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HLSC122 Assessment 1 - evidence-based practice
Inquiry in Health Care (HLSC122 )
Australian Catholic University
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Evidence based practice is an approach to healthcare which involves the use of research evidence to overcome barriers to locate, appraise and apply the best research for use within a healthcare setting. The five steps of practice (EBP) is a practical method used to determine a validity, and applicability to their and to their clinical practice (Facchiano and Snyder, 2013). This method is important to clinical practice today as it expands the knowledge and skills of professionals and closes the gap between research and traditional practice. There are many ways in which the healthcare professional can use this framework to conclude which practices or guidelines will be best suitable for the area of research. We will look in depth of how the framework can be applied to an occupational health and safety practice, such as the use of professional protective equipment (PPE), to determine the best course of action using research evidence. Occupational health and safety practices are an important aspect of the healthcare system, as these guidelines can prevent harm ensuring the safety of patients and professionals. The use of professional protective equipment in healthcare follows protocol, which it is very important and highly regarded. Gloves in particular are very prominently used healthcare professionals and are worn in almost every scenario where there is contact between a patient and professional. This can prevent infection or benefitting not only the professional, but the patient too. Current research indicates that: Medical gloves are recommended to be worn for two main reasons: 1. To reduce the risk of contamination of workers hands with blood and other body fluids. 2. To reduce the risk of germ dissemination to the environment and of transmission from the worker to the patient and vice versa, as well as from one patient to another. (World Health Organization, 2009). However another study conducted Creamer, Davis and Rice (2012), investigated whether or not the use of sterile gloves (medical gloves) or gloves (clean gloves) make a difference in a clinical setting. When implementing this practice in healthcare using the approach to practice, we first need to ask an answerable clinical question. (Davidson and Iles, 2010). The question must be relevant to a problem or knowledge gap and should cover what your intending to study, what your are, what you are comparing this study to and what are your outcomes may be. For example, in the sterile glove study (Creamer et al 2012), they sought to whether a significant difference in bacterial count was present on clean gloves vs. sterile Secondly, we must acquire the best available evidence. The sterile glove study (Creamer et al, 2012) used several studies that proved how many microorganisms are needed to cause a wound infection, and compared these results with their findings of microorganisms found on and sterile gloves. Health professionals must consider and favor higher levels of evidence over untested ideas or experiences as there must be justification and reasoning behind the practice. Ultimately it can be detrimental to ones health if there was no critical thinking or clinical explanation to back the findings. There are also many levels and hierarchies of evidence to consider. very small and had only 25 individuals, there also were other factors which could contribute to infection rather than bacteria found on gloves, and this study only aimed to be applied to minor procedures performed in an outpatient setting. These limitations can disadvantage the study or could also be very successful in determining a new course of action. Further questions may arise from the results and further investigation could be required, so we need to keep in mind the potential limitations. We also need to be cautious of the type of evidence we unreliable and informal evidence such as tradition can easily create barriers to a study, and will not have research to support its ideas. However, reliable and formal evidence such as systematic reviews and clinical guidelines can facilitate findings. Many successful studies and practice use reliable sources and systematic research to support their findings. In particular, the glove (Creamer et al, 2012) used 12 systematic reviews to create a strong foundation to compare their findings against, conduct their own research and analyze their results. Their findings were supported these systematic reviews, therefore achieved a strong conclusion, and effectively used the EBP model to answer their intended question. Overall, acquiring information from past studies and clinical expertise, health professionals can connect relevant practice to decisions about the use of gloves in healthcare. Guidelines and protocols in healthcare today clarify the importance of PPE in a healthcare setting. These guidelines have undergone research and rigorous reviews from experts and the method can conclusively be used to guide healthcare professionals to obtain evidence to support their practice. REFERENCES: Creamer, J., Davis, K. and Rice, W. (2012). Sterile gloves: do they make a difference? The American Journal of Surgery 204(6), Retrieved from Davidson, M., Iles, R. (2010). practice in therapeutic health care. In P. Liamputtong (Ed.), Research methods in health: foundations for evidencebased practice (pp. South Melbourne: Oxford University Press. Facchiano, L. Snyder, C. H. (2013). practice for the busy nurse practitioner: Part four: Putting it all together. Journal of the American Academy of Nurse Practitioners 25(1), DOI: Mcgill, S. A. (2009). The World Health Organization. Ipswich, MA: Great Neck Publishing Roecker, C. (2012) Hierarchy of evidence awareness saves time, Journal of the American Chiropractic Association. P7. Retrieved from 16a642949a7b6b2da1b9
HLSC122 Assessment 1 - evidence-based practice
Course: Inquiry in Health Care (HLSC122 )
University: Australian Catholic University
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