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Reflection Nursing and Mentors Video

Risk seem: Reflection Nursing and Mentors

This chapter from Implementing the Evidence-Based Practice EBP Competencies in Healthcare explains how evidence-based practice improves healthcare quality and patient outcomes while reducing costs and discusses multiple barriers to EBP that persist in healthcare settings. Setting the stage Have you ever wondered why the United States spends more money on healthcare than any western country, yet it ranks 37th in world health outcomes? Have you ever questioned why patients are awakened every 2 to 4 hours for vital signs in the hospital when Reflection Nursing and Mentors are stable and in desperate need of sleep?

Or wondered why nurses work hour shifts when research shows the multiple adverse outcomes of working lengthy hours for both clinicians and patients? Have you ever thought about the millions of healthcare dollars that could be saved if all primary care providers would follow the evidence-based recommendations of the U. Preventive Services Task Force? Have you ever questioned why it often takes decades for the evidence that is generated from research to be translated into the real world to improve healthcare quality and patient outcomes?

This is Step 0 in the seven-step evidence-based practice [EBP] process, which we describe in detail later in this chapter. As a result, the team formed the following question in a format called PICOT Patient population, Intervention or Interest area, Comparison intervention or group, Outcome, and Time; Step 1 in EBP that facilitated them to conduct an expedited effective search for the best evidence Magers, :.

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In adult patients hospitalized in click long-term acute care hospital Phow does the use of a nurse-driven protocol for evaluating the appropriateness of short- term urinary catheter continuation or removal I compared to no protocol C affect the number of catheter Rfflection and CAUTI rates O over a six-month post -intervention period T?

Reflection Nursing and Mentors synthesis of the 15 studies led the team to conclude that early removal of urinary catheters would likely reduce catheter days and CAUTIs the identified outcomes. Therefore, the team wrote a protocol Reflcetion on the evidence, listing eight criteria for the continuation of a short-term urinary catheter Step 4 in EBP.

Page 1 of 8Improving healthcare quality, patient outcomes, and costs with evidence-based practice. After the protocol was presented to the medical executive committee at their hospital for approval, a process for the change was put into practice, including an education plan with an algorithm that was implemented in small group inservices for the nurses, posters, and written handouts for physicians. The Reflection Nursing and Mentors disseminated the outcomes of the project to internal audiences e.

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Step 6 in the EBP process. This is a stellar exemplar of how a team with a spirit of inquiry and a commitment to improving healthcare quality can use the seven-step EBP process discussed in this chapter to improve patient outcomes and reduce hospital costs.

Reflection Nursing and Mentors EBP has been found to empower clinicians and result in higher levels of job satisfaction Strout,it also can assist healthcare systems in achieving the Quadruple Aim. However, regardless of its tremendous positive outcomes, EBP is not standard of care in healthcare systems throughout the United States or the rest of the world due to multiple barriers that have continued to persist over the past decades. Urgent action is needed to rapidly accelerate EBP in order to reduce the tremendously long lag between the generation of research findings and their implementation in clinical settings. Many interventions or treatments that have been found to improve outcomes through research are not standard of care throughout healthcare systems or have never been used in clinical settings.

On the other hand, many interventions or practices that do not have a solid body of evidence Reflection Nursing and Mentors support them continue to be implemented in healthcare, including double-checking pediatric medications, assessing nasogastric tube placement with air, and taking vital signs every 2 or 4 hours for hospitalized patients. These practices that are. Page 2 of 8Improving healthcare quality, patient outcomes, and costs with evidence-based practice. Some barriers inhibit the uptake of EBP across all venues and disciplines within healthcare.

Although the strongest level of evidence that guides clinical practice interventions i.

Single descriptive quantitative and qualitative studies, which are considered lower-level evidence, continue to dominate the field; see Table 1. However, all studies that are relevant to the clinical question should be included in the body of evidence that guides clinical practice.]