Care for Diabetes Patients Using Evidence-Based Practice
The PICOT format is the one where the Patient details and history are recorded and used when diagnosing their condition. In this case, it is diabetes. The patient history is important in determining the type of care that they need from the nurses. This is because, diabetes has many different signs. They include; loss of eye sight, diabetic ulcer, kidney failure and in some instances obesity. All these factors make the care different from all diabetic patients. It is important for the nurses to ensure the safety of these patients by confirming the type of drugs that they should be administered with.
The Indicator is what shows how the patient is affected. This is the case where investigations should show what type of intervention the condition needs. For those with the foot ulcer, regular dressing and care is important to prevnt the ulcer from spreading in a way that may force the patient to get amputated. The type of intervention has to be right to prevent fatalities for these patients.
The C is for the control factor. At this point, the intervention is determined by the results generated during and after investigations. The control factor at this point is whereby the medication the nursed administer are consistent with the doctor’s orders. This is important in ensuring that at no point does the patient get exposed to wrong medication.
Outcome is realized when the medication and care is effective. At this point in the process, time is important and determines how many lives are saved by evidence based practice approach in nursing.
The final bit of the PICOT format of evelaution is Time. Time is of the essence in all medical procedures. This is evident because there is no medical procedure that would be complete without performing due diligence in finding out what the problem the patient is experiencing. The medical procedures are always fruitful when they are conducted professionally using the evidence based practice approach.
Bakken, S. (2007). Advancing Evidence-based practice and patient safety through intergration of personal digital assistants into clinical nursing education. Nursing Outlook, doi:https://doi.org/0.1016/j.outlook.2007.11.006.
Since the turn of the century, clinicians, healthcare organizations, and educational institutions have increasingly recognized the potential role of mobile devices such as personal digital assistants (PDAs) and cellular telephones in advancing evidence-based practice and patient safety. A number of schools of nursing have embraced such technologies and integrated commercial and/or locally-developed programs for purposes such as documenting student clinical encounters through PDA-based student clinical logs, calculations (e.g., weight-based drug dosage, expected date of confinement), and accessing clinical practice guidelines and knowledge bases (e.g., Epocrates).1–4 The work described was supported through grants from the Health Services Resources Administration (HP00261, HP07346), National Institute of Nursing Research (R01NR008903), and National Cancer Institute (1R21CA126325). The authors thank the other members of the Informatics for Advanced Practice Nursing (i-APN) team for their role in the development and evaluation of the applications described.
Bakken, S., Cimino, J. J., & Hripcsak, G. (2004). Promoting Patient Safety and Enabling Evidence-Based Practice through Informatics. Medical Care, 49-56.
Objectives: The purposes of this article are to highlight the role of informatics in promoting patient safety and enabling evidence-based practice (EBP), 2 significant aspects for assuring healthcare quality; to delineate some challenges for the future; and to provide key recommendations for education, practice, policy, and research. Methods: First, we describe the components of an informatics infrastructure for patient safety and evidence-based practice. Second, we address the role of informatics in 4 areas: 1) information access; 2) automated surveillance for real-time error detection and prevention; 3) communication among members of the healthcare team; and 4) standardization of practice patterns. Last, we delineate some future challenges for nursing and for informatics and provide key recommendations for education, practice, policy, and research. Results: The components of an informatics infrastructure are available and applications that bring together these components to promote patient safety and enable EBP have demonstrated positive or promising results. Conclusions: Challenges must be addressed so that an informatics infrastructure and related applications that promote patient safety and enable EBP can be realized.
HRQ. (2008). Patient Safety and Quality. U.S Department, https://archive.ahrq.gov/profesionals/clinicians-providers/resources/nursing/resources/nurseshdk/indecx.html.
Nurses play a vital role in improving the safety and quality of patient care—not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality—Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)
Huang, C.-H., & Lee, Y.-C. (2018). The Perceptions of Patient Safety Culture: A difference between physicians and nurses in Taiwan. Applied Nursing Research, https://doi.org/10.1016/j.apnr.2017.12.010.
In order to pursue a better patient safety culture and provide a superior medical service for patients, this study aims to respectively investigate the perceptions of patient safety from the viewpoints of physicians and nurses in Taiwan.
Little knowledge has clearly identified the difference of perceptions between physicians and nurses in patient safety culture. Understanding physicians and nurses’ attitudes toward patient safety is a critical issue for healthcare organizations to improve medical quality.
Confirmatory factor analysis (CFA) is used to verify the structure of data (e.g. reliability and validity), and Pearson’s correlation analysis is conducted to demonstrate the relationships among seven patient safety culture dimensions.
Research results illustrate that more teamwork is exhibited among team members, the more safety of a patient is committed. Perceptions of management and emotional exhaustion are important components that contribute to a better patient safety. More importantly, working conditions and stress recognition are found to be negatively related from the perceptions of nurses. Compared to physicians, nurses reported higher stress and challenges which result from multi-task working conditions in the hospital.
This study focused on the contribution of a better patient safety culture from different viewpoints of physicians and nurses for healthcare organizations in Taiwan. A different attitudes toward patient safety is found between physicians and nurses. The results enable the hospital management to realize and design appropriate implications for hospital staffs to establish a better patient safety culture.
Nery, A. (2014). Strategies for Promoting Patient Safety: From the identificaction of the risks to the evidencE based practices. Escola Anna Nery, http://dx.doi/org/10.5935/1414-8145.20140018.
To identify and analyze strategies for promoting patient safety in the view of the nurses who are directly involved in patient care.
A descriptive, qualitative study undertaken in a public hospital in Fortaleza, in the state of Ceará (CE). Data was collected through semi-structured interviews held with 37 nurses, analyzed using the framework of content analysis. The strategies identified for promoting patient safety were presented in three categories: 1. Identification of the main risks related to the nursing care, 2. Incorporation of safe, evidence-based practices and 3. Surveying of barriers to, and opportunities for, safe care.
The participants identified physical/chemical, clinical, assistential and institutional risks, as well as barriers and opportunities which entail the patient’s safety or lack of safety. On the other hand, they mention practices based on international objectives disseminated by the World Health Organization (WHO).
These professionals’ inclusion and active participation in shared management is suggested, for the implantation of a culture of safety.
PH, M. (2008). Defining Patient Safety and Quality Care . Agency for Healthcare Research and Quality.
The goal of this chapter is to provide some fundamental definitions that link patient safety with health care quality. Evidence is summarized that indicates how nurses are in a key position to improve the quality of health care through patient safety interventions and strategies.
Songur, C., Ozer, O., Gun, C., & Top, M. (2017). Patient Safety Culture, Evidence-Based Practice and Perfromance in Nursing. Syetemic Practice and Action Research, 1-16.
Evidence-based practice is a problem-solving approach in which the best available and useful evidence is used by integrating research evidence, clinical expertise, and patient values and preferences to improve health outcomes, service quality, patient safety and clinical effectiveness, and employee performance. This study aimed to identify the effects of nurses’ patient safety culture perceptions and their evidence-based nursing attitudes on the hospital’s patient safety level and employee performance. A cross-sectional design was employed in this study. Participants included nurses working in a state hospital in Burdur, Turkey, and 218 nurses responded to the research instrument (participation rate: 55.7%). Data were collected through face to face interviews that were conducted from February 20–May 20, 2016. The results of the analyses revealed that evidence-based nursing attitudes and hospital safety culture dimensions explained 29.2% of the total variance in the hospital patient safety level, while evidence-based nursing attitudes and hospital safety culture dimensions explained 15.5% of the total variance in nurse performance. The “evidence-based nursing related beliefs and expectations” aspect of the evidence-based nursing attitude dimension, and the “management support for patient safety” aspect of the patient safety culture dimension were significant predictors of nurses’ performance. The present findings add to the increasing interest in improving evidence-based practice and service quality in order to achieve better patient outcomes.
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