Formative Assignmentt – Rationale

Module Title ??“ NS603 Research for Nursing

Formative Assignment

Date of submission ??“ 5th of November 2013

Module Tutor ??“ David Rawcliffe

Word Count – 698

Formative Assignment ??“ Rationale

In order to complete this rationale, I will be talking about my research topic and will demonstrate why I have chosen it to complete my assignment.
Working in hospitals or in any health care sectors are challenging for health care professionals especially for the nurses and health care workers. This is because, even though the primary aim of all nurses is to treat acute ill health patients, there are many dying patients in the health care sectors which are also faced by the health care professionals. It is the right of every individual to die in dignity and comfort. During my placement in hospital, I have seen and given end of life care support to the patients with the help of my mentors. That is when I came to know about the Liverpool Care Pathway (LCP) and why it is used. According to the NHS Choices (2012), LCP is to allow patients with terminal illness to die with dignity. This helps the patients and gives support to their family during the end of life care of the patient. As per as cancer research UK, (2012), the aspects of LCP includes, keeping the patient comfortable, support for the family and relatives, physiological and spiritual support, when a medication or treatment should be discontinued or the aspects of care, and when a medication should be prescribed. Nursing in practice profession and research plays a crucial role in developing and refining knowledge essential to improve clinical practice (Horburgh, 2003). Nurses working in hospital wards will be less experienced in looking after patient with Liverpool Care Pathway and giving support during the end of life. Proper guidelines and training is important for the health care professionals to follow the best evidence based practice. The vital goal of nursing research is the generation of an observed knowledge base to guide practice. Through nursing research, scientific knowledge can be developed to progress nursing care (Hart, 2008). As there are many limitations in the successful implementation of Liverpool Care Pathway programme in hospitals and in community settings, certain works should be done before it is appropriately integrated in practice. Evidence based practice involves the combination of best evidence and professional experience, considering the patient preferences and applying them into current practice (Jasper,2003). Clinical expertise is needed to provide high quality care. It should not be achieved from evidenced like personal opinions, colleague??™s sayings and so on because it can make a change in the results. Evidence based practise play a vital role in upgrading the nursing profession (Newhouse et al., 2007). So, it is important for all the nurses and other health care professionals to get up to date training of Liverpool Care Pathway and how to look after a patient who is on LCP care.
Recently there were news about the Liverpool Care Pathway and arguments about the effectiveness of the care. According to the health news came up on BBC, (2013), LCP was facing criticism as some believe this is to speed up the process of dying. There are many other studies as well which has taken place in both agreeing and disagreeing to LCP.
As there are both positive and negative suggestions, I came up with an idea of doing a research about the effectiveness of Liverpool Care Pathway during end of life care for patients. I will be focusing on the methods and approaches used by other researchers who had conducted research in this area. The credibility of a literature review depends upon the clarity, transparency, and the ability to replicate the applied methodology (Robson, 2007). Thus, my research topic will illustrate to demonstrate the systemic approach engaged towards searching and accumulating the review studies. In addition, it will also discuss the inclusion and exclusion criteria for selecting the studies and the stools used for critically evaluating the selected studies. For collecting the papers needed for this literature review, various databases will be used. The key terms will be given to the database for collecting appropriate articles. To support my points, I will also be referring to different books, websites and guidelines about LCP. In the end, it will discuss the merits and demerits of the chosen sources of literature.

BBC News. (2013) Liverpool Care Pathway: Your Experiences. [Online] Available from: [Accessed: 30th October 2013].
Cancer research UK. (2012) Guidelines for looking after people at the end of life. [Online] Available from: [Accessed: 28th October 2013].
Hart, E., (2008) Research Challenges: Issues in the Mangaement of Research Projects. Journal of Clinical Nursing. 3(6), pp. 313-318.
Horsburg, D., (2003) Evalutaion of Qualitative Research. Journal of Clinical Nursing. 12(2), pp. 307- 312.
Jasper, M., (2003) Beginning Reflective Practice. Cheltenham: Nelson Thornes.
NHS Choices. (2012) What is Liverpool Care Pathway [Online] Available from: [Accessed: 30th October 2013].
Newhouse, R.P., Dearholt, S.L., Poe, S.S., Pugh, L.C., White, K.M. (2007) Johns Hopkins nursing evidence based practice model and guidelines. 1st ed. Indiana: Sigma Theta Tau International.
Robson, M.G., and Toscano, W., (2007) Risk Assessment for Environmental Health, Sanfrancisco: John Wiley and Sons.

Time Line
Order | Tasks and Targets | Dates |
1 | 1. Select research question / provisional titles | 18th Oct 2013 |
2 | 2. Write up and submit RATIONALE / TIMELINE (This will need to be reviewed with your supervisor) | 5Th Nov 2013 |
3 | 3. SEARCHING 4. Define Search Terms 5. Select bibliographical / article databases, website and other sources to search 6. Gathering abstracts 7. Apply practical screening criteria (Inclusion, Exclusion Criteria, Hierarchy of Needs, etc) 8. Summarize the ???research??? articles | 12th Oct 2013 ??“ 21- Oct 2013 |
4 | 9. Adding FOCUS QUESTION to Rationale and writing the INTRODUCTION | 23rd Nov- 29th Nov 2013 |
5 | 10. Discussion of Rationale to the Group | 2nd Dec 2013 ??“ 8th Dec 2013 |
6 | 11. The Methodology | 21st Dec 2013- 10th Jan 2013 |
7 | 12. Presentation of the literature : Chapter 1 Write up | 16th Jan 2013 ??“ 23th Jan 2013 |
8 | 13. Chapter 2 Write Up | 27th Jan 2013- 31st Jan 2013 |
9 | 14. Chapter 3 Write Up | 19th Feb 2013 ??“ 23th Feb 2013 |
10 | 15. Reflection on Practice / Implications / Recommendations for Practice | 1st March 2013- 7th March 2013 |
11 | 16. Conclusion and Abstract | 25th March 2013- 4th April 2013 |
12 | 17. Day in University | 12th April 2013- 18th April 2013 |
13 | 18. Proof Reading | 20th April ??“ 22th April 2013 |
14 | 19. Referencing Checking | 23rd April 2013 |
15 | 20. Read through again for final checking | 24th April 2013 |
16 | 21. Preparing the materials for submission | 25th April ??“ 26th April 2013 |
17 | 22. Submit materials before 14:00 Hours | 29th April 2013 11:00 Hours |