Evidence-based Decision Making

Evidence-based Decision Making

Evidence-based Decision Making 150 150 Peter

Evidence-based Decision Making

Assignment 6

Scenario: Healthcare Organization is Long term acute care hospital (LTACH). Patient population average age 30-90 years, mainly with respiratory distress (including vents/trach), critical drips, extensive wounds (wound vacs) with minimum stay of 23 days.

PICOT question: In mechanical ventilated patients does daily sedation interruptions compared to continuous sedation improve patient outcomes over a thirty-day hospital stay.

FOUR ARTICLES CHOSEN FROM UNIVERSITY’S DATABASE

Vagionas, D., Vasileiadis, I., Rovina, N., Alevrakis, E., Koutsoukou, A., & Koulouris, N. (2019). Daily sedation interruption and mechanical ventilation weaning: A literature review. Anaesthesiology Intensive Therapy51(5), 380–389. https://doi.org/10.5114/ait.2019.90921

Kayir, S., ULUSOY, H., & Dogan, G. (2018). The effect of daily sedation-weaning application on morbidity and mortality in intensive care unit patients. Cureus. https://doi.org/10.7759/cureus.2062

Yousefi, H., Shahabi, M., Yazdannik, A. R., & Alikiaii, B. (2016). The effect of daily sedation interruption protocol on early incidence of ventilator-associated pneumonia among patients hospitalized in critical care units receiving mechanical ventilation. Iranian Journal of Nursing and Midwifery Research21(5), 541. https://doi.org/10.4103/1735-9066.193420

Kallet, R. H., Zhuo, H., Yip, V., Gomez, A., & Lipnick, M. S. (2017). Spontaneous breathing trials and conservative sedation practices reduce mechanical ventilation duration in subjects with Ards. Respiratory Care63(1), 1–10. https://doi.org/10.4187/respcare.05270

 

ASSIGNMENT: I HAVE CHOSEN THE FOUR ARTICLES LISTED BELOW. THE ANSWERS TO THE QUESTIONS BELOW SHOULD BE FOR EACH ARTICLE INCLUDED AND RELATES TO MY PICOT QUESTION.

Clinical Issue: PICOT: In mechanical ventilated patients does daily sedation interruptions compared to continuous sedation improve patient outcomes over a three-month hospital stay

Clinical issue of interest: implementation of daily sedation interruption in mechanical ventilated patients.

Healthcare Organization: Select Specialty Hospital, Augusta GA.

To complete this Assessment:

  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.
  • Identify a clinical issue of interest that can form the basis of an evidence-based change.

Create a 10- to 13-slide narrated PowerPoint presentation in which you address the following:

  • Explain the clinical issue of interest that is most conducive to an evidence-based practice change in your healthcare organization. (1–2 slides)
  • Describe the evidence-based practice change that you would recommend implementing to address the clinical issue of interest that you selected. Be specific and provide examples. (2–3 slides)
  • Compare at least two dissemination strategies that you might recommend to communicate evidence-based practice changes to your organization and explain why. (2 slides)
  • Compare at least two dissemination strategies that you would be least inclined to recommend to communicate evidence-based practice changes to your organization and explain why. (2 slides)
  • Identify at least two barriers that you might encounter when using the dissemination strategies that you are most inclined to use. (1 slide)
  • Explain how you might overcome the barriers that you identified. Be specific and provide examples. (2–3 slides)