Research Proposal for Insulin Protocol in Trauma Patients Essay

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Unit 9 Project: Final Research Proposal
A Multiple Regression Analysis of Insulin Usage Versus Non-treatment of Hyperglycemia in Non-diabetic Trauma Patients
Jeana Santostefano

Kaplan University

NU 310-01: Nursing Research

March 5, 2008

Title A Multiple Regression Analysis of Insulin Usage Versus Non-treatment of Hyperglycemia in Non-diabetic Trauma Patients
Abstract
Purpose: The goal of this study is to explore the relationship between insulin administration in non-diabetic patients and their average length of stay in the intensive care unit, versus those non-diabetic patients left to their bodies’ utilization of homeostasis to maintain euglycemia.
Design: Longitudinal, experimental posttest-only.
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Only research will tell, since “nursing research is systematic inquiry designed to develop knowledge about issues of importance to nurses, including nursing practice, nursing education, and nursing administration” (Polit & Beck, 2006, p. 4).
Problem Statement “Hyperglycemia (typically defined as a blood glucose of >200 mg/dL) is a well-known phenomenon in critically ill patients without a prior history of diabetes mellitus” (Langdon & Shriver, 2004, p. 163). While many studies have been completed with respect to management of hyperglycemia in diabetic surgical patients, there has been minimal research regarding the impact that tight glycemic control has on non-diabetic trauma and medical patients. With managed care requiring decreases in length of hospitalization and hospitals attempting to conserve cost expenditure, placing non-diabetic patients on insulin drips immediately upon entry into the health care system may adversely affect both of these areas. Trauma patients without a diagnosis of diabetes mellitus will require prolonged lengths of stay in the intensive care unit related to the fact that they must have closely monitored blood glucose levels. In addition to the increased duration of their intensive care unit admission, they are subjected to administration of medications they would not normally take at home. Furthermore, this patient population has

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