NURS 408 01 Conceptual Bases of Nursing

NURS 408 01 Conceptual Bases of Nursing

Evidence based practice is a combination of the best practice obtained from research study, patient care data, and expert opinion in order to identify different methods of improvement in providing high quality care reflecting values, needs, interest and choices of the patient.

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Knowledge and skills gained in the process of evidence based practice helps health care workers to bring about reforms in healthcare and increases individual accountability of practice.

Comparing evidence based practice, gaining understanding of why things are done the way they are done and demonstrating activities that promote evidence based practice in order to provide better care. Healthcare providers investigate and identify barriers to best practice and implement guidelines accordingly.

The foundations to a strong practice culture are strong leadership, mentoring, time, resources, clinical settings partnered with academics and strong administrative support. Key words: research study, high quality care, strong leadership

Evidenced-Based Practice
The interventions and practice considered as a result of evidence- based practice, by the National Guideline Clearinghouses for hand hygiene recommendation in prevention and control of healthcare associated infections in Massachusetts are: Hand washing and hand antisepsis using a non-antimicrobial and water, antimicrobial soap and water, and alcohol based-hand rub, receiving input from heath care workers regarding the products that are being used, providing healthcare workers with skin care products, educating the healthcare workers and observing their practices, and having administrative support.

These are similar to my facility’s policies, except that they do not recommend the use of non-antimicrobial soap. The recommendations and practices for hand washing and hand antisepsis similar to my facility are: hands need to be washed with soap and water when visibly soiled with blood or other bodily fluids, before and after eating, and after using the rest room.

Alcohol based hand rubs can be used to decontaminate hands when hands are not visibly soiled, in clinical situation such as: before coming in direct contact with the patient, before donning sterile gloves for procedure like insertion of foley catheter, prior to starting an intravenous catheter, after removing gloves, when going form a contaminated body site to a clean site, after contact with inanimate objects and surfaces in patient environment.

My hospital policy follows the same recommendation for use of alcohol based hand rubs except in situations where patients have a suspected or confirmed diagnosis of Clostridium difficile because hand rubs are ineffective against spore-forming pathogens.

The facility policy also states that appropriate hand hygiene must be performed at the beginning of a shift and before leaving the facility. According to the National Guideline Clearinghouse, the use of antimicrobial impregnated wipes could be used as another alternative to washing hands with non antimicrobial soap and water, but cannot be substituted for antimicrobial soap and alcohol based hand rub as it is not as effective…………………………………..

NURS 408 01 Conceptual Bases

NURS 408 01 Conceptual Bases