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Evaluate the shift from hospital to primary care in your chosen field: benefits, challenges, enablers, barriers

HSC_6_012 2025/26 Implementing Best Practice

Module name

Implementing Best Practice

Module code

HSC_6_012 2025/26

This summative assignment requires a 3,000-word journal-style review of your chosen evidence-based practice area. As part of this assessment, you should develop a research question relevant to adult nursing, conduct and present your research, reflect on the findings to answer your research question and discuss how to translate it into practice.

Three areas of EBP have been generated to support you with this summative assessment, you can choose one of the topic areas and generate a relevant research question.

Please choose one (1) of the topics listed below.

  • Evaluate the shift from hospital to primary care in your chosen field: benefits, challenges, enablers, barriers
  • Exploring the impact of chronic physical illness (diabetes, cancer, respiratory diseases) on patients’ mental health in nursing management and care.
  • Management of Long-term Conditions: Adapting and implementing nursing care for Stroke, cardiovascular disease, or dementia.

You may also wish to choose your topic area of evidence-based practice, but this should be negotiated with the module team.

Structure

Your essay should include the following headings within the text; the estimated words for each section are only for suggestion.

1. Article title:

The title should provide an outline of your chosen area of evidence-based practice. This needs to be concise, accurate and informative and 10-15 words long.

2. Abstract (150 words, Not included in the word limit)

  • A brief background (what we know and often the gap that the review will fill)
  • Method (how your review was conducted)
  • Results (noticeable result)
  • Conclusion/implication from the results

3. Introduction (400 words)

  • Introduce a brief overview of your topic area and explain its benefits to nursing/patient outcomes.
  • Explain the aim of the review and the need for updating practice.
  • Introduce your formulated research question using PICO or PEO.

4. Methods (500-600 words)

Search Strategy

  • Identify a list of databases you searched (e.g., CINAHL, PubMed),
  • List your key search terms and filters, exclusion and inclusion criteria (these areas can be represented as Tables in-text—these are included in the word count).

Data Selection

  • Describe how you selected and sifted your studies to find five primary source articles. (Appendix: use PRISMA for quantitative review)
  • List studies selected for the review, methodology, and their access link.

(You can use the data selection table to show your work in the appendix. And  access the link to individual studies. Please check if the link works.)

Appraisal

  • Name and justify the appropriate appraisal tool used (e.g., CASP, JBI). Next, briefly highlight the quality and the results of the articles in-text (450-500 words), and if any category in the checklist failed, why.

5. Findings (750 - 800 words)

  • State the main points/themes/issues of the findings related to your research question
  • Explain the significance and limitations of the five key findings from the research studies.
  • Identify one key area from your review that could be implemented in clinical practice

6. Implementation (900 – 1000 words)

  • Discuss and justify the benefits of implementing your proposal.
  • Briefly discuss the main challenges (e.g., culture, resources, cost, staff resistance, staff competencies)
  • Outline leadership strategies for overcoming them.
  • Identify how to evaluate the outcomes (e.g., Audit, etc.).

7. Conclusion (200 words)

  • Summarise key findings that answered your research questions and implications for practice.

8. References of “Main articles for review”

9. References to other articles used as citations throughout the assignment

Harvard referencing, with a minimum of 30 references,

It should contain the literature that you have cited during the essay. Make sure that you use the Harvard referencing system and list authors A-Z by last name (surname). A guide to referencing can be found on the Moodle site.

Appendix

  1. PRISMA flowchart if quantitative (location: Resources & Learner Support)
  2. Data selection table (location: Resources & Learner Support)

3. All tables must have a title and a number referred to within the text above

Formatting

Your work must be submitted in Microsoft Word format. You should use 1.5 or double line spacing and one-inch margins to the left and right of the page. The footer of each page must show the page number. If you are unable to submit in Microsoft Word format (for example, because you have a Mac), a PDF file is acceptable. Work submitted in other formats will not be marked and will receive a fail grade.

Your name must not be on any part of your script.

Submission

The essay should be submitted electronically by the deadline indicated on Moodle. The deadline and submission link can be found in the Assessment and feedback section of Moodle.

Before submitting your work, review your essay and ask yourself if you have:

  • Met the word count
  • Presented the information logically and concisely using the structure above
  • Explained terms and concepts clearly
  • Used appropriate grammar and spelling
  • Referenced all sources appropriately meeting LSBU requirements
  • Checked against Turnitin similarity score to avoid the risk of plagiarism

Review your work according to the marking guidelines – this assignment is marked using a Level 6 marking rubric. The details of this can be found on Moodle in the Module Assessment Folder.

For more information on late submission and extenuating circumstances, follow this link https://myaccount.lsbu.ac.uk/s/article/What-is-LSBU-s-policy-on-late-submissions

For more information about applying for Disability & Dyslexia support, follow this link: https://myaccount.lsbu.ac.uk/s/article/Who-are-the-DDS-Team-1622407588814

Plagiarism

Plagiarism is copying from another student, an article, textbook or website. Your essay must be written in your own words, including information from articles, books, etc. Unintentional plagiarism can occur if you cut and paste from the internet/AI; this method of writing is not recommended. Serious or deliberate plagiarism will result in a fail grade. Unintentional plagiarism suggests an inadequate study, and your work will be marked accordingly.

Turnitin, an anti-plagiarism tool, checks all work uploaded to Moodle. Students can view their Turnitin report prior to submitting it for marking – see the guide to submitting your essay on.

Assignment Brief (Level 6)

Moodle or click here.

Marking and feedback

Assignments will be marked using the marking grid in the Assessment and feedback section of Moodle. Results should be available three working weeks after the submission deadline. The pass mark at level 6 is 40%.

If you have additional learning needs, for example, dyslexia, you may be eligible for additional time and sensitive marking. If you think you might be eligible, please contact the Disability and Dyslexia team.

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Below is brief guidance on how this methods approach fits each of the three suggested topics. You can keep the same overall process and adjust the search terms and focus of the question.

Topic 1: Evaluate the shift from hospital to primary care in your chosen field: benefits, challenges, enablers, barriers

For this topic, the research question would focus on evaluating the move of services or care from hospital settings into primary or community care. Extra search terms might include “service redesign”, “care transition”, “hospital at home”, “discharge to assess” and “integrated care”. Studies would need to report benefits, challenges, enablers or barriers related to this shift, from the perspective of patients, nurses or services, and be situated within adult nursing contexts.

Topic 2: Exploring the impact of chronic physical illness (diabetes, cancer, respiratory diseases) on patients’ mental health in nursing management and care.

For this topic, the search would focus on adults with long-term physical conditions such as diabetes, cancer or chronic respiratory disease, and how these conditions affect mental health. Additional terms would include the specific condition name plus “depression”, “anxiety”, “psychological distress” or “emotional wellbeing”. Included studies would need to show a clear link between the chronic illness and mental health outcomes, and ideally say something about the role of nurses in assessment, support or ongoing management.

Topic 3: Management of Long-term Conditions: Adapting and implementing nursing care for Stroke, cardiovascular disease, or dementia.

For this topic, the question would centre on how nursing care is adapted and implemented to support adults living with stroke, cardiovascular disease or dementia over time. Search terms would join the condition name with words such as “nursing care”, “care planning”, “self-management support”, “rehabilitation”, “carer support” and “community management”. Studies would be selected if they described specific nursing interventions, models of care or management approaches, and reported outcomes such as function, readmissions, quality of life or carer burden in adult services.

This review used a structured literature search to identify research that could answer a focused question in adult nursing. The review looked for primary research and high-quality reviews in databases commonly used in nursing and healthcare. These were CINAHL Complete, MEDLINE (via PubMed), PsycINFO and the Cochrane Library. Google Scholar was used as a secondary source to check for additional papers and to follow up reference lists from key articles.

Searches were limited to peer-reviewed journal articles written in English and involving human participants. To keep the evidence current, the search focused on studies published in roughly the last ten years. The main population was adults aged 18 years and over receiving care in settings relevant to adult nursing, such as hospital wards, outpatient clinics, primary care and community services.

A combination of subject headings and free-text terms was used. Core terms included “adult”, “nursing”, “nurse”, “primary care”, “hospital care”, “chronic illness”, “long-term condition”, and the names of specific conditions such as “diabetes”, “cancer”, “respiratory disease”, “stroke”, “cardiovascular disease” and “dementia”. Outcome-related terms included “mental health”, “psychological”, “depression”, “anxiety”, “self-management”, “quality of life” and “care management”. Terms were combined with Boolean operators, for example:
adult AND nursing AND “type 2 diabetes” AND depression;
adult AND stroke AND “nursing care” AND “long-term condition”;
adult AND “primary care” AND hospital AND “service transition”.

Inclusion criteria were defined before screening. Studies were included if they focused on adult patients in the chosen topic area, reported outcomes relevant to nursing practice (for example mental health, self-management, symptom control, service use or patient experience), and were based on empirical methods such as quantitative, qualitative or mixed-methods designs. Studies were excluded if they focused mainly on children or adolescents, reported only medical or pharmacological outcomes with no clear link to nursing care, or were non-research papers such as commentaries or editorials. Articles not available in English or without full text were also excluded.

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