According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with clients. How do you see this being applied in your workplace?
Evidence-Based Practice (EBP) is the incorporation of “clinical expertise, most up-to-date research, and patient’s preferences to formulate and implement best practices for patient care” (Schmidt, 2018). Nursing practice has evolved overtime, many archaic practices are no more valid, as the role of evidence based practice in “supporting nursing care and contribute positively to patient outcomes across a variety of settings and geographic locations cannot be over stressed” (Profetto-McGrath, 2005). Research evidences has greatly expanded over years in nursing, medicine and other health care disciplines. This is necessary to meet the society and public expectations of health care systems in delivering high quality patient focused health care. EBP is indispensable to nursing, as it forms the basis of nursing care in the achievement of personalized and holistic patients’ care and provides opportunity for individualized, effective and dynamic nursing care [and this enhances efficient] clinical judgment which invariable encourages better patients’ outcome.
I work in long term acute care facility where most of our patients are geriatrics, vent dependent and at times unconscious. On few occasions the doctor order Foley catheter for patients that does not really need it, but nurses have been able to advocate for such patients and condemn the order incorporating evidence based reasons why inappropriate urinary catheter placement can be harmful to the patient. Also, for patient that catheterization is necessary, nurses always ensure thorough assessment for the right indications (such as urologic surgery, neurogenic bladder, etc.) and sterile precautions duly observed during insertion and daily maintenance to prevent catheter associated urinary tract infection that studies has confirmed to be the “most prevalent healthcare-associated infection worldwide” (Mavin & Mill, 2015).
Also Check Out: Prevention of Surgical Site Infection Literature Search Assignment
References.
Martha, S. (2018). Nursing research: Understanding methods for the best practice. Application of
evidence based research in nursing practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/5
Mavin, C., & Mill, G. (2015). Using quality improvement method to prevent catheter associated
UTI. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26450817
Profetto-McGrath, J. (2005). Critical Thinking and Evidence-Based Practice. Journal of
Professional Nursing, 21(6), 364–371. Evidence-Based Practice Presentation: Healthcare Associated Infections https://doi-org.lopes.idm.oclc.org/10.1016/j.profnurs.2005.10.002
This is a CLC assignment.
Choose a nursing problem from your current practice setting, and identify a possible solution to that problem.
Conduct a search of the literature related to this problem.
Analyze and critically appraise evidence-based literature to support the solution to the identified problem. A minimum of (5) articles must be identified. This may include guidelines from the National Guideline Clearinghouse, Joanna Briggs Institute, or a review from the Cochrane Database of Systematic Review.
Prepare a 10-minute (8-10 slides; no larger than 5 MB) PowerPoint presentation related to the problem, evidence appraisal, and practice implications.
Include the following components into the presentation:
- Present the nursing practice problem with the PICOT question.
- Discuss your appraisal of the literature that addresses the problem.
- Present the proposed practice changes from an integration of the findings.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. NRS 433V Week 5 Evidence-Based Practice Presentation Healthcare Associated Infections Ppt
INTRODUCTION The nursing profession is very rewarding but it is sometimes challenging for the staffs. The fact that the nursing profession pays well does not mean that all the nurses are happy & leaving the live they would like to (McQueen, 2013). There are a number of problems that are associated with nursing as a profession. This presentation is going to discuss one of these problems.
Job Hazards & Job Safety Nursing is a career that is associated with working with the sick. Some are suffering from easily transmitted diseases. For instance the case of Ebola in West Africa; many nurses suffered due to little knowledge on identification of the disease & the transm. NRS 433V Week 5 Evidence-Based Practice Presentation Healthcare Associated Infections Ppt
Chapter 42 Targeting Health Care–Associated Infections: Evidence-Based Strategies
Ruth M. Kleinpell; Cindy L. Munro; Karen K. Giuliano.
Background
Hospitalization for an acute illness, trauma, chronic care, or other health care conditions is a common occurrence. There were 39.2 million hospital discharges in 2005, with an average length of stay of 4.6 days.1 Hospitalization brings associated risks, including risk of infection. Nosocomial infections, or hospital-associated infections, are estimated to occur in 5 percent of all acute care hospitalizations, or 2 million cases per year.2 Hospital-associated infections have been identified as one of the most serious patient safety issues in health care.3NRS 433V Week 5 Evidence-Based Practice Presentation Healthcare Associated Infections Ppt
Infections that become clinically evident after 48 hours of hospitalization are considered hospital-associated.2 Risks factors for hospital-associated infections are generally categorized into three areas: iatrogenic, organizational, or patient-related. Iatrogenic risk factors include invasive procedures (e.g., intubation, indwelling vascular lines, urine catheterization) and antibiotic use and prophylaxis. Organizational risk factors include such things as contaminated air-conditioning systems, contaminated water systems, staffing (e.g., nurse-to-patient ratio), and physical layout of the facility (e.g., open beds close together). Examples of patient-related risk factors include severity of illness, immunosuppression, and length of stay.2
Nosocomial infections more than double the mortality and morbidity risk for hospitalized patients, resulting in an estimated 20,000 deaths a year.2 Nosocomial infections increase the costs of hospitalization in addition to increasing morbidity and mortality risk. A meta-analysis of 55 studies examining nosocomial infections and infection control interventions determined that attributable costs are significant; costs associated with bloodstream infections (mean = $38,703) and methicillin-resistant Staphylococcus aureus infections (mean = $35,367) are the largest.3
Most infections in hospitalized patients are endogenous, meaning they are caused by bacteria that have already colonized the patient’s digestive tract prior to infection.4 The majority (60 percent) of infections in patients hospitalized in an intensive care unit (ICU) setting are caused by bacteria already colonizing the patient on admission (primary endogenous). A lesser amount (23 percent) of infections result from bacteria acquired during the ICU stay, leading to colonization before infection (secondary endogenous). A total of seventeen percent of infections are caused by bacteria introduced from the ICU environment that lead to infection without prior colonization (exogenous). Targeting hospital-associated infections is, therefore, a very important aspect of providing quality health care. NRS 433V Week 5 Evidence-Based Practice Presentation Healthcare Associated Infections Ppt
This chapter reviews the evidence-based knowledge on health care–associated infections, highlighting important information for nurses caring for hospitalized patients. The review focuses on hospital-associated pneumonia, urinary tract infection, catheter-related bloodstream infection, sepsis, and antibiotic-resistant infection. An evaluation of the literature, including recent research, and evidence-based practices are presented. NRS 433V Week 5 Evidence-Based Practice Presentation Healthcare Associated Infections Ppt
Hospital-Associated Pneumonia
Pneumonia is the second most common hospital-associated infection (after urinary tract infection).5 In critically ill patients, ventilator-associated pneumonia (VAP) is the most common nosocomial infection. VAP doubles the risk of death, significantly increases ICU length of stay, and adds more than $10,000 to each affected patient’s hospital costs.6
The current evidence-based recommendations by the Centers for Disease Control and Prevention (CDC) for prevention of nosocomial pneumonia were published in 2004.5 Although some of the interventions to reduce nosocomial pneumonia are the responsibility of physicians or other health care workers, many of the interventions are the direct responsibility of nurses or can be influenced by nurses. Nursing care can directly contribute to prevention of hospital-associated pneumonia, particularly in patients who are most at risk due to advanced age, postoperative status, or mechanical ventilation. The evidence shows that the most important contributions of nursing care to prevention of hospital-associated pneumonia are in four areas: hand hygiene, respiratory care, patient positioning, and education of staff. NRS 433V Week 5 Evidence-Based Practice Presentation Healthcare Associated Infections Ppt
