QUESTION: Evidenced Healthcare Delivery  QUESTION: Evidenced Healthcare Delivery

QUESTION: Evidenced Healthcare Delivery 

QUESTION: Evidenced Healthcare Delivery 

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QUESTION 1: Healthcare Delivery and Evidenced –Based Nursing Practice

The registered nurse working in the cardiac care clinic is tasked with implementing quality improvement measures. To educate the clinic staff, the nurse plans an in-service program to introduce concepts of quality improvement and evidence-based practice. Additionally, the role of the case manager will be included in the presentation. The nurse plans on using care of the patient with Congestive Heart Failure as a template, and prepares sample clinical pathways, care maps, and multidisciplinary action plans. (Learning Objective 3)

a. Describe how clinical pathways are used to coordinate care of caseloads of patients.

b. What is the role of the case manager in evaluating a patient’s progress?

c. What are examples of evidence-based practice tools used for planning patient care?

QUESTION 2: Community-Based Nursing Practice

Mrs. Johnson, a 67-year-old female patient, has recently been discharged from the hospital following an admission for COPD. She has a past medical history of a colon resection related to acute diverticulitis. She developed a surgical wound infection that requires daily wet to dry wound packing and IV Zosyn. Mrs. Johnson was discharged with home oxygen. To manage her care at home, home care visits were ordered. (Learning Objective 5). 

a. What would be involved in setting up the first home care visit?

b. Describe the nursing assessments and management that would occur during the visit.

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Evidence-based practice in a clinical setting

By Steve Risch, MSN, RN, CCRN, CCNS

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This course is 1 contact hour

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Course must be completed by Oct. 13, 2019

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Goals and objectives: The goal of this evidence-based practice continuing education program is to introduce critical care nurses to EBP and review the differences among evidence-based practice, research, and quality improvement. After studying the information presented here, you will be able to:

  1. Describe EBP
  2. Differentiate among EBP, research, and quality improvement
  3. Recall EBP evidence related to common critical care practices
  4. Review the steps of starting an EBP project

Nurse.com educational activities are provided by OnCourse Learning, a Relias LLC Company. For further information and accreditation statements, please visit Nurse.com/Accreditation. The planners and authors have declared no relevant conflicts of interest that relate to this educational activity. Relias LLC guarantees this educational activity is free from bias. See “How to Earn Continuing Education” to learn how to earn CE credit for this module or visit http://ce.nurse.com/instructions.aspx.

Evidence-based practice is a vital part of enhancing critical care nursing practice, which is essential for providing quality care to patients. Adopting EBP to your culture improves patient outcomes and patient, family, and healthcare provider satisfaction. It can also reduce costs and the risk of harm by decreasing unnecessary tests and procedures.1,2

The first step in the EBP process is creating a culture to incorporate EBP into the organization. Translating evidence into practice has become important to healthcare with the increased focus on lowering costs through reduced lengths of stay and prevention of hospital-acquired infection.

Critical care nurses provide vital care to very sick patients, and even more crucial, nurses are providing care that is proven to be effective. One researcher’s findings suggest that establishing EBP leads to higher quality of care and reduces costs.3 Creating such a culture helps organizations to obtain high reliability. To help nurses effectively apply EBP at the bedside, this module explains the rigorous process of EBP

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