NUR2300 - Implementation Strategies and Evaluating Outcomes - Different Clinical Scenario Based Questions - Nursing Assignment Help

Assignment Task

Content:
There are three sections to this assessment. Based on one of the following clinical scenarios, you are required to 
(1) answer some questions about evidence-based practice, 
(2) critically appraise a systematic review of the evidence, and 
(3) discuss barriers to introducing an evidence-based practice change into the work setting, implementation strategies and evaluating outcomes. 
The submission needs to be written in the form of an essay.

Clinical Scenario A
You are a student nurse who is buddied with a practicing registered nurse working in a tertiary hospital facility. You are working with a 45-year-old male patient admitted to the emergency department with acute abdominal pain. There are opposing views on the way these patients are managed. Some clinicians believe that pain relief should be deferred for fear of masking symptoms, generating a change in the physical exploration or obstructing the diagnosis of a disease requiring surgical treatment. Others are concerned about the patients’ pain and discomfort, which they believe is unnecessarily prolonged. Your patient is in pain.

Clinical Scenario B
You are a student nurse who is buddied with a practicing registered nurse working in a tertiary hospital facility. You are working with a 32-year-old in active labor having moderate to strong intensity contractions. Many women would like to avoid pharmacological or invasive methods of pain management in labor and this may contribute towards the popularity of alternative methods of pain management, such as hypnosis.

Clinical Scenario C
You are a student nurse who is buddied with a practicing registered nurse working in a community clinic. A father comes in for advice on treating fever in his young child, aged 6. Health professionals frequently recommend fever treatment regimens for children that either combine paracetamol and ibuprofen; or alternate the two medications. However, there is uncertainty about whether these regimens are better than the use of single agents, and about the adverse effect of combination regimens.

Section 1: Answer questions 1-5
1. Based on your reading of the clinical scenario, write a focused clinical question that will guide you to efficiently find the information you need for clinical decision making.
2. Where might clinicians go to find an answer to clinically focused questions? Name as many possible types or categories of information sources as you can. You may feel that some are better than others but discuss as many as you can to demonstrate your awareness of the strengths and weaknesses of common information sources in clinical practice. Describe the most important advantages and disadvantages of each type of information source you list.
3. If you were to search CINAHL for original research on your question, describe what your search strategy would be. Be as specific as you can about which topics and
categories you would search and your key terms. Explain your rationale for taking this approach. Describe how you might limit your search, if necessary, and explain your reasoning.
4. What is the domain of your question? In other words, what type of question is it?
5. What type of study (study design) would best be able to answer your clinical question? Justify and support your answer.

Section 2: Critical Appraisal
1. Critical appraisal - determines whether the systematic review addresses a clear question. It justifies and supports the rationale for appraisal findings.
2. Critical appraisal – critiques the methods used for the critical appraisal, data extraction and synthesis of individual studies included in the review. It justifies and supports the rationale for appraisal findings.
3. Critical appraisal – examines the results, discussion, and implications provided in the review; including reporting of findings, conclusions, and recommendations. Justifies and supports the rationale for appraisal findings

Clinical Scenario A
Citation: Manterola C, Vial M, Moraga J, Astudillo. Analgesia in patients with acute abdominal pain. Cochrane Database of Systematic Reviews, 2011, Issue 1. Art. No.
CD005660. DOI. 1002/14651858.C.

Clinical Scenario B
Citation: Madden K, Middleton P, Cyna AM, Matthewson M, Jones L. Hypnosis for pain management during labor and childbirth. Cochrane Database of Systematic Reviews 2012, Issue 11. Art. No.: CD009356. DOI: 10.1002/14651858.CD009356.pub2.

Clinical Scenario C
Citation: Wong T, Stang AS, Ganshorn H, Hartling L, Maconochie IK, Thomsen AM, Johnson DW. Combined and alternating paracetamol and ibuprofen therapy for febrile
children. Cochrane Database of Systematic Reviews 2013, Issue 10. Art. No.: CD009572. DOI: 10.1002/14651858.CD009572.pub2.

Section 3: Answer the questions 5-7
6. Discuss three barriers that may influence the uptake of evidence-based practice. Justify and support your discussion with the literature.
7. Discuss three strategies to evaluate outcomes of successful uptake of evidence-based practice. Justify and support your discussion with the literature.
8. Discuss three evidence-based implementation strategies for promoting the uptake of evidence-based practice. Justify and support your discussion with the literature.

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