CNA672: Evaluation of Practice Assignment Help
Question
CNA672: This Clinical Nursing assignment for the University of Tasmania demands the student to employ research skills in the clinical nursing practice. In this assignment for the Research For Clinical Practice course, the student is required to complete four tasks all assessing the student for different course learning outcomes. In these tasks, the student is required to choose a nursing practice area that encompasses different viewpoints related to patient care. A research question needs to be developed. Additionally, all the key arguments in the nursing practice area need to be supported by evidence from scholarly articles by the student.
Solution
The solution for this assignment demands extensive research of scholarly articles in addition to an in-depth understanding of the various concepts of clinical practice. This is why many students across Tasmania need help with this nursing assignment. We take pride in delivering the best Nursing assignment help in Tasmania, Australia.
The topic taken for this assignment presents a comparative analysis of nebulizers and metered dose inhalers (MDIs) for the management of acute respiratory symptoms.
Task 1
The first section of this assignment highlights the nursing practice area where there is ambiguity or disagreement over the way treatment is provided. In providing CNA672 Evaluation of Practice Assignment Help, the topic has been chosen by our experts after extensive research, some parts of which you can read below:
In respiratory medicine, there is a great deal of uncertainty and differing opinions about the provision of care for acute respiratory symptoms (Chan et al. 2021). One area of particular interest which is gaining a lot of research focus is the use of metered dose inhalers (MDIs) versus nebulisers for the treatment of acute respiratory symptoms. MDIs are devices that deliver a metered dose of medication directly to the lungs, which work by using a propellant to create a fine mist of medication that is inhaled through the mouth (Vallorz, Sheth & Myrdal 2019).
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Task 2
In providing nursing assignment help for the next task, our experts have used the PICO framework to develop a specific search question strategy for the chosen area of nursing practice. Boolean operators with MeSH and keywords have been used by our experts. In addition to this, the rationale behind the choice of each of these resources has also been appropriately mentioned. This is how we ensure best Nursing assignment help in Tasmania, Australia.
In order to compare the effectiveness of MDIs and nebulisers in treating acute respiratory symptoms, the first step is to develop a specific searchable question using the PICO framework. The question thus formed is given as follows:
____________________________________________________________________________________________________________________________
The PICO components of this question are:
In the next step, multiple keywords were identified from the developed PICO question, which were combined using Boolean operators AND and OR to search for relevant articles in the electronic database PubMed.
(‘Metered dose inhalers’ OR ‘MDIs’ OR ‘MDI’) AND (‘nebulisers’) AND (‘acute respiratory symptoms’) AND __________________________________________________________________________________________________________________________________________________________________________________________
This search string was used to obtain the highest levels of evidence regarding the effectiveness of MDIs and nebulisers in relieving acute respiratory symptoms. After conducting the database search, three evidence-based research were selected for the assignment.
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Task 3
In the third task, the strength and volume of the evidence supporting the recommendations have been analyzed in detail. Furthermore, discrepancies with respect to existing practice in the clinical environment and the evidence-based recommendations have also been elaborated upon in this section.
The first research evidence selected for this assignment was a systematic review by PayaresSalamanca et al. (2020). This study was chosen because systematic reviews are considered to be the gold standard of evidence according to the hierarchy of evidence pyramid (Murad et al. 2016). Systematic reviews provide the most reliable information about the effectiveness of a treatment or intervention by systematically searching for all relevant studies, critically appraising the quality of the studies, and combining the results of the studies. Therefore, they provide a more valid, accurate, and reliable picture of the evidence than any individual study (Gopalakrishnan & Ganeshkumar 2013). In their study, Payares-Salamanca et al. (2020) found that MDIs and nebulisers have comparable efficacies in treating acute respiratory exacerbations in children. However, they noted that MDIs were associated with shorter emergency department visits and a significant reduction in Pulmonary Index Score. Therefore, this study recommended the use of MDIs in preference to nebulisers, as they offer additional benefits in terms of clinical outcomes. Additionally, the review also noted that since nebulisers produce aerosolized particles that may spread COVID-19, they should not be considered as an option during the pandemic. The second research evidence selected was an RCT study by Snider et al. (2018). An RCTwas chosen for this assignment because they provide the most reliable evidence about the effectiveness of a treatment or intervention in medical research (Murad et al. 2016). This is because they are designed to minimize bias by randomly assigning participants to either a treatment group or a control group.
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Task 4
The last task of this Clinical nursing assignment presents the obstacles to evidence-based practice (EBP) that exist in the clinical context of patient care for patients suffering from Acute Respiratory symptoms, and how to address these issues.
There are a number of barriers to the use of MDIs in our respiratory ward. For instance, some patients are reluctant to use MDIs because they are afraid of using them incorrectly or because they find them difficult to use. Additionally, many patients perceive nebulisers to be more effective than MDIs in the management of their symptoms. Furthermore, some healthcare providers within the respiratory ward are also not quite familiar with the use MDIs or do not feel confident in their ability to teach patients how to use them. Despite the barriers to using MDIs in the respiratory ward, there are a number of strategies that can be used to overcome them and promote MDI use. One strategy is to provide patient education about the benefits of using MDIs and how to use them correctly in a simple and clear language (Lawton et al. 2016).
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