ASSIGNMENT BRIEFHND Assignment Brief Session: Feuary 2021 Programme title Pearson BTEC Higher...

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ASSIGNMENT BRIEFHND Assignment Brief Session: Feuary 2021   Programme title Pearson BTEC Higher National Diploma in HealthCare Practice Unit number & title Unit 4 Fundamentals of Evidence-based Practice Unit Level and Credit Value Level 4 Credit Value 15 Assessor (s) Dr Taghi Doostgharin Issue Date 24 Feuary 2021 Final assignment submission deadline 07-12 June 2021 Late submission deadline  14-19 June 2021  The learners are required to follow the strict deadline set by the College for submissions of assignments in accordance with the BTEC level 4–7 submission guidelines and College policy on submissions. Resubmission deadline TBA Feedback Formative feedback will be available on ICON VLE during the semester. Final feedback will be available within 2 weeks of the assignment submission date.    General Guidelines • The work you submit must be in your own words. If you use a quote or an illustration from somewhere you must give the source. • Include a list of references at the end of your document. You must give all your sources of information. • Make sure your work is clearly presented and that you use coect grammar. • Wherever possible use a word processor and its “spell-checker”.   Internal verifier  Dr Oluwatosin Alo Signature (IV of the ief) *  Date 21/02/2021         Assignment Brief – continuesHealthCare Practice                   XXXXXXXXXXUnit 4  Page 2 of 11ICON College of Technology and Management  BTEC HND in Healthcare Practice (Integrated Health and Social Care) Unit 4: Fundamentals of Evidence-based Practice (Pearson-set) (RQF- L4) Session: Feuary 2021 Coursework  Recommended Word limit: 3500  This unit will be assessed by assignment and a class presentation  You are strongly advised to read the literature review ief before writing your assignment.  Discuss with your lecturer to know the evidence for this assignment that can also contribute to your PLAD portfolio  Selected Topic: Promoting mental health for individuals in populations less likely to access support (e.g. men, traveller communities, specific minority groups)  Theme for use with Unit 4:(1st September 2020 to 31st August 2021) Promoting Physical and Mental Health and Emotional Wellbeing  The healthcare practitioner is a key contributor to the service user experience and is instrumental in driving the changes needed to enable a more effective and efficient healthcare service. The effective practitioner should keep the physical and mental health and emotional wellbeing of service users at the heart of their practice. As we continue to develop our understanding of the human condition through research, the parameters of what is considered ‘appropriate’ and ‘high-quality’ care have expanded.  In recent years greater emphasis has rightfully been placed on practitioners taking a holistic approach to the health and wellbeing of service users, with mental health and emotional wellbeing ecoming increasingly central to being able to provide high quality, person-centred care. The impact of good mental health on an individual’s ability to maintain their overall health, reduce the likelihood of physical illness recuing, becoming chronic or debilitating, or in being able to cope with significant changes in life circumstances, cannot be over-emphasised. This is particularly important as it is estimated that at least one in four people will experience mental ill-health over the course of their life, which means that health and social care practitioners will encounter individuals with mental ill-health conditions or developing signs of mental-ill health during the course of their practice, as well as being susceptible to experiencing mental ill-health themselves.  Recognising and understanding the factors that impact on mental health and emotional wellbeing, as well as responding appropriately are crucial in health and social care practice. A well-informed and skilled practitioner should be able to support others to maintain good mental health and emotional wellbeing, develop their resilience and other protective and preventative strategies. Health and social care practitioners should not only have up-to-date knowledge of key developments and approaches to practice across the health and social care sector, but should also possess the appropriate values, attitudes and behaviours to deliver high quality professional care that meets the needs of service users. A self-aware practitioner that develops their emotional intelligence and uses up-to-date research to inform their professional practice, alongside a focus on the best interests of the individual, can make all the difference between poor and positive outcomes for individuals in receipt of care, and in maintaining their own and others’ mental health and emotional wellbeing.  This unit will enable students to examine what evidence-based practice entails, in the context of cuent research into mental health and emotional wellbeing as related to health and social care practice, that have an evidentiary basis to support their use. Students will reflect on their own practice and experience, including the process of personal research and the value of adopting an Assignment Brief – continuesHealthCare Practice                   XXXXXXXXXXUnit 4  Page 3 of 11informed and evidence-based approach in contributing to health and social care practice and service delivery that puts the physical and mental health and emotional wellbeing of service users at its heart.    Assignment Context and Scenario According to National Institute for Health and Care Excellence (2019), Out of every four adults, one will experience a mental health condition, and these conditions are the largest single cause of disability in the UK. The report also indicated that mental health diagnoses such as depression are growing and the total prevalence of common mental health disorders vary across regions, with higher proportions in areas with more deprivation, and poverty can be a cause or consequence. You have recently been hired as a research assistant in an NHS hospital to investigate and provide evidence-based guidance and advice on how to improve access to mental health care services. In your pilot study, you met John, a secondary school student and Jane, a care assistant in a nursing home, who has just aived as a migrant worker in the UK. They both suffer from depression and anxiety and when naating their ordeals, they explained how the COVID 19 pandemic lockdown had exaceated their sufferings in terms of access to mental health care and support.   What you must do to achieve LO1, LO2 and LO3: Produce a report  LO1: Explain the role of research for evidence-based practice in health and social care (Recommended Word limit: 800)  As a researcher, you play a significant role to ensure that practices in health and social care follow evidence-based approach. This approach has numerous advantages which include better patient outcomes, increased patient safety and improvement in the delivery of quality services.   For evidence-based practice, you have been asked to explain the role of researcher. To do this you should describe the purpose and process of conducting research in enabling evidence-based practice in health and social care. You would also explain the skills and qualities needed to conduct a literature review in health and social care.   You should also analyse own cuent skills and knowledge in being able to conduct a literature eview in health and social care towards evidence-based practice. Additionally, you should evaluate the skills required to conduct ethical research to positively influence practice and provision in health, care and support services.  LO2: Conduct a review of key literature relating to a research topic towards improvements in care practice (Recommended Word limit: 1000)   Review of relevant literature is a key aspect of social research in which cuent state of knowledge and any recent debates on the research topic is critically examined. As a researcher, you would conduct a literature review using a range of sources relating to the research topic. You should also explain results of literature search that summarises cuent knowledge about research topic  Additionally, you should evaluate the reliability and validity of own literature review. Furthermore, you should critically assess the viability of own project proposal in relation to the literature review conducted critically assessing the viability of own project proposal in relation to the literature review conducted    LO3: Develop a project proposal using evidence-based practice (Recommended Word limit: 1500) - (See Research Proposal Guidance and Template below) Assignment Brief – continuesHealthCare Practice                   XXXXXXXXXXUnit 4  Page 4 of 11 You will develop a project proposal which will give you the opportunity to present a ief, accurate and coherent summary of your intention and the direction the research will take. You should explain the benefits of evidence-based practice as a method in caying out research. Also, you would produce a project proposal for a proposed study based on research topic;  Additionally, you should justify rationale for proposed research study based on research topic. Lastly you should critically assess the viability of own project proposal in relation to the literature review conducted    Research Proposal Guidance and Template  • Project Title: The title of your project should reflect the content and context of the research. (Recommended words: 20 or less) • Introduction (statement of the problem): This will be a short background to the study, discussing key problem areas that the research intends to investigate, as well as the cuent state of knowledge (Recommended words: 300) • Aims and Objectives: Provide an overall aim and two or three objectives that the research will focus on (Recommended words: 150) • Aims and Objectives: Provide an overall aim and two or three objectives that the research will focus on (Recommended words: 150) • Literature review (Use referenced materials): Demonstrate the relevance of your proposed esearch and how it will contribute to existing body of academic knowledge. (Recommended words: 900) • Research Methodology: Describe the methods you intend to use to achieve your

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UNIT 4: FUNDAMENTALS OF EVIDENCE-BASED PRACTICE
Table of Contents
LO1: Role of Research for Evidence-Based Practice in Health and Social Care	3
Introduction	3
Overview of Evidence-Based Approaches in Depression	3
Overview of Evidence Based Approach in Covid-19	3
Role of Evidence Based Approaches	4
Conclusion	5
LO2: Literature Review on the Chosen Topic for Improvements in Care Practice	6
Background Literature to Mental Health of LGBT+ Community	6
Critical Review of Findings of Relevant Literature	6
Evaluation of the Reliability and Validity of the Selected Papers as well as aligning them with the Viability of the Topic	8
LO3: Research Proposal	9
Project Title	9
Introduction	9
Aims and Objectives	10
Aims	10
Objectives	10
Literature Review	10
Background Literature to Mental Health of LGBT+ Community	10
Critical Review of Findings of Relevant Literature	11
Evaluation of the Reliability and Validity of the Selected Papers as well as aligning them with the Viability of the Topic	12
Research Methodology	13
Expected Outcomes	14
LO4: Presentation for Positive Changes in Health and Social Care Practices	15
Introduction	15
How Literature Review Influences EBP	15
How Can Service Delivery be Improved	15
Evidence Based Healthcare and Service Delivery	16
References	18
LO1: Role of Research for Evidence-Based Practice in Health and Social Care
Introduction
Research is known to improve the quality of healthcare services. New information is always emerging hence it is crucial that the healthcare professionals have a thorough knowledge regarding the novel treatment protocols and methodologies to improve patient outcomes. Evidence based practices are making use of the evidences to apply to clinical practices and make informed patient-care decisions. 
Overview of Evidence-Based Approaches in Depression
Mental health problems are a leading cause of disability in UK and is often associated with psychological disorders and increased mortality. Evidence based practices for treating psychiatric conditions have found to be very effective. There are several psychotherapeutic treatments available such as cognitive behavioural therapy, pharmacological therapy, interpersonal therapy, all of which have been put to practice in people suffering from mental illnesses and positive health outcomes were measured.
Technological based interventions using mobile apps, telephone and emails have also shown considerable improvements in managing depression. According to Stawarz et al. (2018), Cognitive Behavioural Therapy (CBT) is known to incorporate both cognitive and behavioural aspects of the person and provide a structural approach to address the negative beliefs and emotions. It mainly deals with establishing a therapeutic alliance with the patient and identify the underlying causes of depression in them.
According to Gautam et al. (2020), patients with depression and anxiety are known to focus more on negative thoughts and shortcomings in life with a loss of interest in daily activities. CBT helps in improving patient’s self-esteem, confidence, gain control of their thoughts, mindfulness and positive outlook of life and improves mental as well as physical well-being of patients.
Overview of Evidence Based Approach in Covid-19
Covid-19 was first encountered in year 2020 and since then has been posing serious health risks to an individual’s life. The global pandemic has posed critical challenges towards public health, medical care and clinical research. Mental health of people has been widely impacted all over the world due to unemployment, quarantine, home isolation, stress, fear, anxiety of contracting disease and Covid-19 has further exacerbated the health issues of people having pre-existing illnesses.
According to Foye et al. (2021), the restrictions of pandemic has greatly impacted nursing staff who are left feeling exhausted, tired, isolated, overworked due increased workload, work pressures, enforced medication, safety of patients, seclusion, inadequate working conditions and stress. Hence evidence based approaches are employed that includes public health interventions such as digital technology and telemedicine.
According to Smith, Ostinelli and Cipriani (2021), healthcare systems have made use of IT to support home-based working, video-conferencing and telephonic consultations to provide patients with super-speciality expertise services and treat patients at home. Digital technology aims at delivering mental health services by supporting carers, providing training to public on mental health management. They conduct the programs in large settings through digital means due to lockdown and isolation, promoting mental well-being and then implementing interventions to apply it to different situations.
Role of Evidence Based Approaches
In alignment to our case scenario John and Jane both are known to be suffering from mental illnesses such as depression and anxiety. John is a student and Jane is a carer, who is working in a nursing home. Jane is a migrant worker in UK. Due to Covid their mental illnesses have exacerbated and hence a proper evidence based approach needs to be adopted. e-Health interventions consisting of mindfulness based stress reduction is quite helpful and can be used in combination with CBT to prevent stress, depression and anxiety in such patients.
According to Bauerle et al. (2020), due to pandemic psychiatric patients are deprived of their treatments and services adding furthermore to their suffering of anxiousness and depression than public. Web based e-health interventions such as CoPE can be used to cope with psychological distress by being physically active, improving sleeping quality and self-efficacy. It includes psychoeducational videos, interactive exercises and training to enhance knowledge on how stress can be managed.
According to Kopelovich et al. (2020), excellent communication skills is necessary to build trust and engage clients in assessing telehealth services. Medication management, lab reports, test results can all be communicated via emails and text messages. Several smartphone apps have also been used as evidence based interventions to provide assistance in clinical concerns. Education and training is important to recognise physical illness in people suffering from serious mental illness.
Healthcare professionals must treat every patient without showing reluctance to some who have severe mental disorders. Right attitude, knowledge and skills is required to communicate effectively with a mental patient. Physical illness should be integrated with mental illness, patients must be encouraged to monitor their diet, watch their weights and appropriately trained to maintain healthy weight. All this can contribute to healthcare and support services of patients with mental disorder.
Conclusion
Depression is a serious mental disorder and evidence based approaches have shown to deliver very healthy outcomes. Covid-19 has exacerbated people’s ordeals to a major extent. E-health interventions can be adopted by the clinicians to provide access to care to patients with mental disorders. The healthcare professionals needs to adopt excellent communication skills, thorough knowledge and training skills to ensure safe and efficient delivery of care services to the patients.
LO2: Literature Review on the Chosen Topic for Improvements in Care Practice
Background Literature to Mental Health of LGBT+ Community
LGBT community belongs to the sexual minority group that is subjected to discrimination due to their sexual orientation. People from this community are more prone to experience mental health disorders as compared to their heterogenous counterparts. Adolescent stage is the most crucial time of physical developments in the body where there is major identity formation, peer relationships and changes in sexuality.
This tends to development of stress and there is pattern of depression, suicidal thoughts, changed behaviour due to lack of support from the family and society. The literature review is conducted to study the mental health illnesses in people from LGBT community and the care practices, which can be adopted to improve their mental conditions. 
Critical Review of Findings of Relevant Literature
LGBT+ (Lesbian, Gay, Bisexual, Transgender and others) community are subjected to prejudice, discrimination, homophobic behaviours by people displaying negative attitudes and behaviours towards them. They are often treated with disrespect and verbal abuses because of their sexual orientation, which affects them so much that they start hating their own identities. According to a study, gay men are three times more prone to committing suicides than the public and depression is the leading cause of suicide. UK has witnessed a higher rate of mortality amongst the LGBT community and males’ death rate proportion is considerably higher.
As analysed from the findings of the paper by Lee et al. (2017), depression in gay men results in increased risk of substance abuse such as overuse of alcohol, tobacco, drugs, relationship problems, risky behaviours such as having unprotected anal sex and contraction of HIV. As referred to the study by Yolac and Meric (2020), internalised homophobia is observed amongst LGBT people, which refers to internal conflict of the homosexual regarding his own feelings along with exhibiting rejection of accepting other homosexual individuals feelings too.
This behaviour has known to affect the mental health of several people from this community and as a result, it has been found that there is a higher chance of depression and lifelong suicidal attempts in this community in comparison to the heterogenous populations. As analysed from the findings by Irish et al. (2019), depression leads to changes in weight, psychomotor activities, sleeping patterns, difficulty in concentrations, attention-deficit, low energy levels, non-recognition of self-worth, suicidal thoughts and attempts. This is accompanied with rude and aggressive behaviour and displaying emotions of anger.
Several studies have found that Covid-19 is known to have a great impact on a person’s lives leading to rising cases of mental health problems. Covid-19 has had a detrimental effect on the lives of general population. However, it has exacerbated the mental illness issues in LGBT community even more because of the fact that they are subjected to social and health inequities tremendously. Over 52% of LGBT population decided to claim their lives due to the mental disorders during Covid-19 period with compared to the general population.
These numbers are concerning to all. There is a higher prevalence of smoking and alcohol consumption found in people from this community,

ASSIGNMENT BRIEF HND Assignment Brief Session: February 2021 Programme title Pearson BTEC Higher National Diploma in HealthCare Practice Unit number & title Unit 4 Fundamentals of Evidence-based...

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