Directions for Evidence-based Practice AssignmentIn third semester, the PICO model was introduced to familiarize you with how healthcare practitioners innovate and implement nursing best practice. In the next step of your student growth, you will use peer-reviewed articles to discover current evidence-based practices (EBP) used in the acute care clinical setting. Consider how they were adopted, incorporated, and how they are currently improving patient outcomes. Explore possible barriers for nurses in the implementation phase. Why is this important to bedside nurses? We are first-line advocates for quality and individualized patient care. Additionally, we are stewards, determining allocation of limited resources in man power, services, and supplies. Consider the following statistics:• National health spending is projected to grow at an average rate of 5.5% per year and projected to reach $5.7 trillion by 2026 (cms.gov).• Medicare (7.4% per year) and Medicaid (5.8% per year) yearly growth in spending substantially contributes to the national health expenditure (cms.gov).• Patient safety practice processes reduce the probability of an adverse event. These processes begin with PICO and lead to research, EBP, and implementation.Background: what is a patient safety practice?Listed below are best practices commonly in place as a result of evidence-based research:(YOU will CHOOSE ONE OF THE BULLET POINT TOPICS FOR YOUR RESEARCH PAPER)• Preoperative and anesthesia checklists are effective in preventing operative and postoperative events• Policies and standing orders for catheter care, removal, and standards to decrease catheter use – catheter-associated urinary tract infection (CAUTI). • Practices that reduce ventilator-associated pneumonia (VAP): elevate head of bed, chlorhexidine oral care, endotracheal tubes with subglottic suction lines, and sedation breaks• Hand hygiene• “Do Not Use” list for hazardous abbreviations• Pressure ulcer prevention• Barrier precautions to prevent healthcare-associated infections (HAI)• Prevention of central line-associated bloodstream infections (CLABSI) -ultrasound guided central lines, checklists• Prophylaxis for venous thromboembolism (VTE) – improving adherence and using multiple strategies• Interdisciplinary fall prevention strategies • SBAR communicationHospital acquired conditions (HAC) cost lives and money! Medicare and Medicaid will not pay for these events:• CAUTI• CLABSI• VTE• VAP• Injuries from falls and immobility• Obstetrical adverse events, including early elective deliveries (EED)• Pressure ulcers• Surgical site infections• Readmissions All other HACs:• Adverse events associated with joint replacements• Contrast nephropathy associated with catheter angiography • Hospital-acquired MRSA• Hospital-acquired VRE• Hospital-acquired antibiotic-associated C. difficile • Mechanical complications associated with central venous catheters• Postoperative cardiac events for cardiac and non-cardiac surgeriesChoose one of the topics above and write a 3-5 page APA format paper (excluding the title and reference pages) describing how evidence-based healthcare practices (regarding the topic you chose) can achieve improved patient outcomes. The Turnitin score should be below 22%. All direct quotes from articles should be in quotation marks. See rubric below for further guidance. APA resources are uploaded under the files section of canvas for your use. Topics Possible PointsIdentify and cite three peer-reviewed articles that are relevant to your chosen topic 3Describe how EBP is incorporated and adopted in clinical practice 5Describe how implementation of specific practices has improved patient care outcomes. How do we know EBP has improved practice? How is this measured? 5Discuss two or more barriers to implementing EBP in current nursing practice 4Describe the status of safety in health care today as it relates to your chosen topic. What is the current prevalence? What organizations are tracking it? 5Correct APA format (title page, subheadings, cite references within text, ref. page) 6Proper grammar, spelling, usage, and mechanics 2Total 30
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