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Evidence-Based Protocol Implementation
Influencing Multiple Systems Through Evidence-Based Change as advance practice nurse, work informed factors direct reach, influence extends context labor. Likewise, propose a nurse leader influenced multiple systems, turn, impact groups.
Nurses are encouraged to utilize and incorporate in their daily practice evident-based practice. The Evidence-based practice (EBP) is considered to be a scientific standard that determines and guides on the best clinical measure (LoBiondo-Wood and Haber). EBP has grown in its relevance to clinical decision making and support to the nursing profession since it facilitates efficiency in provision of care and quick recovery to patients. Successful implementation of EBP calls for monitoring of existing practices, documentation of relevant procedures and evaluation of possible change practices in clinical and nursing care (LoBiondo-Wood and Haber).
Possible adjustments needful for patient's care protocol
Immediate care for patients coming from SICU is critical to their recovery from the procedure they undergo. In their case, it is imperative that nurses be aware of ideal measures and procedure to undertake to ensure quick and speedy recovery. Included in the care measure should be the use of forced warm air blankets. These are warm blankets that re-warm the SICU patient faster than the fluid-filled blankets (Grossman, Bautista and Sullivan). Evidence-based studies provide insights supporting the use of fluid-filled and forced warm air blankets as more efficient compared to cotton blankets to re-warm patients. The results of these studies, therefore, encourage the use of forced warm blankets and especially forced warm...
This evidenced-based care strategy to patients presents a necessary adjustment to the management and care to patients in relation to measures that prevent aggravated hypothermic conditions during patient recovery.
Components of the system within the sphere of influence of this change
From the evidence-based results, there is a need to develop a protocol that outlines the development of nursing measures of management of potential hypothermic conditions. For this purpose, staff should receive directional copies of directional protocols in use of forced warm air blankets to patients requiring normothermia care treatment. Additional to the directional protocols the nursing staff needs to be given training on measures relating to the administration of forced warm air blankets. This should be accompanied with ideal measures of monitoring to ensure that the nursing staffs use the forced warm air blankets as per guidelines, and the desirable outcomes are attained. The monitoring of the use can be done through nursing records where, a consistent log indicating use of the blanket and the outcome attained is given. This will communicate to the administrative staff the effectiveness attained in the use of the forced warm air blanket and the measures to undertake to improve their effectiveness (Melnyk and Fineout-Overholt).
Administration staff in the nursing care department will also need to take up measures to ensure availability of sufficient warm air blankets for use in the nursing care. It is also imperative that attached to the warm air blankets there be a copy of application guidelines and a record to indicate the frequency of…
References
Grossman, S., C. Bautista, and L. Sullivan. "Using Evidence-Based Practice to Develop a Protocol for Postoperative Surgical Intensive Care Unit Patients." Dimensions Of Critical Care Nursing 21.5 (2002): 206-14. Print.
LoBiondo-Wood, G., and J. Haber. Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice. St. Louis: Mosby Elsevier, 2006. Print.
Melnyk, B., and E. Fineout-Overholt. Evidence-Based Practice in Nursing and Healthcare. Philadelphia: Lippincott, Williams and Wilkins 2005. Print.
Schmidt, N.A., and J.M. Brown. Evidence-Based Practice for Nurses: Appraisal and Application of Research. (Eds.) United States: Laureate Education, Inc. custom ed., 2012. Print.
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