Tolentino-De los Reyes , A . F , Ruppert , S . D , Shiao , S .School of nurse , University of Houston Victoria and University of Houston System (2007 . indicate-based physical exercise : Use of the breathing machine mickle to prevent ventilator-associated pneumonia . American Journal of Critical distribute , 16 (1 , 20-27Evidence-based interjectionApril 2008Tolentino-De los Reyes et al (2007 ) presented the findings from an-evidence based interpolation among critical sympathize with nurses in a coronary alimony unit (CCU ) and a functional ICU (SICU . The look into was grounded in info from antecedent explorees which lose consistently highlighted the impact of poor clinical design with mention to mechanized ventilation on the health outcomes of patients , specifically ventilator-associated pneumonia (VAP . Evi dence reveals that nosocomial pneumonia accounts for 15 portion of all infirmary acquired infections (CDC , 2007 . tho some cases of VAP , like other HAIs , are preventable by as much as 33 percent (Mohr , Peninger Ostrosky-Zeichner , 2005The researchers in the original research examined existing evidence and clinical practice with respect to mechanisms to limit the development of nosocomial pneumonia and frankincense rectify the mortality and morbidity of patients accessing this treatment methodology . The researchers examined existential data , dating from 1992 to2005 , which examined the practices that would contribute to change magnitude the incidents of VAP . All of the researches were from aboriginal sources and in truth relevant to the purpose of the current research . In accompaniment the researchers examined multiple sources with data from a spacious range of clinical experiments and observations . This helped add validity to the research . They looked at practices that contribute to VAP including disaster ! to wash hands prior to and later on caring for patients , stroke to swot up the back rest to amid 30o and 45o except in cases where that was contraindicated , the wearing of one or more(prenominal) rings and trouble to adopt appropriate oral care practices for patients on mechanical ventilatorsThe researchers examined best techniques to improve nurse contour with correct practices when transaction with patients on mechanical ventilation .
From their tryout of previous research the current researchers discovered that staff instruction was an effective inwardness of improving patient outcomes by decreasing th e incidence of VAP . This finding was supported by three clear and up-to-date researches - Babcock et al (2004 , Salahuddin et al (2004 ) and Zack et al (2002 . The American necktie of Critical-Care Nurses has outlined a comprehensive set of steps , referred to as the ventilator deal , which incorporates the findings of the preceding research . The purpose of the current research was and then to determine the impact that an educational intervention would have on the practice of critical care nurses in dealing with patients on mechanical ventilation . The educational intervention involved a 30 minute PowerPoint (R ) presentation on the ventilator hatful which included the information discovered in the literature go over and the guidelines provided by the AACN . Nurses are to elevate the head of the bed (HOB ) to 30 ? to 45 ? unless medically contraindicated , discharge subglottic secretions often , change ventilator circuit no more often than every 48 hours , and wash hands f orward and after...If you want to get a full essay, o! rder it on our website: BestEssayCheap.com
If you want to get a full essay, visit our page: cheap essay
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.