Essential for Evidence-Based Practice Response
Hello Meghan, I appreciate the work you did on Evidence-Based Practice in nursing, and I agree with you that deciding to end a person’s life is not easy to both the medical caregivers and the family of the patient. Resuscitation is a process by which patient is brought back or rather restored back to life in case his or her respiration process has come to a stop (Dougherty & Lister, 2015). Medical practitioners use the method to try to save the life of the patient rather than letting him or her die without any extra attempt. Your thought on the brutality of CPR is intelligent, but there would have been a clear explanation as to why CPR is brutal. CPR is considered brutal since it requires the patient to be subjected to pressure especially on the chest to trigger a heartbeat. The method may be uncomfortable for others to watch especially family members (Twibell, Siela, Neal, Waters &Riwitis).
I concur with your argument that EBP is important in hospitals as it helps solve the problems that may be encountered (Pilot & Beck, 2017). However, there could have been an inclusion of the other benefits that health caregivers receive from EBP practice which include; improvement of caregiving and skill development which is essential in health care (Melnyk & Fineout-Overholt, 2011). Upgrading the methods of care giving will generally improve the health conditions and satisfaction of patients (Melnyk & Fineout-Overholt, 2011). However, the barriers of implementing EBP such as lack of time and cooperation from patients should never be ignored.
The PICOT question is thoughtful but would have been framed differently for instance ‘Should the family be involved in the resuscitation process?’ To create room for more discussion, a more open-ended question such as ‘what are the pros and cons of involving family during resuscitation?’ Use of an open-end question will create room for more research to be undertaken.
Dougherty, L., & Lister, S. (Eds.). (2015). The Royal Marsden manual of clinical nursing procedures. John Wiley & Sons.
Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Pilot, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA.: Wolters Kluwer.
Twibell, R., Siela, D., Neal, A., Waters, N., &Riwitis, C. (n.d). A qualitative study of factors in nurses’ and physicians’ decision-making related to family presence during resuscitation. Journal Of Clinical Nursing, 27(1-2), E320-E334