critically appraised topic and implementation of the evidence
Type of paperCritical Thinking
SubjectNursing
Number of pages3
Format of citationHarvard
Number of cited resources5
Type of serviceWriting
two papers been evaluated on effect on telephone based counselling in Physical activity in women with breast cancer 1. I already critiqued the 2 topics and both concluded in positive impact of TELEPHONE BASED INTERVENTION (this is my intervention which i want to implement in clinical settings for best care of breast cancer patients as it help in reducing recurrence). 2. involvement of CLINICAL GUIDELINES in Telephone counselling in Physical activity. is there is or not?? 3. How it can be involved effectively in patient care. as telephone counselling in Physical activity is not a primary part of treatment, WHY, and HOW can change be introduce?? 3. Do nurses supposed to take this job for counselling?? incentives for them??? or WHAT should be involved for promoting the care?? OR special physical examiner role to be create?? 4. if CHANGE can not be made?? than what?? other nursing or medical strategies in promoting PA through TC? 5. please all data should be referenced well… and NOT be Desсrіptive with no references… 6. attaching a example of better understanding of my ideas… but definitely different way of writing. thank you
Telephone Based Intervention 1
TELEPHONE-BASED INTERVENTION AND IMPLEMENTATION IN CLINICAL SETTING
By
COURSE NAME
TUTOR
SCHOOL AFFILIATIONS
CITY/STATE
DATE
Telephone-Based Intervention and Implementation in Clinical Setting
Introduction
Breast cancer treatment requires diverse approaches- medical, conventional and psychological. The combination of these methods yields better results. Telephone involvement is required by these patients to support, guide and follow up the progress of patients. Telephone-based intervention has positive impacts on breast cancer victims in their physical activities and treatment if implemented well in any clinical environment (McHugh and Barlow, 2010). The support offered through telephone is to help in patient behavior management, help the patient emotionally and socially and also educate the caregivers on how to manage the patient. The healthcare support provided lies in the professional outline of the clinical guidelines. Comment by laila al balushi: These all are definitions, descriptions … I need interventions in PA how to carry it in clinical. Issues that prevent carting the PA ..The example was clear how to make it without introduction, or conclusion.I just need how to implement it in clinical settings
Body
Provision of telephone support by health care givers strictly lies within the clinical guidelines. The intervention should be aimed accelerating the healing process of patients. The support should lie within the set guidelines and should be evidence-based (Guivarch and Hallegatte, 2012). The extent to which these guidelines should be involved depends on a number of things. First, the guidelines should lead to a measurable and achievable telephone support exercise. Secondly, the implementation guidelines of clinical practice should give priority to the evidence-based practice and also take into consideration the workability. The measures taken should consider research findings on how effective will the guidelines be and their effect on their use.
Breast cancer requires complex treatment procedures some of which are scary and risky. A patient needs to be prepared mentally prior to any of the medical procedures. Telephone intervention can be used to educate and encourage the patient. Breast cancer patients need to be stable free from all stress. The patients require preoccupation. In stress management, physical activities are essential. Physical activities also improve the body’s immunity.
In treating Breast cancer patients, the telephone support should be a crucial tool in motivating the patient to do physical activities. The telephone support should encourage the patients to do a variety of physical activities. Considering the difficulty of doing any physical activities by patients, the professional taking the patient through the exercise ought to be committed. The health care professional should then make follow-ups via telephone. This way, the patient will feel encouraged and it will minimize the chances of the patient skipping any physical activity.
Counseling is not the primary treatment for breast cancer, however, it is crucial. Research indicates that breast cancer survival rates have increased due to the telephone counseling. It is recommendable that the exercise is rigorous and friendly so that not to scare the patient.to achieve the goal of providing a rigorous telephone counseling and physical activity all the nurses should be trained on how to counsel.
Implementation of telephone support services will require that the nurses be trained counselors. This way nurses who are not employed as a nurse can be employed as a breast cancer patient counselor. Counseling is effective in the management of breast cancer (Grol, Richard, 2010). There is evidence which shows that 90% of patients who get counseled recover successfully while those who do not get counseled succumb to the disease. The nurses who counsel patients with breast cancer should have a rich set of skills in handling the patients. These set of skills include good listening ability, stress management skills and good communication skills. A nurse who works as a counselor and at the same time as a caregiver should be encouraged and given higher wages as an incentive. Comment by laila al balushi: What do mean by this?? confusing
To promote the care, toll-free numbers should be created for patients to consult anytime they have a need. The patients from the same region should be encouraged to form help groups. The help groups can be counseled as a group and be encouraged to do physical activities as a group. This will make the physical activities fun. These groups should be manned by special physical examiners. The role should be created purposely to serve the breast cancer patients. Comment by laila al balushi: First intervention. Good Comment by laila al balushi: In need only for physical activity.
In the current system, there are gaps in the strategy. To cover for these gaps a new model has to be used. This model involves adopting a telephone-based intervention model which can be translated and it involves more than one function. The model will be automated and inform of an application which reminds the patients the physical activities they have to do. The model will be more effective than the group interventions (Whitlock, et al 2002). The telephone-based intervention application will contain educative and motivation messages in form of pictures and videos. This form of the interface has more effects than the previous one where the patient would only talk to a nurse and follow instructions.in a more concrete way, this will be like the telephone-based intervention counseling application for breast cancer patients. Comment by laila al balushi: Good as it is an intervention.
Conclusion
Breast cancer requires rigorous medical procedures of which the patient alone cannot handle. The health providers and caregivers to these patients must be committed to helping these patients through the healing process. Counseling and helping the patient to do various physical activities will help the patient reduce the stress level and accelerate the healing process (Grim Shaw et al, 2004) Innovative idea on how to help the cancer patients increase their levels of physical activities should be embraced. The designing of a patient-specific program will go a long way in helping the patients. In various researches conducted the telephone-based intervention counseling leads an increase in the physical activity among patients Comment by laila al balushi: No need for conclusion. Please I need ways to implement telephone counselling in PA in clinical settings only.Thanks
References
McHugh, R. Kathryn, and David H. Barlow. “The dissemination and implementation of evidence-based psychological treatments: a review of current efforts.” American Psychologist65, no. 2 (2010): 73.
Whitlock, E.P., Orleans, C.T., Pender, N. and Allan, J., 2002. Evaluating primary care behavioural counselling interventions: An evidence-based approach 1. American journal of preventive medicine, 22(4), pp.267-284.
. Heron, Kristin E. and Joshua M. Smyth. “Ecological momentary interventions: incorporating mobile technology into psychosocial and health behaviour treatments.” British journal of health psychology 15, no. 1 (2010): 1-39.
Grol, Richard. “Successes and failures in the implementation of evidence-based guidelines for clinical practice.” Medical care 39, no. 8 (2001): II-46.
Grimshaw, J., R. Thomas, G. MacLennan, C. R. R. C. Fraser, C. R. Ramsay, L. E. E. A. Vale, P. Whitty et al. “Effectiveness and efficiency of guideline dissemination and implementation strategies.” (2004).
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