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What barrier to implementing evidence-based practice do you face at your workplace?
One barrier, of course, is partially logistic -- it is necessary to have greater numbers of nurses to make more frequent rounds in any setting, and the larger the setting the more difficult it is to use human beings, rather than technology in the workplace. Also, as technology is supposed to reduce workloads, there may be some managerial resistance to implementing this evidence-based finding, as it seems counterintuitive. There may be legal concerns, as the availability of a call light might be a legal 'cover' for accusations of ignoring patients, even if ward rounds are increased.
But the findings suggest that call lights and decreased nursing visitations to all patients, regardless of their use of a call light, supports the unavoidable need for human connection on the part of patients and actually improve medical care, and specifically reduces the risk of falls. Most nurses' intuitive awareness of patient psychology is supported by the findings of the...
Also, legal risks to the hospital will be reduced if falls are reduced, as falls are one of the most potentially serious risks for elderly patients in hospital settings.
Propose strategies to overcome the potential barriers
Encouraging nurses to share their input from their own personal experiences, and supporting the statistical findings of the articles with data from within the facility is vital. Doing a trial run of increasing rounds and encouraging the decreased use of call lights in controlled sections of hospital wards can demonstrate within the specific clinical care setting the merits of the study. Also, increasing patient and nursing interactions through the use of more frequent rounds in a variety of medical settings, including hospital and doctor's waiting rooms, and supporting the benefits of this with patient response cards and evidenced-based onsite research can make the findings of the article more persuasive and promote change.
Hourly Nurse Rounds Critiquing Validity and Robustness of Research in Hourly Nurse Rounds There are different kinds of studies that are carried out in the nursing field to examine various issues in patient care. An understanding of these issues requires examining these studies to gain insights and inform practice. This paper evaluates two studies on the impact of hourly nurse rounds in lessening falls, pressure ulcers, and call light while increasing
The dependent variable in the study is the nursing rounds (which involves undertaking the prescribed protocols and actions to be taken as well as the frequency of rounds, i.e. one hour rounding and two hour rounding). The study aims to see the behavior of the nursing rounds variable when tested against the study's independent variables (which are patient's call light use, level of satisfaction, and safety). The title of the
Evidence-Based Practice on Hourly Rounding Impact of Hourly Rounding on Falls Preventions, Reduction of Pressure Ulcers and Call Light Use In the contemporary health environment, falls are the common phenomenon that may cause fatal injuries to older adults of 60 years and older. Nearly 50% of hospitalized older adults face the risks of falls that can lead to a fatal or non-fatal injury. Consequently, falls can lead to negative effects that include
Nursing Proposal -- Evidence-Based The utilization of call lights particularly in hospital settings has recently been put under study as a function of various aspects of nursing including shortages, rounds and analyses of patient outcomes. The proper scheduling of nursing rounds may be essential to enhance the capability of nurses to tackle common or ordinary patient issues relative to more dire needs that have to be regarded as the primary/main target
Evolving Role of Call Lights and Nursing Rounds in Hospitals The use of call lights in hospital settings has increasingly come under study as a function of nursing shortages, changes in nursing rounds, and robust studies of patient outcomes. The scheduling of regular nursing rounds may be pivotal to the ability of nurses to address common, mundane patient issues compared to more critical needs that have been considered the primary
Teaching Staff Title of Teaching Plan: The title of the teaching plan is the importance of hourly rounding with long-term psychiatric patients. The target audience will be RNs, LPNs and Nursing Assistants. They work in long-term care settings. This is their first exposure to hourly rounding and it will offer an overview as to how these objectives are achieved. Program Description: The nurses on staff play a critical role in helping to promote