Evidence of the Need to Mitigate the Negative Impact of One Challenge

Evidence of the Need to Mitigate the Negative Impact of One Challenge – 2-3 pages with references

Search the research literature to find three peer-reviewed studies substantiating the need to mitigate the negative effect of this organizational or real-world health care challenge you identified as the best opportunity for EBP improvement in a potential doctoral capstone project, as well as the significance of that improvement.

Review and synthesize the substantiating evidence presented in your sources. Use the following questions as a guide:

According to the literature:
What is currently known about the challenge?
How far-reaching is the challenge?
What are the significant consequences of the challenge?
What are the implications for not mitigating the negative effect of the challenge?
Attach a draft review and synthesis of the evidence for all three of the peer-reviewed studies.

Finding, organizing, appraising, and synthesizing evidence are all essential skills that scholar-practitioners must master. An excellent tool to facilitate these tasks is an evidence table, which enables you to capture and summarize key information from multiple sources and serves as a concise and well-organized overview of the literature.

Becoming familiar with the evidence table and its use now will prove invaluable as you progress through your program and begin working on your doctoral capstone project. Using the evidence table to document and analyze the evidence you’ve gathered in a literature search will enable you to develop a coherent synthesis of your findings.

 

Sample Solution

atzis and McKee (2013) state that a good leader knows the different leadership styles and what style is best to use for what situation. The authors go on to state that a good leader is able to change their leadership style if they feel that their style is not working and to choose a more appropriate style to get the best out of those around them. In the situation I was faced with, the patient was intoxicated, standing in a bus stop talking to those around him. Arriving on scene we were not aware of the full extent to the emergency, as I needed to keep the patient calm and required him to cooperate with us, I took on an authoritative leadership role. Feldman et al (2011) states that an authoritative style helps to inspire others into doing what is required and often uses the phrase “come with me” when you want someone to do something. This worked well at first with the patient to gain their trust in me as a clinician so that I was able speak to them to gather more information as to why we were called. The patient was refusing to come with the crew to the ambulance and proceeded to explain what had happened to him. Whilst explaining he had informed us he had been stabbed in the chest and this was when my role changed. I needed a more assertive role, Sfantou, et al. (2017) states that autocratic leadership works better in time critical situations as a single person takes charge and tells each person what to do. Blaber and Harris (2014) suggest this is also the best method of asking direct questions to get the information as quickly as possible. Blaber (2012) goes on to state this is good for inexperienced staff such as the student, as it provides clear instructions on what they need to do. The author does go on to state that this can have a negative effect as team members don’t develop their own problem-solving skills as they are just told what to do. The paramedic, who was the highest ranked clinician on scene had opted to take a laissez-faire leadership, which Yang (2015) states is good for encouraging personal development but still being kept in the loop of information. By adopting this style, the paramedic was able to let me use my skills to treat the patient whilst still being there in case I needed further interventions, this allowed me to develop my trauma skills. Looking back I realised that the paramedic had also adopted a coaching style to assist me as this was my first trauma job. the paramedic being the senior clinician, took on a coaching role, as this would be able to develop my skills further by questioning what it was that I needed and wanted from the situation (Phillips, 1996). I realise the paramedic had used the GROW model (Whitmore and McFarlane, 2017) as they helped me to realise what it was that I wanted, what stage was I at in the process, what can I do and what am I going to do. The paramedic then helped to assist me to achieve these goals. Whitmore and McFarlane (2017) designed the model that can provide the structure that has the potential to increase the persons potential by increasing confidence and motivation, with both long term and short-term benefits. I realised that the paramedic used a coaching style as it is designed for individual situations and provides short term education, whereas mentoring is more useful for long

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