Evidence for Nursing: Assessment 2 - Research Concepts and EBP

This assignment solution addresses key concepts in evidence-based practice (EBP) within the nursing profession. It begins by defining the role of EBP according to the Registered Nurse Standards for Practice and explores how the EBP model enhances clinical decision-making. The solution then delves into the importance of patient values and preferences in EBP, providing an illustrative example. Furthermore, it identifies barriers and enablers to EBP implementation in clinical settings, drawing on personal clinical experiences, and explains the significance of randomized controlled trials. The second part of the assignment critically appraises a study on music therapy for depression, evaluating its strengths and weaknesses using the CASP framework. The solution interprets the study's results, determining the effectiveness of music therapy and providing a recommendation for its use, considering benefits, harms, and costs. This comprehensive analysis demonstrates a strong understanding of research principles and their application to nursing practice.

EVIDENCE FOR NURSING Assessment Item 2: Understanding
research concepts
Due date: 5 pm, Wed 22nd April Weight: 35% Submission via
Turnitin
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.
2. How can the Evidence Based Practice Model enhance nurses’ clinical decision-makings? (100
words±10%, 4 marks). Needs referencing.
Evidence for Nursing Assessment 2: Understanding evidence based practice concepts
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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.
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).
5. Why are randomised controlled trials considered to be ‘higher level evidence’? (50
words±10%, 1.5 marks). Needs referencing
PART TWO: The case study (17.5 marks)
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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).
I can trust the results of this study after subjecting the study to the CASP randomized control trial
appraisal tool. The study addressed a clearly focused issue of the use of music therapy in treating
depression among work-age populations. The participants were randomized to receive a controlled
trial, even though there were differences in the number of participants in the control trial compared
to the one that received music therapy. The results are reliable because they indicate variation
between the group in the music therapy and that in the control group (in a ratio of 1.01 to 9.02). The
study did not address all important clinical outcomes such as the mechanisms of music and their
impact on depression. However, the outcomes revealed significant improvement in research by
showing that music is superior compared to other elements of treating depression. It could have been
better if specific elements of music that treat depression had been included so that clinicians could
understand how they can be applied in practical settings. The study did not consider the benefits and
harms of use of music, but one cannot underestimate the therapeutic impact of music. The benefits
automatically outweigh the costs and harms if any.
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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)
Music therapy was effective in treating depression as seen in the results in table 2.0. A sample of
standard deviation in the outcomes indicates significant differences in statistical measures. For
instance, in the depression rating scale, the mean standard deviation for control group was 9.33 from
16.43 and that of the music therapy group was 8.77 from 14.10. This indicates that music therapy
had a significant contribution in the management and treatment of depression. Concerning the health-
related quality of life, the control group obtained 9.86 while the music group measured 14.37, wich
maximizes the need to shift to music therapy.
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)
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I would recommend music therapy to patients suffering from depression, but proper assessment
should be done before prescribing music therapy. The harm-benefit analysis and applicability like the
case for patients with hearing problems has to be taken into consideration. Music therapy restores
positive feelings and a sense of calmness, which wipes away fears and anxiety. People should also be
prescribed to their favourite songs and at the required volume to avoid additional stress and irritation
in the healthcare setting. If possible, music therapy should only be introduced with the patients’
consent or involvement for satisfaction in choice of therapeutic interventions.
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