EBP Paper - Grade: 92 PDF

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EBP PAPER...

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EVIDENCE-BASED PAPER Quality of Safety Evidence Nurses (QSEN) consists of six different competencies which include patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. The overall goal of QSEN is to prepare future nurses with the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the healthcare systems (QSEN, 2003). The purpose of this essay is to explain the competency of “evidence-based practice” in detail and to describe how this competency can be applied to a patient with Septic Shock. Evidence-Based Practice (EBP) is defined as “integrating best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care” (QSEN, 2003). The EBP systematic process includes the following steps: (1) ask a question in PICOT format (2) search for the latest evidence (3) critically appraise the evidence, (4) incorporate the evidence with clinical expertise (5) evaluate the outcomes of practice decisions and (6) implement the results. Since EBP is patient/family-centered, a clinician's task is to interpret best current evidence from systematic research in relation to an individual patient, including the individual's preferences, environment, culture, and values regarding health and well-being. In addition, an example of EBP would be evidence-based infection-control policies. This includes keeping the healthcare environment clean, wearing personal protective clothing, using barrier precautions and practicing correct handwashing in order to prevent the patient from getting any hospital-acquired infection. Another example would be raising the head of the bed to more than 45 degrees in a patient with respiratory distress. An upright position prevents abdominal contents from pushing upward and inhibiting lung expansion. This position as well promotes better lung expansion and improves air exchange. Therefore, the goal of EBP is to

provide high-quality services to patients on an individual basis, taking into consideration their interests, values, needs, and culture. Sepsis and sepsis shock are life-threatening emergencies that require immediate intervention in order to preserve the quality of life. As health care providers we all know the main rule in preventing infections is washing our hands and wear gloves, but a severe form of life-threatening infection such as sepsis requires more tedious interventions to protect patient from infections. Early recognition is key when the patient is suspected of having sepsis. In order to detect sepsis in a patient you must be able to notice signs and symptoms of sepsis to confirm the infection. Signs and symptoms of sepsis may include change in mental status, 2 of SIRS symptoms (high/low temperature, high respiratory rate, increase/decreased WBC, or PaCO2...