Evidenced-Based Practice: Acute Care Setting and Hospice Patients

This report provides an analysis of the acute care setting, specifically focusing on hospice patients. It begins with an introduction to the acute care setting and its importance, followed by a discussion of PICO(T) questions formulated to address key issues in hospice care, such as the role of shared decision-making involving family or caregivers. The main body of the report breaks down the components of the PICO(T) questions and explores two relevant databases, Google Scholar and Emerald Insight, used to gather information. Google Scholar is identified as the primary database, with a detailed methodology for its use. The report concludes by summarizing the findings, emphasizing the benefits of shared decision-making for nurses, patients, and caregivers in improving overall outcomes and well-being within the hospice care context.

Evidenced Based Practice

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Four / five components of each PICO (T) question....................................................................3
Two Databases............................................................................................................................4
Chosen database..........................................................................................................................5
CONCLUSION................................................................................................................................6

INTRODUCTION
Acute Care Setting is said to be a practice, which is being undertaken by nurses and
healthcare providers in order to improve branch of secondary health care where a patient with
severe medical conditions mainly receives short term but active treatment. Present report is based
on hospice patients, which will be enclosed with PICO (T) questions and the two data bases as
well from, which relevant information is basically being pulled out in the form of literature.
MAIN BODY
Four / five components of each PICO (T) question
In present context, PICO (T) question that has been developed in presented underneath,
“Does the family or caregivers (P), would require to take in use of shared decision making (I) or
any other strategy (C), regarding hospice patients to improve well-being (O) with the help of a
study in a certain period of time (T)?”
Along with this, the components are basically presented PICO elements for question and
these are given underneath: P - Acute hospital setting I - Interventions C - Effective communication O – Prevent /Reduce incidence of acute care of hospice patient.
Table 1 :
P I C O T
Patient/
Population
Intervention/
Indicator
Compare/Control Outcome Time/Type of
Study or
Question
Hospice patients
(suffering from an
acute disease) are
basically being
considered as the
primal individuals
Shared decision
making could be
considered as
crucial strategy,
that could be
utilised by both
Effective
communication
could also be
considered as vital
most strategy,
which will be
Appropriate
understanding of
actual condition
of patient to
make correct
decision of
Randomized
controlled trials
(RCTs) could be
considered as the
study design, that
can be undertaken

who needs proper
care from both
caregivers and
family members.
caregivers and
family members
of the one who is
suffering from an
acute disease.
required by both
family members
and caregivers.
Through effective
communication all
the issues and
conflicts will come
to an end.
treatment to gain
improvements,
which will aid
acute caregivers
in meeting all the
requirements of
patients and of
others as well.
by family
members and
caregivers as
well.
Two Databases
Google Scholar
This is being considered as one of the crucial data base, which has been taken into
consideration for conducting the literature review in regards to chosen topic understanding the
situation of family caregivers that are offering patients (suffering from acute diseases) with
quality care. It is being analysed that, family caregivers mainly offers complex arrangement for
the patients in regards to psychological, physical, emotional domains and spiritual as well.
According to (Information needs and information sources of family caregivers of cancer
patients, 2014) family caregivers for cancer patients experience high levels of stress and burden
and diminished quality of life (QOL). On the other hand, it has also been analysed that there are
ample number of interventions, which has been made in order to enhance the overall coping
skills that caregivers. but their impact has not been assessed in the difficult context of hospice
care. In present context, what scholar has mentioned was, if family care givers basically cope up
with patient, nurses and healthcare providers considering a range of factors like QOL, mastery,
compared with hospice plus emotional support, burden, coping and usual hospice care, then it is
may be possible that quality of services (QOL) given to the patient will automatically rise up. On
the other hand, it has been found that if all these aspects would be considered in an appropriate
manner, then it is may be possible that all issues will reach to diminishing age in specified time
frame. Here, it can be said that both coaching along with emotional support are the two major
elements that are essential for family caregivers so that they could deal with cancer patients that
are already experiencing high level of stress, burden and diminished quality of life (QOL).
Emerald Insight

This is vital most database, that could help in gaining high knowledge in regards to a
particular subject. Basically, this sort of database might aid in better understanding the topic in
regards to Acute Care Setting. According to family caregivers’ all the data for a particular
subject, which could be taken as a cancer journey. All the information in regards to sources for
satisfying the needs of hospice patients. Here, it is being analysed that demographic variable is
the one which, majorly being taken by researchers into consideration. The reason behind this is
that, this sort of information-seeking behaviour is basically followed by family caregivers. This
directly helps them in sustaining within the situation for a longer period of time. Along with this,
it is also said that both risk awareness and acknowledgement could be considered as one of a
crucial aspect, which is needed to be understood in a rightful manner.
Chosen database
In present context, Google Scholar has been taken into consideration as the primal most
database, which is carrying detailed information in regards to a particular subject i.e. Family or
caregivers, would require to take in use of shared decision making or any other strategy,
regarding hospice patients to improve well-being with the help of a study in a certain period of
time. The strategy, which has been developed in regards to the strategy, it is presented
underneath:
Table : 2
Number of
Steps
Description
1 Identification of important concepts related to chosen subject.
2 Chosen keywords in regards to the concepts.
3 Other variations of the keywords, which were related to the topic.
4 Determination of search features, which are being applied within the search.
5 Applicable information, is going to be identified in this section, where two
or more elements are going to be utilised, following both library and Catalog
as well.
6 Search instructions on the database's home page.
7 Taking in use of search expression as investigating tool.

8 Evaluation of results.
9 Modification with the strategy and topic at the same time.
10 Reaching to the conclusion.
CONCLUSION
With the help of above mentioned report, it is being concluded that taking in use of
shared decision making would help both nurse, hospice patients and family caregivers in
reaching to better solutions in regards to the situation.

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