scholarly journals Evaluating the Efficacy of an Evidence-Based Charge Nurse Professional Development Activity at a Highly Complex Veterans Affairs Medical Center

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
David W. Breedlove ◽  
Azita Amiri ◽  
Latonia Arris
2021 ◽  
Vol 36 (8) ◽  
pp. 397-408
Author(s):  
Christine M. Vartan ◽  
Nayma Moya Romero ◽  
Sandra L. DiScala ◽  
Abigail Brooks ◽  
John Melendez-Benabe ◽  
...  

OBJECTIVES: To determine adherence of perioperative knee/hip arthroplasties and hip fracture repairs to the American Pain Society (APS) guideline recommendations for perioperative pain control. One secondary objective was to perform an internal quality audit on the use of enhanced recovery after surgery (ERAS) protocols; another secondary objective was to design an evidence-based, multi-modal perioperative quick-order menu (if warranted). DESIGN/PATIENTS: A retrospective quality improvement (QI) review of uncomplicated knee/hip replacement and hip fracture repairs from January 2018 through March 2018. SETTING: West Palm Beach Veterans Affairs Medical Center (WPB VAMC) including acute care, subacute rehabilitation, and outpatient setting. MAIN OUTCOME MEASURE: Analgesic use in the perioperative setting via electronic health record review. RESULTS: Forty-seven patients were retrospectively reviewed. Perioperative multi-modal analgesia was used in 85% of patients. Eighty-seven percent were discharged on multi-modal analgesia. There was a 67% response rate to the internal quality audit on ERAS protocol usage from the orthopedic team. CONCLUSION: A retrospective QI review completed approximately two years after APS guideline publication showed that compliance with these recommendations for multi-modal analgesia (consisting of the use of at least two medication classes) at the WPB VAMC in the postoperative setting for knee/hip arthroplasties and hip fracture repairs was 85%. This indicated potential for improvement in achieving a pharmacologic multimodal and ERAS intervention. The authors developed an evidence-based quick-order menu to further reinforce adherence to the APS perioperative guidelines.


2013 ◽  
Vol 2 (1) ◽  
pp. 86-102 ◽  
Author(s):  
Kristie J. Newton ◽  
Jon R. Star

This study involved a promising practice-based professional development activity called model teaching, where teachers collaboratively wrote and then enacted a lesson plan to a “class” of fellow teachers. Analysis of videos during the activity suggested that playing the role of “students” was especially effective as a way to highlight student thinking and to help teachers consider pedagogical strategies for addressing student difficulties. The activity also provided evidence of teacher learning from the professional development experience. Five teachers were followed throughout the school year, and findings suggested that although implementation varied, much of what was learned transferred to the classroom. We report on this variation and the extent of transfer, and we discuss affordances and limitations of the model teaching activity.


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