Assignment Practice Scenario
Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the
nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing
research studies involving clinical practice problems. Increasing nurses' awareness of quality and safety concerns will
help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses
"collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and
integrate evidence using credible databases and internet resources" (AACN, 2008, pp. 16-17).
The CNE has advised all members of the following areas of quality and safety clinical practice that each committee
member needs to consider and choose only one as a priority area for conducting a research study. Sources of research
problems come from nursing clinical practice (Houser, 2018):
Quality Safety
Patient satisfaction
Patient education
Falls
Non-pharmacological pain management
Errors. Examples include:
Medication
Patient identification
Communication
Readmissions Healthcare Associated Infections (HAIs).
Length of stay
Costs
Examples include:
Central Line Associated Blood Stream
Infections (CLABSI)
Catheter Associated Urinary Tract Infections
(CAUTI)
Ventilator Associated Pneumonia (VAP)
Surgical Site Infections (SSI)
Sepsis (Screening or Prevention)
Discharge Teaching/Coaching
Transitions of Care/Level of Care
Pressure Ulcers
Skin Integrity
Your CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic
area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of
their next research study. Thank you for your valuable contributions to this important NEBP committee.
Solution:
| Problem/PICOT/Evidence Search (PPE)Worksheet
Name: Date: |
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| Criteria | The selected safety priority area is Healthcare-Associated Infections (HAIs). The rationale for selecting this safety area is mainly because it is a highly common problem facing healthcare facilities in the United States and the whole world at large, placing the safety of patient’s life at risk. More so, nurses play a key role in preventing and reducing HAIs by ensuring proper hygiene and sanitation. As put forward by the Centers for Disease Control and Prevention [CDC] (2019), 1 in every 31 hospitalized patients contracts HIA on a daily basis. Even though many efforts have been made towards prevention some kinds of HIA types, there is still a lot that needs to be done. Today’s healthcare systems apply a plethora of types of invasive procedures and devices to treat and help patients to recover. Infections may be linked with these devices such as ventilators and catheters. The CDC (2019) also has it that HAIs accounts for approximately 1.7 million infections and also 99,000 deaths from HAIs are recorded every year. Among these infections include urinary tract infections (32%), surgical site infections (22%), lung infections (15%), and bloodstream infections (14%) (CDC, 2019). Most infections are due to poor hygiene, especially hand hygiene. One key approach in which nurses can employ to prevent and reduce HAIs is hand hygiene. According to CDC (2019), hand hygiene is most cost-efficient and easiest approach of preventing hand hygiene.
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| Clinical Nursing Practice Problem
Select and identify ONLYone quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem. |
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