This assignment discusses the purpose, process, and skills in evidence-based practice in health and social care. It explores the role of research in evidence-based practice and the importance of effective communication skills in healthcare. It also includes a review of key literature for improvements in care practice.
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Fundamentals Of Evidence-Based Practice
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Table of Contents INTRODUCTION...........................................................................................................................1 TASK 1............................................................................................................................................1 Explain the role of research for evidence-based practice in health and social care....................1 TASK 2............................................................................................................................................4 Conduct a review of key literature relating to a research topic towards improvements in care practice........................................................................................................................................4 TASK 3............................................................................................................................................7 Project proposal form..................................................................................................................7 Introduction.................................................................................................................................7 Aims And Objectives..................................................................................................................8 Literature Review........................................................................................................................8 Research Methodology..............................................................................................................10 Expected Outcomes...................................................................................................................10 TASK 4..........................................................................................................................................10 Examine the value of the literature review process in influencing positive change in.............10 health and social care practice..................................................................................................10 CONCLUSION.............................................................................................................................13 REFERENCES..............................................................................................................................14
INTRODUCTION The evidence health practice is the approach for problem solving to the conveyance of health ans social care which incorporate the good information from the studies(Morrell, 2015). The sick persons care data with the advice of social worker experts and the preferences and values of the patients. It is an interdisciplinary approach which has been started in evidence based medicines and dispersed to some other regions for example education, psychology, nursing, dentistry, science and various other fields. It is the judicious, explicit, conscientious by the use of recent based evidence in making decisions about the care of patients.In this assignment, it will discussed about the purpose, process and skills and qualities in the EBP in health and social care. Moreover, it will define about the range of sources and summaries of this topic and create a project proposal using evidence based practice. Furthermore, This assignment will include the various ways in which literature review effect evidence based health and positive impact on this research. TASK 1 Explain the role of research for evidence-based practice in health and social care In the evidence based practice the purpose in the social and health care is assists to improving and modify the process of treatment of patients that is provided by doctors, nurses as well as medical or social-care workers(Ramis, 2015). This type of improvement can be accepted through the better consequences of ill persons, improved quality service and increment safety of patients. It consider as various type of phases which is needed to be followed through the healthcare worker like doctors, nurses etc. by this the correct, accurate and precise result could be achieved. The different stages linked with the evidence based practices which affect the information that is already prepared. So through with the best indication to answers and questions can derived by these steps. This regard the captious assessment of information of health and social care, by this the validity or reliability of facts could be accepted(Alderman, 2018). It assist to utilising the obtained outcomes in the practices. There are several process of evidence based practice in HSC where conducting research by early year practitioner to treat children as a patients, it including as find the information or evidence to answer the question. Moreover, critically appraise the evidence, evaluate, incorporate appraised information with their own clinical expertise or 1
patients priorities etc. There are various types of stages that linked with evidence based practices consider as below: ļ·Evaluating on the basis of results ļ·Implementing the findings ļ·Preparing a desired action plan ļ·Linking with evidence with experiences of customers ļ·choosing the proper evidence-based ļ·Measuring information ļ·Identification of literature ļ·An integration problem or questions. The general purpose of evidence based practice as a role of early year practitioner is to choose from health care through the medical practitioners is effecting to maintain pace with important advances in their pThere are various types of skills and qualities that is integrated in the evidence based practice so that literature review needed in a prompt way. Apart from this, there are various type of abilities, knowledge and skills that is needed to be developed by a care practitioner so that a worker could get over assorted barriers and issues which is confront by a medicine expert while conducting the review of literature(Goldenberg,2017). The skills and knowledge feature as per the personal and professional skills that are mentioned below: Technical skills:I am weak in the technical skills that is develop problems in my professional work to treat children and try to understand prescription in a very polite way. By this, I was confront problems at a workplace in properly examining numerical figures and facts which is accumulated from various sources like informational and evidence based practice. Problem Solving:Due to this problem solving skills, my total efficiency to conducting literature review increases that effect to improving the efficiency of working. In this my issues solving skills are much powerful which assist to me as a care practitioner in resolving the problems of faculty members. Time management:It can proceed to late in the submission of report to my seniors, peers and supervisors, team leaders that effects the conduction of literature review in given time period. I confronts various type of problems to managing the time by the reason in which i can say that this skills are effectual(Govindaiah,2014). 2
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Interpersonal Skills:There are several interpersonal skills are required but the my skills are less effectual because is concluded that the internation and ineffective communication among my teammates are very ineffective. Through this, I am like a passive listener that effects the conduction of LR in a destructive way. Decision making Skills:In this I have very effective communication skills which helps to carrying out review of literature of a specific plan in a very effective mode. Skills are required to conduct ethical research In ethical skills are define as the knowledge that comprises evidence just about those prospect which are required to carry out appropriate investigation. on the other hand it is obtained desired results. The investigator is requisite to adopt ethics in a proper way. The various kind of principles of ethics such as withdraw right, ignorance of deceptive practices, informed consent, protection of anonymity, minimised harm risk. There are assorted investigator needed to utilise a suited methods to keeping evidence of patients. So according to this the social-care and health care and medical practitioners can be effected in a positive manner. The alter execution is day by day activities of health care set ups that are required to provide practical and ethical causes to enhance the results of their patients like kids and children. The principles linked with ethics is needed to be adopted through the care workers so that care health provisions and some different work that can be effect in a positive mode. Skills and qualities needed to conduct review of literature PersonalProfessional ļ·It is very important skill for example decision making which play a essential rolefortakingproperorprofitable skills.Itisconveyedoutthrough accumulating the evidence or data of researchsubjectsobythisthe consequencesandoutcomescanbe followed ļ·For the interaction and communication with patients the interpersonal skills are ļ·The problem solving skills and talent are very essential to accumulated the needful evidence or data so that the issues could be solved to terminate the wanted consequences. ļ·The technical skills consider the various typeforexamplemathematical, scientific, information which assist to examine the review of literature as well 3
veryessentialsothatthereviewof literature displaced out in a suitable or appropriatemannerwithproperly hearingthethoughtsofsomeother peoples. ļ·In the time management the form of books and article is the important role skillisneededformanagingthe information and evidence-based. It will provide profits to interpret the evidence in a given time period and set up. as to accumulating the data according with statistical, facts and figures. ļ·The presentation skills and knowledge are needful to presenting collected data associated with literature of review so thatexpectableconsequencesmake research can be attained. TASK 2 Conduct a review of key literature relating to a research topic towards improvements in care practice In the evidence based practice the health and social care practices is based upon the effective communication skills which is needed by whole professional workers so that the relationships can be keep up between various persons. The effectual communication will create patients more suitable and comfortable in the duration when their health issues are occur in the body they feel very comfort with their treatments and health issues. The communication plays a very important role for medical practitioners so that patients faced problems can be communicate whatever they want and according to their desires(Labrague,2019). Apart from this, the review of literature is used for the critical assessment of the investigation subject to examining the accumulated evidence in a suitable manner. The communication skills for medical practitioners Themedicalpractitionersisassociatedwiththeactivitiesofmedicalworkand employment that is essential for the maintenance as well as restoration in health through accomplish their demands or the needs of ill persons(VanVoorhis,2016). The medical workers in hospital or in the health care organisations, it promote to communicate with care of the ill patients. In the effective way and professionalism so that sick people and their guardians or patients that can assets the problems in a very easy and comfort way. The various feature of 4
communication are adopted through the experts of health is telling or speaking in slowly and clearly way. Properly listening views of some other peoples or suitable use of body language so that nurses and doctors can talk and communicate in a very effective way, they should ignore the use of slang language. Moreover, Nurses should speak clear and slow so that ill people can suitable understand their direction. The health care practitioners and experts like doctors and nurses are needed to take pause so that words and sentences what they spoken in a meaningful and careful way before they start a new sentence. The use of slang and inappropriate language or unethical spoken by health care worker is seems very unprofessional. It will act as a barrier in the impressive connection among patients. The effective conversation is a two mode of channel that a person is needed to hear carefully instead of speaking only. It is very important to having appropriate language for nurses so that whole evidence can be transfer to their families and sick persons in a desirable way. The care worker also can utilise their face, posture, hands so that their words what they want to convey by their words and body that can be proved properly in a very effective manner. Communication among mental health patients and doctors The effective communication between the mental health patients and physicians is the clinical function which assist to keeping a sensitive doctor patient relationship. The proper conversation and the effective or understanding relationship between them is the heart of the medicines as well as medication. Those peoples who underestimate the benefits of effectual communication missed to develop a attachment or bond with their patients. The nurses and doctors broadly fight with sick persons confronting psychosis that is mental illness and they utilise various subjects to treat with them. The psychosis is the mental issue who are lost their connection with reality. The psychotic problems is someone who face this problem called psychotic episode. In this condition the patient confront troubles to understanding what is imaginary and the realness. Regarding the communication skills of doctors are important to modify the mental health problem suffering by a patient. The main and key challenge is to treat ill persons with Psychosis disease. In this the doctor should keep patience and clear and accurate communication. So that they can realise the variationsamongrealityandimagination.Forthementalhealthpatientsthegood 5
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communication skills are linked with the positive results for the suffering persons. Such as enhanced patient adherence, satisfaction. Regarding this the doctors are needed to take interaction as communication training with patients who are suffering with Psychosis. It is very difficult or needs advanced consideration or patience. The several relevant skills for each and every patients who are facing mental health disease for example psychosis. The some question associated to asking them as eliciting perception of ill persons, open ended questions as well as managing of denial and suicidal risks. There are several better schemes will likewise profits get by physicians to having in a suitable way with sick persons. To consult with psychosis patient so that a doctor is needed to have degree of doctoral or trainings with the counselling on psychological and emotional problems. The doctors has to required to dominate better knowledge approximately sex therapy and the stress management. A person feature is efficient or the communication skills should be very clearsothattheycantreatpatientswhoaresufferingwithmentaldiseaseslikeneuro developmentaldisorders,bipolar.Moreover,obesity,anxiety,dissociative,compulsive, depressive associated disorders and some other disease also. The conversation among the patients and doctor is very critical, very applicable for mental diseases. The schools of medical that boost up the learning scientific standards of nomenclature and diseases. It is very essential to learn the effective communication between doctors and patient. By purification the skills of conversation between them, the results of treatment gives positive effect which is influenced or sustained the healthful relationship that can be obtained. Results of Literature Review The Reviewof literatureis advantageousto promotivethe informationswhich is conveyed out in the research. On then other hand, it also assist thepurpose of investigation by adapting the importance of communication at workplace in social care and health care systems. The communication plays a very important role to carry out the modification in ill persons results. Through the interactions, skills and effectual conversation, doctors and patients can connect properly with one some other who will provide positive effect of the conversation. when the health and medical experts fails to communicate with their ill persons. After the inappropriate interaction the patients feels uncomfortable can prevent their process of treatment. 6
By getting uncomfortable, so they feel unwilling to express their patients or problems that can effect in a negative manner to family of patients and some other staff members. The selected literature review are dependable or valid just because of practical and ethical reasons are referred in it, so that it is very suitable for evidence-based practices in health and social care. TASK 3 Project proposal form Project title:-āTo examine the influence of communication skills and techniques on outcomes for service users in a health or social care service.ā Introduction The communication refers to exchange of information from one person to another. It involves the understanding of information with intention and emotions behind it. The effective communication only occurs when the information is understood by the listener completely. So while conveying message, it is necessary to understand the meaning of message by the listeners. There are lots of barriers can occur in an effective communication that obstruct the ability of a person while conducting communication. In this, the quality of a person to send, understand or perceive a message is effected by the barriers. An effective communication skills can help the service providers as the patients are able to convey their message about their illness in an effective manner. There are many problems occur which are faced by the patients in achieving care due to communication issues with health care professionals. It is necessary to perceive good and effective communication skills by the workers of health and social care as they are able to solve the problem of patients very effectively. As each person have different problems from which they are unable to express their emotions, feelings and opinions. The clear pronunciation and perception is needed while delivering the care to service users. If the practitioners, lack these skills then patients are not able to communicate with health providers. The poor communication will increase the cost of resources. From this, the time is wasted at the time of analysing the illness of patients. This problem occurs when patients describe the issues of illness but the practitioner are not able to understand the proper cause of it. The results of such problems is that the practitioner deliver the wrong and improper treatmentto the patient. This can create the negative impact on the mental health of the patients. In order to reduce these problems, the 7
appropriate training of communication programme need to be develop for employees of health and social care organisations. So the productivity can be achieved by practitioners. Aims And Objectives The aim is mention to understand the researchthat will help in assessing question in a systematic way. The objective refers to the decisions that are necessary to be taken by the researcher in order to attain the required aim of the research. Research Aim: LO1: Explain the role of research for evidence-based practice in health and social careāTo examine the influence of communication skills and techniques on outcomes for service users in a health or social care service.ā Research Objectivesļ·To analyse the impact of communication skills and techniques on service user.ļ·To evaluate the concepts of promoting communication skills in a health or social care service. ļ·To identify the number of barriers of communication and techniques for promoting better outcomes to the service user within health and social care. Research questionsļ·What is the the impact of communication skills and techniques on service user?ļ·How to evaluate the concepts of promoting communication skills in a health or social care service? ļ·What are the number of barriers of communication and techniques for promoting better outcomes to the service user within health and social care? Literature Review The impact of communication skills and techniques on service user According to the views ofWainwright (2019),thecommunication plays an important role in health and social care organisation. The good communication skills of the staff can help the organisation to solve numerous problems of patients. It also help in reducing negative factors or image from the organisation. As in children, the communication skills are necessary to implemented in a good manner. This can be achieve from a better programs which enhance the ability of an early year practitioner to communicate with a child. The good and effective communication skills can help the organisation in building trust of the patients. From this, the patients can transfer about their illness with more ease and the solution of their problems with 8
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relevant on time. The practitioner need to attend various types of patient who have different types of needs and problems. So the communication skills are necessary to be attain by the employees but if the proper communication does not occur then the relationship between the practitioner and service users may affected. So it necessary for the practitioner to attain a good communication skills so that they can make relation with patients which result in analysing the cause of illness from which they can deliver the best care to patients. Evaluate the concepts of promoting communication skills in a health or social care service. The main aim of the communication is to deliver proper message to the receiver so that they can understand the message effectively. The communication skills mainly used to maintain the relationship with service users so the practitioner can provide the appropriate care to them. The basic concept of communication is to make the contact with others. There are basically two types of communication process occur which are verbal and non verbal communication. The verbal communication is described as the use of words in an appropriate manner which is used by speaker to express their emotions and feelings. In non-verbal communication the action, sign , body language and symbols are used to deliver the message to receiver. As many patients have different disabilities from which they are not able to understand the message from speaker. So with the of non verbal, the speaker can convey message by using signs. This mainly occur at the time of delivering care to deaf people in the hospitals. For this, the practitioner need to adapt good communication skills so that they can deliver the proper care. The employees need to understand different types of language as each people have their own. But if the practitioner does not have the proper knowledge about the language then they are not able to deliver the proper care to users as they don't understand their message properly. He practitioner need to remove the barriers of communication skills that can be occur from the lack of interaction. The number of barriers of communication and techniques for promoting better outcomes to the service user within health and social care There are different types of barriers are occur at time of communication. These barriers can be developed due to anger or aggressionbetween the conservation. From this the conflicts can increase in communication as the practitioner become aggressive and then it not be possible for the practitioner to solve the issue of patients. So in order to reduce this, the removal of these barriers are necessary to be done. It can be achieved by the calm in the working style of employees. This will required by the practitioner to be implemented in their communication 9
skills. From this, the patient can feel comfortable and can express about their illness. There are various types of barriers can be occur with in this such improper sigh and language. If a patient who does not know the specific language then the patient are not able to convey its message to the practitioner. This will impact on their relationship of communication as the other individual are not able to understand information that are convey by messenger. From this, both the communicators faces problems which impacted on the image of hospital. In order to overcome from these barriers, it is necessary to determine the training that will given to employees so that they can performed with effectiveness with potential. Research Methodology In this, the data and information are gathered with relevance of research topic. In this the quantitative method is used. The numbering data is gathered in this according to the objectives of research. This help in analysing the research theme in an effective manner. The primary and secondary method are also used in this for collecting data. In primary method, the data has been collected from the survey, interviews and questionnaire, etc. in secondary data, the data is collected from various books, internet and journals. Expected Outcomes From the above fact the outcomes is that, communication plays an important role delivering the care in health and social care organisation. In order to reduce these barriers, analyse of needs and problems is necessary along with providing the appropriate training programme so that the care can be deliver effectively. TASK 4 Examine the value of the literature review process in influencing positive change in health and social care practice This existing investigation is conveyed out to examine effectuates of action inwellness of ill persons to offering evidence based practice. It is plays a critical role for health experts and care practitioners to determine the importance and performance of suitable connection so that proper attention and treatment can be provided to patients. This investigation is conveyed out withtheresourceofsecondarydataaggregationandsamplingmethodssothatright determination can be earned. Beside this,review of literature is dependable and effectual as 10
collection data and infois concentrated from online articles so that issuance of research can be examined in the right way. Recent research has been carried out for identifying the effectiveness of communication in overall health conditions of patients for offering evidence based research. It is very essential for the healthcare professionals to analyze value and benefits of proper communication. Students at schools must communicate with children in order to bring out the best results as an early care practitioner. The research has utilized secondary data collection methods as well as sampling methods in order to attain right conclusions. Literature review is dependent and valid as information and data. The information for the recent research is collected from online portals so that the current practice can be analyses properly. This research will positively impact on the current practice which is delivering of knowledge and skills to the children at schools through students. In recent research the literature review will help to collect information from different sources such as journals, books, articles and many more. It will positively impact on current healthcare practice as it will help individuals to gain information about benefits of proper communication in the delivery ofnecessary knowledge and skills to children in school. The research will benefit in analyzing the merits of communication in healthcare sectors along with listening to the opinions and views of children in appropriate manner. Research will help in improvingevidencebasedlearning,deliveryofserviceandsupportpracticebycreating awareness in individuals regarding the importance of early years practitioners for children in schools. Current research has analyses the importance of technology and various other tools that could be utilized by students to deliver best possible services to the children so they t they can enhance their knowledge in more effective manner. Improved delivery of services will get a positive influence of current research. It will help the students to know about the benefits of evidence based learning. It brings out the active learning process for children and it will improve the knowledge of both care practitioners and children. Research will help the students to know what kind of skills and knowledge is necessary for students for their overall development. It will be helpful in evidence based learning as children will get to learn in a practical manner and in a more effective way. Research will help students to enhance decision making skills, interpersonal skills of children, problem solving skills and time management. Evidence based learning will help the students who are acting as an early care practitioner to build interest of children .They 11
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can improve the setting where they are delivering the knowledge and can conduct number of activities. It can become effective when students ask questions with the children to enhance the quality of their setting and give opportunities to students to ask heir quarries as it will help in creating a positive and a healthy environment. Communication skills of children can be improve as they interact with their fellow-mates and will help students to build a positive relationship with the children at school. 12
CONCLUSION From the above research, it has been concluded that the information based practices are important in health care to make treatment better. The communication skills are necessary in health care as from this the effective and best care can be deliver to the patients. There are different types of barriers are occur which impacted on the treatment.So there are number method from which the communication can be improve and great services can be deliver to the patients by understanding their problems effectively. 13
REFERENCES BOOKS AND JOURNALS Morrell, K. and Learmonth, M., 2015. Against evidence-based management, for management learning.Academy of Management Learning & Education,14(4),pp.520-533. Ramis, M.A., Chang, A. and Nissen, L., 2015. Strategies for teaching evidence-based practice to undergraduate health students: a systematic review protocol.JBI database of systematic reviews and implementation reports,13(2), pp.12-25. Alderman, J. and et. al., 2018. Prioritizing the Fundamentals of Care Within the Prelicensure Nursing Curriculum.Journal of Nursing Education,57(8), pp.498-501. Cho, Y. and et. al., 2014. Development of nursing practice guidelines on enteral tube feeding using the guideline adaptation process.Journal of Korean Clinical Nursing Research. 20(2).pp.147-161. Feo, R. and et .al., 2017. Using holistic interpretive synthesis to create practiceārelevant guidance forpersonācentredfundamentalcaredeliveredbynurses.Nursinginquiry,24(2), p.e12152. Goldenberg, J.Z. and et. al., 2017. Shifting attitudes towards research and evidence-based medicine within the naturopathic medical community: The power of people, money and acceptance.Advances in Integrative Medicine,4(2),pp.49-55. Govindaiah, S. and Bhoopathi, V., 2014. Dentistsā levels of evidence-based clinical knowledge and attitudes about using pit-and-fissure sealants.The Journal of the American Dental Association,145(8), pp.849-855. Labrague, L.J., and et. al., 2019, April. Predictors of evidenceābased practice knowledge, skills, and attitudes among nursing students. InNursing forum(Vol. 54, No. 2, pp. 238-245). Van Voorhis, P., 2016. Gender Responsive Interventions in the Era of Evidence-Based Practice: A Consumerās Guide to Understanding Research.Cincinnati: National Resource Centre on Justice Involved Women. Online EffectiveCommunicationwithServiceUsers,2019.[Online].Availablethrough:< https://careertrend.com/about-6641270-effective-communication-service-users.html> HealthCommunication,2011.[Online].Availablethrough:< https://www.ruralhealthinfo.org/toolkits/health-promotion/2/strategies/health- communication>. Communication Barriers Perceived by Nurses and Patients, 2015.[Online]. Available through:< https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4954910/>. 14