TranslatingEvidence into Practice
Usingthe evidence-based practice, I intend to establish a rehabilitationprogram that targets children suffering from trauma. I acquired theevidence from two journal articles, which concludes that pediatricnurses are at a better position to diagnose young patients since theydeduce the findings from evidence they gather after consulting boththe patient and the parents. Trauma rehabilitation services areessential to children since it provides them with an opportunity tolive happily and free from stressing issues. In many cases, childrensuffer emotional distress such as rape, parental abuse or theywitness horrendous actions by their close relatives (Crossley &Davies, 2005). The memories of the horrible action can haunt themthroughout their life thereby, preventing them from achieving theirfull potential in school, intimate relationship or even at work.Pediatric trauma rehabilitation programs intend to help childrenaffected by shock to overcome the negative emotions. In some cases,young patients may not even discover that their past life havenegative influence on their present lifestyle. Consequently,pediatric nurses come handy because they can interview the child andhis or her parents, and then use evidence-based research to identifythe cause of the trauma (Collins, 2015).
Iacquired the idea from a local nurse who works at a drugrehabilitation center. She discovered that most adults who abusedrugs have neglected upbringing. On the same note, over 80% of thepatients smoke because they want to suppress horrible memories ofevents that haunt them from childhood. Similarly, Polit and Beck(2008) assert that healthcare provider communication with both thepatient and the parent is critical for comprehensive diagnosis. Assuch, I realized that we need a rehabilitation center that can caterfor patients affected by traumatic experiences. The treatment willfocus on investigating deterministic features that could haveaffected the unconscious mind of a child with irrational behaviors orsigns of abnormal biological and instinctual behaviors. The facilityoffers a suitable environment where young patients can confide to asensitive nurse about their psychological issues (Kreps, 2015).Besides, the patient’s parents also explain to the nurse about thepast life of their child. Finally, the nurse compares the twoversions of information to determine the possible cause of a child’smental disturbance. The therapy will aim at identifying thepossibility of a child suffering from traumatic conditionsunconsciously because of tough childhood experiences.
Thechange theory I will apply to implement the treatment model is thepsychoanalytic theory. Sigmund Freud developed the technique in theearly nineteenth century, but it gained worldwide popularity in manyyears after Freud had passed away. The philosophy argues that achildhood experiences affect the behaviors of an individual duringthe adult life. The first step of the treatment will involveapplication of motivational interviewing of the patients. Theobjective of the questioning is to help pediatric nurses have a clueof a client’s background. The next phase will involve evaluation ofthe information gathered from both the sick child and his or herparent. The step is valuable because it facilitates the problemdiagnosis, determine possible motivation for the change agents aswell as evaluate the likelihood for change occurrence (Kreps, 2015).
Themain issue the treatment will address is childhood trauma. Sincecommunicating with a child can be a challenge to many people, thepediatric nurses at the facility will use their expertise to deducethe cause of the problem from the patient and the parents.Consequently, parents with children that appear to have unknownmental challenges will benefit from the service. Trauma affects manychildren, but poor communication capability makes parents assume thattheir young ones suffers from emotional unintelligence. According toPurvis (2015), communicating with young patients is challengingbecause most of them do not understand their problems. As such,motivational interview is required to persuade them to share theirmind. The primary benefit the patients will get from the treatment isnew strength to face the life in realities of life. Interesting,several traumatic experiences can be solved if the victims areprovided with appropriate therapy on time. Child neglect, physicalviolence and verbal abuse are some of the common causes of traumaamong young patients. The friendly atmosphere in the facility inviteschildren to share their underlying emotions that deny them happiness.Afterwards, therapists provide counsel to the patients on ways toachieve progressive change through sharing with their friends as wellas educating parents on efficient ways to relate with their youngones (Prendergast, 2011).
Specialistsdrawn from diverse fields such as drug addiction, family counselingand physical therapists will supervise implementation of the program.The groups will classify the patients into categories that arerelated, and then provide the support each patient’s group needs(Bramhall, 2014).
Themain challenge I have now is acquiring experienced healthcareproviders with pediatric experience. In many cases, nurses who areused to dealing with adult patients often find it hard to deal withchildren because they can rarely explain their feelings. In addition,the therapists are supposed to be very patient and considerate on theemotions of the patients because they are already struggling withself-esteem.However, the blue print of the rehab is alreadyavailable and once we get all the staff we need, we will easily beatthe implementation period enrolled.
Crossley,J. & Davies, H. (2005). Doctors` consultations with children andtheir parents: A model of competencies, outcomes and confoundinginfluences. MedicalEducation, 39(8):807-19.http://www.ncbi.nlm.nih.gov/pubmed/16048623
Collins,S. (2015). Good communication helps to build a therapeuticrelationship. NursingTimes.Retrieved fromhttp://www.nursingtimes.net/nursing-practice/specialisms/educators/good-communication-helps-to-build-a-therapeutic-relationship/5003004.article
Polit,D. F., & Beck, C. T. (2008)..Nursingresearch: Generating and assessing evidence for nursing practice.Ambler, PA: Lippincott Williams & Wilkins.
Bramhall,E. (2014). Effective communication skills in nursing practice.NursingStandard, 29,(14): 53-59. Print.
Purvis,J.M. (2015). The challenge of communicating with pediatric patients.TheAmericanAcademyof Orthopaedic Surgeons.
Prendergast,M. L. (2011). Issues in Defining and Applying Evidence-BasedPractices Criteria for Treatment of Criminal-Justice InvolvedClients. Journalof Psychoactive Drugs,Suppl7,10–18.
Kreps,G.L (2015). Health communication inquiry and health promotion: AState of the Art Review. Journalof Nature and Science, 1(2):e35.