Evidence Based Practice in Nursing & Specialization Assessment 2022

Running Head: Evidence based Practice in Nursing & Specialization
Assessment 3
Evidence Based Practice in Nursing & Specialization
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Evidence based Practice in Nursing & Specialization
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Research Question: Should inexperienced Newly Graduated Nurses be given duty to care
for terminally ill patients?
Evidence based Literature Review use a step by step process to frame the research question,
evaluating it, assessing and repeating when required. The above question addresses the
effectiveness of therapeutic intervention and care provided in hospice care especially through the
perceptions and experiences of inexperienced nurses while caring for the terminally ill patients
(Northern Arizona University, 2019).
The literature answering the above question would be mostly a qualitative study to illustrate the
challenges faced by the nurses while treating the patients with terminal illness. Semi structured
interviews would be conducted to collect the information and thematic analysis of the responses
may be done to retrieved the experiences of newly graduated nurses. The articles would finally
conclude that the Graduate Nurses are not sufficiently prepared to care for hospice patients in
Palliative Care units. It demands the need for providing them training to care for terminally ill
patients during the nursing Curriculum.
Background
The scenario shows that the newly graduated Nurse having 2 year of experience in Acute care
have no experience in terminal care. They may lack the confidence to provide care for intense
and dynamic hospice environment (ANA Centre of Ethics and Human Rights, 2016). They might
be incompetent to provide quality care to meet the need of the palliative care patients.

Evidence based Practice in Nursing & Specialization
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The clinical question can also be answered by using design of convergent mixed methods with a
survey of open ended questions. Standard instruments like Practice Environment Scale Australia
and Manchester Clinical Supervision Scale may be used (Hussein, Everett, Ramjan, et al., 2017)
PICOT Search
The PICOT formula is used in nursing to develop consistent formula for finding the answers to
the researchable questions. The formula has five components- Patient/Problem/Population,
Intervention, Comparison, Outcome and Timeframe or Type of Study (NYU Libraries, 2019).
However the timeframe component is not applicable in majority of the questions, so it is omitted.
According to PICO structure, the key concepts used to address the various elements of the
research question may be-
Inexperienced graduate Nurse, Terminally Ill Patients, Palliative Care, Hospice Care etc
However if we identify the individual components of the question we will see the components as
follows:
Table 1
PICO Components Examples
Patient /Problem Terminally ill Patients or Palliative Care or Hospice Care
Intervention Delivering Care
Comparison Experienced RNs caring for Palliative patients
Outcome Improved Quality of Life; Reduced Suffering
The two databases searches for the evidence are: CINAHL and PubMed. These databases were
chosen to search the question because they are mostly used at different institutes for research and