Evidence based proposal for changing practice: development of a protocol, to include a severity assessment tool, for patients presenting with lower respiratory tract infection and community acquired pneumonia, in general practice

Cahill, Anna Victoria (2017) Evidence based proposal for changing practice: development of a protocol, to include a severity assessment tool, for patients presenting with lower respiratory tract infection and community acquired pneumonia, in general practice. Masters thesis, University of Cumbria. Item availability may be restricted.

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Abstract

Healthcare must evolve to become sustainable and meet the demands of an ever aging population. As an Advanced Nurse Practitioner, an aspect of the role included within the pillars of advanced practice is to contribute towards improving health outcomes and healthcare delivery systems, through leadership and influencing skills. A literature review of five papers, concluded that an assessment tool is useful to facilitate classification of patients who presented to their GP with signs and symptoms of lower respiratory tract infection (LRTI ) and community acquired pneumonia (CAP), useful as an aid for decision making on various management options, either at home or in a hospital setting, based upon mortality. Facilitating more appropriate use of hospitals in the management of CAP. Great variability was identified and uncertainties in the practice of clinicians when assessing the severity of the illness were highlighted. Change theory is discussed and the application of a relevant change model, from Kotter (1996), has been applied to structure the implementation of the change in practice including a discussion of how barrier to change may be overcome. Methods for evaluation have been considered with acknowledgement to the sustainability of change.

Item Type: Thesis (Masters)
Departments: Faculty of Health and Science > Nursing, Health and Professional Practice
Additional Information: Dissertation submitted in part fulfilment for the MSc Advanced Practice (Clinical).
Depositing User: Anna Lupton
Date Deposited: 13 Oct 2017 10:38
Last Modified: 14 Oct 2017 11:58
URI: http://insight.cumbria.ac.uk/id/eprint/3300

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