Research-Based (Or Evidence-Based) Practice

Topic 5 DQ 2
The threat to patient safety and quality outcome are associated with healthcare-associated infections (HAI) incidents. In nursing evidence-based practices are utilized to provide quality patient care and reduce unexpected outcomes. Evidence base practice is the basses for interventions that reduce patient risks and hospitals acquire occurrences such as falls, ventilator acquire acquire pneumonia, catheter associated urinary tract infections etc. According to the CDC (Center for Disease Control) 75% of hospital acquired urinary tract infection are associated with urinary catheter. In my facility the nurses utilize the prevention bundle for the above-mentioned healthcare acquired infection or incident. The CAUTI bundle includes the indication for a foley catheter insertion, foley is no longer used for intake and output outside of the intensive care units the only indication is for urinary retention. Remove as soon as it is no longer necessary. Foley insertion is a two-nurse process to ensure sterile field is maintained, all Cather care is done with soap and water or CHG wipes once a shift or as needed. Best practice shows that there is a decrease in CAUTI when these practices are utilized. Research-Based (Or Evidence-Based) Practice

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One of the leading causes of injury related death in the elderly is fall. Falls are very costly to the patient and health care system. Implementation of hourly ensures patients’ safety measures are met. To prevent patient falls, the nursing staff assess that patient’s needs are, which includes the 5 P’s potty, pain, position, personal items within reach and pumps. Evidence based practice shows that there is a reduction in the rate of falls when patients are rounded on frequently. These evidence-based practices are readily available to all nursing staff throughout the health center institution via the policy and procedure manual on the hospital website. In-services are another way staff are kept up to date on the latest research. The Up To Date is another educational tool whose usage is encouraged to bridge the gap between experience and current best practices. Research-Based (Or Evidence-Based) Practice

Inconclusion evidence-based practice is the gold standard of care for best patient outcome and quality patient care outcome. Evidence base practice is utilized in various aspects of health such as reducing fall, CAUTI, VAP and pressure.

Using 200-300 words APA format with at least two references to support this discussion.

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? Research-Based (Or Evidence-Based) Practice

New and Emerging Technologies for Patient Care

Review the various technology tools described in this week’s Learning Resources.

• Pick one of the technologies listed below or choose one on Genomics or Nanotechnology. Reflect on how they are used and how its use impacts the quality of care. Consider cost and reimbursement.
• Consider how your identified technology tools might impact nursing practice if it were more widely used. What are some barriers preventing increased usage? How could wider implementation be facilitated? New and Emerging Technologies for Patient Care
  

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New and Emerging Technologies for Patient Care:

• 3-D printers
• Aging in place technologies
• Artificial pancreas and Wearable artificial kidney
• Biometric clothing
• Bionic eyes, limbs, hearts
• Cognitive computing for healthcare
• Disinfecting robots
• Exoskeleton for spinal cord injuries
• Fall prevention technologies
• Holographic images
• Magnetic Bracelet for Fecal Continence Control
• Mobile Cardiac Telemetry System/Wearable external defibrillators
• Mobile stroke treatment units
• Nanobots
• New anti-obesity devices
• Noninvasive, wireless monitoring system for people with diabetes
• Patient Portals
• Robotics — patient care (RIBA and HAL)
• Symptom Tracker for Patients with Asthma or COPD
• Transcranial magnetic stimulation (TMS) New and Emerging Technologies for Patient Care

Instructions:

Use an APA 7 style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. Include the Doi or URL link.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

New and Emerging Technologies for Patient Care

Case Study, Chapter 2, Community-Based Nursing Practice

Mr. Jones, who is 74 years of age, is being discharged home after having a right knee replacement. The discharge orders from the orthopedic surgeon include: continuous passive motion (CPM) at the current setting of 0-degrees extension worn when walking with crutches (nonweight-bearing postdischarge day 1, and may begin weight-bearing postdischarge day 2); and home nurse visits, as needed. Physical therapy should begin the day after discharge at an orthopedic center. The orders will be faxed to the center. The following medications with prescriptions attached include: Lovenox (enoxaparin) 70 mg subcutaneously once daily for 7 days, Vicodin (hydrocodone bitartrate) 10 mg every 4 hours PRN, and Colace (docusate sodium) 100 mg every day. The patient is to follow up with the orthopedic surgeon in 3 weeks. His daughter plans to stay with him for several weeks to assist him with meals and household chores, and take him to physical therapy and the orthopedic surgeon for follow-up. Mr. Jones has three other children who live in other states. He is a widower and attends a local church. (Learning Objective 4) Case Study, Chapter 2, Community-Based Nursing Practice

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1. What preparations should the nurse make in advance before attaining necessary community resources and referrals before the patient is discharged?
2. What necessary community resources and referrals will the patient need?

2. Mrs. Johnson, a 67-year-old female patient, has recently been discharged from the hospital following an admission for COPD. She has a past medical history of a colon resection related to acute diverticulitis. She developed a surgical wound infection that requires daily wet to dry wound packing and IV Zosyn. Mrs. Johnson was discharged with home oxygen. To manage her care at home, home care visits were ordered. (Learning Objective 5)

1. What would be involved in setting up the first home care visit?
2. Describe the nursing assessments and management that would occur during the visit.

Case Study, Chapter 2, Community-Based Nursing Practice

Pediatric – Week 1 Discussion 2nd REPLY

Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.  Pediatric – Week 1 Discussion 2nd REPLY

JO Discussion:

What are the sources of pediatric primary care in the United States? Are these sources sufficient for providing health-care services to the pediatric population? Why or why not?

The pediatric population is offered several different resources of primary care.  These resources include: community and school-based health centers, pediatricians, family practice/primary care clinicians, nurse practitioners, clinics, and the health department (Spencer et al, 2018).  Various programs are available to assist families in gaining access to primary care, preventative care guidelines/schedules, insurance, supplemental nutrition, health care referrals, and nutritional education.  State and federally funded programs/resources include: Medicaid, Women, Infants, and Children (WIC), Children’s Health Insurance Program (CHIP), and Bright Futures (Health Resources & Services Administration, 2021).  Despite the number of resources made available for this population, some children’s health care needs are still not being met.  The Children’s Health Fund estimates that nearly 28% of children in the United States still possess unmet healthcare needs, especially those requiring specialty care such as, pediatric endocrinology or pediatric cardiology (PNHP, 2016).  Pediatric – Week 1 Discussion 2nd REPLY

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Are there certain pediatric populations that lack access to health-care services? Why?

The pediatric population residing in underserved, rural regions, tend to lack access to health-care services due to a limitation of services.  Approximately 20 percent of Americans reside in rural areas, but hardly one-tenth of physicians practice in these areas (Nielsen et al., 2017).  This ratio is projected to get worse as the federal government reports there will be an estimated deficiency of over 20,000 primary care providers in rural regions (Nielsen et al., 2017).

What are the barriers to children in accessing health-care services in the United States? Why do these barriers exist? 

Sadly, many children are faced with numerous barriers in accessing health-care services in the United States.  These barriers include financial and non-financial barriers.  Financial barriers stem from high copays, high deductibles, high-priced prescription drugs, families reporting failure or difficulty to pay medical bills, and providers declining certain forms of insurance (PNHP, 2016). Non-financial barriers encompass informational and geographical barriers.  Informational and geographical barriers are due to the complexity of information on accessing healthcare and obtaining coverage, parents’ limited proficiency in speaking English, health illiteracy, lack of transportation, and lack of healthcare providers per capita in rural and low-income regions (PNHP, 2016).  These barriers can create a delay in seeking care, leading to more complex illnesses and decreased quality of life.  Pediatric – Week 1 Discussion 2nd REPLY

References

Health Resources & Services Administration. (2021). Maternal and child health. Retrieved from https://mchb.hrsa.gov/maternal-child-health-topics/child-health/bright-futures.html

Nielsen, M., D’Agostino, D., & Gregory, P. (2017). Addressing Rural Health Challenges Head On. Missouri medicine, 114(5), 363–366.

PNHP. (2016). Unfinished business: More than 20 million children in u.s. still lack sufficient access to essential health care.  Retrieved from https://pnhp.org/news/20-million-children-lack-sufficient-access-to-health-care

Spencer, D. L., McManus, M., Call, K. T., Turner, J., Harwood, C., White, P., & Alarcon, G. (2018). Health Care Coverage and Access Among Children, Adolescents, and Young Adults, 2010-2016: Implications for Future Health Reforms. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 62(6), 667–673. https://doi.org/10.1016/j.jadohealth.2017.12.012 Pediatric – Week 1 Discussion 2nd REPLY

Benchmark – Capstone Project Change Proposal

Develop a 1,250 written project on the topic Fall Prevention In Healthcare Facilities that include the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question.
   

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5. Literature search strategy employed.

6. Evaluation of the literature.
7. Applicable change or nursing theory utilized.
8. Proposed implementation plan with outcome measures.
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Prepare this assignment according to the guidelines found in the APA Style Guide. Benchmark – Capstone Project Change Proposal