Literature Review

DQ2 Panna Panch

Health care professionals such as nurses are expected to use current best evidence in their clinical practice. Evidence-based practice (EBP) is an approach that integrates three components in clinical decision-making: current best evidence, clinical expertise, and patient perspective (Gardner, 2016). Evidence-based practice requires a different skillset of the clinical practitioner, namely, the ability to identify, access, appraise, and integrate research or scientific evidence into clinical decisions; Mastery of EBP can be developed over time and serve as a strategy to meet health professionals’ life-long learning needs. Therefore, the development and assessment of EBP knowledge and skills in health professions education are necessary to ascertain foundation knowledge in evidence-based approaches to health care. (Gardner, 2016).

My project aims to enhance the knowledge of patients regarding fall prevention at home .When the outcomes have been measured and evaluated, it may appear as if the project is complete, but work may still need to be done. Dissemination can happen in many forms within my organization and beyond, and it should be part of the planning process for the complete project.

An outcome evaluation can yield a wealth of information about opportunities to improve the project as needed. I might be considering using online feedback methods from patients and their caregivers for the positive or negative feedback regarding safety education given by nurses during hospitalization, how much they learned, and how they are using it in daily practice. Our organization has an online service call “patient portal” where patients place their feedback. As a staff, we have held unit meeting and unit council meeting every month. We express our learning, implement quality practice, and interpret data to improve ourselves to provide quality care.

Reference.

Gardner, A., Lahoz, M. R., Bond, I., & Levin, L. (2016). Assessing the Effectiveness of an Evidence-based Practice Pharmacology Course Using the Fresno Test. American journal of pharmaceutical education, 80(7), 123. https://doi.org/10.5688/ajpe807123

DQ2

Patrick Queisner

Evaluation is a fundamental component of the nursing process. Taught in nursing schools across the nation, evaluation is the last step of the nursing process and allows to identify if the solution has been effective in achieving the goal of the project. In the case of my project, the goal is to educate staff around the benefits of routine administration of normothermic intravenous fluids (IVF) over room temperature in the emergency department. Although the incidence of unplanned hypothermic can be impacted by many factors, relying on quantitative data such as temperatures would not be a good indicator of a change in practice.  

 

Historically, staff routinely administers IVF stored at room temperature as their first choice.  However, normothermic IVF has been shown to be effective in maintaining normothermia (Zaman et al, 2018). This would involve going to the supply room to get the desired IVF before going to the patient room. Although the choice to get IVF from the supply room will still be available, it is possible to increase the stock of the IVF in the warmers.  To evaluate the success of the project, the amount of IVF can be tracked and compared to the previous administration amounts.  Need to increase the par stocked into the warmers will also indicate an increase in usage and a change in nursing practice.    

References

Zaman, S. S., Rahmani, F., Majedi, M. A., Roshani, D., & Valiee, S. (2018). A Clinical Trial of the Effect of Warm Intravenous Fluids on Core Temperature and Shivering in Patients Undergoing Abdominal Surgery. Journal of PeriAnesthesia Nursing, 33(5), 616–625. https://doi-org.lopes.idm.oclc.org/10.1016/j.jopan.2016.12.010