Part One The first step of the EBP process is to develop a question from the nur
ID: 128324 • Letter: P
Question
Part One
The first step of the EBP process is to develop a question from the nursing practice problem of interest.
Select a practice problem of interest to use as the focus of your research.
Start with the patient and identify the clinical problems or issues that arise from clinical care.
Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.
The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Part 2
Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.
Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article's abstract. The completed assignment should have a title page and a reference list with abstracts.
Explanation / Answer
Part one
Patient name; Mr Andrew
Age; 70 years
Gender; M
Mr Andrew got admitted to the hospital due to spinal cord injury. Later he was transferred to the rehabilitation session of the hospital for long-term care. Due to a prolonged hospital stay, his hands were swollen and had multiple punctured sites, including redness of the skin and dark discolouration in the skin. by investigating, it was found that it was highly difficult to perform iv cannulation in Mr Andrews limbs. Most of the veins were punctured multiple times. Old and new puncture mark was present in his body. Present IV line was retained till a new fresh line was found. This retaining of line and the evidence of multiple old and new punctures marks shows iv complication like phlebitis and infiltration.
following a study, it is found that around of 50 IV related complication are reported in a day in a 160 bedded hospital in the US. The reported iv complications are phlebitis, infiltration, extravasation, occlusion.
Research Question
for adults staying in long-term care, what are the strategies used to produce a clinically significant improvement in iv related complication compared to quality nursing practice at 1 weeks?
P ( population) - Population aged between 50- 70 years of age, who are admitted from long-term, having visible signs of IV related complication, phlebitis, infiltration, extravasation occlusion. Patients with 96 hours of stay were excluded from the study.
I ( intervention ) - subjects were objectified to a clean medical practice of iv infusion. Interventions strategy was to protect the iv line by flushing with sterile water after giving the antibiotics. a small dose of diluted heparin flushes to run out the possible clots, doing iv casualisation dressing to avoid infection, checking out for redness or inflammation around the skin at the puncture site. A daily check is done to identify any new occurrence for one week. The control group was given the previous routine care.
C (comparison ) - A standardised supervised quality strategies, for IV care will be subjected to the group.comparison would be done at the end of the week with the control group.
O (outcome ) - the new occurrence of iv complication would be limited
T (time) - the outcome would be monitored at every day for 1 week