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Evidence Based Practice

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Evidence Based Practice
A critical appraisal of a published piece of research related to practice.

Evidence Based Practice - HEN62029-5
Student number 10039687

Word count 3150

The following ssion of this assignment attempts to critically appraise the venUS III randomised control trial (RTC) published in the British Medical Journal.
As a student/healthcare worker who is new to critical appraisal I am aware that I do not fully understand some of the calculations involved in reporting of findings, however Greenhalgh (2006) argued, ‘all you really need to know is what the best test is to apply in given circumstances, what it does and what might affect its validity/appropriateness’. When caring for patients it is essential that Healthcare Professionals are using current best practice. To determine what this is they must be able to read research, as not all research is of the same quality or standard therefore Healthcare Professionals should not simply take research at face value simply because it has been published (Cullum and Droogan, 1999; Rolit and Beck, 2006).
I am completing this assignment to cultivate the skills at enable me to effectively assess the validity of research that may shape my practice. There are numerous tools available to help reviewers to critique research studies (Tanner 2003).
I have elected to use the Critical Appraisal Skills Programme (CASP) tool. I chose CASP as it is simple, directive and appropriate to quantitative research.
The research article had a clear concise and easily understandable title and abstract. Titles should be 10/15 words long and should clearly identify for the reader the purpose of the study (Connell Meehan, 1999). Titles that are too long or too short can be confusing or misleading (Parahoo, 2006). From the abstract the reader should be able to determine if the study is of interest and whether or not to continue reading (Parahoo, 2006).
The author(s') qualifications and job can be a useful indicator into the researcher(s')



References: Aveyard H & Sharp P (2009) A Beginners Guide to Evidence Based Practice - in health and social care. Open University. Press, Maidenhead, Berkshire. Baker S.R, Stacey M.C, Jopp-McKay A.G, Hoskin S.E. and Thompson P.J. (1991) Epidemiology of chronic venous ulcers. British Journal of Surgery. 78:864-7. Barker J (2010) Evidence-Based Practice for Nurses. Sage Publications, London Beauchamp T, Childress J (2001) Principles of Biomedical Ethics Bell M (1994) Nurse’s knowledge of the healing process in venous leg ulceration. Wound care, 3 (3) pp. 145-150 Bosanquet N Bowling A and Ebrahim S (eds.), (2005), Handbook of health research methods; investigation measurement and analysis, Open University Press, Glasgow. Briggs, H. E., & Rzepnicki, T. L. (Eds.). (2004). Using evidence in social work practice: Behavioral perspectives. Chicago: Lyceum Books. Brownson, R. C., Baker, E. A., Leet, T. L., and Gillespie, K. N. (2002). Evidence-based public health. New York: Oxford Burns N, Grove S (1999) Understanding Nursing Research Charles H. and Lindsay E. (2004) Principles of Leg Ulcer Management and Prevention: Educational Booklet. The Wound Care Society. 1.(4): 4-20. Clinical audit support center (2013) What is clinical audit http://www.clinicalauditsupport.com/what_is_clinical_audit.html[26.1.13] Cochrane AL (1972) Effectiveness and Efficiency : Random Reflections on Health Services Conkin Dale J (2005) Critiquing research for use in practice. J Pediatr Health Care Connell Meehan T (1999) The research critique Cullum N. Droogan J (1999) Using research and the role of systematic reviews of the literature. In: Mulhall A. Le May A. eds. Nursing Research: Dissemination and Implementation. Churchill Livingstone, Edinburgh Dawes, M., et al Department of Health (2010). Equality and Excellence:Liberating the NHS.The Stationery Office, London. Department of Health (2010). Quality Innovation, Productivity and prevention challenge: an introduction for clinicians. The Stationery Office, London. Department of Health (2012) The NHS Constitution. The Stationery Office, London. Dobson, K. S., & Craig, K. D. (Eds.). (1998a). Best practice: Developing and promoting empirically supported interventions. Newbury Park, CA: SAGE. Dobson, K. S., & Craig, K. D. (Eds.). (1998b). Empirically supported therapies: Best practice in professional psychology. Thousand Oaks, CA: SAGE. Elliot E, Russell B, Jaffery G (1996) Setting a standard for leg ulcer assessment. Journal of wound care, 5 (4), pp.173-175 Gay, L Gilgun, J. F. (2005). The four cornerstones of evidence-based practice in social work. Research on Social Work Practice, 15, 52–61. Lindholm C, Bjellerup M, Ole B. C. and Zederfeldt B (1993) Quality of life in chronic leg ulcer patients: an assessment according to the Nottingham health profile. Acta Derm Venereol (Stockh). 73:440-443. Madden, A. P. (1991) Research or audit? Network – A Newsletter for Medical Audit Assistants, 1, 1. Moffat CJ & Franks PJ (2004) Epidemiology and health services research. Implantation of a leg ulcer strategy, Journal of Dermatology 151(4), pp857-867 National Centre for Clinical Audit (1997) NCCA Criteria for Clinical Audit NHS Choices (2012) leg ulcer, venous http://www.nhs.uk/conditions/Leg-ulcer-venous/Pages/Introduction.aspx[19/1/13] Parahoo K (2006) Nursing Research Polit D. Beck C (2006) Essentials of Nursing Care: Methods, Appraisal and Utilisation. 6th edn. Lippincott Williams and Wilkins, Philadelphia Roberts, A Sackett, D. L., Strays, S. E., Richardson, W. S., Rosenberg, W., & Haynes, R. B. (2000). Evidence-based medicine: How to practice and teach EPB (2nd ed.). New York: Churchill Livingstone. Sarkar P.K. and Ballantyne S. (2000) Management of leg ulcers. Postgraduate Medical Journal. 76:674-682. Schan DA (1990). Educating the reflective practitioner: toward a new design for teaching and learning in the professions. San Francisco, CA: Jossey-Bass Silagy C (2001) Evidence Based Practice in Primary Care BMJ books, London Tanner J (2003) Reading and critiquing research. BrJ Perioper Nurse 13(4): 162-4

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