Nursing Research and Evidence Based Practice Assignment

Nursing Research and Evidence Based Practice - Assignment Example have a strong family history for atherosclerotic vascular disease, diabetes mellitus, or hypertension with attendant risk factors for cardiovascular disease. According to Deswall and Mann (2006), the use of ARBs in heart failure patients significantly reduced mortality and morbidity rates. For asymptomatic Stage B patients (left-ventricular dysfunction), vulnerability can be reduced using therapies that diminish the risk of procuring additional injury, remodeling process, and progression of the disease. Studies have shown that a number of barriers prevent the effective use of best available evidence. One of the barriers to implementation of evidence-based practice for heart failure patients is the lack of time and educational skills to handle the heart failure patients. This implies that there is limited relevance to practice. Chan (2012) argues that people who were educated almost 25 years ago probably did learn about EBP. Most nurses are finding it difficult to change their behaviour, as well as the constraining power of the phrase, â€Å"That is how it is done here.† This leads to inappropriate service delivery. One way of overcoming the educational barriers is through ensuring that the educators spend more time teaching the students on how to carry use research in practice since it improves their skills and knowledge. Adams (2010) notes that the nurse leaders need to place adequate evidence-based practice mentors at the bedside who will work closely with the clinicians thus assisting them to learn skills along with implementing them consistently. Finally, evidence has shown that most healthcare practitioners are often not aware of the latest evidence-based guidance. As a result, there is need to ensure that the healthcare professionals including the front-line supervisors to be conversant with the new evidence-based guidance so as to effectively perform their roles especially when handling heart failure patients. Deswal, A., & Mann, D. L. (2006).

Social Work Reflection Paper Essay Example | Topics and Well Written Essays - 1250 words

Social Work Reflection Paper - Essay Example The objective of the project was to determine if the social workers could draw a distinction between personal values and those of patients and their families. Another objective was to determine how the role of social work could change in the midst of a treatment. Finally, the last objective was to allow social workers to identify their comfort levels regarding the end of life discussions. The evaluation was divided into three activities. This paper presents a reflection on how my group responded to the activities, how the objectives were met, and implications of this exercise for my practice as a social worker. Activity 1, Activity 2, and Activity 3 were end of life care, comfortable and dignified death, and completing the five wishes respectively. Activity 1 involved a scenario of Mr. Cortez, who is connected to ventilator 24 hours following gunshot wounds. Additionally, Mr. Cortez cannot feed on his, so he is given food through tubes. Moreover, the patient is sore and cannot make any purposeful movement. The group responded to the scenario guided by a number of issues including personal values, factors that bar families from making healthcare decisions, and application of social work expertise in the situation. As the discussion went on, I noted a number of important factors. For instance, the main barriers to decision making by families include culture, religion, the inability of the patient to air his opinion, and language/comprehension. Additionally, from the activity, it emerged that not everyone is comfortable with discussing end of life issues and initiating end of life with the fa mily of the patient. For example, Sarah Welsh and Roy found it hard to talk about death and initiate the end of life conversation with the family. Nevertheless, the group responded well to the activity, and one of the strengths demonstrated was the ability to convince and encourage one another to uphold the duties of a social worker. For instance,