Nursing Annotated Bibliography Assignment On First Nation Communities Of British Columbia

Question

Task: How to compile an annotated bibliography assignment on the first nation communities of British Columbia health needs?

Answer

Adaptations to the Serious Illness Conversation Guide to Be More Culturally Safe (Beddard-Huber et al., 2021):

The annotated bibliography assignmentaims to describe a clinical practice that surfaced from the serious illness conversation guide (SICG) from nurses working in the first nation communities of British Columbia, as well as members of 2 1stNations communities encompassing Elders.

A promising practice describes the procedure of a clinical tool adaptation and experimenting how clinically safe the tool is during end-of-life conversation.

The method includes taking feedback from the nurses who would be affected by the adaptation of the clinical tool. The nurses would employ the tools during their nursing practice, as well as with the members of a community who will be closely involved with the nurses while receiving medical service.

A mixed-method approach was used in the study. Permission from the people of First Nation was taken by the authors. Those people feedbacked to share the results with a broader audience with the aid of publications, as well as conference presentations.
The key findings highlight the importance of directly asking, inclusion of the patient’s family in the treatment process, seeking permission from the patient’s party, and slotting schedule for telling stories. In conclusion, adaptation of SICG for 1st nation individuals recognizes important lacuna which often appear during end-of-life conversations. The study can be implicated tounderstandterminally ill patient’s individual requirements and preferences.
This annotated bibliography assignmentlimitations are inclusion of response only from the nurses, their low response rate and inability to provide detailed feedback. The strength is: adjustment of SICG, such as scheduling time for listening to patient’s storyand inclusion of dignity questions canhelp to address individual requirements and preferences of patients. However, further work with detailed feedback from not only nurses, but all kinds of healthcare providers are required.

Preparing Students for Difficult Conversations with Patients and Families (Chidume et al., 2020)
Nurses frequently needs to have difficult conversations with patients and their family members. This study aims to understand how simulation in nursing education along with the use of SPs (Standardized patients) train nurses to conduct such difficult conversation and foster better communication skills in realistic situation.

A ‘simulation-based experience’ (SBE) was created for the nursing students who will be working at the pediatric section. The aim was to make them more experienced in teaching parents about immunization and to make students more confident about conducting difficult conversations, such as vaccine hesitancy which is predominant among some parents. The environment was created according to the ‘INACSL Standard Best Practice: Simulation Design Standard’. The participating candidatesin this study were sophomores of a baccalaureate programme consisting five-semesters, at public university.In this study, the nursing students self-evaluated their skills.

The result from the annotated bibliography assignment shows that 95% nursingstudents strongly acknowledged that the method ameliorated their communication skill and enhanced confidence in conducting difficult conversation. The study concludes the portrayal of parents by standardized patients to be an efficient strategy to make nursing students more efficient in conducting challenging conversations with patients and their family members. One of the limitations of the study is, the results were solely based on self-evaluation done by the students. No experiment was conducted to examine whether their skills and confidence were enhanced in real. Self-evaluation can be wrong, false, and biased. The strength of the study was inclusion of table which clearly shows the response of the students to each question and their percentage. Aannotated bibliography assignment where the performance of the nurses will be evaluated in real environment is necessary. It is not sufficient to draw conclusion of the effectiveness of SPs solely based upon self-evaluation.

Challenging conversations with terminally ill patients and their loved ones: Strategies to improve giving information in palliative care (Benkel et al., 2014)
This study aims to explore the strategies and skills applied by healthcare professionals when conducting a difficult conversation in order to give information to the patient’s family, when the patient is under palliative care.
As a method of the study, the authors had chosen a qualitative design where in-depth interviews were conducted with nurses, assistant nurses, as well as doctors in a hospital in a University Hospital, at western Sweden, EU. The authors conducted the study at geriatric, urology and oncology department. Content analysis were employed to analyse the interviews. The qualitative design was perfect for this study, as it helps to speculate the characteristics of the participating groups. Form the annotated bibliography assignmentinterviews, it was surfaced that the nurses, assistant nurses and doctors use various strategies when conducting a difficult conversation with the patients and their family members. The resultswere divided into three areas: one, ‘Who is giving the information’; two, who the conversation is structured; three, various ways to provide a difficult information,
Skills and strategies related to conversation, along with meticulously designed structure seemed to be beneficial to conduct a difficult conversation with patients and their family members. The results can be beneficial for healthcare professionals who needs to conduct challenging conversations with terminally ill patients. The strength of the study is, it encompasses the interviews of healthcare professionals who deal with patients suffering from incurable diseases. The study includes comparatively bigger number of interviews and qualitative chart regarding characteristics of all types of healthcare professionals who participated in the interview. Generalisation is one of the limitations of this study. Detailed research, pertained to particular circumstances in which the conversation will be conducted, is necessary.

Reflection:
Preparing Students for Difficult Conversations with Patients and Families (Chidume et al., 2020) would be beneficial for enhancing the knowledge of conducting a difficult conversation with the patients and their families. This is a qualitative study that includes in-depth interviews of registered nurses, assistant nurses and physician who often need to conduct difficult interviews with patients suffering from incurable diseases. This annotated bibliography assignmententails how the difficult conversation will be structured in a challenging condition, how the difficult message will be given and who will give the message to the patients and their loved ones.

References
Beddard-Huber, E., Gaspard, G., & Yue, K. (2021). Adaptations to the Serious Illness Conversation Guide to Be More Culturally Safe. International Journal Of Indigenous Health, annotated bibliography assignment,16(1). https://doi.org/10.32799/ijih.v16i1.33192
Benkel, I., Wijk, H., &Molander, U. (2014). Challenging conversations with terminally ill patients and their loved ones: Strategies to improve giving information in palliative care. SAGE Open Medicine, 2, 205031211453245. https://doi.org/10.1177/2050312114532456
Chidume, T., Jones, M., Lambert, A., &Yordy, M. (2020). Preparing Students for Difficult Conversations with Patients and Families. Clinical Simulation In Nursing, annotated bibliography assignment, 46, 62-65. https://doi.org/10.1016/j.ecns.2020.03.009