03/03/2018
Section B
Background of the Problem
The medical field is a serious sector where human lives are always at stake. A simple mistake in form of the wrong diagnosis can have detrimental effects. Similarly, cardiopulmonary resuscitation (CPR) is a major issue that is hardly managed in society due to its high risks (Cardiac, 2018). This can be hands-only CPR or hands plus breathing CPR. The debate on the most effective approach is rarely settled as people argue from different perspectives. Therefore, implementing an evidence-based project will ensure that such potential risks are avoided and minimized through performing thorough analysis and tests before medical decisions are made. Today, organizations are becoming thorough in their care provision to patients. They are constantly embracing modern technologies to ensure that they are best suited to serve patients with ease. In that case, the local the local community should be well informed on the best CPR approach to use in order to save lives immediately (Forgey, 2017). Generally, this project will improve patient confidence in the standard of services that patients receive.
Stakeholders
The stakeholders that will be directly and indirectly affected by this project range from hospital staff to the community members. However, some of the stakeholders will have a direct role to play to effect this change. For instance, the hospital’s health professionals are the primary stakeholders that will be responsible for catalyzing this change. The management is responsible for allocating adequate funds for this project to be undertaken. Similarly, the medical professionals in the hospital are also direct agents of change as they will be required to subscribe to the operations of the evidence-based project. That will require them to ensure that they seek adequate evidence in form of lab tests before they can make medical recommendations to the patients. The local community members are also stakeholders of this project because they are the beneficiaries of its operations. After the study, the community members will be educated on the best CPR methods they can use in case of emergency. Through its implementation, the patients can be guaranteed of receiving the best profession services without any possibility of errors (Neumar, 2017). Independently, the revenues collected in form of hospital charges cannot suffice the hospital’s operations. Therefore, the local government is also a primary stakeholder in this project as its successful implementation will depend on the level of funding.
PICOT Question
The main debate among people has been on understanding which CPR strategy is most effective and medically safe to use in case of an emergency. Therefore, this proposal will seek to evaluate this effectiveness in the local community especially among the elderly. Some argue that hands-only CPR is more effective than hands plus breathing CPR. In this case, the study question will mainly be structured as follows:
In community-dwelling adults, how effective is hands-only CPR versus hands plus breathing CPR at preventing mortality?
In this research question, PICOT abbreviations are well addressed as follows: P – community-dwelling adults, I – hands=only CPR, C - hands plus breathing CPR, and O – higher percentage of lives saved
Purpose of the Project
Cardiopulmonary resuscitation is a basic practice that should be learned by both medical professionals and the local community. This is because of the degree or risks that people face when they suffer from cardiopulmonary attacks requiring immediate resuscitation. However, the understanding of the best and most effective CPR method is always a matter of debate. There is a general agreement that hands-only CPR and hands plus breathing yield significant results. However, there is a major hygiene problem associated with hands plus breathing CPR as people can transmit diseases easily (Platner, 2017). The objective of the study is to ascertain the best CPR method between the two. Both methods will be tested on elderly patients and the outcome recorded. The health status of the resuscitating person and the patient will also be recorded before and after the process to note the changes.
Rationale
Undertaking this EBP is important in clearing the doubts that exist among people on the best CPR method. In essence, the suspicion of possible disease transmission will be addressed as the outcome of this study will be depicted in the conclusion. In addition, nurses will also have a solid ground to train the local community while clearing the doubts and fears that the people may have. This study will equip them with facts to clearly advice patients on the most effective CPR method to use (Ng, Leong, & Ong, 2017). In summary, the proposal will ensure that the grey areas that exist on the hygiene and safety of the CPR methods are cleared.
References
Cardiac, L. L. (2018). Sudden Cardiac Death. Contemporary Challenges in Sudden Cardiac Death, an Issue of Cardiac Electrophysiology Clinics, E-Book, 9(4), 749.
Forgey, M. W. D. (2017). Wilderness medicine: beyond first aid. Rowman & Littlefield.
Neumar, R. W. (2017). Future Directions: Management of Sudden Cardiac Death. Cardiac electrophysiology clinics, 9(4), 785-790.
Ng, Y. Y., Leong, S. H. B., & Ong, M. E. H. (2017). The role of dispatch in resuscitation. Singapore medical journal, 58(7), 449.
Platner, E. A. A. (2017). Using Evidence-Based Methods to Evaluate Neonatal Resuscitation Program Competence and Assess Two-Year Renewal Recommendations (Doctoral dissertation, north central University).
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