Evaluation Of Using A Protocol Adoption Of A Bundle Care For The Prevention Of Ventilator Associated Pneumonia

First, we must ask who the stakeholders are when it comes to any nursing program. This is a wide universe, for the stakeholders are many. First, of course, we have instructors at the university level, most of whom have been or are practicing professionals. Then there are the administrators of the program who must continually search out money and grants to keep the program going. We then move into the public sector: patients, families, physicians, support staff at healthcare facilities, healthcare administration, HMOs, private insurers, and governmental agencies (Colvin, et.al., 2008). Each has a role to play within the evaluation process.

Evidence based practice is when recent research is integrated into the clinical setting for maximum delivery of health care. A lot of evidence based practice was developed from research studies conducted by nurses such as decubitis ulcer prevention. Knowing and demonstrating the scientific methods and processes will help to advance nursing care by providing better interventions for patient care. Patient care plans should be developed based on evidence (Dycus, 2009). With monitoring outcomes from evidence based practice it can be determined if the care caused improvement in the healthcare setting. Using quality measures such as charts and diagrams to understand performance.

quality of patient care, and can be implemented in practice, to provide solutions to nursing

To encourage physicians, ICU nurses, and respiratory therapist to use the ventilator associated pneumonia bundle in all ventilated patients in an intensive care unit.

Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles.

Nursing sensitive indicators include the configuration, process and outcomes of nursing care. The configuration of nursing care concludes the nursing staff, their nursing skills, and the level of education that each nurse holds. The process of nursing care concludes the nursing assessments, intervention and implimentation. The outcome of nursing care either positive or negative depends on the quantity and quality of the care provided to the patients by the nursing staff ("Nursing world," 2013)

Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.

Two types of data were collected through surveys, both before and after implementation of the combined approach (Sand-Jecklin and Sherman,2014). The first data was on nurses’ point of view with regards reporting process, and the second on patients view regrading nursing care. The baseline survey included 233 patients and 148 nurses, while the survey three months into the implementation period included 157 patients and 98 nurses. The final survey, 13 months into the impanation, was completed by 154 patients and 54 nurses. The patient survey also included responses from patient families. These were 70, 72, and 53 responses for baseline survey, three-month postimplementation surveys, and 13-month postimplementation surveys.

Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this

with recommendations for changes needed in nursing. This was a response for the need to assess

Exploring into each of the interventions and why it is pertinent to include these five components as a collaborative effort of all health care professions within a client’s plan of care. Elevating the head of the bed improves ventilatory function, minimizes atelectasis, prevents aspiration of secretions into the lungs. Hospitals reported a confirmed 23% of VAP cases without the IHI initiated bundle, and 5% of cases that were using the ventilator bundle were confirmed in a study pool of 86 intubated patients. The IHI recommends nurses and respiratory therapists work together collectively to maintain this intervention by marking the level of the bed with an indicator on the wall or side of the bed rail, and the use of nursing flow sheets. Moving

Ventilator-associated pneumonia (VAP) refers to bacterial pneumonia developed in patients who have been mechanically ventilated for more than 48 hours. Whilst there is no universally accepted definition of ventilator-associated pneumonia (VAP)(Department of Health (DoH) 2010), it is viewed as a hospital-acquired infection caused by the aspiration of bacteria past the endotracheal cuff after 48 hours of being intubated, which can develop into pneumonia. VAP is known to extend intensive care unit (ICU) stay and has substantial cost implications of up to £12,000 per patient episode (Fletcher et al., 2008). Safadar et al., (2005) suggest that strategies for the prevention of VAP are urgently needed to help reduce hospitalisation costs, incidence of mortality and improve patient

Inadequate nursing care can be a result of staffing issues or under educated nurses. Errors can be made that not only affect the patient’s well-being, but can affect the financial standing of a hospital. This paper will describe a business case for quality by discussing the current situation in need of change, the proposed program, a market analysis, an implementation plan, a timeline for implementation, and an evaluation plan, including relevant financial data of the proposed program.

Whilst analyzing the clients nursing care needs the nurse will see where there is a need for education (Crisp, Douglas, Rebeiro & Taylor, 2013). The learning needs will then become implemented in the care plan. The teaching process requires assessment

Almeida, Suely Morais; Cruz, Isabel CF da ( 2013) Brazil conducted a study on The elevation of the head acting for prevention of ventilator-associated pneumonia - literature review which concluded that Patients in intensive care often require the use of an artificial airway, it has its depressed level of consciousness, respiratory failure, trauma or need for aspiration of secretions, making them susceptible to pneumonia associated with mechanical ventilation. The objective of this study is to investigate the effectiveness of elevating the head by 30 to 45 among other prevention measures. The method used was a computerized literature search in the databases online, over the period 2007 to 2012. It was observed that the elevation of the head at 30 and 45, is one of the most simple and effective prevention. We conclude that good nursing practices associated with elevated bed rest at 30 and 45, may prevent ventilator-associated pneumonia. It is recommended the creation of a protocol for prevention, constant training of staff and preparation of posters displaying the