Nursing Approach to TB Control: Assessment 1 - Research Report

This assignment, a report, delves into the nursing approach to the control of tuberculosis, examining scientific publications to inform best practices. It begins with identifying a relevant nursing topic and its connection to evidence-based practice, discussing the role of evidence in clinical decision-making. The report formulates a clinical question using the PICO format and demonstrates a systematic approach to searching for evidence-based resources. It explores the importance of therapeutic communication, patient safety, and the nurse-patient relationship in TB care. The report also includes a clinical scenario focusing on strategies for building trust and developing a care plan, including an evaluation of its effectiveness. The research emphasizes the crucial role of nursing staff in TB management, the importance of training, and the need for organizational support. The report stresses the need for early detection, appropriate treatment, and the importance of nurses in promoting treatment adherence and patient well-being. The report also highlights the significance of nursing in implementing health service planning for effective and efficient TB control, underscoring the importance of scientific articles published in Brazil related to nursing approaches to TB control. The study focuses on the overall state of the art in the scientific articles published in Brazil, focusing on nursing approaches in TB control.

Nursing Assignment

Contents
Assessment 1: Topic: Nursing Approach to the Control of Tuberculosis: Scientific Publications...............2
Introduction.............................................................................................................................................2
Identification of appropriate and relevant nursing topic by using best nursing practice..........................2
Discussion on the role of evidence-based practice in informing the clinical decision making.................5
Clinical Question using a recognized formula.........................................................................................6
Demonstration of the use of the systematic approach to search for evidence-based resources................7
Conclusion...............................................................................................................................................8
Assessment 2: Clinical Scenario..................................................................................................................9
Part 1 – Description and analysis.............................................................................................................9
Part 2 – Application and synthesis.........................................................................................................10
Description of strategies approaches for developing a trusting relationship and engage the child and
family................................................................................................................................................10
Justification of these strategies by theoretical perspective and principles key to the care of children
and families.......................................................................................................................................11
Plan of care to address the eczema of Sarah......................................................................................12
Evaluation of the effectiveness of care plan.......................................................................................13
References.................................................................................................................................................14
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Assessment 1: Topic: Nursing Approach to the Control of Tuberculosis: Scientific
Publications
Introduction
Tuberculosis is an infectious disease and generally spreads through the bacterium
Mycobacterium tuberculosis (WHO 2015). Tuberculosis leads leads to the development of the
chronic attack in the human beings for which the healthcare professionals are required, especially
the nursing staffs. The abandon appropriate treatment and the achievement of thedelivery of
optimal care services appropriate care for the patients are depicted to beconsidered essential, for
as the achievement of the curing process is depicted to be carried out. It is illustrating the
nNursing aids for the purpose of controlling the activities in an appropriate way for theare
beneficial for the purpose of controlling the TB. as well as the cCategories of nursing
professionals are depicted to be reflectingreflected in the research and the teaching processes in
the nursing team. The changes in the nursing care processes are essential for the purpose of
enhancing the bio-safety processes. The concerned risks and their details of the risks related to
the disease are depicted to be explained for the purpose of making the fulfillment of the
activities. The care plan executed for the patient and also the family of the patientthe family
members is depicted to be explained by explaining theis explained by family belongings
(Bullock, Clark and Rycroft-Malone, 2012). The complexity can be easily removed by removing
theeliminating problems. and also the nurses are depicted to be reflecting the nursing assistants
by which the drug intake can be carried out for the patients. The individual, as well as theand
collective care plan are , can be easily executed by the nursing staffs, for the purpose of
enhancing their services, for mitigating the TB from the patients (West et al. 2014).
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Identification of appropriate and relevant nursing topic by using best nursing practice
The chronic evolution of disease is considered to be one of the major areas of concern.,
Ttuberculosis which in short is also known asreferred to as TB is considered to be in need of
needing the more management by health care professionals focus to encouragefor encouraging
the patient to continue their respectiveshow compliance to the course of medication. Nursing
staff is are considered to be theas the primary aspect toindividuals who create an awareness
among the patients for continuing to continue their medication. Thus, the research is considered
to be objective and aimed to be describedaims to describe the overall state of the art of the key
scientific publications, which is are regarded as the approach which is given as theused by
nursing aids regarding thefor TB control s (Carlson and Carlson, 2014). The literature is related
to be the search which was performed on the basis of thein the database of the virtual health
library. As per the reports of World Health Organization (WHO), Brazil is considered to be one
of the 22 countries which are having most of thehas majority of the population suffering from
tuberculosis in the world and is currently at number 20 place in this rankingin world ranking
(Jackson, McNeil and Brennan, 2013).
Tuberculosis being is considered as one of the most chronic diseases and with a keyhas many
stigma and prejudice are still related to thethe TB patients. The , the disease needs special care
and attention from the health services and particularly healthcare professionals. Primarily faced
with the critical issues related to being tuberculosis problem, nursing staff is considered to be
necessary for the key patient and the family encouragement, in primaryto cope coping with the
disease. The relationship between the nursing staff and the patient suffering from TB is
considered as the primaryimperative for as the drug intake, which helps in promoting the overall
implementation of the particular individual and collection propercare plans. The staff are
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responsible for establishing is involved the overall trust of the patient and the family members of
such professional. Therefore, it is very much evident that the need and importance of the care
and performance for the TB patients and their key involvement of nursing staff in
implementation ofin the particular health services planning for effective and efficient in
determining and providing the provides health benefit to the respective patients. The research
study is primarily focused to determine and identify the overall state of the art in a scientific
article published over the particular past decades in Brazil, and which is primarily related with
ato key focus toto the nursing approach which is given to the nurses in for TB control (Firmino,
2012).
Nurseing- patient interaction fundamentally is related to the meaning and purpose of life and is
considered to be thean important resource which is related to thefor patient mental health
(Bridges et al. 2013). The prior aims and objective of high-quality nurse-patient relationship and
their key interaction helps to increase the overall psychological and physical health of the
patient. Nursing goals areis achieved in every possible encounter with the TB patient. The
primary aim and objective nurse is the patient wellbeing, and this is accomplished with thevia an
overall interaction between the two, and the experiences which is developed in whatever thein
relation to the key cultural contexts or the overallof healthcare setting in the world. The nursinge
aspect is considered to be consistent with primary symbolic interactionism, which in return is
often regarded as the key interaction as a crucial interaction between the person and not as a
primary stimulus-response connection (Carlson 2013) (Firmino, Tavares, Tiemi, Paula and
Scatena, 2012).
Qualities of a good nurse’s patient interaction
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Therapeutic communication
A nurse-patient therapeutic association is considered to be one which made themakes
patient feel comfortable and safe, while being in served by the open and honest with the nurse. It
is primarily related to the overall development of a key andan effective relationship with a
positive result (Webster 2014). Some of the major techniques that are considered crucial in In
order to develop a key therapeutic relationship are given below:, which is cultivated which is
employing to the listening and questioning the overall techniques along with the key information
along with proper support which helps to ensure the care?
Promoting patient safety
The therapeutic relationship in nursing, therapeutic nurse-patient association is
considered to be one which permits for the meeting of the nursing requirement to the mutual
satisfaction of the nurse and patient (Shekelle 2013). In order to enter into theto engage in akey
therapeutic relationship with a keythe patient, the nurse must develop anis primarily developing a
key understanding of her own assumptions, key beliefs and proper values and the ability to create
the relationship with the patient (Gabriel and Mercado, 2011).
Discussion on the role of evidence-based practice in informing the clinical decision making
The relationship between nursing practices and control of TB is considered to be having a
long keyhas a long history, and is which is related to the key policies of disease control in Brazil,
where the nurse is considered to be having autonomy in test ordering and also considered to be
stating the treatment to fight the key illness. In the year 1998m DOT (Directly Observed
Therapy) is considered to bewas initiated to be implemented across Brazil in order to decrease
the rates of drop- out of the keyfrom the treatment, with an aim of enhancing which enhances
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the cure rate and increaseasings the overall case determination and identification of diseases
(Karumbi and Garner 2015)(Tabloski, 2010). The nursing staff is considered to be one of the
primary reason factor to bethat is linked with the patient wellbeing and health services. They
promote which is directly for the adherence to the treatment which is considered to be reflected
that thethrough an overall increase in the key studies is related to the overall theme which could
be the primary attempt to evaluate and analyses theand key policies which are established in
Brazil after DOT. Once the polices were enforced, are laid done it is vital toto the vital role of
nurses nursing practices in health service as the nurse and nursing staff in several cases such as
TB is considering to be important role play in monitoring and supervising the drug intake among
patients was determined (Holland and Rees, 2010) (Yin et al. 2016).
The key responsibilities related to the overall care which is being provided to the patient with TB
case is considered to beare detected through daily practices of the nursing in health services and
care planning fornurses while providing TB assistance. The studies which are were detected
through regular and daily practices is neededare crucial for gaining a deeper understanding of
with the primary key innovative ideas (Dorman et al. 2015) (Karim, 2011). The key aspect which
is raised among the studies which are analyzed and wasThe studies elaborated on proper training
is that must be provided to the nursing professionals to promote the keyfor promoting an
awareness of the TB transmission and overall its prevention. An important part of the key and
selectedaspect of the studies was the fact that they reflected on importance of the training of
nursing professionals for to increase the promotion of awareness of TB transmission and overall
prevention in addition toaddressing the organizational key issues and problems faced during
thein health services with keydue to human resources (Mabbott, 2012).
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The outcome of the respective research study reflects a keyaan idea about the keythe major
concern which is related to the practices and performances of the nursing professionals, which
who directly deal with the TB patients. These professionals were in health services which are
recognized as a primary and important elements in disease control. Therefore, it is very much
important toessential plan the overall care strategies from the initial stage of detection of TB.
Following detection of the condition, appropriate treatment measures must be adopted for
eradicating and the following proper treatment needed to be taken care of in order to eradicate
the disease from the patientpopulation. The role of nursing staff is considered to be playing a
pivotal for providing an insight into role as the interest of key understanding of the role of nurses'
care for TB patient increases the key andthe relevant professional issues that might impede the
process of accomplishing the task of eliminating spread of infection in their clients of the
professional idea and knowledge to accomplish the core task which consists of the concern
related to the infection risk (London, 2011).
Clinical Question using a recognized formula
The formulation of the clinical question is beingwas carried out in the form of the PICO
format, which is described as thecomprsies of four elements namely, P- population of the
interest, I- exposure to be considered for carrying out the treatment processes, C- controlling or
comparing the intervention treatments with representing the standard of carea standard model of
care and O- is representing the outcomes of interest. Therefore the question can be easily
formulated as:-
 How can the improvement of the treatment of the TB population living in Australia be
made by the nursing clinicians or the staffs?How can the nursing staff enhance the
treatment outcomes among Australian patients diagnosed with TB?
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The formulated question is representing the population of the interest as well as the
interventions which are used for carrying out the treatment processes (Mateo and Foreman,
2014). The comparisons of the intervention treatment processes can be representing the nursing
staffs related to the diagnostic processes as well as outcomes are also represented for the nursing
clinicians or the staffs for the TB populations (Sinitsyn et al., 2017).
Demonstration of the use of the systematic approach to search for evidence-based resources
The demonstration of the use of the systematic approach is depicted to be reflecting
thewas reflected in PICO clinical question which is formulated for this topic. The formulation of
the PICO question is depicted to be reflecting the provides assistance in conducting a research in
a feasible, interesting and theand ethical processes of carrying out the activities in an appropriate
waymanner. The significance of the PICO question is reflecting thereflects engagement of the
interest of the researcher. The enhancement of getting the appropriate aspect of getting the
questions in an appropriate way is depicted to be reflected in this study. The enhancement of the
activities is depicted to be reflected in this study and also the outcomes are seen in the form of
the problem-solving approaches (Mabbott, 2013). The cClinical evidences were obtained from
two electronic databases namely, is gathered from the PubMed and the CINAHL database for the
purpose of carrying out the therapeutic approaches. The Relevant information retrieved from the
aforementioned databases that emphasized on essential diagnostic and processes, as well as the
excellent gathering of the evidence for the purpose of carrying out the therapeutic processes, are
provided to thewere disseminated to the nursing staffs. EThe evidence on theof the therapeutic
processes is depicted to bewere reflected reflecting thein the importance of the nursing care
performance for the TB patients. Necessary The changes in the health service planning for the
efficiency are reflecting the scientific process of gathering the documents so that the prevention
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and the care processes can be carried out. The controlling of the nursing care isDelivering
nursing care in a controlled manner is essential for the purpose of fighting with the diseases as
well as the prevention and the care processes can be properly executed prevention and
management of the disease being investigated. The changes in the processes of carrying out the
prevention processes are depicted to be reflected in these processes (Wros and Archer, 2010).
Conclusion
There were strong correlation between links between the control of the TB of thein the
Australian population living in Australia as well asand the existing the nursing practices are seen.
A The rreduction of thein drop-out of the diseases is seen with the development of thewith an
enhancement and improvement of the treatment processes as it is found to be helping inhelped in
the evaluation of the care services being delivered evaluating the activities in an appropriate way.
AnThe evaluation and the analysis of the new policies established in Australia will enable the
nursing staffs to increase the awareness on tuberculosis among the people. The notion on
transmission notion is proved to be wrong which was raised by people for the TB
populationaffected with TB was proved wrong. The practicing of the direct practicing processes
is depicted to be reflected in this study as well as the vulnerabilities can be easily overcome with
carrying out the activeActive identification of the community management processes facilitated
overcoming the vulnerabilities associated with the processes. The mMonitoring of thetreatment
process of TB treatment process is enabling thealso enabled the nursing professionals to carryfor
encouraging an active participation in all the staff, thus bringing about changes in the diagnois
and plan of careout the promotional processes which are depicted to be bringing activeness in the
staffs to make changes in the treatment and the diagnostic processes.
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Assessment 2: Clinical Scenario
Part 1 – Description and analysis
An 11-month-old girl child named Sarah has been admitted to the hospital. She is
suffering from acute exacerbation of eczema. She has a red rash covering most part of her legs
and one arm. She is very small compared to her age and according to the growth chart of the
World Health Organization (WHO), she has been placed only given25 percentile. Due to her
illness, Sarah remainsis very unsettled during the night, scratchesing her body and is extremely
very restless. The most common symptoms of eczema are it severely irritates theis severe
irritation in the skin. Woolen cloths or many man-made fibers, which come in contact with skin
can raise the flare. There are common mMaterials within thein the environment can be the reason
for an allergic reaction, and subsequently as well as can trigger a flare-up of eczema. In very
early age Sarah has been suffering from eczema from an early age, and the main cause of her
diseases may be intolerance of her skin to the materials of the environmentto environmental
components that she has been exposed to (Bardin et al. 2016) in which she has been kept
(Ayliffe, 2009).
Due to the seriousness andher critical condition, Sarah has been admitted to the isolation
room. Besides this, the eczema is an critical infectious disease. so, in order to Thus, with the aim
of avoiding avoid the spreadingspread of the infection, she has been admitted into the isolation
room. The eEczema is a critical disease, especially for the a child, like Sarah, it as this becomes
very painful and a new baby like Sarahshe is unable to tolerate the pain.
The key symptoms of eczema are red, itchy as well asand dry skin caused due to
originates by inflammation. The cChildren are the common victim of this diseaseare commonly
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affected by the condition. Often it is referred to asThe disease is often referred to as atopic
dermatitis. Eczema can be treated with oral medicines, steroid cream, as well as light therapy
(Bamford et al. 2013). The eEczema use to affect thegenerally affects the biggest organ of
human body skin. In Eczema, vVarious disorders can beare observed in skin and the newborn
babies suffer from cradle cap. Sarah is also suffering from cradle cap and her two legs and one
arm have red, itchy patches, which irritate her severely. Due to eczema her legs and one arm
become inflames and itchy and there are patches. The wounds are ofteoften have an cracked and
rough appearance (Birkhäuer, Gaab, and Calnan, 2017).
Apart from eczema, Sarah is also suffering fromhas also been found to suffer from
malnutrition. However, her mother Deborah said that Sarah has a normal appetite and she eats
well. However, presence of eczema has put several but due to her eczema, she cannot eat many
things as there are some restrictions inof her diet. Sarah cannot take normal baby diet as it may
make her eczema worsemight worsen her condition. This has directly affected Sarah’s growth
and she has Hence, the growth of Sarah is not as normal as she can gained only 25 percentile to
of the normal bay growth, corresponding to her age of her age according to the standards
formulated by the World Health Organization (WHO) standards. The main cause of the low birth
weight baby isamong eczema affected children is their premature birth. However, there is lack of
evidence to support premature birth in but in the case, there is not any reference that indicates
that Sarah is a premature baby. Another probable reason for low baby weight is intrauterine
growth restriction. This is happening while a occurs when a baby does notfails to develop well
inappropriately in the womb of the mother because of the issue with thedue to certain problems
in the placenta. Sarah is light weight and her length is also lesser thanless than a normal baby of
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