An Evidence-Based Practice Approach to End-of-Life Nursing Education in Intensive Care Units

2016 ◽  
Vol 18 (4) ◽  
pp. 342-348 ◽  
Author(s):  
Megan M. Shifrin
Keyword(s):  
Intensive Care ◽  
Nursing Education ◽  
End Of Life ◽  
Intensive Care Units ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Practice Approach

scholarly journals Reducing Use of Restraints in Intensive Care Units: A Quality Improvement Project

2018 ◽  
Vol 38 (4) ◽  
pp. e8-e16 ◽  
Author(s):  
Dannette A. Mitchell ◽  
Teresa Panchisin ◽  
Maureen A. Seckel
Keyword(s):  
Intensive Care ◽  
Quality Improvement ◽  
Intensive Care Units ◽  
Evidence Based Practice ◽  
National Database ◽  
Evidence Based ◽  
Improvement Project ◽  
Quality Improvement Process ◽  
Alternative Product ◽  
Sustained Success

BACKGROUNDUse of physical restrainst is scrutinized in intensive care units today. Usage rates for the 5 intensive care units in the Christiana Care Health Services, Newark, Delaware, were higher than the National Database of Nursing Quality Indicators mean rate of 9.61% to 15.43% for many months during fiscal years 2013 and 2014.OBJECTIVETo reduce and sustain the restraint rates to less than the national database mean rates for all 5 intensive care units.METHODSA quality improvement process was used that included forming a multiunit restraint collaborative; reviewing restraint data, including self-extubation rates; surveying staff nurses to examine alignment with evidence-based practice; and selecting a new restraint-alternative product.RESULTSAll 5 intensive care units were able to successfully decrease restraint rates to less than the national database mean for the majority of the months since the start of the restraint collaborative in September 2012.CONCLUSIONUse of a restraint collaborative with subsequent adoption of restraint alternatives led to a decrease in restraint rates for the 5 intensive care units to less than the national database mean, enabled sustained success, and helped align nurses’ beliefs with evidence-based practice.

scholarly journals Determinants of Evidence-based Practice Uptake in Rural Intensive Care Units. A Mixed Methods Study

2020 ◽  
Vol 17 (9) ◽  
pp. 1104-1116
Author(s):  
Katherine R. Sterba ◽  
Emily E. Johnson ◽  
Nandita Nadig ◽  
Annie N. Simpson ◽  
Kit N. Simpson ◽  
...  
Keyword(s):  
Intensive Care ◽  
Mixed Methods ◽  
Intensive Care Units ◽  
Evidence Based Practice ◽  
Mixed Methods Study ◽  
Evidence Based

scholarly journals Red blood cell transfusion practices in two surgical intensive care units: a mixed methods assessment of barriers to evidence-based practice

Transfusion ◽  
2014 ◽  
Vol 54 (10pt2) ◽  
pp. 2658-2667 ◽  
Author(s):  
David J. Murphy ◽  
Peter J. Pronovost ◽  
Christoph U. Lehmann ◽  
Ayse P. Gurses ◽  
Glenn J.R. Whitman ◽  
...  
Keyword(s):  
Intensive Care ◽  
Mixed Methods ◽  
Blood Cell ◽  
Intensive Care Units ◽  
Red Blood Cell ◽  
Evidence Based Practice ◽  
Red Blood Cell Transfusion ◽  
Evidence Based ◽  
Surgical Intensive Care

scholarly journals Assessment of Evidence-Based Practice Knowledge, Utilization of Practice and Associated Factors on Nurses Working in the Adult Intensive Care Unit of Federal Public Hospital in Addis Ababa

2021 ◽  
Author(s):  
Zerihune Alene ◽  
Negat W/Hawariat ◽  
Helina Bogale ◽  
Ayele Fikadu ◽  
Abdata Workina
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Evidence Based Practice ◽  
Addis Ababa ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Poor Knowledge ◽  
Research Results ◽  
Insufficient Time ◽  
Practice Knowledge

Abstract Background Critical care nurses face several challenges in providing safe, evidence-based care for critical patients. Evidence-based practices are important to improve the overall quality of patient care, enhance nursing practice, and increase confidence in evidence-based decision-making. Thus, this study was intended to assess evidence-based practice knowledge and utilization of the practice on nurses working in the adult intensive care units. Methods Institutional based cross-sectional study was employed on 135 randomly selected nurses working in adult intensive care units of federal public hospitals in Addis Ababa, Ethiopia, from April 3 to December 21, 2020. Data were collected using a structured questionnaire through face-to-face interviews. Then, it was entered into Epi data version 4.4.2.1, and exported to SPSS version 25 for analysis. In the bivariate logistic regression analysis, predictors variables with p< 0.25 were fitted to multivariate analysis. Then, the adjusted odds ratio with 95% CI was used to report the association at P< 0.05. Results Among the study participants, about 92(68.1%) and 115(85.2%) of them were found to have good knowledge and utilization of evidence-based practice, respectively. Predictors like difficulty to properly interpret research results (AOR=11.36; 95% CI: 1.86-69.39), and insufficient resources to implement changes in practice (AOR=4.44; 95% CI: 1.05-18.80) were associated with poor knowledge of evidence-based practice. Moreover, nurses who were not able to interpret research results, lack of nursing colleague support, and insufficient time were significantly associated with poor utilization (P<0.05). Conclusion The knowledge and utilization of evidence-based practice among nurses was found to be high compared to the findings of former studies. Inability to properly interpret research results, lack of confidence, insufficient time, and lack of nursing colleague support were independently associated with poor knowledge and utilization of evidence-based practices among nurses working in adult ICU nurses.

Sign in / Sign up

Export Citation Format

Share Document