I1 and I2

  Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words   .   

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Audre Tucker 

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Re:Topic 7 DQ 1

An important step in the implementation of EBP is the dissemination of results (Winters & Echeverri, 2012). An internal method for discussing my EBP results and practice change would be at a staff meeting. Presenting at an ICU staff meeting would allow me to discuss the benefits of early mobility and answer questions related to the practice change. Creating a power point would allow me to showcase the highlights of the plan and provide statistical evidence to back up my research. I would also have a physical therapist there to answer questions related to mobilizing patients. Since this project specifically concerns ICU patients it is not necessary to disseminate the information hospital wide. AN external method for the dissemination of my EBP project would be to present my information at a local American Association of Critical-Care Nurses (AACN) meeting. The AACN and its members are dedicated to provide the highest quality of patient care while continually advancing the nursing practice. “Chapters also offer excellent opportunities for local continuing education opportunities, connecting to your professional nursing organization, networking with other local nurses, and sharing evidence-based practices” (American Association of Critical-Care Nurses, n.d.). By presenting information on my EBP project at a local AACN chapter I can not only pass on the information I have gathered, but also get advice from others in the field that may have experience with early mobility of ICU patients. I would provide information to this group via a power point highlighting the benefits and statistical data that back my practice change.

References

American Association of Critical-Care Nurses. (n.d.). Chapter involvement and general information. Retrieved from American Association of Critical-Care Nurses:

https://www.aacn.org/nursing-excellence/chapters/chapter-general-information

Winters, C., & Echeverri, R. (2012). Teaching strategies to support evidence based practice. Critical Care Nurse, 49-54.

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Audre Tucker 

1 posts

Re:Topic 7 DQ 2

The outcome evaluation step of EBP implementation is used to determine the effectiveness of the implementation. Outcome measures may be physiologic, psychosocial, or functional improvement (University of Massachusetts Medical School, 2017). The data analyzed may be qualitative or quantitative feedback (Spring, Ferguson, Pender, & Starin, n.d.). For my evidence based project the ultimate way to measure effectiveness of an early mobility protocol would be to gather data on ICU patient’s length of hospital stay before and after implementation. In regards to evaluating the change in practice I would need to have data regarding the number of patients involved in early mobility, within 72 hours of ICU admission or transfer, before and after implementation of the protocol. This would tell me if my EBP implementation increased the number of patients participating in mobility such as range of motion exercises, out of bed activities, or physical therapy. Another aspect that would be of interest to measure is the attitudes of the nurses towards early mobility. A survey that addresses perceived barriers to early mobility of ICU patients could be handed out before, 1 month after, and 6 months after implementation to see how the barriers have been overcome. This would be assessed using a Likert scale and comparing the results at different intervals. In order to successfully implement an early mobility protocol I think there are 2 major pieces, the patients and the nurses. If the nurses are not comfortable mobilizing their patients the success of the program will be limited, so I think it is important to look at both aspects.

References

Spring, B., Ferguson, M., Pender, D., & Starin, A. (n.d.). Implementation of evidence based practices. Retrieved from Evidence-based behavioral-practice: http://www.ebbp.org/course_outlines/Implementationmoduleoutline

University of Massachusetts Medical School. (2017). Evidence-Based Nursing: Outcome Evaluation. Retrieved from Lamar Soutter Library:
https://libraryguides.umassmed.edu/c.php?g=499777&p=3422178