Because patient comfort is a high priority, the attending nurse could explain in layman's terms the rational for the change, and the surgical site could be clipped if needed to put the patient at ease and full his expectations. Mellinger and McCanless's article on evidence-based nursing offers guidance on cultivating awareness of the research literature relevant to the nursing field (2010). It highlights the importance of learning how to access the literature and interpret it in order to define performance standards and work procedures that reflect the best practices support by scientific findings. Mellinger and McCanless demonstrate how nurses can use the same means other health care professionals use to advance their work. The Consumer Reports on Health article helps implementation of the change in procedure by indicating that the general public is becoming aware of the lack of evidence behind preoperative hair removal ("Shaving before surgery," 2006). The growing public knowledge of this fact can be used as leverage to help win the support and involvement of the surgeons, administrators,...
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External drainage was used in cases of misdiagnosis, high risk of anastomotic dehiscence due to infected pseudocyst, or when the wall is immature. It was considered inferior to internal drainage in that external drainage can cause hemorrhage due to mechanical abrasion by the drainage tube, frequent occurrence of secondary infection, persistent pancreatic fistura, which was 10% of all cases, disease rate at 18% and a high 10% mortality. The
Title: Nursing Practice and Understanding of Surgical Site Infection Prevention: A Comparison of Standard and Best PracticesIntroductionSurgical site infections (SSIs) significantly cause morbidity and mortality in postoperative patients. The PICOT question for this research paper is: In surgical patients, how do nursing practice and understanding of surgical site infection prevention differ from standard nursing practice regarding the chance of developing surgical site infections during the 90-day postoperative period? This paper
Quantitative Research Critique and Ethical Considerations Part IIMy PICOT question focuses on hospitalized patients suffering from surgical site infections and generating a comparison of different interventions (including training and reducing stressors upon staff) to reduce the likelihood of such infections occurring post-surgery. This paper reviews the previous literature on attempts to better understand why such preventable infections occur and how to address their root causes.Background of StudyThe study of Teshager,
setting, definition Sample/Setting Conclusions (Appraisal) Level of Evidence (Flagg, 2015) Implementing patient-focused healthcare within settings burdened by the combined challenges of scarce support systems, huge patient loads and constantly-growing patient care responsibilities, especially chronically ill patients A healthcare organization with nursing staff on twelve-hour schedules Characteristics: Number of patients individual nursing professionals have to cater to, which ranges between 3 and 5. Catheter care, blood extractions, surgical schedules planned, antibiotic drugs' presence in the hospital inventory,
O'Meara stresses that a system known as a Decision Support System of DSS can be integrated into existing it to identify potential errors that could be made on any given case and provide the staff with flags to help them avoid such errors. (December 2007, pp. 970-979) DSS technology can seriously improve the chances that patients will not receive inadequate care or that services and potential challenges to them get
Patient Handoffs Majority of the medical errors take place in the patient's handoffs. A shift among the doctors is a common practice. There are a number of old patients who approach around 16 different doctors in a year, while young patients who are healthy refer to normal physicians and to specialists as well (Philibert, 2008). In a hospital normally, less attention is given to the patient by his primary doctor, while
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