Uses of Statistical Information Jean Matsche University of Phoenix Statistical Applications Tammy Czarnecki October 5, 2007 Uses of Statistical Information The expansion of the responsibilities of nurses, the nursing shortage, and increasing specialization make it more important than ever that nursing practice be evidence-based (Understanding Nursing Research, 2007). This expectation has made it evident that clinical nurses acquire skills in reading and evaluating the results of statistical tests. This systematic evaluation of practice is essential to providing quality care (Dorn, 2004). One reason that nurses may avoid statistics is that may were taught only the mathematical procedures of calculating equations, with little …show more content…
Through data analysis it was noted that the accidental extubation rate in the NICU was higher than the national rate. The data also showed a mix in terms of which infant's were at a higher risk for self-extubation and that the practice of how to secure endotracheal tubes showed many different options, no one superior method. The NICU changed it procedure on how to secure the endotracheal tube (ETT), and a new data collection form was initiated. Unfortunately, after the initial instruction and implementation, no one has looked at the data to analyze if there has been a decrease in our accidental extubation rate. What Studies Should Be Done The NICU needs to look at the data collected since the change in practice of securing ETTs. Unplanned extubation requiring re-intubation significantly increases the duration of mechanical ventilation, length of stay, and risk of acquiring pneumonia. It also increases the risk of complications associated with any intubation (mal-position of tube leading to atelectasis, perforation of the esophagus or tracheal, and lacerations to the tongue and gums. In order to find the efficacy of this change in practice and to support this change as evidence based, the NICU needs to finish the project it started. It needs to analyze the data collected since the change in practice. Analyzing the data may show that the change in
As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing
Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.
Another important barrier is nursing education. Nurses who graduated many years ago were not taught evidence-based practice and even current schools focus too much researching rather than how to implement current research into care (AJN, 2012). This lack of knowledge on how to implement may stem from the lack of knowledge on how to read and interpret research data or that nurses might feel overwhelmed due to the fact that there is so much and might not know how to narrow what is important or how to read all of it (Brown et al., 2009). In the Tacia study (2015), advanced care nurses could easily point out
There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.
Nasogastric tubes may be very scary and if they are not placed correctly they can cause serious problems. X-rays have proved to be very effective when it comes to checking the placement, but they are expensive. Studies have shown that 16-43.5% of nasogastric tubes in pediatric patients are misplaced (Farrington, M; Lang, S; Cullen, L; Stewart, S, 2013). Complications like: aspiration pneumonia pneumothorax may occur is the nasogastric tube is misplaced into the lungs (Farrington, M; Lang, S; Cullen, L; Stewart, S, 2013). There is little research done on neonates to determine the best way to determine if a nasogastric tube is placed correctly. When it comes to medicine, everyone who is part of the medical team needs to be aware of what current practice is and what evidenced based practice studies show is the best way to perform procedures.
BSN is expected to also use research studies for a basis for their decision making. ADN analyzes assessment data, where BSN synthesizes comprehensive assessment data to solve problems. ADN’s evaluate and report outcomes and plan interventions from evidence based practice, where BSN nurses compare these interventions and outcomes to benchmarks in research and evidence-based practice and plans follow-up nursing care. They both create teaching plans to promote healthy outcomes, although BSN’s go on to assess population risk (BON,
Although when it happens, there can be a devastating impact on patients as well as to the multidisciplinary theatre team involved. Consequently, the DAS has produced a consensus set of guidelines for managing failed intubations in adult and paediatric patients, but there are as yet no such nationally-agreed guidelines in obstetrics, therefore each obstetric unit should have their own flowchart with regards to management of failed intubation (Brien and Conlon, 2013). Furthermore, in light of the latest DAS guidelines, several aspects of clinical anaesthetic practise have changed over recent years (Frerk at al, 2015). Amongst the changes are the use of new drugs such as rocuronium and suggamadex and using electronic video-laryngoscopes (Frerk et al, 2015). Further work had also looked at extending the period of apnoea without causing desaturation by optimising the preoxygenation process and adequate patient positioning (Frerk et al, 2015). As a result, updated guidelines for difficult intubations in adult patients were published in 2015; these guidelines provide a flowchart to be used when endotracheal intubation proves difficult or impossible and focus on the central importance of oxygenation while reducing the amount of airway interventions in order to minimize trauma to the delicate airway (Frerk et al, 2015). The main message of the revised guidelines is
Until recently it was not uncommon for patients admitted to an acute care facility to have an indwelling catheter anchored for unnecessary reasons. Patients that came in thru the emergency department typically were sent to the units with unnecessary indwelling catheters in place and it was not unusual for a surgery patient to have an indwelling catheter anchored before or during a procedure. Once a patient was admitted and was transported to the units nursing would also anchor indwelling catheters for multiple unnecessary reasons. These Catheters could be
Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).
Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.
This paper will discuss how evidence based practice effects nursing practice and how nurses can apply what they learn to their practice. Evidence based practice is a great way to improve the quality of care we provide. “Evidence based practice means using the best available research findings to make clinical decisions that are most effective and beneficial for patients” (Chitty & Black, 2011, p.258). By allowing nurses to participate in research and development, we are able to see firsthand how effective our intervention can be. Nurses run into all kinds of problems on a daily basis and they are able to share their experience and expertise to help develop a better way to solve a problem.
Evidence based practice, “involves integrating the best available research evidence with professional expertise while also taking account of patient preferences the patients state setting and circumstance and health care resources” (Gerrish, K. Lathlean, J, 2015). As the health care profession constantly changes, then it is vital that all evidence based practice is kept up to date with current information and research, relating to nursing practice. Always assuring that the patients need are taken into consideration (Sackett et al, 1996).
The purpose of nursing research is to use the scientific method to prove theories, and from those theories comes the improvement of patient care. It is important to use evidence-based practice because it will help nurses to provide excellent patient care. For example, our unit’s disturbing patient’s fall incidence last year. As nurses our role is to identify the contributing factors, making our own observation, implementing safety practices, and determining the effectiveness of the plan. Nurses must work hand and hand with the interdisciplinary team to be more effective. The performance improvement chairperson is also vital in educating staff and reviewing problems. We must use the recent evidence-based practice to guide our nursing practice in providing care for
Evidence - Based Nursing, An introduction (2008, p. 285 ) “ The rapidity of change and the reorganization of nursing services within the health care sector presents challenges for the advancement of EBP. Managers and administrators should facilitate the uptake of practice based on current, high-quality research by formalizing the expectation that nurses care be Evidence Based”.
The purpose of this author for this project is to analyze current literature reviews to establish a firm basis to implement evidence based central line bundle intervention to decrease catheter related blood stream infection in neonatal intensive care unit.