EVIDENCE FOR NURSING
Assessment Item 3: Using evidence to inform clinical decision making
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formulated a searchable PICO and developed a search strategy.
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Weight: 50% of total mark. Please note that eight marks have been allocated to the in-class workshops.
Word limit: 1200
Due date: Midnight, Sunday 19 January 2019
Submission: Through Turnitin submission portal in UTS Online. No paper submission is required.
Task: You have been provided with 3 clinical scenarios, each indicates an area of clinical uncertainty. Select a scenario that interests you and answer the question that follows.
Scenario 1:
In the course of your clinical placement in a surgical ward, you noted inconsistency in wound care. While some nurses use a sterile technique others employ a clean dressing change technique.
Is clean wound dressing a safe option for dressing of surgical wounds?
Scenario 2:
You are working as an RN in an emergency department. A 10-year-old child has been admitted to the department with a diagnosis of exacerbation of asthma secondary to bronchitis. The patient has been prescribed salbutamol.
What is the more effective method of delivery- a nebuliser or a spacer?
Scenario 3:
Nurses take different approaches in dealing with family members during the resuscitation of a loved one.
Should family members be allowed to be present during the resuscitation of a loved one in the acute care setting? Why, or why not?
Instructions
The answer to this question should be presented in an essay format. Headings can be used if they help structure your work. To perform well in this assignment, you need to understand the levels of evidence, be able to effectively search for relevant research, select the highest level of evidence possible, and consider the quality of evidence that you use to answer your question. You should also demonstrate your ability to accurately interpret research findings, synthesise evidence and reach a conclusion about your question.
Part 1: Introduction (500 words)
Briefly describe the process you used to answer the question. i.e. how you formulated a searchable question and developed a search strategy. Justify the approach you took in accessing the evidence. Describe the rationale behind the selection of each paper (hint: level of the evidence, quality of the evidence, relevance). Both quantitative and/or qualitative articles can be used, as appropriate to the clinical scenario and question you have developed. It is not necessary to present all the evidence you found (and you have limited word count to do this). The key thing is quality not quantity – so four or five research based articles are better than a large number of low level papers. Provide the print screens of the abstracts of the papers you have chosen.
Part 2: Main body of the paper (500 words)
Briefly present each paper and their main findings. What does the research show?
Part 3: Conclusion (200 words)
This is where you clearly state what you think the answer to your question is and why.
Evidence for Nursing Assessment Task
3
: Using evidence to inform clinical decision making
Overall
weighting:
5
0%
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Criteria
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Criteria
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High Distinction (≥
4
2
.5)
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Distinction (37.5- 42)
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Credit (32.5- 37)
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Pass (25- 32)
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Unsatisfactory (<25)
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Your paper has
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1
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Contributes to the in-class workshops (8 marks).
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Made three or more meaningful participations in each online discussion forum and participated eagerly and constructively in the in-class workshop, providing a high quality, succinct, and accurate presentation (≥
6
.8).
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Made two meaningful participations and participated constructively in the in-class workshop, providing a quality, succinct, and accurate presentation (6- 6.7).
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Made one meaningful participation and participated actively in the in-class workshop, providing a clear and mostly accurate presentation (5.2- 5.9).
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Made one meaningful participation and demonstrated acceptable contribution to the in-class workshop, giving a satisfactory presentation (4-5.1).
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Engagement and the quality of the in-class presentation and online discussions were unsatisfactory (<4).
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2
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Demonstrates ability to search for evidence using a clear question and correct search strategy. Presents print screens of the abstracts of the selected papers (10 marks).
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Demonstrated and applied comprehensive knowledge and understanding of database searching resulting in a highly successful search (≥8.5).
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Demonstrated and applied very good knowledge and understanding of database searching resulting in a very successful search (7.5-8.4).
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Demonstrated clear knowledge and understanding of database searching resulting in a successful search (6.5-7.4).
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Demonstrated a reasonable knowledge and understanding of database searching resulting in some success (5-6.4).
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Demonstrated poor knowledge and understanding of database searching resulting in an unsuccessful search (<5).
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3
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Demonstrates an understanding of the level, type, and quality of evidence underpinning nursing practice and the healthcare service delivery (12 marks).
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Demonstrated and applied comprehensive knowledge and understanding of the levels and types of evidence used to answer a clinical question. Drawn upon credible and relevant literature and evidence to support your discussion (≥10.2).
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Demonstrated and applied detailed knowledge and understanding of the levels and types of evidence used to answer a clinical question. Drawn upon credible and relevant literature and evidence to support your discussion (9-10).
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Demonstrated clear knowledge and understanding of database searching resulting in a successful search (7.8-8.8).
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Demonstrated and applied partially-developed knowledge and understanding of the levels and/or types of evidence used to answer a clinical question. Drawn upon limited literature and evidence to support your discussion (6-7.6).
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Described some concepts related to the topic, but these may have been under-developed, unclear or incorrect. Used few or no references to support your discussion and/or failed to use credible academic sources (<6).
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4
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Demonstrates the ability to use research findings to answer a clinical question (15 marks).
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Presented an extremely well-constructed and insightful argument based on skilful interpretation of research findings to answer a clinical question (≥12.7).
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Presented a well-constructed argument based on detailed interpretation of research findings to answer a clinical question (11.2-12.6).
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Presented a clear argument based on an interpretation of research findings to answer a clinical question (9.75-11.1).
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Presented a reasonable argument linked to research findings to answer a clinical question (9.6-9.7%).
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Presented a superficial, inaccurate, or poorly constructed argument with little or no reference to research findings or based on incorrect interpretation (<7.5).
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5
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Writes clearly and succinctly, with correct grammar, terminology, and referencing (5 marks).
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Maintained a standard that is virtually free from spelling, grammatical and/or terminology errors. Accurately used the Harvard referencing style for in-text citations and reference list (≥4.25).
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Demonstrated good planning, with correct spelling and grammar, and appropriate terminology used throughout. Accurately used the Harvard referencing style for in-text citations and reference list (3.75-4.2).
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Maintained appropriate academic style, with minimal spelling or grammatical errors, and mostly suitable use of terminology. Accurately referenced the majority of sources using the Harvard style (3.25-3.7).
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Some incorrect spelling, grammar and/or terminology.
Some errors in the application of Harvard referencing style (2.5-3.2%).
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Failed to present information in an academic style, with numerous spelling, grammatical and/or terminology errors.
Used incorrect referencing style or had a large number of referencing errors (<2.5).
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6
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Overall
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