Evidence for Nursing Assessment 2: Research Concepts and Case Study

This document provides a comprehensive response to a nursing assessment focusing on evidence-based practice (EBP). The assignment addresses key concepts such as the role of EBP in nursing, the EBP model's impact on clinical decision-making, and the importance of patient values and preferences. It also explores barriers and enablers to EBP implementation in clinical settings and the significance of randomized controlled trials. Furthermore, the assignment analyzes a case study on individual music therapy for depression, critically appraising the study's strengths and weaknesses, evaluating the effectiveness of music therapy, and providing recommendations for its use. The response incorporates relevant references and adheres to specified word limits, demonstrating a strong understanding of EBP principles and their application in nursing practice.

EVIDENCE FOR NURSING Assessment Item 2: Understanding research concepts
Weight: 35%
Intent
This assessment allows you to demonstrate your understanding of evidence based practice concepts and processes
and apply your knowledge to case studies.
Instructions
 Read the questions carefully and answer all parts of the questions.
 If required, provide references.
 Follow the word limits.
PART One: Evidence based practice concepts (17.5 marks)
1. According to the Registered Nurse Standards for Practice (2016), what is the role of evidence based
practice in the nursing profession? (100 words±10% , 4 marks). Needs referencing.
Evidence based practice in nursing is being provided to continuously think and analysis in the context
of thoughtful development and maintenance of constructive relationships. In this practice, nurses are being
working in team so that quality of care is being provided to patients. They are engaged in developing an
effective plan so that risk related to disease is being reduced (Lin et.al., (2016). Nurse’s work together in
order to provide assistance to patients (Kharlova & Dmitrieva, (2019). Standard 1 lay focus on
implementing various strategies to make better decisions. Standard 2 emphasise on mixing professional and
therapeutic interventions.
2. How can the Evidence Based Practice Model enhance nurses’ clinical decision-makings? (100 words±10%,
4 marks). Needs referencing.
This model basically works on three elements such as health care professionals are allowed to
analyse the problems faced by patients. In this nurses needs to follow ethical code of conduct, so that better
decisions can be taken (Bashir, Noor & Malik, (2017). Secondly, it motivates nurses to make use of
expertise knowledge as a protocol to solve patient’s problem. Lastly, treatment needs to be provided
according to patient’s preference. All these aspects help nurses in making better clinical decision.
3. One of the components of Evidence Based Practice is consideration of the patient’s values and
preferences. What does this mean? Using an example, explain the importance of this component (100
words±10%, 4 marks). Needs referencing.
Evidence for Nursing Assessment 2: Understanding evidence based practice concepts 1

Patient’s values and preferences mean achieving the expectation levels of the patient’s needs. It
means that treatment must be given according to preference of patients. They must be provided with full
knowledge related to treatment (Garrido, (2019). Patients must feel safe about the type of treatment
options used by nurses. For example nurses work in a competitive environment; they must be engaged in
analysing needs and demands of patients through effective communication. This will allow them in providing
treatment according to patient’s preferences.
4. Reflecting on your last clinical placement or clinical work experience, explain four barriers and four
enablers to the implementation of evidence-based practice in the clinical settings? (100 words±10%, 4
marks).
During my tenure I came across various barriers such as lack of support from peer. I also do not have
adequate knowledge related to medications and clinical practices that needs to be provided. Communication
was also one of the barriers, as sometimes patient do not understand what I was expecting them to do. I have to
break the information so that they understand medical terms used by me. Coordinating with patient was also
one of the most difficult tasks. However RN’s did provided me support by giving me guidance related to patient
safety. Nursing staff also provided me techniques to handle my shifts
5. Why are randomised controlled trials considered to be ‘higher level evidence’? (50 words±10%, 1.5
marks). Needs referencing
Randomised controlled trials are considered to be higher level of evidence as it reduces the risk related
to systematic errors. For instance, by allocating subject two treatment groups on random basis, it may be based
on randomised confounding factors which can give bias results.
PART TWO: The case study (17.5 marks)
No need to use references in your answers to the questions below.
Read the article by Erkkila at al. (2011), titled ‘Individual music therapy for depression: randomised controlled trial’.
A copy of this article is in the Assessment 2 folder.
6. Can you trust the results of this study? What are the strengths and weaknesses of this paper? (Hint: refer
to the CASP for randomised controlled trials to guide you in the critical appraisal of this study) (200
words±10%, 9 marks).
Yes the results from the case study can be trusted as it provides with systematic information about the
patient going through depression. Patient is provided with musical therapy or standard therapy
Strength: In this case study DSM-III-R (Mini-SCID) is been used, that is generally been used in polyclinics for
the treatment of depression. The main motivate behind the musical therapy is to engage and encourage patients in
treatment process through music. It will assist health care professionals in knowing about the problems faced by
patients through musical therapy. Support is being provided through rhythm and harmony (Lepping et.al., (2016).
Weakness: It was being analysed that most of the patients do not engaged in musical therapy as they were
anxious. It was also being analysed that they were unable to interact effectively because of the depression.
Biomarkers used in treating patient has negative impact on brain, it process negative emotions.
Evidence for Nursing Assessment 2: Understanding evidence based practice concepts 2

The CASP of randomised controlled trial has provided us with valid results that were useful for treating
depression through musical therapy. It was analysed that patients who received musical therapy showed better
results than patients who are provided with standard care.
7. Was music therapy effective in treating the depression of the patients? (Hint: present and interpret the
results for depression outcome- see Table 2 for the summary of the results- you need to consider the
results for intervention and control groups, whether the difference between these groups is statistically
significant, and if the estimation of the results for the wider population is precise (100 words±10%, 5
marks)
It has been analysed that musical therapy was effective and ineffective at some level. Only 79 people were
being selected for the screening process (Algergawy, (2018). Asberg Depression Rating Scale It consisted 10 items
and scoring total vary from 0 to 60 MADRS has high joint reliability. It was analysed that 95% positive results were
taken. Most of the participants have shown positive result but some of them was also lacking at some point. It
showed larger effect size then intention-to-treat analysis, however statistical significance levels were unchanged. It
provides that musical therapy has helped patients.
8. Would you recommend music therapy for patients with depression? (Justify your answer taking into
consideration the benefits, harms, and the cost of the intervention) (100 words, ±10% 3.5 marks)
Yes, for sure I would recommend music therapy for those patients who are dealing with depression. There are
various benefits related to this therapy like it assists in reducing the anxiety and stress of individuals. It also helps in
understanding needs and demands of patients. It also helps in improvising mood of patient suffering from
depression. Potential harm includes that worsening in depression can lead participants to quit the study early. It has
been analysed that participant can face problem like pain in back due to music therapy. Cost of intervention is
generally based on the quality of life
Evidence for Nursing Assessment 2: Understanding evidence based practice concepts 3

REFERENCES
Lin, F. C., Huang, D. H., He, N. N., Qin, Y. H., Li, S. D., Gu, Y. H., & Wu, Y. C. (2016, December).
Influence of Traditional Chinese Medicine Five-element Musical Therapy on Depression Severity and
Neurological Functional Deficit Scale in Patients with Post-Stroke Depression. In 2016 8th
International Conference on Information Technology in Medicine and Education (ITME) (pp. 199-
208). IEEE.
Bashir, M. S., Noor, R., & Malik, A. N. (2017). Effect of physical therapy and musical therapy in the
rehabilitation of patients with Parkinson’s disease. Rawal Medical Journal, 42(1), 121-123.
Lepping, R. J., Atchley, R. A., Chrysikou, E., Martin, L. E., Clair, A. A., Ingram, R. E., ... & Savage, C. R.
(2016). Neural processing of emotional musical and nonmusical stimuli in depression. PloS one.
Garrido, S. (2019). Musical Playlists for Addressing Depression in People With Dementia. Music and
Dementia: From Cognition to Therapy, 122.
Algergawy, S. (2018). e23 Musical therapy as a new strategy for pain in
fibromyalgia. Rheumatology, 57(suppl_3), key075-564.
Asen, E., & Jones, E. (2018). Systemic couple therapy and depression. Routledge.
Kharlova, K., & Dmitrieva, V. (2019). MUSICAL THERAPY AS AN INCENTIVE FOR EXTERNAL
AND INTERNAL CHANGE. Economic and Social Development: Book of Proceedings, 653-658.
Evidence for Nursing Assessment 2: Understanding evidence based practice concepts 4