Evidence Based Pratice in Mental Health Nursing

The writer is a community mental health nurse who works with clients with serious and enduring mental illness majority of which has a diagnosis of schizophrenia. Negative symptoms are common with people with schizophrenia and despite treatment with antipsychotic, these symptoms remain. It has been observed that some consultant psychiatrists prescribe antidepressants as add-ons to antipsychotic to improve negative symptoms while some do not. According to Peter E. 2010 “Nurses are required to provide best quality care for those in their care. They are expected to be aware of current researches, studies, policies, recommendations for their practice area so that the care they provide are evidence based” (Peter E. 2010 pg 22).

The writer has chosen to undertake this review to
1. Find the effectiveness of the intervention in order to determine if the additional treatment it is more likely to benefit clients (Roberts M. et al 2002).
2. Increase understanding, update her knowledge of such intervention; develop her practice in delivering safe and effective nursing practice (NMC, 2010)
3. be able to justify the decisions or opinion made about appropriate care or treatment on the basis evidence based informed practice (Roberts M. et al 2002).

At the end of the review, the writer aim to achieve informed knowledge and understanding on improving the quality of clinical practice and patient experience; share her findings within her clinical area on the effectiveness of the intervention (Christine and Sarah 2007).

There seem to be many ways of searching for research evidence, and it is wise to begin a search with some strategies in mind (Becks and Polit 2010)

According to Craig and Smith 2007 pg 32 "The PICO (Population, intervention, comparison intervention, and outcome))) is a useful method for making questions more focused”. A focused question helps in providing guidance to the database search strategy.

  Table 1