TOPIC: CLINICAL PRACTICE OR MANAGEMENT ISSUE (ALARM FATIGUE)Discussion Guidelines/Initial PostPost

TOPIC: CLINICAL PRACTICE OR MANAGEMENT ISSUE (ALARM FATIGUE)Discussion Guidelines/Initial PostPost a brief description of the clinical practice or management issue you have chosen to potentially develop.Include the identification of the type of foreground question you are asking. Refer to Box 2.1, p. 42 In your Melnyk & Fineout-Overholt text.Include at least one source in addition to the required weekly readings (cite in APA format). FYI/NOTE: I work as a telemetry nurse on a telemetry unit and I want the clinical practice issue that I focus to be about ALARM FATIGUE. Attached is the info on Box 2.1 in the book Below is info in Box 2.1 pg. 42 in the book  BOX 2.1 TEST YOURSELF: CAN YOU FIND THE RIGHT QUESTIONQuality Improvement (QI)”The intensive care unit evidence-based practice (EBP) team consisting of critical care nurses, physicians, and respiratory therapists have noticed an increase in ventilator-associated pneumonia in trauma patients who are intubated and on ventilators. This is a surprising outcome for the EBP team. Select the relevant QI question: Does oral care with chlorhexidine reduce ventilator-associated pneumonia in patients receiving mechanical ventilation? b) Why are ventilator-associated pneumonia rates so high in our trauma patients? c) In trauma patients who are mechanically ventilated, how do chlorhexidine mouthwashes compared with probiotics affect ventilator-associated pneumonia development? ResearchThe EBP team is frustrated with this pulmonary complication and is wondering how to reduce it. They wonder if they would need to do a research study. Select the relevant research question: a) Does oral care with chlorhexidine improve ventilator-associated pneumonia rates in patients receiving mechanical ventilation? b) Why are ventilator-associated pneumonia rates so high in our trauma patients? c) In trauma patients who are mechanically ventilated, how do probiotics compared with no probiotics affect ventilator-associated pneumonia development while on the ventilator? Intervention Clinical Question In their brainstorming session, they discuss several options that members of the team have heard other agencies are doing and consider two interventions they feel will work in their organization: (1) starting a chlorhexidine mouthwash protocol and (2) probiotics for their mechanically ventilated patients. The EBP mentor acknowledges their frustration and desire for a quick fix, guides the group to understand that formulating a clinical question is a better choice to consider when the goal is to improve patient outcomes, and the team moves forward with the EBP process. Select the intervention clinical question: a) Why are ventilator-associated pneumonia rates so high in our trauma patients? b) Which is more effective in reducing ventilator-associated pneumonia in patients receiving mechanical ventilation, chlorhexidine, or probiotics? c) In trauma patients who are mechanically ventilated, how do chlorhexidine mouthwashes compared with probiotics affect ventilator-associated pneumonia development while on the ventilator?  Answer QI: b; Research: a; Clinical Question: c  Melnyk, B. & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.  Health Science Science Nursing NUR MISC Share QuestionEmailCopy link Comments (0)

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