The Benefits of Evidence Based Practice in Nursing Essay examples
2119 Words9 Pages
Evidenced Based Practice (EBP) is essential to enable all nurses to provide the most current up to date practises for their patients. This process involves research, systematic review of current practises, critical thinking skills, evaluation and application to the clinical setting. In addition to this, the nurse must take into account the patients’ preferences. For nurses to have professional autonomy they must be able to justify their actions and demonstrate an understanding of why they perform the tasks they do. This defines them as unique professionals judged by their knowledge and not simply by their hands on skills. As stated by McSherry, Simmons & Pearce (2002);
“Nurses are responsible for the care they provide for their patient.…show more content…
(Polit & Beck, 2010). As nursing is person-centred and relies on a multidisciplinary team approach it has to take into account the care setting, patient predilections, clinical judgement and best available evidence. (Holland & Rees, 2010).
The key steps involved in evidence based practice come from a thirst for knowledge that once ignited makes the next step to asking a well worded clinical question easier. A well formulated question improves patient outcomes and supports the implementation of change. One such method looks at foreground and background questions. A background question is usually a basic knowledge question and is usually answered by a textbook. Foreground questions are usually specific and once answered can help in clinical changes. An acronym useful for formulating a well worded question is PICOT. ( Stillwell, Fineout-Overholt, Melnyk, Williamson, 2010).
“PICOT is an acronym for the elements of the clinical question: patient population (P), intervention or issue of interest (I), comparison intervention or issue of interest (C), outcome(s) of interest (O), time it takes for the intervention to achieve the outcome(s) (T).” (Stillwell et al., 2010, p. 59).
When a question has been identified the best study design can be chosen. For a prognosis question, a good quality cohort study would be used. For a non-compliance question, a qualitative study would be appropriate and for the effectiveness of treatment a systematic
Skills Used in Person Centred Counselling Essay
2708 WordsMay 16th, 201311 Pages
ABC Level 3 Certificate in counselling skills
Assignment 8 ‘Definitions of Counselling skills’
Unit 3, Criterion 1.3
The skills used in counselling, vary from model to model, here are definitions of the skills used in person centred counselling, Attentiveness and rapport building
Being attentive means giving all of your physical attention to another person so that you are fully present for them. This will help you to notice what the client is NOT saying, by noticing their body language, and also their tone and pace of voice. The use of non-verbal cues and the counsellor’s own body language conveys to the client that he is interested in what the client has to say. (Bolton 1979). Managing silences from the client shows…show more content…
It allows time for the client to collect their thoughts, and process what has happened in the session. The counsellor should let the client be silent but still be attentive, but not try to rush the client or fill in the gaps or silence, as this would be insensitive and could damage the counsellor-client relationship. The counsellor should track the client, if the silence is going on for a long time. Sometimes the client gives a sign, like maybe looking directly at the counsellor, and catching his eye the counsellor could encourage the client to try to continue by being gentle and accepting of what was said before the silence. (Course handout 2013).
Empathic listening, Unconditional positive regard and Congruence
Empathic listening “means entering the private perceptual world of another and becoming thoroughly at home in it. It involves being sensitive, moment-by-moment, to the changing felt meanings which flow in this person, to the fear or rage or tenderness or confusion or whatever that he or she is experiencing. It means temporarily living in the other’s life, moving about in it delicately without making judgements” (Rogers 1980 A Way of Being).
What this means is that the counsellor puts himself in the client’s shoes and sees things through the client’s eyes, (his internal frame of reference). When a counsellor does this, he knows and feels what the client is feeling as if he himself is feeling it, and so creates empathy and