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Evidence Based Practic- Incentive Spirometry - Term Paper Example

1). The definition implies incorporation of best practices, which empirical studies have established, with a nurse’s expertise and values of a patient, to optimize offered care and identifies four elements. The first element is the patient’s conditions that needs care, the second element is the “patient’s goals, values, and wishes” and the third element is established evidence in the scope of the patient’s problem (Drisko, 2011, p. 1). The practitioner’s clinical competence is the fourth element that defines evidence-based practice (Drisko, 2011). Identified nursing intervention and significance of determining best practice in the intervention Usage of Incentive Spirometry is the identified nursing intervention. Incentive Spirometer is a device that aids respiration through visual and audio feedback. Many reasons exist to suggest significance of best practice in application of Incentive Spirometer. High number of patients that need the intervention means that a necessity because up to 88 percent of patients who receive operations on their upper abdomen may require the intervention. Efficiency needs in the nursing profession towards patients’ well being and respect for patients’ goals and values identify the need for practitioners’ determination of best practice (Jayasekara, 2013; Drisko, 2011). ...
operations may require application of Incentive Spirometer are also known and include “atelectasis, pneumonia, respiratory failure, and tracheobronchial infection” (Jayasekara, 2013, p. 1).

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The intervention has also been applied as a preventive measure against pulmonary problems following operations. In abdominal surgery, Incentive Spirometry, like chest physiotherapy, is suitable for managing patients’ conditions. A study established that the intervention is not effective to managing some surgery such as cardiac surgery. The intervention is also not effective in “reducing pulmonary complications” and in “decreasing negative effects of pulmonary functions” in patients after coronary artery operations. “Post abdominal surgery and lung expansion” have reported significant benefits from the intervention because of the intervention’s scope that require little energy input (Jayasekara, 2013, p. 1). Evidence also establishes the intervention’s freedom from complications and patients’ longer stay in care facilities as a result of the application. Similarly, the intervention is as safe as physiotherapy with respect to complications following pulmonary surgeries. Evidence that support the use of Incentive Spirometry is however, limited and this identifies the need for practitioners’ rationale (Jayasekara, 2013). Incorporation of the evidence into the care of my patient in the clinical unit The evidence was assimilated into care of a patient who had a heart surgery and extensive use of anesthesia during the surgery. The patient reported very short breaths and required aid to empower her lungs. Research was made into suitability of Incentive Spiromentry and physiotherapy and the ease of application of the Spirometry prompted its application. The


Evidence based practice- Incentive Spironetry Introduction Research defines scientific investigation that aims at developing knowledge for bridging knowledge gap or for solving an identified problem. The approach has been implemented in nursing to develop evidence from which practitioners can refer to, when solving nursing problems…
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