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EBP Implementation Scale

Based on the table on page 599, my score for the EBP implementation scale is 40. It is amazing to know I don't apply much of evidence-based practice to my daily routine work as a 3-11 supervisor, however, I guide nurses and aids to apply evidence-based to their practice. After using different database looking for evidence on my PICOT question as follows:

does music therapy help decrease pain, anxiety and depression, increases patients and family satisfaction and improves quality of life in geriatric and cancer patients within a 6-month period?

Using the EBP implementation scale, I realized that I need to do more of share evidence-based research information with my colleagues. For a successful patient care to occur, healthcare professional will have to be informed and guide to stay up to date on latest best practices (Melnyk, Fineout-Overholt, 2015). As geriatric care nurse, sharing EBP research information with patients and family members can sometimes be helpful or it will create more trouble.

Based on our facility policy, physicians are mostly requiring explaining medical information's or exams results with patients and loved ones. When it comes to pharmacological interventions, as a supervisor, I always encourage nurses to apply non-pharmacological interventions on pain management, anxiety reduction and/or behaviour management before any pharmacological interventions.

Many researchers have proven that, music therapy helps to elevate pain threshold by releasing endorphin which causes positive effects on individuals suffering from cancer or painful condition, and offers a nonpharmacologic and safe alternative in the treatment of pain in palliative care patients (Dumbar et al., cited in Laura, Sylvie, & Aurore, 2015). Music as a therapeutic intervention is the most influential of the arts in promoting wellbeing and health is music, and researchers have proven that music therapy decreases the aggressive behaviour in patients suffering from dementia or Alzheimer's diseases (Clift et al., Wall, & Duffy, cited in Eells, 2014).

Because understanding the metabolic changes that occur in elderly patients will allow nurses to apply non-pharmacological interventions first before administering pharmacological agents. So, I think it is up to me to share the information's I have learned in this class with my colleagues going forward to help improve healthcare practice within my facility and beyond, and sometimes, to avoid ethical dilemmas, proper documents on collected data of nurses and other healthcare professionals about patient's condition and interventions is vital.

References:

Eells, K. (2014). The use of music and singing to help manage anxiety in older adults. Mental Health Practice, 17(5), 10-17 Laura, D., Sylvie J. & Aurore, S. (2015). The effects of music therapy on anxiety and depression: Annals of depression and anxiety. Austin Publishing Group, 2(4), 1057.

Melnyk, B.M. & Fineout-Overholt, E. (2015). Evidenced-based practice in nursing and healthcare: A guide to best practice (3rd ed.). Wolters Kluwer: Philadelphia, PA.

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