen, N. (2013). Increasing Organizational Evidence Based Practice Capacity Through an Evidence Based Practice Scholars Program.Journal Of Pediatric Nursing,28(4), 413-414. Bastemur, S., Dursun-Bilgin, M., Yildiz, Y., & Ucar, S. (2016). Alternative Therapies: New Approaches in Counseling.Procedia - Social And Behavioral Sciences,217, 1157-1166. Fairbrother, G., Cashin, A., Conway, M., Symes, M., & Graham, I. (2016). Evidence based nursing and midwifery practice in a regional Australian healthcare setting: Behaviours, skills and barriers.Collegian,23(1), 29-37. Gourlan, M., Bernard, P., Bortolon, C., Romain, A., Lareyre, O., & Carayol, M. et al. (2015). Efficacy of theory-based interventions to promote physical activity. A meta-analysis of randomised controlled trials.Health Psychology Review,10(1), 50-66. Hariton, E., & Locascio, J. (2018). Randomised controlled trials - the gold standard for effectiveness research.BJOG: An International Journal Of Obstetrics & Gynaecology,125(13), 1716-1716. LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice.Journal Of Nursing Regulation,5(1), 60. Mabbott, I. (2011). Introducing Research and Evidence-Based Practice for NursesIntroducing Research and Evidence-Based Practice for Nurses.Nursing Standard,25(19), 30-30. Mackey, A., & Bassendowski, S. (2017). The History of Evidence-Based Practice in Nursing Education and Practice.Journal Of Professional Nursing,33(1), 51-55.
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924408 Malik, G., McKenna, L., & Griffiths, D. (2016). How do nurse academics value and engage with evidence-based practice across Australia: Findings from a grounded theory study.Nurse Education Today,41, 54-59.