Showing posts with label Evidence-based practice. Show all posts
Showing posts with label Evidence-based practice. Show all posts

Friday, March 4, 2011

Reducing Catheter Associated Bloodstream Infections

The CDC Vital Signs (http://www.cdc.gov/VitalSigns/HAI/index.htmlpublication ) noted that there was a 58% reduction in bloodstream associated catheter infections from 2001-2009. A detailed report of the progress is available from MMWR at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6008a4.htm?s_cid=mm6008a4_w

Students in the NCLEX prep class read discussed several articles pertinent to care this past week.  One of the articles was "Walk the Walk to Reduce Catheter-Related BloodStream Infections" in The American Nurse (http://www.nursingworld.org/mods/mod492/Bloodstream-Infections.pdf ).  The article detailed the evidence-based procedure for cleansing the port of a central line.  Some of the students noted that the procedure was followed in clinical sites where they were working, but not all.  It all relates back to standards of care issues that we discuss in the Legal and Ethical Nursing class.  As professional nurses, we must stay current with literature and not blindly follow hospital procedures.  Differences should be reported to hospital management. Our patients' lives depend upon us.

Sunday, February 28, 2010

Evidence-Based Practice

Evidence based practice (EBP) is such an important issue in healthcare.  I am working on 3 projects with students to assess care practices.  I look forward to the day when we can pull reports out of our health information systems that can be easily interfaced.

Linda, added EBP resources to the textbook web site http://dlthede.net/Informatics/Informatics.html )(today.  The resources supplement chapter 11.  Am listing them below.


Melnyk, Bernadette Mazurek, Fineout-Overholt, Ellen, Stillwell, Susan B. Williamson, Kathleen M. Evidence-Based Practice: Step by Step: Igniting a Spirit of Inquiry. AJN, American Journal of Nursing: November 2009 - Volume 109 - Issue 11 - pp 49-52.

http://journals.lww.com/ajnonline/Fulltext/2009/11000/Evidence_Based_Practice__Step_by_Step__Igniting_a.28.aspx



Evidence-Based Practice: Step by Step: The Seven Steps of Evidence-Based Practice, Melnyk, Bernadette Mazurek; Fineout-Overholt, Ellen; Stillwell, Susan B.; Williamson, Kathleen M. AJN The American Journal of Nursing. 110(1):51-53, January 2010. doi: 10.1097/01.NAJ.0000366056.06605.d2

http://journals.lww.com/ajnonline/Fulltext/2010/01000/Evidence_Based_Practice__Step_by_Step__The_Seven.30.aspx



Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice [Electronic Version http://journals.lww.com/ajnonline/Fulltext/2010/03000/Evidence_Based_Practice,_Step_by_Step__Asking_the.28.aspx ]. American Journal of Nursing, 110(3), 58-61.