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5 pages/≈1375 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
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MS Word
Date:
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Topic:
EVIDENCE BASED PRACTICE PROJECT: NUR 4169c
Research Paper Instructions:
please read and follow the instructions
I will attach the PICOT AND SYNTHESIS PAPERs for this assignment. please follow the picot question for this assignment.
University of South Florida College of Nursing
NUR 4169c: Evidence Based Practice
Assignment Directions: Evidence Based Practice Project
The purpose of this assignment is to plan your evidence based practice project based on your PICOT question and your literature synthesis. This assignment should be ready to implement after approval from your organization. It is not required that it be approved or implemented, however, to achieve success in this course. So you may be well prepared, review all the lectures associated with this course, read all the assigned chapters, and view the suggested websites. There is a lot of good information on the internet about EPB projects, and many published papers about EBP implementation successes.
This assignment requires submission of a draft for formative feedback, after which you will submit your final paper with all suggested revisions. Below you will find the required elements of this assignment. Use the bolded words as headings. All submissions must be in APA format, using the suggested headings below. Please note there is a minimum of 900 words, or 3full pages for this assignment that must be submitted for formative feedback. Together, both papers meet the 1800 word minimum for this assignment. Points will be deducted for not adhering to the word count.
1. Introduction – identify the need for change in practice.
a. Identify the initial clinical question (from PICOT paper).
b. Identify the infrastructure to support a change in the proposed setting
2. Summary of synthesized literature review of best evidence.
a. Start with the parameters of your lit search process: the search engines used and key words.
b. 2-3 paragraphs of synthesis, citing all literature used.
3. Proposed Practice Change
a. Identify the proposed change in practice based on the evidence.
4. Change Strategy
a. Identify strategies to promote staff/team engagement.
b. Approach to change consistent with organizational culture
i. EBP Model or Change Theory
5. Roll Out Plan
a. Identify a time frame for practice change rollout (see example p 465).
b. List and define all steps in the rollout process.
c. Bullets, numbered steps, or use of tables are preferred
6. Project Evaluation
a. Identify the specific data you plan to collect to evaluate the change, focusing on PICOT outcomes (not staff compliance)
b. Include specific parameters that will indicate success or failure
c. Identify how the data will be collected
7. Dissemination of EBP
a. Identify the methods planned to disseminate the change locally and regionally.
b. Customize to your clinical setting/population.
c. Include the plan for other units, hospitals, regions
Research Paper Sample Content Preview:
Evidence Based Practice Project: Oral Care and Prevention of Ventilator acquired Pneumonia
Mariam Hammed
University of South Florida
Date:
Introduction
The Project focuses on elderly patients in long-term care and how oral care affects their susceptibility to pneumonia within a period covering three to six months. Furthermore, the project will utilize evidence to show the impact of oral care versus patients not using daily oral care twice a day. The project hypothesizes that there will be change within the stipulated period, and evidence based research adds credibility to this. VAP is one of the major hospital acquired infections, and reducing the prevalence rates of VAP requires nursing intervention. Thus, this paper proposes to use oral care in preventing VAP among elderly patients, and integrating proposed changes in the health care setting, with results compared to cases where there is non intervention.
Infrastructure to support a change in the proposed setting
To achieve the targeted goal the project aims to look into changes that may affect the infrastructure and bring about the intended change for the patients. Thus, the setting needs to incorporate using toothbrushes in maintaining oral care, and this will involve recording and purchasing toothbrushes on a weekly basis with all medical staff being sensitized on how to use them. The need for isolation airborne rooms will be taken into account when designing extra care center areas, in accordance with the set health standards; this can be accompanied with extra sinks to facilitate better hygiene. Furthermore, there will be increased education of nurses on the role of good oral care, and this training should place emphasis on the patient’s role in reducing hospital-acquired infections.
Summary of synthesized literature review of best evidence
To carry out the research, it was necessary to consult electronic databases for literature review. Consequently, the research relied on material from PubMed, EBSCO and CINAHL. To narrow down the research terms, the research involved specific keywords including: oral health, oral hygiene, ventilator-associated pneumonia, and nosocomial pneumonia. Furthermore, due to limited knowledge of other languages, only those articles published in English were put into consideration. At the same time, the material had to be peer reviewed as well as being a recent publication. Thus, all the studies had to highlight on VAP for them to be considered as being relevant to the research. To further avoid credibility issues in the chosen materials, it was necessary to only consider peer-reviewed sources.
Synthesis
A review of related research supports the view that oral care is an important factor in reducing the prevalence of VAP. Labeau et al (2011) conducted randomized trials of oral care using chlorhexidine, which showed that it minimized the development of ventilator-associated pneumonia. In the study, the use of antiseptic was sta...
Mariam Hammed
University of South Florida
Date:
Introduction
The Project focuses on elderly patients in long-term care and how oral care affects their susceptibility to pneumonia within a period covering three to six months. Furthermore, the project will utilize evidence to show the impact of oral care versus patients not using daily oral care twice a day. The project hypothesizes that there will be change within the stipulated period, and evidence based research adds credibility to this. VAP is one of the major hospital acquired infections, and reducing the prevalence rates of VAP requires nursing intervention. Thus, this paper proposes to use oral care in preventing VAP among elderly patients, and integrating proposed changes in the health care setting, with results compared to cases where there is non intervention.
Infrastructure to support a change in the proposed setting
To achieve the targeted goal the project aims to look into changes that may affect the infrastructure and bring about the intended change for the patients. Thus, the setting needs to incorporate using toothbrushes in maintaining oral care, and this will involve recording and purchasing toothbrushes on a weekly basis with all medical staff being sensitized on how to use them. The need for isolation airborne rooms will be taken into account when designing extra care center areas, in accordance with the set health standards; this can be accompanied with extra sinks to facilitate better hygiene. Furthermore, there will be increased education of nurses on the role of good oral care, and this training should place emphasis on the patient’s role in reducing hospital-acquired infections.
Summary of synthesized literature review of best evidence
To carry out the research, it was necessary to consult electronic databases for literature review. Consequently, the research relied on material from PubMed, EBSCO and CINAHL. To narrow down the research terms, the research involved specific keywords including: oral health, oral hygiene, ventilator-associated pneumonia, and nosocomial pneumonia. Furthermore, due to limited knowledge of other languages, only those articles published in English were put into consideration. At the same time, the material had to be peer reviewed as well as being a recent publication. Thus, all the studies had to highlight on VAP for them to be considered as being relevant to the research. To further avoid credibility issues in the chosen materials, it was necessary to only consider peer-reviewed sources.
Synthesis
A review of related research supports the view that oral care is an important factor in reducing the prevalence of VAP. Labeau et al (2011) conducted randomized trials of oral care using chlorhexidine, which showed that it minimized the development of ventilator-associated pneumonia. In the study, the use of antiseptic was sta...
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