Patch 1:Evidence based practice is an important element used by midwifes and other healthcare professionals to deliver safe and effective care. It is the integration of best research element with clinical expertise and patient values to facilitate clinical decision making Sackett (2000) from Melnyk and Overholt (2011). NMC code states that healthcare professionals must make sure that any information or advice given is evidence-based, including information relating to using any healthcare products or services (NMC code (2015). NMC also states that healthcare professionals should maintain the knowledge and skills you need for safe and effective practice NMC code (2015). In order to achieve this midwifes should apply the skills on women that are resulted by good quality literature research.I used the PICO tool to formulate this question “why pregnant women should take vitamin supplements?”. As it is said by Melnyk & Overholt (2011) that a question formulated by using PICOT tool will result in an effective search that yields the best, relevant information and saves an inordinate amount of time.
I conducted my search by searching my question on google search engine. Google quickly gave me 16,300,000 results but most of the results irrelevant and not credible. As it is said by (Lottes, 2017) that google search is quick but dirty to detailed and thorough. When searching for the evidence it’s best to be as detailed and thorough as possible.
Most results were not reliable because they were not peer-reviewed. 9Rees, 2011) suggests that researchers should check with peers whether others would come to the same conclusions or categories. I used UWE Library advance search which gave me 3775 results including various Journals, books, articles, online learning resources. In order to narrow down the results I used Boolean operator searching tool and used related keywords from the question “PREGNANCY”, “VITAMIN SUPPLEMENTS”. I also used Boolean operator And, OR technique.
Using a combination of the keywords one or more search can be narrowed down to a specific area of interest said by Machi and McEvoy (2012). There was still a large number of results, then I refined my search by using inclusive and exclusive criteria to get relevant answer of my question. This criteria enables the literature search to identify the literature that addresses the research questions and also that does not addresses.
(Aveyard, 2010). As this is the responsibility of midwifes as healthcare professionals to keep their knowledge up-to-date. NMC (2015), I edited my search to include sources from last 10 years. This is also said by (Aveyard,2014) that health care professionals should be up to date with recent development and research otherwise they will be at the risk of providing out of date care.I did not find the relevant results of my questions, then I decided to look up some specific databases to find comprehensive literature. The databases that publish research which were appropriate to my clinical question are CINHIL, OVID, CHOCRAINE, MEDLINE. I put the main search terms (vitamin supplements and pregnancy) into these databases and came up with various results.
Although these results were reliable and peer reviewed but they did not provide me with the literature related to my questions. However they were providing information on specific vitamins i.e.
, Vitamin-A or vitamin-D. So, I concluded that I should phrase my question as why should pregnant women should take Vitamin-D.Machi, L.
, McEvoy, B. (2012) The literature review six steps to success. 2nd edition. London: Sage Publications Ltd.Melnyk, B., Overholt, E.
(2011) Evidence-based Practice in Nursing & Healthcare. 2ND Eition. Philadelphia, Pa; London: Lippincott Williams & Wilkins.NMC (2015) The code Professional standards of practice and behaviour of Nurses and Midwives. Available from: https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.
pdfAccessed 5 December 2017.Rees, C. (2011) Introduction to Research for Midwives: 3rd ed. London: Churchill Livingstone.Aveyard, H.
(2010) Doing a literature review in health and social care, A practical guide. 2nd Edition. Berkshire: Open University Press.
Aveyard, H. (2014) Doing a literature review in health and social care, A practical guide. 3rd Edition. Berkshire: Open University Press.