Clinical Governance and Practice Improvement

Clinical Governance and Practice
Improvement
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Contents
Why change is needed.................................................................................................................3
Search for studies.........................................................................................................................4
By using PICO Framework to perform search strategy...................................................................5
The Evidence...............................................................................................................................8
Research gaps..............................................................................................................................9
CONCLUSION..............................................................................................................................10
REFERENCES..............................................................................................................................11
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Why change is needed
It has been justified on the basis of evidence based practice which mainly identified the
large number of people living with dementia. The medical professionals are expected to increase
symptoms of dementia approximately 130 million in 2050. Justified that extensive evidence from
observational studies and also estimated that 30% of dementia cases which may be attributable to
potential modified risk factors (Hay, Stageman & Allan, 2020). By using PICO framework, it has
been suggested that interventions targeting the different factors that could delay or prevent of
dementia.
In this research, it is mainly focused on the major issue regarding the dementia and also
faced by people. The study will describe about the loss of cognitive functionality which include
reasoning, behavioural abilities of individual person. The evidence summary can be defined the
different components in term of research question. It became easier to find out the effectiveness
of cognitive behavioural therapy. It will help for identifying the current symptoms of dementia
and then providing the better treatment healthcare services. The implication of research is to
consider the multi-domain intervention as treatment which providing the better cure patient with
dementia.
Review Question
 Does Cognitive behavioural therapy reducing anxiety and depression symptoms among
elderly individual for both male and female?
Methods
Inclusion criteria
Inclusion criteria can be defined as key features of target the large population that
researcher will use to answer their specific research questions. Typically, inclusion criteria that
include clinical, geographic, characteristics and other demographic. In this research, it is an
essential for investigating the inclusion criteria when designing a study but also require to
evaluate that how decision will be impacted on the external validity of result or outcome.
As per discussion, the investigator has been described the inclusion criteria regarding the
demographic characteristics of elderly both female and male (Kim, 2020). On the other hand, it
also diagnosis on the basis of clinical characteristics such as Dementia disease. When
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consideration of inclusion criteria, it can make an effective judgement regarding their impact on
the external validity of result or outcome.
Inclusion criteria is mainly used to determine subject with pre-dementia and their causes.
As per study, it was reviewed in order to target the large population and then applied the
inclusion criteria (Ruest & et.al., 2017). The primary goal is to target the dementia at certain
population level which strictly classified on basis of inclusion criteria. Afterwards, it provide the
enough data with consideration of limited external validity.
The large number of population level treating dementia as single entity which may become
appropriate manner. Inclusion criteria should be included PICO framework, which may defined
the population, comparison outcome, interventions and timer intervals. These are considered as
suitable criteria for identifying the research question. Afterwards, it become easier to find out
accurate result or outcome.
Population (P) Elderly individual people with suffering from dementia
Intervention (I) Cognitive Behavioral Therapy
Comparison (C) Not yet compared
Outcome (O) Reducing anxiety and depression symptoms
Time (T) 3-months
Table: 1
Main research is to select the research question while identifying the death rate in Australia due
to chronic dementia. In this study, it is useful for identifying the effectiveness of cognitive
behavioural therapy and help for treating anxiety as well as depression symptoms among
targeted elderly population in Australia (Tsai & et.al., 2020).
Search for studies
A search strategy can be defined the organised structure of different key term applicable
into database system. It is important part for gathering or collecting large amount of information
relevant to dementia disease, identifying to target the specific population such as elderly people
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