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examples of evidence-based practice in nursing uk

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Subject: Pediatric Health Promotion & Protection

Subject area: Nursing

Education Level: College

Length: 3 pages

Referencing style: APA

Preferred English: US English

Spacing Option: Double

Title: *writers choice*

Instructions: Please review the rubrics for these papers/project in the drop boxes. The article that the student selects MUST be less than 5 years old and attach a copy of the article located in the EBP paper drop boxes). Must be APA. Im fine with a paper that is over 500 words. RUBRIC: Content 1.The statements in the writing are logical. 2.The statements in the writing are supported with evidence or explanation. 3.The ideas expressed in the writing convey a level of critical thinking/creativity appropriate to the course. 4 Excellent All information was complete. Introductory paragraph contains a thesis statement and opening paragraph maps out the content for the paper. 3 Your paragraph missing information to keep attention of reader. 2 Need clearer description of main idea 1 Needs Improvement Please work harder at introducing your topic. 0 No Introduction, no supporting documentation, ideas are not well organized. Organization/ Idea Development 1.The relationship between ideas in the writing is clear. 2.The ideas expressed in the writing is organized. 3.The writing guides the reader through a clear progression of ideas. 4 Excellent The opinion and rationales were clearly stated. 3 You have included the writer’s opinion but need more information on the rationales. 2 Needs Improvement Please include the writer’s opinion and rationales. 1 Please make the opinion and rationales clearer. 0 Needs Improvement Please include the writer’s opinion and rationales. Authors’ opinion with rationales & Opposing views Identified arguments against application into the nursing practice. If not stated identify what some opposing views could be. 4 Excellent All content is contained within your paper. 3 You have identified the opposing views and arguments against the practice but you are missing the application to nursing practice. 2 You mentioned the opposing view but needs more description of the opposition. 1 You mentioned the opposing view but needs more description of the opposition. 0 Needs Improvement Please include the opposing views. If there are no opposing views, mention what some opposing views could be. Application and relevance to nursing care How can patient outcomes improve? 4 Excellent Application and relevance to nursing care are complete and able to be understood by the reader. 3 You mentioned a patient outcome but failed to mention the relevance to nursing care. 2 You mentioned a patient outcome but failed to mention the relevance to nursing care. 1 You mentioned the application and relevance of this to nursing care; clearer description is needed 0 Needs Improvement Please work harder at identifying patient outcomes. You failed to mention how this would improve patient outcomes. Coherence/APA Format Minimum of 500 words, include a copy of article. The ideas expressed in the writing are clear and not seriously impeded by any of the following: 1.Faulty syntax. 2.Faulty documentation. 3.Faulty grammar, usage, or mechanics. 4 Excellent The paper is complete and the APA format is correct. 3 Your APA and reference page citation is decent may need to work on: running head, headings, sub-heading, in text citation and or reference page/title page. May need to work on grammar 2 Please proof read your paper prior to submission. Check for grammar, spacing, proper citation of references, and typing errors. Professional paper is needed. Please work on grammar 1 Needs Improvement Need to improve coherence, and correct citation format and grammar. 0 Needs Improvement No article attached or no name on your paper. Need to improve grammar.
Structure: APA format. APA references. Please find references less than 5 years old.
Suggested: Legitimate nursing resources, such as scholarly journal articles. If you to use books, and are able to, please reference books such as Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, Seventh Edition or pharmacology for nurses a pathophysiologic approach if not, i understand. It would probably look better if you just used journals I can add references from the books later, although its not required, I just thought it would look better.

Evidence Based Practice on Pediatric Health Promotion and Protection


Poor quality newborn and maternal care is a major concern across the continuum of care. It leads to high rates of maternal mortality, psychological morbidity, and acute and chronic illness among newborn and mothers. This aspect has resulted to the need for implementation of affordable, sustainable, and effective improvements in quality of care such as midwifery. Midwifery can improve care and outcomes by minimizing neonatal and maternal morbidity and mortality, promoting public and psychosocial health outcomes, reducing number of unnecessary interventions, and decreasing preterm birth and stillbirth (Renfrew et al., 2014).

Midwifery has significant contribution to the quality of care of infants and women and facilitating effectiveness of newborn and maternal care providers.

Midwifery and its Contributions to Maternal and Newborn Quality of Care

There exists an increasing consensus among public health professionals that midwifery care is a crucial component in promoting high-quality newborn and maternal services. Midwifery is defined as the practice of compassionate, knowledgeable, and skilled care for newborn infants, childbearing women, and families throughout the scope of care in pregnancy, pre-pregnancy, post-partum, birth and the period of early life. Souza, Gülmezoglu and Vogel et al. (2013) indicate that although there are other interventions that have proved to minimize mortality rate among the newborn and maternal, midwifery has been proved to be an evidence-based framework that enhances quality of care for maternal and newborn care. It consists of working in collaboration with women to improve their capabilities for self-care and that of their families, respect the individual opinions and situations, timely prevention and management complications, cultural, psychological, biological, and social reproduction process and early life, and consultation and referral to other more advanced services. Therefore, these aspects makes midwifery to be a more reliable intervention to improving maternal and newborn care.

Some case studies offer opposing views and arguments against the implementation of the midwifery practice in nursing care. They suggest that putting more efforts on emergency and faculty based care can contribute significantly towards minimizing perinatal and maternal mortality. They argue that the scope of midwifery care can only be effective if it has a balancing effect but without it, it cannot work.  They reveal that the midwifery care practice strategy has in some cases led to fast increasing numbers of needless, costly, and possibly iatrogenic interventions as well as disparities in the delivery of care and outcomes (Black, Victora & Walker et al., 2013). Moreover, the case studies indicate that despite the implementation of the midwifery care in countries such as China and Brazil, they are among the nations in the world with prevalence of caesarean sections. Also, India records high number of mortality rate and disparities associated with poverty despite its current development in economy. The poor outcomes have been linked to scarcity of resources for prevention of mortality rate and care for maternal and newborn (Finlayson & Downe, 2013).

According to the writer’s opinion, midwifery is related with more effective utilization of resources that lead to improved outcomes. The writer suggest that improved outcomes can be achieved if essential measures are put in place such as the midwifery services being provided by well educated, licensed, trained, and regulated midwives. The International Labour Organization (ILO) defines a midwife as an individual who has finished the midwifery education programme successfully, demonstrates the qualifications to be licensed legally to practice midwifery, and exhibits competency in midwifery practice (Ryan, Revill, Devane and Normand, 2013). Information and education are crucial component in maternal and newborn care whereby it enables women to learn what they need to know and have comprehension of the services of the organization so that they can have access to them in a timely manner. Moreover, well trained and educated health care professionals demonstrate cultural competence and clinical knowledge and interpersonal skills who are able to provide personalized needs and care in a kind, empathic and respectful way thus eliminating inequalities in maternal care. Furthermore, midwifery practice can be enhanced through improved communication and good quality clinical care are a combination of factors required to provide the safety of newborn infants. Factors such as disrespectful care or low quality services have a negative impact on worldwide minimization of newborn and maternal morbidity and mortality. These factors makes it difficult for women to access healthcare services and meet their needs thereby contributing to high mortality and morbidity rate among mothers and newborns. Therefore, the writer believes midwifery is a new evidence-based framework that would contribute towards achievement of high-quality newborn and maternal care and enhanced maternal and neonatal outcomes.


It is evident that midwifery is an integral approach towards eliminating factors that contribute to poor maternal and neonatal outcomes. It comprises of supportive and preventive care that enhances the capabilities of women in offering self-care and across families. It focuses on improving the normal reproductive process, meeting individual needs, and promote respectful relationships, which facilitates accessibility of emergency treatment and management of complications that improves quality of care and outcomes. Hence, its implementation of midwifery as a quality framework across the community and facility settings and effective interdisciplinary teamwork would contribute significantly improving maternal and neonatal outcomes


  1. Black, R.E, Victora, C.G, Walker, S.P, et al. (2013). The Maternal and Child Nutrition Study Group. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet, 382:427–51
  2. Finlayson. K., and Downe, S. (2013). Why do women not use antenatal services in low- and middle-income countries? A meta-synthesis of qualitative studies. PLoS Med; 10:e1001373
  3. Renfrew, M. J., McFadden, A., Bastos, M. H., Campbell, J., Channon, A. A., Cheung, N. F., … and Wick, L. (2014). Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. The Lancet, 384(9948), 1129-1145.
  4. Ryan, P., Revill, P., Devane, D., Normand, C. (2013). An assessment of the cost-effectiveness of midwife-led care in the United Kingdom. Midwifery, 29:368–76
  5. Souza, J.P, Gülmezoglu, A.M, and Vogel, J., et al. (2013). Moving beyond essential interventions for reduction of maternal mortality (the WHO multicountry survey on maternal and newborn health): a cross-sectional study. Lancet, 381,1747–55.

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