Nurse-Led Implementation of an Insulin-Infusion Protocal in a Gender - Research Paper Example

The problem is an important one, as it will avoid the negative effects of hypoglycemia, which is a life threatening problem among ICU patients. Further, the problem has been the center of a contentious issue in ICU care. The problem is clearly depicted and the background information offered, including the case of concerns among doctors and nurses over increased workload due to SGC, and the deaths caused by hypoglycemia. The justification of the study is offered, as evaluating the existing degree of glycaemic control, which will lead to the implementation of an effective nurse-led SGC model.

The purpose of the study is to evaluate the existing degree of glycaemic control, leading to the designing of an effective SGC approach, with regard to intensive insulin therapy. The main research question is: Can nurse-led implementation of an insulin-infusion protocol reduce the incidences of hypoglycemia and the workload resulting from a strict SGC model? The hypothesis of the study may be expressed this way: An informed nurse-led implementation of insulin administration is more effective and safe in reducing adverse conditions like hypoglycemia among ICU patients. . Finney is also cited, who discussed the adverse effects resulting from hyperglycemia at general intensive care, which pushed doctors to prescribe insulin levels of 4 – 8 for ICU patients through standard infusion.

The author included the opposing study of Pittas et al, which showed that ICU patients subjected to insulin therapy were thrice, as likely to develop hypoglycemia as opposed to a control group. Another deviating study is that of Krinsley et al, which showed that hypoglycemia was independently related to mortality in an adult ICU. The literature review is thorough and organized, as it starts with supporting the background of study, to discussing the effects on not implementing the insulin protocol strategy: for instance the study by Krinsley et al, which talks of the relation between hypoglycemia and mortality.

A majority of the references are current, thirty of the thirty-three falling between the 5 year bracket (age of source before writing of the health article; 1 falling between 10 year bracket and 2 falling under the more than 10 years bracket. This shows that the study presented information – not more than 10 years old, thus current for usage. The theoretical framework of the study surrounds the evaluation of the existing glycaemic control level and exploring the relationships between a nurse-led implementation of safe SGC approach to insulin therapy and the incidences of hypoglycemia and the workload resulting from SGC.

The variables to be measured and the relationships to be explored are clear, thus the theoretical model is clearly explained. The model is also threaded throughout the report, as the discussion