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Evidence Based Research

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Evidence Based Research
Introduction

Research in Nursing has become a fundamental discipline throughout the years and this report will provide an insight into the process of research. This report will show how to use the Cinhal database to extract the best available article within the parameters of Tissue Viability and formulation of the research question. The main features will focus on the reliability and validity of the chosen topic of the Waterlow Scale tool and the comprehensive evaluation of the evidence. The main aim of this report is to validate the effectiveness of Waterlow Assessment Tool and identify any risk factors, towards the prevention of pressure ulcers. The overall strengths and weaknesses of the report will highlight any justifications that would challenge the validity of the search. The final stages will evaluate the conclusions of the literature and whether it is justifiable to apply into practice, analyzing some of the barriers to facilitate its implementation. The conclusion will summarize all the key points in the report and any further recommendations required for the future.

Search Process

To formulate the specific question to begin my search process, I explored the PICO (Brun, 2009) template to determine the key components I would use. This template enabled me to structure and evaluate the pertinent answers I required and plan the subsequent stages incorporating tissue viability in clinical practice. Using PICO I configured my thoughts to formulate a clear and answerable question:

Problem.............. Tissue Viability and Pressure Ulcer Prevention
Intervention........ Waterlow Scale Tool
Comparison........ Clinical Judgment and Evidence Based Practice (EBP)
Outcome............. Validity and usefulness

My Search Process began with the Cinhal database resource and Ebsco Host Interface. To focus the search I began with the problem and entered 'Pressure Ulcer' as my 1st advanced search term. To elaborate further I proceeded



References: BJN (British Journal of Nursing). (2010).Tissue Viability supplement. Vol 19. No.6. 'Validity of the waterlow scale and risk of pressure injury in acute care. Mark Allen Publishing Limited. London. Brun, C, D., & Pierce-smith, N. (2009). Searching skills toolkit. Finding the Evidence. Wiley-Blackwell. Chichester. Burns, N. & Grove, S. K. (2009). The Practice of Nursing Research. Appraisal, Synthesis and Generation of Evidence. (sixth Edition). Saunders Elsevier. Missouri. USA. Craig J & Smyth R (2007) 2nd edition. The Evidence-Based Practice Manual for Nurses DOH, Department of Health. (2010). Clinical Governance and Adult Safeguarding. An Integrated Process. DOH. London. Gerrish, K., & Lacey, A. (2006). The research Process in Nursing. Fifth edition. Blackwell Publishing. Oxford. Glasziou, P., Irwig, L., Bain, B. & Colditz, G. (2001) Systematic Reviews in Health Care. A Practical Guide. The Press Syndicate of The University of Cambridge. Cambridge. Holland, K. & Rees, C. (2010). Nursing: Evidence-Based Practice Skills. Human Research Ethics Committee,(HREC) (2010). Queensland Government Regulations. Australia. 25th June 2010. [Online] Available from: http://www.health.qld.gov.au/ohmr/html/regu/hrec_contacts.asp Accessed on: 28th August 2010. Moore, z. e. & Cowman, S. (2008). Risk Assessment tools for prevention of pressure ulcers. Cochrane Database Systematic Review. Issue 3: Art. No.CD006471. Morison, J. M., Moffatt, J. C. & Franks, J. P. (2007). Leg Ulcers. A Problem-Based learning approach. Mosby Elsevier. London. NICE (2003) National Institute for Clinical Excellence. Pressure Ulcer Prevention of pressure ulcers in primary and secondary care. National Collaborating centre for nursing and supportive care.. NICE. London. NPSA National Patient Safety Agency (2010). Zero Tolerance approach to pressure ulcers. [Online] Available from: http://www.npsa.nhs.uk/corporate/news/nhs-to-adopt-zero-tolerance-approach-to-pressure-ulcers/ Accessed on 28th August 2010. NPUAP. National Pressure Ulcer Advisory Panel. (2010). Pressure Ulcer prevention guidelines. General recommendations. [Online] Available from: http://www.epuap.org/guidelines/Final_Quick_Prevention.pdf Accessed on 24th August 2010. Pacorbo-Hidalgo P. L., Garcia-Fernandez, F. P., Lopez-Medina, I. M., Alvarez-Nieto, C. (2006). Risk Assessment scales for pressure ulcer prevention: a systematic review. J Advance Nursing 54(1): 94-110. Parahoo, K. (2006). Nursing Research Principles, process and issues. Palgrave McMillan. UK. Sacket, D, Strauss, S.E., Ricjardson, W. S., Rosenberg, W., & Haynes, R. B. (2000). Evidence Based Medicine: How to practice & teach EBM (2nd Edition). Churchill Livingstone. London. ScienceSoftware (2010). Statistical Graphs and data analysis. [Online] Available from: http://www.sciencesoftware.com/pages.php?pageid=335 ScientificSoftware Service. Germany. Accessed on: 12th September 2010. Sim, J. & Wright, C. (2000). Research in Healthcare. Concepts, Designs and Methods. Nelson Thornes Ltd. London. SPSS, (2006). Predictive Analysis Database for Research. [Online] Available from: http://www.spss.com/articles/articles.cfm?Year=2006. SPSS Inc. Chicago, USA. Accessed on: 18th August 2010. The National Chief Executive (2006). Wound care and tissue viability. [Online] Available from: http://www.natinalhealthexecutive.com/news-woundcare-tissue-viability-team.htm Accessed on 3rd September 2010. Waterlow, J. (2010). [Online] Available from: http://www.judy-waterlow.co.uk/the-waterlow-score-card.htm Pressure Ulcer Risk Assessment and Prevention

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