Part 1 Chapter 16 The nurse epidemiologist is monitoring hand washing in a facility.
Part 1
Chapter 16
The nurse epidemiologist is monitoring hand washing in a facility. The facility has had a series of infections with resistant organisms in its clients, and the concern is that hand washing may be the cause. The nurse is performing a series of assessments across the facility to help understand practices related to hand hygiene.
1. The nurse was told that there was a statistically significant difference in the number of bacteria on the hand when using hot water for washing compared with cold. What questions should the nurse pose about this finding?
2. The nurse recorded the number of times staff on different floors washed their hands. After running statistical analysis on the data, it appears that there was a difference in the average number of times hand washing was completed on one unit compared with another. What is the null hypothesis, and if the nurse’s assessment was correct, would it be accepted or rejected?
3. For the nurse in this scenario, what would be the implications of making a type I error?
Chapter 17
The staff development nurse is creating a series of nursing grand rounds (NGR) and reviewing an article on this topic (Gormley, Costanzo, Lewis, Slone, & Savage, 2012). The goal is to make the NGR as accessible as possible because the leadership team wants maximal participation. This facility is one of four inner-city hospitals that make up a health system.
1. The study reviewed notes that “most nurses prefer online recordings for NGR.” When the nurse implements the NGR via online recordings, a great number of nurses do not access the online recordings. How might this be explained because it is different than what the research reported?
2. The study noted that researchers did not plan to generate findings that would be generalizable. What does this mean?
3. To find out about the limitations of the research and the generalizability of the outcomes, where should the nurse search in the article?
Chapter 20
The correctional health nurse is seeing an increase in the number of clients with a history of posttraumatic stress disorder (PTSD). She notes that there are a number of veterans from the military as inmates. As the nurse visits with some of the inmates who are veterans, she has concerns about how their cases are being handled in the correctional system.
1. The nurse has signed up for a Veteran’s Administration PTSD dissemination event for clinicians. What might she expect from this event?
2. The nurse knows that evidence-based practice includes not just current best evidence. What are other parts of evidence-based practice that must be considered when applying research to the clinical setting?
3. What are examples of problem-focused triggers that would lead to an evidence-based practice project?
Chapter 21
The surgical nurse is talking with nurses in the medical-surgical unit about postoperative infections. Discussion concerns how to quickly identify and address situations that may put the patient at risk for infection. One nurse verbalized concern that patients were being discharged too soon.
1. The medical-surgical nurse asks if people in the community know about their hospital’s rate of complications. What is a good website to explore for this type of information?
2. The surgical nurse discusses the hospital’s recent bundled payments initiative with a large insurance company in the area. How would this impact the concern about patient outcomes?
3. One of the nurses noted that a certain type of dressing procedure was being used by postoperative nurses in the medical-surgical unit at a nearby sister facility. They wanted to know if it could be used in their hospital. After a bit of research, the surgical nurse proposed a strategy to evaluate this new dressing procedure. What could this QI strategy be?
Part 2
We are looking at data analysis, evidence-based practice and quality improvement during this module. There are many resources to use to assist us in improving the quality of care. These resources contain data that we must analyze. We also know from QSEN that case studies are a way of providing in-depth evidence-based discussion of clinical topics that can be used to guide practice.
For this assignment, you will develop/write/invent a case study that will demonstrate a nurse incurring a problem and using an innovation(s) to improve patient care. So think of this as the reverse of how things would normally go….problem incurred, case study evolves….then finding the literature, the experts, the EBP to improve quality.
Instead you have the research and innovation to fix or improve the problem but not the case that initiated the whole cascade towards quality improvement.
There are several innovations to look at in the literature and EBP, so choose something you are interested in, get creative in developing your real life scenario or case.Use scholarly research/references to assist you in creating your case study. For this assignment you MUST create your own case study, do not copy and paste one found on the internet or you will receive a zero.
1. Beyond writing your case study, please
2. State the innovation being used, and the
3. Problem you are trying to fix.
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