Contact Us
Sign In / Sign Up for FREE
Go to advanced search...

Nursing EBP Clinical Protocol & Pilot Study - Essay Example

Comments (0) Cite this document
The objective of this protocol is to provide the most up-to-date recommendations available based on the literature and research presently being done (Morris, 2005). Though there is still some controversy on the subject, there is strong evidence for the use of CPM for post-operative care…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER96.3% of users find it useful
Nursing EBP Clinical Protocol & Pilot Study
Read TextPreview

Extract of sample "Nursing EBP Clinical Protocol & Pilot Study"

Download file to see previous pages 2002). All but one study did show a reduction in length of stay and increased range of motion for patients that used CPM short term.
A pilot study will be initiated to test the following protocol which is written based on the evidence from literature review. These results will be reported and that report will help initiate and evidence based protocol for full time use. Permission will be sought from those involved as well as senior staff and physicians.
The goal of the protocol would be to use CPM for initial knee flexion but to increase PT rapidly, decreasing use of CPM as research shows that CMP only has a short term advantage and PT has a long term advantage.
The aim of the pilot study is to test the protocol that is recommended at this time to assure that it works well and produces good quality results for the patient as well as a reduction in the patients length of stay. At the same time, documentation recommendations as well as pain tolerance and post op bleeding will be analyzed.
The pilot study will be carried out on the orthopedic floor. This will be discussed first with the orthopedic surgeons and then with the nursing management at the hospital that is responsible for this floor (Vincent & Chapman 2000).. Once the evidence base is explained and it is cleared, patients will be permitted as needed for the pilot, assuring that they understand the new protocol. Nurses on the floor will be educated and ten patients will be chosen for the pilot. Those patients will need to be post operative knee with the need for CPM use and as few other co-morbidities as possible. For example, we do not want to include someone that is prone to infection because the likelihood is that the infection would skew the data collected.
The results of the pilot will be studied to assure that there is improvement in cost, quality and length of stay. The evaluation of the pilot will include physicians, nurses, and nurse administrator. A positive result will mean permanent change of the protocol.
Bruun-Olsen, V., Heiberg, K. & Mengshoel, A. (2009). Continuous passive motion as an adjunct to active exercises in early rehabilitation following total knee arthroplasty. Disability and Rehabilitation. 31(4). 277-283. Retrieved from Academic Search Primer. Accession # 35702360.
Davies, D., Johnston, W., Beupre, L. (2003). Effect of adjunctive range of motion therapy after primary total knee arthroplasty on the use of health services after hospital discharge. ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Nursing EBP Clinical Protocol & Pilot Study Essay”, n.d.)
Retrieved from
(Nursing EBP Clinical Protocol & Pilot Study Essay)
“Nursing EBP Clinical Protocol & Pilot Study Essay”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Nursing EBP Clinical Protocol & Pilot Study

Clinical Mentorship in Nursing

...Clinical Mentorship in Nursing Clinical Mentorship in nursing is followed by seven main tasks of supervision ly, the relationship task, the teaching/learning task, the counselling task, the monitoring task, the evaluation task, the consultative task and the administrative task. Training should incorporate elements from the body of research demonstrating the effective ways of teaching skills. By looking at the historical development of clinical nursing and supervision and then by reviewing research literature relevant to the training of supervisors, it is clear that a syllabus for 'clinical guidance/nursing' could probably be constructed from the information presented. Standards for Nursing mentorship includes the question of 'What makes...
6 Pages(1500 words)Essay

EBP Searchable Clinical Questions

...Clinical Research Question-PICO (T) Format Clinical Question In patients suffering from embolism, natural blood thinners are as effective as warfarin in reducing embolism. The PICO (T) elements are: P = patients with embolism I = warfarin C= natural blood thinners O = reducing embolism 2. PubMed/MEDLINE search Search Number P I C O T # of Results Notes 1. Warfarin 17397 I searched on ‘warfarin’ by typing it into the search field and clicking ‘Search’. 2. Natural blood thinners 3125 I clicked “Clear” and typed ‘natural blood thinners’ in the search field and clicked ‘Search.’ 3. Pulmonary embolism treatment 22850 I clicked “Clear” and typed ‘embolism’ in the search field and clicked “Search.” Pubmed suggested ‘pulmonary embolism...
3 Pages(750 words)Essay

Pilot Unions

... not strain his body while on duty. She/he should only work between 8 to 20 days in a month as it would not be physically possible to work for more than those days. They should also be prepared for tests such as a check-ride which is taken twice per year. The test requires some study and if one fails they can lose their job. They are also expected to keep themselves abreast with new techniques and procedures, and keep their charts up to date. 6 In addition, a pilot needs to be in good physical condition otherwise he loses his job upon the discovery of a health problem. They therefore undergo a physical exam once every 6 months which they have to pass. They should be mentally fit so as to deliver in their job which depends on their ability...
5 Pages(1250 words)Essay


Meter Dose Inhaler and Spacer in Asthmatic Patients s: According to , asthma is a widespread disease among children. In Canada, the number of asthmatic children admitted in the emergency department makes about eight percent of all patients admitted in that department. The drugs for curing this illness are either administered using “Meter Dose Inhaler and Spacer” or “wet nebulization.” The most commonly applied method of administering medication to asthmatic children is wet nebulization. This method is believed to be efficient, but it exhibit undesirable consequences compared to meter dose inhaler. However, it still remains the most regular method due to its supposedly low cost. Meter dose inhaler is more efficient but i...
2 Pages(500 words)Essay

Evidence Based Practice (EBP) and nursing research

...Evidence Based Practices and Nursing Research Evidence Based Practices and Nursing Research Role of Nurses In most institutions and health organizations, the role of nurses in research is to identify difficulties regarding interventions and practices during pilot studies, and this entails data gathering before clinical trials before developing, appraising and directing EBP research protocols. They are also required to formulate case management and supervise patient/staff education classes. Research nurses are also responsible for project management, protocol development, and resource management especially the coordination of finances, study equipment, personnel and materials (Melnyk & Fineout-Overholt, 2011). The role of the nurse...
4 Pages(1000 words)Research Paper

Pilot Study Statement

...Pilot Study ment Pilot Study ment As part of the research proposal project, I shall investigate the extent to which new media technology affects political thought and theory. During the pilot study, the results will be based on anticipated findings and prediction of the results. The pilot study must not use high-risk groups such as the minors or inmates during the study. It is also important to ensure that the groups used in the pilot study are realistic to reflect the desired results of actual research conducted. The possibilities of the study include interviewing at most four groups of people acting as a sample of the group under study. Moreover, anonymous online or in person survey of not more than 30 people representing the group under...
1 Pages(250 words)Essay

Nursing Clinical Negligence

...Nursing Clinical Negligence Table of Contents Concept of Risk Assessment Process and Issues to be Considered 3 2. Learning Outcome from the Study 4 3. Process of applying learning outcomes in Clinical Practice 4 References 5 Bibliography 6 1. Concept of Risk Assessment Process and Issues to be Considered From a clinical practice perspective, risk assessment can be defined as a process of addressing potential clinical or healthcare risk that might have an adverse impact resulting from nursing practices, treatment processes or different clinical investigations (Allnutt, 2010; National Patient Safety Agency, 2007). According to the modern healthcare and clinical practices, the risk assessment processes include a set of steps that can...
1 Pages(250 words)Assignment


...Evidence-Based Practice: Table of Evidence Evidence-Based Nursing: Table of Evidence Introduction Evidence-Based Practice (hereinafter referred to as EBP) is an approach to healthcare provision that is based on a combination of nursing skills and the findings of the most current and relevant studies on the topic(Armolla, Bourgault, & Halm , 2009). EBP puts to practice the most current methods of providing care. Usually, these methods are tested by scrutinizing studies of high quality and testing the major findings of those studies. The goal of EBP is twofold: to improve the quality of care that patients receive in a cost-effective manner. Given its potential to significantly reduce the cost of care provision, EBP has grown in popularity...
6 Pages(1500 words)Assignment


This report features what is constituted in a healthcare model along with succinct description as well as discussed findings from the literature review (Wood, 2011).
Pediatric patients and children who go through painful procedures frequently do so without the use of analgesics or psychological coping methods. Topical analgesics and non-pharmacological measures safely decrease procedure-related pain in children but are usually underutilized. Failure to reduce pain at initial procedures results to a stronger pain response when a subsequent painful procedure is administered without adequate analgesia. Implementing evidence-based multidisciplinary protocols that mitigate discomfort from procedures done to pediatric patients has...
6 Pages(1500 words)Assignment

Concept Analysis: Humor in Nursing

Humor is one of the methods and strategies used by medical professionals to support a client and create positive feelings and emotions. Responsibility of a nurse is to ensure that a thorough assessment is made of the client's health concerns, that suitable nursing actions are chosen and implemented to help clients, and that an evaluation of the results is carried out. Assuming this leadership does not mean that nurses take over and do for, or to, clients. The quality of nursing care is determined by the completeness of the interchange of knowledge, attitudes, and skills between nurses and their clients. To be most helpful to all clients, nurses should make sure that they solicit their knowledge, become aware of their feelings and...
15 Pages(3750 words)Case Study

Nursing Shortage: How it Effects Nurse Management & Leaders

Nearly twenty percent of the hospitals in 2001 had registered nurse vacancy rates in excess of twenty percent. The survey conducted on behalf of the American Hospital Association in 2001 showed that 126,000 full-time registered nurse positions were not filled. The following year in 2002 the U.S. Department of Health and Human Services that the number of states in the United States of America experiencing registered nurse shortages had gone up to thirty. The consequences of the shortage of nurses on the nursing professionals as evaluated by studies showing that the nursing professionals were experiencing burnouts, stress, and lack of job satisfaction, which was likely to compound the issue of shortage of nursing professionals. The...
10 Pages(2500 words)Case Study

Country Study: Mali

The territory of Mali has had a great history. We have been centers of the Ghana Empire, the Mali Empire, and the Songhai Empire for about six centuries. Thereafter, during the 17th and 18th centuries, several small states developed along the Niger basin, but they fell during the holy war waged by Muslim leader Al-Hajj Umar, whose kingdom extended from Timbuktu to headwaters of Niger and Senegal. His successor, Ahmadu was defeated by the French in 1860. ( /mali.html)

As is well-known, we have had a turbulent past. We were a French colony for 80 years until we achieved independence. Now we are a multi-party democracy with Presidential form of Government. While the executive power rests with the...
6 Pages(1500 words)Case Study

Critical Care Nursing

Respiration occurs at the alveolar-capillary units of the lungs where oxygen (O2) and Carbon dioxide (CO2) are exchanged through inhalation and exhalation bypassing the gas between the alveolar and the blood. In an ideal gas exchange, blood flow and ventilation must perfectly match each other. But even in a normal pair of the lung, some alveoli are under-ventilated and adequately perfused while others are over ventilated but inadequately perfused. Technically speaking, the optimally ventilated alveoli that are not perfused are termed high V/Q units (acting like dead space), and alveoli that are optimally perfused but not adequately ventilated are called low V/Q units (acting as a shunt) (Sat Sharma MD 2006).

The major f...
13 Pages(3250 words)Case Study

A Comparative Study of the Origins of Ethical Thoughts

Do you know what they dug out? -- Wires! It proves that two thousand five hundred years ago, in the age of Pericles, the Greeks had telephones”. The Jew laughingly retorted: “Recently they were digging in Jerusalem. They dug out nothing. This proves that three thousand years ago when Solomon was the king of Judea, the Jews had the principle of wireless!”

ETHICS AND DIVERSE DEFENITIONS: One of the Dilemmas of the civilized human society was the fight between the soul and the flesh or rather the body and desires. The question is how to divert human energy in an intelligent, controlled way? Searching answers to this question one lands in the premise of ethics, personal as well as social. Ethics (English)...
11 Pages(2750 words)Case Study

Bullying Within Nursing Workplace

Bullying is basically defined as ‘offensive behavior through vindictive, cruel, malicious, or humiliating attempts to undermine an individual or group of employees’ (ILO, 1998). The bullying in the workplace has widespread ramifications leading to the increased rate of attrition of the employees, low quality of work, creation of poor practice in the professional environment and violation of legal-ethical norms. Bullying in the nursing workplace becomes a highly deplorable act because it directly impacts the well being of the vulnerable third party, the patients. The bullying of nurses comes from various quarters; employers and hospital administration, managers, colleagues, patients, and patients’ families. It is...
8 Pages(2000 words)Research Paper

Clinical Governance Approach between UK and Australia

The UK Department of Health defines it as “the framework through which NHS organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish.” (Department of Health, 2004).

The term clinical governance gained importance following the high mortality rate for pediatric cardiac surgery at the Bristol Royal Infirmary. The incident led to the formation by the government in 1998 of the Kennedy Commission, which proved a turning point in overhauling the NHS (Kennedy, 2001). The commission’s final report recommended that change “can only be brought about with the willing...
11 Pages(2750 words)Term Paper

An Evaluation of the Role That the Principles of Behaviour Therapy Have to Play in Clinical Hypnosis

Hamburg (2006) first used this combined effort to treat two patients who were scared of dying. He uses his paper to encourage clinicians to refrain from not using their knowledge at the introductory classes of hypnosis but to go into it deeper. Many therapists at that time were taking the bold step of combining behavior therapy with hypnosis (Chaves, 2006). One group used hypnosis for desensitization therapy (Kirsch et al, 1995). However, there was general disagreement about the manner of hypnosis being employed and the methods of mentalist constructs. Chaves who strongly believed in the treatment combination used it as a base for many of his therapeutic interventions (Chaves, 1997a as cited in Chaves, 2006). The hypnotic therapy...
8 Pages(2000 words)Article

Ethical Dilemma in Nursing

As a practitioner, the nurse attends to all the medical needs of the patient and as a leader, she takes decisions that relate to, influence and facilitate the actions of others with an aim to achieve a particular goal. As a researcher, the nurse aims to implement studies to determine the actual effects of nursing care and to work towards further improvement in nursing care (Nettina, 2006). In order to impart these duties in the most appropriate manner, nurses must not only possess sound knowledge of the subject, but they must also be aware of ethical laws and legislations and how to handle ethical dilemmas. This is because, through their career, nurses encounter many situations that are tangled in ethical complexities. As Hall (19...
9 Pages(2250 words)Article

Clinical Nursing Questions

.... Plan of care was developed in accordance with the needs and desire of the patient keeping an eye on the negative aspects of not applying plaster to her toe and let hr go to the job without any treatment. Communication played an effective role between me and the patient because I was able to know the seriousness of her injury and when I contacted her manager, it also went fine in building relationship with my patient as she got very happy due to this. In order to get her fully recovered from her injury, I educated her about all the negative aspects of no medical treatment of her toe’s injury. Answer: No: 4 Before going into the issue of describing an experience regarding applying ethical principles to my clinical nursing practice, I would...
21 Pages(5250 words)Research Paper

Conflict Between Researh and Ethics on the Tuskegee Syphilis Study

... before the study is initiated. The IRB also had a moral responsibility to ensure that the welfare of human subjects would be the first priority of any clinical research and hence all the regulatory procedures pertaining to human subjects in the study was adhered to and that an informed consent explaining the protocol in a language understood by the participant was obtained prior to the start of any study. And after obtaining an informed consent investigator should ensure that no deviation occurs in the study and the participant is treated according to what he has consented (The Ethics of Social Research, n.d). Additionally the participants should also be made aware of any risks involved, additional costs, circumstance under...
7 Pages(1750 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Nursing EBP Clinical Protocol & Pilot Study for FREE!

Contact Us