Saturday, May 2, 2020

Diagnosis and Management of Lung Cancer †MyAssignmenthelp.com

Question: Discuss about the Diagnosis and Management of Lung Cancer. Answer: Introduction: Evidence-based practice is basically an important decision making procedure that is based on utilizing the most contemporary clinical evidence, current research findings, patient preferences and clinical experience. Medical experts are expected to comprehensively incorporate and implement the research findings into clinical practice. Nonetheless, most health professionals have not been trained on how to conduct this. Therefore, nurses are not expected to incorporate evidence-based practice prior to training. Evidence-based practice entails the cautious utilization of contemporary evidence to make appropriate verdicts concerning patient care (DiCenso, Guyatt Ciliska, 2014). It is an approach which aids in solving administrative and clinical practice concerns. It integrates a suitable critical appraisal and search of essential data which can help in solving urgent clinical questions (DiCenso, Guyatt Ciliska, 2014). Furthermore, it also incorporates a nurses clinical expertise and patients values and preferences (Gone, 2013). Therefore, it is a reliable process which enables health experts to research on clinical issues and any other relevant information and applies the findings to actual practice (Blais, 2015). This position statement seeks to identify and analyze both the positive and negative sides of evidence-based practice employed by registered nurses. It will also develop a conclusion on the basis of the standards of practice of nurses. Moreover, it will examine how evidence-based practice can be applied to aid in improving patient outcomes. Finally, the position statement will explore how realistic medical practitioners more so registered nurses can implement evidence-based practice without support or training in any clinical setting. Registered nurses are compelled to adhere to the stipulated standards and regulations so as to deliver quality healthcare. Standard 6 of the Registered Nurse Standard for Practice of the Nursing and Midwifery Board of Australia (NMBA) 2016 necessitates that registered nurses ought to provide responsive, appropriate and safe healthcare. Additionally, this should be done in accordance with the best evidence that is available to attain planned outcomes (Blais, 2015). Standard 6.3 requires that practice is delegated to enrolled nurses to enhance the provision of personalized care (NMBA, 2016). Consequently, evidence-based practice is in accordance with these standards because it entails the capability to individualize patients care. The practice also helps in reducing the cost of care and boosts the experience of the medical professionals providing care. Evidence-based practice has been beneficial for the healthcare sector. First, it has significantly aided in advancing the healthcare industry (Townsend, 2013). It has made the methods of providing care and service delivery dependent on credible evidence. Subsequently, it restrains the views of medical experts to be only considered as ideas rather than facts (Harvey and Kitson, 2015). It is important to note that credible evidence entails the combination of various findings obtained through research; therefore, it is accurate and verifiable. Evidence-based practice can be effectively implemented both clinically and theoretically by registered nurses through various steps. First, they have to evaluate the various patient conditions since sick persons might be unable to comprehensively explain their specific medical problems. Similarly, additional and key information can be obtained mainly through sufficient inquiry from the diverse patients (Greenhalgh, Howick and Maskrey, 2014). The next vital approach useful in attaining the implementation of evidence-based practice is to conduct detailed research in regards to appropriate medical resources that are available. Subsequently, the evidence has to be critically reviewed to determine its applicability or validity. It is key to note that all relevant information gathered can be appropriately applied to any patients clinical concern on the basis of medical expertise (Cvach et al, 2013). Finally, adequate analysis ought to be done to ascertain the appropriateness of the finding s. It is vital to note that standard 5 compels registered nurses to develop effective care plans for patients (NMBA, 2016). Subsequently, the plans should correspond to a comprehensive and detailed evidence. Therefore, evidence-based practice improves a patients outcome by incorporating additional information in the treatment hence better results (LoBiondo-Wood and Haber, 2017). Failure by registered nurses to implement evidence-based practice makes patients be at the risk of getting outdated and potentially harmful medical care or advice (Gould et al, 2013). Constant learning is paramount since evidence is continuously evolving. Therefore, the findings that were helpful in the past are not necessarily reliable anymore. There are many instances where medical experts encouraged certain practices which were later discovered that they were not beneficial (Howington et al, 2013). For example, medical professionals previously encouraged the practice of having a baby sleep on his or her stoma ch. However, after several studies, it was revealed that this practice contributed to infant death syndrome. Nowadays, it is suggested that babies lie on their back during sleep time (Greenhalgh, Howick and Maskrey, 2014). This is revealed to aid in reducing the risk associated with cot deaths (Schneider Whitehead, 2013) as well as suffocation. Notably, it is achievable for registered nurses to adopt evidence-based practice even without training. Additionally, this is because nurses possess self-efficacy skills hence would still conduct research without any training. On the contrary, heavy daily workload hinders registered nurses from coming up with contemporary evidence. Sometimes the researched data may be irrelevant. To ensure more evidence-based practice, mentoring and training of the health professionals ought to be considered (Gray et al., 2013). Insufficient time and inadequate comprehension of the medical journals may also curtail efforts to promote the practice. Enormous healthcare literature which is published in various sources inhibits the ability of medical experts to remain updated with contemporary evidence. Another challenge is lack of authority to alter patient care measures. Standard 3 of the nurses practice requires that registered nurses emulate a lifetime learning approach (NMBA, 2016). It makes sure that there is constant professional development in nursing care as well as practice. Most healthcare providers indicate a positive view of adopting evidence-based approach since it is vital in improving patient care. Nonetheless, the speed of acceptance and implementation of evidence-based practice is slow (DiCenso, Guyatt Ciliska, 2014). As such, the slow speed may lead to delays in service provision. The efficient implementation of evidence-based practice poses new demands to the nurses. For example, they have to apply dependable evidence to particular clients situations via adequate searching of related information or data, utilizing clinical judgments, and subsequently putting into consideration clients preferences as well values (Hauck, Winsett and Kuric, 2013). Moreover, a nurse ought to be able to recognize areas where there is knowledge gaps and should be to find ways of mitigating the gaps. New nurses also lack the experience when dealing with evidence-based research. As such, nurses ought to be trained on how to implement evidence-based research and practice. Evidence-based practice, therefore, needs commitment so as to provide patients with the finest and best possible health care. In busy clinical environments, it is fundamental that understanding where to get the most current and suitable evidence is the initial step towards achieving prosperous evidence-based practice (Stokke et al, 2014). Consequently, having the urge and confidence to transform clinical practice in regards to contemporary information is critical. Frequently, registered nurses may not get the necessary answers they require to improve practice. On the other hand, it is significant to understand that continuous effort will bear positive results (DiCenso, Guyatt Ciliska, 2014). The tough experiences of not being able to find the most applicable evidence ought not to restrain nurses from engaging in the process of evidence-based practice. However, this should aid in stimulating new research which can aid in finding the evidence required. Generally, in the contemporary health care management environment, due to the need to ensure minimal cost, accountability in any results achieved, time efficiency and patient-focused care, there is a necessity to implement an effective evidence-based practice (Scurlock-Evans, Upton and Upton, 2014). Any researched information used to better healthcare ought to be in line with the nurses' ethical standards which outline how to deliver efficient care in diverse clinical conditions. Appropriate implementation of evidence-based practice helps in solving clinical problems hence better delivery of healthcare to patients (Silvestri et al, 2013). On the contrary, if the evidence researched is irrelevant, then this process may prove to be disastrous. The final position on evidence-based practice is that it is imperative in the nursing practice. Moreover, this is because challenges like irrelevancy of evidence are minimal since the researchers are professional medical experts (Schneider and Wh itehead, 2013). Therefore, evidence-based practice ought to be adopted by health practitioners more so registered nurses to enable the efficient delivery of health services. In conclusion, according to contemporary data on evidence-based practice and the nursing standards, it is justifiable to state that the Evidence-based practice is beneficial to both the patients as well as the healthcare sector. First, it has significantly helped in advancing and promotion the healthcare industry by providing new ways of tackling patients issues and service delivery. It is, therefore, important for the registered nurses to adopt evidence-based practice even without training to enable in providing quality health care (Harvey Kitson, 2015). This is because nurses possess self-efficacy skills, therefore, would still conduct research. On the contrary, heavy daily workload hinders registered nurses from coming up with contemporary evidence (Gray et al., 2013). In this regard, nurses shortage should be addressed to avoid workload and pressure in nursing. This would enable the nurses to work effectively and provide quality and better services to the patients. In nutshell, evidence-based practice can be effectively implemented clinically by the registered nurses through a number of steps which ought to be effectively followed. References Blais, K. (2015). Professional nursing practice: Concepts and perspectives. Pearson. Cvach, M. M., Biggs, M., Rothwell, K. J., Charles-Hudson, C. (2013). Daily electrode change and effect on cardiac monitor alarms: an evidence-based practice approach.Journal of nursing care quality,28(3), 265-271. DiCenso, A., Guyatt, G., Ciliska, D. (2014).Evidence-Based Nursing-E-Book: A Guide to Clinical Practice. Elsevier Health Sciences. Gone, J. P. (2013). A community-based treatment for Native American historical trauma: Prospects for evidence-based practice. Gould, M. K., Donington, J., Lynch, W. R., Mazzone, P. J., Midthun, D. E., Naidich, D. P., Wiener, R. S. (2013). Evaluation of individuals with pulmonary nodules: When is it lung cancer?: Diagnosis and management of lung cancer: American College of Chest Physicians evidence-based clinical practice guidelines.Chest,143(5), e93S-e120S. Gray, M., Joy, E., Plath, D., Webb, S. A. (2013). Implementing evidence-based practice: A review of the empirical research literature. Research on Social Work Practice, 23(2), 157-166. Greenhalgh, T., Howick, J., Maskrey, N. (2014). Evidence based medicine: a movement in crisis?.Bmj,348, g3725. Harvey, G., Kitson, A. (2015).Implementing evidence-based practice in healthcare: a facilitation guide. Routledge. Hauck, S., Winsett, R. P., Kuric, J. (2013). Leadership facilitation strategies to establish evidence?based practice in an acute care hospital.Journal of advanced nursing,69(3), 664-674. Howington, J. A., Blum, M. G., Chang, A. C., Balekian, A. A., Murthy, S. C. (2013). Treatment of stage I and II non-small cell lung cancer: diagnosis and management of lung cancer: American College of Chest Physicians evidence-based clinical practice guidelines.Chest,143(5), e278S-e313S. Laska, K. M., Gurman, A. S., Wampold, B. E. (2014). Expanding the lens of evidence-based practice in psychotherapy: A common factors perspective.Psychotherapy,51(4), 467. LoBiondo-Wood, G., Haber, J. (2017).Nursing Research-E-Book: Methods and Critical Appraisal for Evidence-Based Practice. Elsevier Health Sciences. Schneider, Z., Whitehead, D. (2013).Nursing and midwifery research: methods and appraisal for evidence-based practice. Elsevier Australia. Scurlock-Evans, L., Upton, P., Upton, D. (2014). Evidence-based practice in physiotherapy: a systematic review of barriers, enablers and interventions.Physiotherapy,100(3), 208-219. Silvestri, G. A., Gonzalez, A. V., Jantz, M. A., Margolis, M. L., Gould, M. K., Tanoue, L. T., ... Detterbeck, F. C. (2013). Methods for staging non-small cell lung cancer: diagnosis and management of lung cancer: American College of Chest Physicians evidence-based clinical practice guidelines.Chest,143(5), e211S-e250S. Stokke, K., Olsen, N. R., Espehaug, B., Nortvedt, M. W. (2014). Evidence based practice beliefs and implementation among nurses: a cross-sectional study.BMC nursing,13(1), 8. Townsend, M. C. (2013).Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis.

No comments:

Post a Comment

Note: Only a member of this blog may post a comment.