CHCPOL003 Research And Apply Evidence To Nursing Practice Homework 1 Answer

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Question :

CHCPOL003 Research and apply evidence to practice

Homework 1 Underpinning knowledge questions

1. In the role of the enrolled nurse list 3 reason for undertaking research including advantages of why using evidence based practice in the healthcare environment is important and why research can improve own area of practice? (Min 150 words)

2. What is nursing research and list 3 activities that a nurse could carry out in undertaking Nursing Research? (Min 100 words)

3. Identify 3 different credible sources of data and evidence a nurse might access when undertaking research, and what should this documentation tell us?  (Min 100 words)

4. Briefly describe some processes that you might use to analyse information you have researched during your studies. (Min 100 words)

5. Why is it important to consider cultural and ethical considerations when undertaking research? (min 60 words)

During clinical placement discuss the following question with staff and provide a response in the table below.

6. Provide a description of 1 continuous quality improvement (CQI) process and 1 evidence based practice (EBP) in your workplace or from a workplace known to use CQI and EBP.

Continuous quality improvement process in your workplace
Evidence based practice (EBP) in your workplace


Case study 1

You are a recently graduated EN working with an aged care registered nurse undertaking home care visits. One of her patients is 85-year-old George who suffers from nocturnal enuresis. His family said it is a constant problem and it was affecting George more during the colder months of the year.

The conventional therapies include medication (desmopressin in antidiuretic hormone or arginine vasopressin, either of which decrease night-time urine production), and enuresis alarms. 

His family is concerned over George’s compliance with taking medications and want to try the enuresis alarms. You decide to find out which treatment is more effective by doing a search to find the evidence.

7. From the case study above list the process or steps you will need to undertake for your evidence based practice.

8. Based on the case study provided, write your research question. Use the PICO framework to develop your specific question. 

Patient Problem

Intervention

Comparison

Outcome


9. What will be your search strategy?

a. What terms (Keywords/alternative terms) would you use in your search strategy? 


b. List some credible quality sources of information that you found in your research results

10. The patient has consented to begin the therapy based on your evidence. How will you evaluate your evidence based practice? (Min 50 words)

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Answer :

Assessment 1 Underpinning knowledge questions

1. In the role of the enrolled nurse list 3 reasons for undertaking research including advantages of why using evidence based practice in the healthcare environment is important and why research can improve one's own area of practice? (Min 150 words)

 The enrolled nurses (EN) have a crucial role to play and ensure the welfare of the patients as well as the healthcare system. 3 key reasons and advantages for which the EN must consider evidence-based healthcare practices are as follows
  • Allow EN stay current on evidence-based and standardized protocols
  • care decisions can be made using real-time data
  • improves accountability, transparency and value
Moreover, thorough research can improve one’s own area of practice. Detailed study and research help an individual to get an in-depth knowledge regarding a specific topic. They are able to critically analyse any given situations. This becomes specific in the field of healthcare practice. Besides, research can help an individual to increase their knowledge and help being informative about that particular topic of research. For instance, through research in the healthcare field, it supports individuals to get a better insight into the customer needs and provide the best possible health treatment. 

2. What is nursing research and list 3 activities that a nurse could carry out in undertaking Nursing Research? (Min 100 words)

Nursing research is defined as the research that considers the application of evidence and thus supports the practices of nursing activities. The key objective of nursing research is to prevent disability and diseases, eliminate symptoms and pain caused by the diseases. It also tends to enhance palliative care. 

Nurses are required to base their actions on the ground of the undertaken research. Moreover, three activities are as follows

  • participating in research presentations at the professional circumstances
  • Nurses have to advise and give necessary information to the clients regarding the participation within the studies.
  • Making collaborations with the peers regarding the development of a viewpoint for the clinical research project. 

3. Identify 3 different credible sources of data and eviden     ce a nurse might access when undertaking research, and what should this documentation tell us? (Min 100 words)

Three different credible source of evidence and data that a nurse must seek are as follows
  • Controlled trials with no randomization
  • case-control or cohort analytic studies
  • Multiple time-series studies. 

All these three different sources or documents have specific significance and useful for nursing research. The documents of controlled trials help in obtaining evidence regarding the effectiveness of the health interventions. Here, the investigator does not support random data or information and controls location which increases the precision of the end results. The documents of case-control are necessary since it helps in determining if any exposure is rejected to the outcomes. While undertaking a research, it prioritizes the identification of cases and then initiates with the process of health control. On the other hand, the documents associated with the multiple time-series focuses on the understanding of the changed behaviour over the time. It helps in better estimation and deep insight into the customer’s healthcare needs. 

4. Briefly describe some processes that you might use to analyse information you have researched during your studies. (Min 100 words)

Analysis of information is mandatory while making a research on a particular topic. However, the individuals have to consider certain processes such as reviewing questions, organizing information, making decisions based on the analysis of information. Reviewing questions is the initial step which allows individuals to get an in-depth knowledge about the current circumstances and the usual concerns that can arise from the topic. Gathering and sorting information are the steps which help in analysis of data. Considering the process will let individuals to be familiar with which needs a detailed analysis and which of the information has no need to further analyse. During the process of making decisions, individuals grow an individual's perspective through which analysis can be strategically done. 

5. Why is it important to consider cultural and ethical considerations when undertaking research? (min 60 words)

It is necessary to consider ethical and cultural considerations while undertaking research since it helps to promote the research aim such as expansion of knowledge. it promotes the values necessary for collaborative work such as fairness and respect. It also supports vital moral and social values. Besides, cultural considerations are necessary since it allows establishing a cross- cultural environment and facilitating communication which helps in understanding the psychology of the participant involved in the research. 

During clinical placement discuss the following question with staff and provide a response in the table below.

6. Provide a description of 1 continuous quality improvement (CQI) process and 1 evidence based practice (EBP) in your workplace or from a workplace known to use CQI and EBP.

Continuous quality improvement process in your workplaceEvidence based practice (EBP) in your workplace
one of the CQI processes in the workplace includes constant enquiry of performance evaluation of the healthcare staff and its impact on patient’s health. This is one of the best strategies associated with the CQI process which promotes betterment in healthcare practices. Moreover, it will also help the staff assess the gaps in the healthcare practice. 
One of the key EBP in the workplace includes the process of gathering, analysing and implementing the evidence or findings. This will help the staff get a better insight into the patient’s healthcare needs and make an overall improvement. Besides, it will also facilitate the selected CQI process of  constant enquiry. 

Case study 1

You are a recently graduated EN working with an aged care registered nurse undertaking home care visits. One of her patients is 85-year-old George who suffers from nocturnal enuresis. His family said it is a constant problem and it was affecting George more during the colder months of the year.

The conventional therapies include medication (desmopressin in antidiuretic hormone or arginine vasopressin, either of which decrease night-time urine production), and enuresis alarms. 

His family is concerned over George’s compliance with taking medications and want to try the enuresis alarms. You decide to find out which treatment is more effective by doing a search to find the evidence.

7. From the case study above list the process or steps you will need to undertake for your evidence based practice.

The steps or processes that will be needed to undertake evidence-based practice are as follows
  • It is important to formulate the clinical questions regarding the best selection of the healthcare practices for George’s improvement. All the aspects of George’s health sufferings have to be considered. 
  • Secondly, as an EN, it is necessary to make a thorough research on the matter of George’s treatment and find the best underlying evidence for his speedy recovery. 
  • After gathering the evidence of George’s health deterioration, it is required to make a critical analysis and ensure its usefulness and validity.
  • It will be necessary to integrate the improvement in George’s health with client’s preferences and personal clinical expertise. 
  • The EN has to evaluate the outcome of actions and the performance. 

8. Based on the case study provided, write your research question. Use the PICO framework to develop your specific question. 

Patient Problem
What are the health complications or sufferings of the patient? 

Intervention
What are the health intervention processes that George should undergo to limit his health sufferings?

Comparison
How evidence-based health practice and thorough research can bring a difference in healthcare treatment of George?

Outcome
What are the outcomes of a quality based evidence practice in executing conventional therapy?

9. What will be your search strategy?

a. What terms (Keywords/alternative terms) would you use in your search strategy? 

Specific Medical key terms and terms associated with quality healthcare practices have to be used to make a better search in the search strategy. Some of the examples include intention-to-treat analysis, meta analysis, effectiveness, best evidence, baseline risk, case-control study and others.

b. List some credible quality sources of information that you found in your research results?

Some of the credible quality source of information that are found in the research results include DARE (Database of Abstracts of Reviews of Effects), EvidenceAlerts, TRIP (Turning Research into Practice), PubMed, MEDLINE and others. 

10. The patient has consented to begin the therapy based on your evidence. How will you evaluate your evidence based practice? (Min 50 words)

Initially the evidence-based practice will be initiated by conducting a thorough research on the patient’s past health history. This will help in making a better evaluation of the process. After the patients have given their consent and went through the treatment of evidence-based practices, the health progression will be evaluated and thoroughly analysed based on the present and past health history. This will eventually let the nurse make better improvements in the future.