Reference no: EM133163355 , Length: word count:1500

NURS2006 Clinical Governance and Practice Improvement - Flinders University

Assignment:

Question:

In older adult, how does the use of side rails reduce the risk of fall compared to pressure sensor mats during hospitalization?
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Purpose: The purpose of the evidence-based practice project is to have the student demonstrate skills in applying research to practice

Learning outcome 1: Apply evidence-based practice (EBP) in the provision of patient care

Learning outcome 2: Formulate a clinical question to yield the most relevant and best evidence to the healthcare organisation.

Learning outcome 3: List the steps of evidence-based practice and the skills associated with it

Learning outcome 4: Analyse the impact of clinical governance on efficiency and practice standards

Learning outcome 5: Critically appraise different study designs and exhibit an understanding of the evidence they produce

Learning outcome 6: Develop strategies to disseminate the outcomes of evidence

Learning outcome 7: Reflect on the role of the Registered Nurse in maximising EBP across the healthcare organisation.

Procedures:

Students will work independently, Each student will:

a) Use the assignment 1 topic.

b) Conduct a systematic literature search on the chosen topic and select appropriate articles for critique. Include at least five articles of evidence. Critique each article using the JHNEBP tools. (Include the abstracts of the articles as a separate file- this is not marked).

c) Complete an individual summary tool that includes limitations, levels, and quality of evidence.

d) Complete a synthesis and recommendations tool that includes practice recommendations.

Title of the Summary
Include a title that is relevant to the EBP project

1. Overview of Clinical problem area and Why change is needed

Include several brief statements that show why change is needed. Include references to show the size of the problem and why it is important.
Use surveillance and causation data to justify why change is needed in this particular area.

2. Review question
State the review question using PICOT format.

Example question formats:
1. Is (intervention) effective in the promotion and /or prevention of (risk factor and/ or disease) in (population)?
2. Is (intervention) cost-effective in the promotion and or prevention of (risk factor and/ or disease) in (population)?

3. Methodology

Selection criteria: (Inclusion criteria and Exclusion criteria for studies)

Inclusion criteria are everything that a study must have to be included in your review.

Exclusion criteria are the factors that would make a study ineligible to be included in your review. These criteria are usually applied to the results of a search and are not used to limit the search results.

Specify the inclusion criteria and exclusion for studies in a table with the headings: population, interventions, comparisons ( for example, no intervention, other treatment), outcomes, time (if relevant) and study types ( for example, systematic review, economic evaluation).

You should also specify any exclusion criteria used if any (for example, studies published before 2010, another language, certain type of study types)

Search strategy
Specify the search strategy, including resources searched and search terms. Specify the date last searched (For example these searches were current as at [month and year].
Include the search string and search history (see module 4 for details)

4. Brief Results
Using the synthesis table, summarise how many studies of each type were used for the evidence summary (for example, how many systematic reviews and how many economic evaluations, if any).
Include the reference and a description of the study with reference to the inclusion criteria, noting details of the participants, intervention(s), comparisons, outcomes and study types.

5. The evidence
This is the answer to the question. Start with a statement that shows the level and quantity of evidence you found to answer the question. Cite all of the references that meet your inclusion criteria.
Use a separate heading for this if relevant. Consider splitting the evidence into sections according to population groups, settings, determinants, risk factors and/or intervention types and outcomes - whatever works best for the evidence you have and the messages you wish to convey.
If possible, summarise what is involved in the intervention in terms of frequency,
duration, delivery method, participants (including age) and so on. This will help for implementation, though it may be difficult to do if more than one intervention type is being considered.

6. Research gaps
Summarise research gaps using dot points.
Consider what the included studies identify as a research need.
Identify any study types, population groups and so on that were missing from the studies found in your search.

7. Implication for Practice
Implications are the conclusions that you draw from your results and explain how the findings may be important for policy and practice.

8. References
Only include references that meet the inclusion criteria and that are cited in the text. Use APA 7th referencing format.