15th November: Fife Colleges Access Students Scottish University of the Year 2017 15th November: Fife Colleges Access Students Suzanne Bell

Reading for academic purposes Writing for academic purposes Today Introductory lecture Reading for academic purposes Writing for academic purposes How to think more critically Evidence based care Summary

Lets consider examples? What types of reading? Books Tabloids Magazines Peer reviewed journals Evidence based Guidelines Social Media THOUGHTS??? Fiction? Fact?

This is an example of a newspaper articles– we’ll pick out: sensationalist language; emotive language; how it draws readers in by alarming them

Academic Reading

Writing for different purposes How we write may depend on what we have read? Change this sentence from the Times to the Daily Mail Commended policeman who apprehended the mentally ill murderer of two women has raised serious questions about the police force Brilliant-but-ruined cop who nailed psychopathic killer of two women raises grave questions about modern policing Differences?

Writing more academically…. NOT ACADEMIC

Critical thinking The first requirement for developing critical thinking skills is being able to ask relevant questions Always be inquisitive, asking enhances knowledge. Often the naive question is the one that makes everyone pause….and allows you to see things differently too Weighing different viewpoints, offering alternatives Decide the relevance of things and defend what you think best think of different solutions… These skills develop as experience accumulates….. “Critical thinking, then, is that which enables the nurse to function as a knowledgeable doer….….someone who selects, combines, judges and use information in order to proceed in a professional manner.” (Price & Harrington (2016)

Lets try it out!! Questions you might want to ask?

Applying evidenced base health care Ensures patient or clients receive the care that fits their needs Facilitates sound decision making Minimises' risk to the patient or client so that benefit outweighs harm Exposes gaps in knowledge Needs to be current and integrated with clinical knowledge, research and the patient or clients own values/needs

SIGN April 2016 Patients with ST-elevation ACS should be treated immediately with primary percutaneous coronary intervention (PCI) When primary PCI cannot be provided within 120 mins of diagnosis, patients with STEMI should receive immediate (prehospital or admission) thrombolytic therapy Drug Therapy – STEMI (SIGN 2016) Drug Therapy – Non ST-elevation ACS (SIGN 2016) Continuous cardiac monitoring, usually bed-rest (up to toilet) 24 hours then telemetry Vigilant observation & report changes early, Pain assessment and analgesia Monitor respiratory status, particularly after opiate, anti-emetics Cardiac Rehabilitation and referral back for ongoing review with cardiology/GP.

Becoming more discerning Ask Questions Consider the evidence! SUMMARY Becoming more discerning Ask Questions Consider the evidence! Read the detail!