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Doppler Assessment Critique

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Doppler Assessment Critique
The purpose of this assignment is to critique two research studies that I have identified from my practice. I am currently working as a community staff nurse within a District Nursing team (DN). Leg ulcers have a huge impact on the DNs workload, Moffat; Franks & Oldroyd (1992) evidenced that time spent by DNs caring for people with leg ulcers ranged from 9-22% of the total workload. Douglas (2001) informs us that leg ulceration affects around 1% of the population. This evidence has provided the author with a rationale to review the literature regarding the contemporise issue of Doppler assessmenDts with an aim to measure the reliability and validity of this type of clinical procedure. Learning outcomes to be met will be indicated in bold lettering at the end of each appropriate paragraph. In order to practice competently nurses must possess the knowledge, skills and abilities required for lawful, safe and effective practice (Nursing and Midwifery Council NMC 2004). Evidence based practice therefore is the integration of best research evidence with clinical expertise and patient values (Sackett, Strauss & Richardson 200). Having identified the topic area, a structured approach to the literature review was undertaken as recommended by Polit & Beck (2006). The search involved identifying literature related to the chosen topic. A computerised literature search was carried out using the following databases; Cinahl, Cochrane, Internurse, Journal of Wound Care and Pubmed (see Appendix.1.). McShay & Haddock (1999) & Polit & Beck (2006) believe that in order to develop evidence based practice it is necessary to identify areas of practice that can be clinically questioned, identify relevant evidence from available information, critically appraise the evidence for validity and usefulness and then implement the findings into clinical practice (LOC 1, 2 &3). For the purpose of this assignment, the critique framework by Cormack (2000), (appendices. 2.), has been selected as it
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