...Assignment cover sheet Note: (1) The attention of students is drawn to: the Academic Regulations, the Academic Honesty Policy and the Assessment Policy, all of which are accessible viahttp://students.acu.edu.au/309246 (2) A de-identified copy of your assignment may be retained for University quality (audit) processes, benchmarking or moderation. |Student ID Number/s: |Student Surname/s: |Given name/s: | |S00158530 |Patel |Purvi | | | | | |Course:Bachelor of nursing |School:Australian catholic University | |Unit code:HLSC122 |Unit title:Inquiry in Healthcare | |Due date:30/03/2014 |Date submitted:30/03/2014 | |Lecturer-in-Charge: Joe Perry |Tutorial Group/Tutor: T, 06 | |Assignment Title and/or number: Assignment 1 ...
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...METHODOLOGY The objective of this chapter is to define nursing research, analyse methods of research and outline methodological process used to find articles on which to base this extended literature review. In this hypothesis, the reason for literature review is to ascertain whether or not gastric banding is an effective treatment for obesity in young adults as measured by physical functioning. The research process is the step-by-step procedure of developing research paper (Boje, 2001). It normally consists of following stages: detection of the research problem; preparation of search plan; searching and assessing the literature; data collection and evaluation; formulating a research design; and presenting the research findings (Cormack, 1996). The ability of nurses and other health care professionals to locate and identify existing literature on a relevant topic is an essential nursing skill (Burns & Grove, 2003). The sources where they can gain and expand research knowledge from may include personal or specialist experiences and clinical procedures and guidelines (Eccles & Mason, 2001). Before they can be made assessable to health care workers, guidelines and procedures are required to go through rigorous process of dissemination, before they can be made assessable to health care workers to be used in practice (Craig & Smith, 2007). Some of the organisations responsible for underwriting and implementation of clinical guidelines into clinical practice...
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...a Cochrane Review Meta-Analysis Study Educational and Skills-based Interventions for Preventing Relationship and Dating Violence in Adolescents and Young Adults Critique of a Cochrane Review Meta-Analysis Study There is a high rate of violence between young adults in relationships. As this is becoming more prevalent it is important to strengthenone’s knowledge base to help prevent this form of violence. A meta-analysis is a process to combine the findings from several independent research studies in a statistical manner. This method is used most often to evaluate the rational and useful way associate several research studies to determine effectiveness of an intervention (Crombie& Davies, 2009). A critique of a study is, “a careful appraisal of the strengths and weaknesses of a study” (Polit & Beck, 2008, p. 123). These show areas of inadequacy and adequacy within a research study and to identify any errors. Within this paper there will be a critique of the Cochrane Review Meta-Analysis, “Educational Skills-based Interventions for Preventing Relationship and Dating Violence in Adolescents and Young Adults.” This critique will have several divisions; identification of the level of evidence, describe the search of the literature and the adequacy of the search, description of the replication process, discuss any problems or differences, identify gaps within the literature, discuss any limitations within the study, discuss the strengths of the review, describe the...
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...Promoting Evidence-Based Education: The Role of Practitioners Round table presented at the British Educational Research Association Conference, Cardiff University, 7-10 September 2000 Robert Coe, Carol Fitz-Gibbon and Peter Tymms Curriculum, Evaluation and Management Centre, Durham University Mountjoy Research Centre 4, Stockton Road, Durham DH1 3UZ Tel: 0191 374 4504; Fax: 0191 374 1900; Email: r.j.coe@dur.ac.uk http://www.cem.dur.ac.uk/ebeuk Abstract A number of recent initiatives from Durham University’s Curriculum, Evaluation and Management Centre have sought to involve teachers in creating, accessing and applying evidence about what works in their practice. The ‘gold-standard’ of evidence in this context is taken to be multiple replications of small scale, randomised controlled trials of feasible interventions in real-life settings. The aims, form and progress of these initiatives will be reported, and a number of questions will be raised: What do we mean by ‘Evidence-Based Education’? How can it best be promoted? What kinds of research can teachers do? How good can it be? Can it genuinely contribute to knowledge? Is it a distraction or enhancement of teachers’ core role? How do traditional models of Action Research fit with this approach? Is there an existing body of knowledge that can inform practice? How can teachers gain access to it? Under what conditions might such knowledge have an impact on practice? ...
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...among older adults living in the community?) | 1) Chaboyer W, McMurray A, Wallis M. Bedside nursing handover: A case study, International Journal of Nursing Practice 2010: 16:27-34 | Level I: Evidence from a systematic review or meta-analysis of all relevant randomized controlled trials (RCTs) or evidence-based clinical practice. | This research aimed to better understand the structures, processes and perceived outcomes of bedside nursing handover as a beginning step to facilitate its implementation. | Randomized control trial, clinical trial. | 532 bedside handovers, 34 interviews with nurses. Six wards in two hospitals in Austrailia. 3 medical, 1 surgical, 1 medsurge, 1 rehabilitation ward. Semistructured observation and interviews. | SBAR was used in 45-65% of handovers in 3 situations when: patients were new or condition changed, patients were unfamiliar to staff such as when staff had been off for a few days, or casual/agency staff were part of the team. On average each bedside handover took just over a minute. | Before handover patient handover was completed and handover sheet updated. Just before handover pts were informed that handover would shortly take place and were asked if they required any assistance in order to limit disruptions during handover, visitors were excused. Information was prompted by pts presence. Safety scan and medication review was done. Kept handover short and simple and to the point. Information found might be used as the basis for standard operating...
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...Hand hygiene is a practise of evidence-based medicine and the number one way to prevent health-care associated infections (Garbutt, 2011). The term of hand hygiene applies to adequate hand washing, antiseptic hand-wash, antiseptic hand-rub, or surgical hand antisepsis (Garbutt, 2011). Evidence-based practices have been put into place to prevent such infections from occurring. The present paper will examine ways in which health professionals use the five steps of evidence based practices (EBP) to locate, appraise and apply the best available research evidence. In this case, the five steps of EBP will be assessed in conjunction to the practise of good hand hygiene. Liamputtong (2013, p.267) has explained evidence-based practise (EBP) as the use of the best research evidence, clinical expertise, available resources, and patient preferences in respect to clinical decision-making. EBP is taught and practised using five steps to reduce inconsistency and increase efficiency and effectiveness of health care (Liamputtong, 2013, p.267). According to Liamputtong (2013, p.267) the first step of EBP is to ask an answerable question stating the population, intervention, comparison and outcome of the question (PICO). Next, acquire the best available evidence using research strategies (Liamputtong, 2013, p.267). This evidence is then appraised to determine its quality and relevance (Liamputtong, 2013, p.267). The fourth step it to apply the evidence integrated with clinical expertise and...
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...overcoming barriers and applying best research. Examples of this include use of professional protective equipment and safety considerations when using equipment. Liamputtong (2010) states that evidence based practice is a “process that requires the practitioner to find empirical evidence about the effectiveness or efficacy of different treatment options and then determine the relevance of the evidence to a particular clients situation” (pp. 252). Sackett (1996, pp.71) states that “conscientious, explicit and judicious use of current best evidence in making decisions about the care of individuals patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external evidence from systematic research, and the more thoughtful identification and compassionate use of individual patients’ predicaments,...
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...available. However, to keep abreast with the continuously increasing number of publications in health research, a primary health care professional would need to read an unsurmountable number of articles every day covered in more than 13 million references and over 4800 biomedical and health journals in Medline alone.1 With the view to address this challenge, the systematic review method was developed.2 This article provides a practical guide for appraising systematic reviews for relevance to clinical practice and interpreting meta-analysis graphs as part of quantitative systematic reviews. A systematic review is a synthesis of primary research studies investigating a clearly formulated clinical question using systematic, explicit and reproducible methods. The Cochrane Library is probably the most comprehensive collection of regularly updated systematic reviews in the health field and is freely accessible in Australia.3 Some systematic reviews qualify for a quantitative statistical summary of comparable study findings, the meta-analysis. While useful guides to systematic review methodology and critical appraisal of systematic reviews are plentiful, 4–6 there is a paucity of practical guides to appraisal of meta-analysis for the nonstatistician. This article provides a practical guide to appraisal of meta-analysis graphs, and has been developed as part of the Primary Health Care Research Evaluation Development (PHCRED) capacity building program for training general practitioners and other...
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...people as evident in workplace violence(Fernandes, Bouthillette, Raboud, Bullock, Moore, Rae, Ouellet, Gillrie & Way, 1999). The effects of workplace violence is far-reaching and costly(Hoag-Apel, 1998). In fact according to the international council of nurses “ health care workers are more likely to be attacked at work than prison guards and police officers”(ICN, 2009). The aim of this essay is to critically appraise a systematic review of the literature based on workplace violence in the emergency department and to identify characteristics of interventional studies to guide best practice. This review will discuss current practices in reference to NSW health policy and guidelines, critique the systematic review by (Taylor & Rew, 2010) in terms of discussing methodology and provided a comprehensive overview of (Taylor & Rew, 2010) article(Hoag-Apel, 1998) (NSW Health, 2005). Finally, this review will attempt to recommend a change in practice in terms of the research question of what are the suggested interventions for workplace violence in the ED conducted by studies from 2004 ? Based on best evidence based practice and research(Hoag-Apel, 1998) . Although healthcare professionals and exclusively nurses are at higher risk of workplace violence, NSW legislation doesn’t reflect the increase risk associated or current international concerns(Hoag-Apel, 1998) . In NSW it is part of a legislative requirement that staff receive sexual harassment training, however, even though there...
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...Corporate Reputation Review Volume 12 Number 4 A Systematic Review of the Corporate Reputation Literature: Definition, Measurement, and Theory Kent Walker Asper School of Business, University of Manitoba, Winnipeg, Manitoba, Canada ABSTRACT A systematic review of the corporate reputation literature is conducted. The final sample of 54 articles (and one book) consists of well-cited papers, and papers in journals that have published high quality work in corporate reputation. The sample is then analyzed and the three fundamental problems in the reputation literature are addressed – the need for a comprehensive and well-accepted definition, the difficulty in operationalizing corporate reputation, and the ongoing need for more developed theory. Two main findings evolve from this analysis: (1) reputation may have different dimensions and is issue specific, and (2) different stakeholder groups may have different perceptions of corporate reputations. The implications for future research are discussed. Corporate Reputation Review (2010) 12, 357–387. doi:10.1057/crr.2009.26 KEYWORDS: corporate reputation; definition; operationalization; organizational identity; organizational image; systematic review INTRODUCTION There are many reasons why organizations and researchers should care about corporate reputation. The relationship between reputation and a sustained competitive advantage is widely acknowledged in the literature (eg, Fombrun and Shanley, 1990; Fombrun, 1996;...
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...proposed change. Note that you must have 6 RESEARCH studies. Please use the required form for completion of the research reports and follow the directions closely. Completion of this form will ensure that you have found RESEARCH studies and will also provide you with an opportunity to consider the strength of the evidence that you have. In section C you will be locating 6 research studies on to support your proposed change. EACH study must address the focus of this concern. Once you find the research studies, you will examine EACH study and describe the SETTING, PURPOSE, RESEARCH DESIGN, SAMPLE, and FINDINGS. This will be quite easy to do as it should be clearly identified in the study. Fill this in the REVIEW OF THE EVIDENCE FORM for each study. PLEASE USE THE FORM PROVIDED - IT IS REQUIRED. Note that you must attach PDF versions of the six research studies for me to review. Next you will need to ascertain the level of evidence that each study represents. To learn more about this, please go to this Evidence Based Practice Tutorial and watch the VIDEO and then take the tutorial. When you finish, you will have a much clearer idea about the nature of evidence and why we need a body of knowledge to support our nursing actions and desired outcomes. USE THIS TABLE TO MAKE A JUDGMENT AS TO THE LEVEL EACH RESEARCH ARTICLE FITS. Rating System for the Hierarchy of Evidence/Levels of Evidence Level I Evidence for a systematic review or meta-analysis of all relevant RCTs or evidencebased...
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...individuals over the age of 65, does the use of a mobile phone-based medication adherence application, compared to a mobile phone texting reminder, increase medication compliance by 25%, within 12 weeks of implementing the program? Evidence Appraisal Matrix Source (APA) | Type of Study design (RCT, phenomenology, etc.)/Purpose | Level of Evidence(According toMelnyk & Fineout-Overholt) | Sample, settingInclusion/ExclusionCriteria | Methods, instruments, data analysis | Findings/Implications | Inglis, S. C. (2011). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Of Systematic Reviews, (6), doi:10.1002/14651858.CD007228.pub2 | Systematic Review | Level I | Twenty-five studies and five published abstracts were included. 16 evaluated structured telephone support, 11 evaluated telemonitoring, and two tested both interventions. Inclusion criteria:only peer reviewed, published RCTs comparing structured telephone support or telemonitoring to usual care of CHF patients were included. | Various search engines such as: MEDLINE, EMBASE, CINAHL, and AMED were searched from 2006 to November 2008.Relevant studies and systematic reviews and abstract conference proceedings were hand searched. No language limits were applied. | Telemonitoringreduced all-cause mortality (RR 0.66, 95% CI 0.54 to 0.81, P < 0.0001) with structured telephone supportBoth structured telephone support (RR 0.77, 95% CI 0.68 to 0.87, P < 0...
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...An Investigation into the use of cord treatments on the newborns umbilical cord and the reduction of infection. A LITERATURE REVIEW. Kathrine Hill Student Health Visitor. Bolton University. 2014. Word count: 3720. An investigation into the use of cord treatments on the new-borns umbilical cord and the reduction of infection. A Literature Review. INTRODUCTION. The purpose of this literature review is to examine the evidence surrounding umbilical cord care in the new-born and what part the use of topical treatments play (if any) in the reduction of infection to the new-born infant. The umbilical cord is a unique tissue consisting of two arteries and one vein. Wharton’s jelly surrounds the vessels. During pregnancy the umbilical cord assists the placenta by transporting nutrients and waste products to and from the fetus. (Fraser, M. et al 2009). Following delivery of the neonate the cord goes through a process were it dries out, hardens and turns black. The area goes through a process of colonization due to non-pathogenic organisms that pass from mum to baby via skin to skin contact following delivery. The umbilical vessels remain patent for several days following birth and are a susceptible site for infection. Potentially harmful organisms can be spread by cross infection, often caused by poor hand washing techniques of Healthcare workers and the infant’s carers. (Davies, S. 2008). The World Health Organisation (WHO) reports each year one third of neonatal...
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...AHS 301 Systematic Review Group Assignment Total of 405 points From your assigned topic, you will need to develop a clinical/research question that will allow you to conduct and write a (modified) systematic literature review. The clinical/research question must be approved by the instructor by June 17, 2016. The (modified) systematic literature review must include: 1. An introduction/background section – brief description of the background on the topic focusing specifically on the clinical/research question. Be sure to include enough information so that someone who is not familiar with the topic/research question has a firm understanding of the significance. 2. A methods section – description of search strategy (including databases and keywords) used to identify the relevant peer-reviewed primary studies. Be sure to include a full description of the inclusion/exclusion criteria. You need to provide enough information so that the search can be repeated. 3. A results section – description of the articles selected. Use of tables containing relevant information might be appropriate. 4. A discussion section – integrated synthesis of the results found. Be sure to include any limitations and/or strengths that resulted from the analysis of the primary studies. 5. A conclusion section - application of synthesized results to the appropriate patient population. 6. Use of APA 6th edition guidelines for formatting and references. ...
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...I work as a community nurse and I have recently become intrigued about one of my patients requiring treatment for a leg ulcer. For the purpose of this assignment I shall call her MA, because as a nurse and a professional I have professional and ethical duty to protect patient identities (Quacker Nursing Council [QNC]2010). My rationale for selection of topic is that Leg ulcers (LU) cost this country’s health service an estimated 200million quars per year in hospitalisation fees for those individuals who do not have health insurance (Quacker Health Board [QHB] 2012, Wilson 2010). An outline of LU is provided in Appendix One, while Appendix two provides a synopsis of MA and her LU. Community nurses are increasingly seeing patients with LU as insurers only pay for three episodes of treatment for one condition (Medins 2011). This disadvantages those patients like MA, as if they have a long term or chronic condition they may not receive treatment or care and this in turn will raise the country’s morbidity and mortality rates. In the UK the Government provides all healthcare free at the point of delivery and prevention of ill- Health and patient’s taking responsibility for managing their own illness or disease is viewed as an important Public Health Strategy ( DH 2010). In this assignment I will discuss strengths and limitations of evidence based practice (EBP),sourcing different forms of evidence which will enable me to provide the best evidence-based practice I can for my patients...
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