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Tuesday, March 5, 2019

Evidence-based practice Essay

Evidence-establish practice (EBP) is a system of incorporating research findings into nurse practice so as to amend the therapeutic outcomes. (Polit, F. D & Beck, T. C, 2010). The evidence found practice places particular violence on the use of evidence, in particular research findings, in clinical decision making. (Parahoo, K, 2006). During past clinical exposures, the issues regarding post natal mental picture were found as a less explored one because of the complex enfolding of both mental intimatelyness nursing and maternal and tike health nursing. Postpartum psychosis is a manifestation of a life time exposure to affective disorders with child birth as the precipitating factor (Spinelli, M. G, 2009).The rivet clinical question discussed here, which is an important element in an evidence based practice is as follows How effective is the education of nurses about postpartum feeling in helping to identify and reduce postpartum depression among naked mothers in a matern al ward or community?. correspond to the PICOT outline for formulating EBP questions, here, the population is new mothers, the intervention is education of nurses about postpartum depression and outcome is identify and reduce postpartum depression.The clinical settings chosen for this focused clinical question is maternal ward in a hospital as well as community settings. It is based on the general assumption that initial care will be given in a Hospital maternal ward followed by contact care given in community settings. Having a tiddler is a joyous moment, but for some women it also brings worries as well as stress. Many recent study reports highlight alarming grade of occurrence of post natal depression. About 10% of new mothers beget from the most severe form of post natal depression.(Science Daily, 2010). It is evident that, cosmos the closest aid of a post natal delivered woman, maternal and child health nurse can do a lot in identifying and reducing post natal depression. Here, an attempt is made to explore and give out the educational aspect of nurses in alleviating the said problem. The online databases chosen for this assignment is CINAHL (Cumulative tycoon to Nursing and Allied Health Literature) . A systematic search strategy has been carried out using describe run-in such as postpartum depression, postnatal emotional disturbance, puerperal depression, perinatal depression, psychosis, nursing care, nurse knowledge, nursing care, and education. More than 700 results were yielded initially when postnatal depression used as the key words.Theresults were narrowed by choosing the publication dates between January 2000 and December 2010. Results were further grouped by re arranging them in a date move order and a suitable article titled Detection, treatment and referral of perinatal depression and anxiety by obstetrical providers(Goodman ,J,H, Tyer-Viola, L, 2010) obtained. Key words were combine by using Boolean operator AND. The combination o f key words postnatal depression and nursing interventions generated 4 results, and among them, two results with titles, Improving the postnatal outcomes of new mothers (Morse C, Durkin S, Buist A, and Milgrom J, 2004) and Comparison of effects of nursing care to problem understand training on levels of depressive symptoms in post partum women (Tezel, A and Gozum, S, 2006) were found germane(predicate) for the focused clinical question.

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