Implementasi Evidence Based Nursing pada Pasien dengan Stroke Non-Hemoragik: Studi Kasus

2019 ◽  
Vol 4 (3) ◽  
pp. 601
Author(s):  
Filya Kharti Gempitasari ◽  
Feni Betriana
Keyword(s):  
Glasgow Coma Scale ◽  
Oxygen Saturation ◽  
Nursing Care ◽  
Clinical Syndrome ◽  
Evidence Based ◽  
Coma Scale ◽  
Level Of Consciousness ◽  
Evidence Based Nursing

<p><em>Stroke is a clinical syndrome which is characterized by loss of brain function acutely and can lead to death. Patients with stroke often experience declining of consciousness which lead to decreasing the quality of life. To reach the good outcome of nursing care, it is needed to implement evidence-based nursing. This case study is the implementation of evidence-based nursing by providing murrotal therapy and head-up positioning 30 degree to increase patient’s level of consciousness and oxygen saturation. The murrotal therapy was implemented for seven days and head-up positioning 30 degree was implemented for three days. After each implementation, the patient was evaluated by assessing the Glasgow Coma Scale (GCS) and oxygen saturation. The results showed an increasing of the level of consciousness after murrotal therapy was given from GCS 7 in the first day of implementation to GCS 11 in the 7<sup>th</sup> day. Oxygen saturation increased for 1.5% in average. To reach optimal outcome, implementation of evidence-based nursing in providing nursing care is highly recommended.</em></p><p> </p><p><em>Stroke merupakan suatu sindrom klinis yang ditandai dengan hilangnya fungsi otak secara akut dan dapat menimbulkan kematian. Pasien dengan stroke seringkali mengalami penurunan kesadaran sehingga menyebabkan kualitas hidup menurun. Untuk mencapai hasil perawatan yang baik, diperlukan implementasi evidence-based nursing. Studi kasus ini merupakan implementasi evidence-based nursing dengan memberikan terapi murrotal dan pengaturan posisi kepala head-up 30 derajat untuk meningkatkan tingkat kesadaran dan saturasi oksigen pada pasien dengan stroke. Terapi murrotal diaplikasikan selama tujuh hari dan pengaturan posisi kepala head-up 30 derajat diaplikasikan selama tiga hari. Setelah setiap intervensi yang dilakukan, pasien dievaluasi dengan penilaian Glasgow Coma Scale (GCS) dan saturasi oksigen. Hasil menunjukkan bahwa terdapat peningkatan kesadaran pasien setiap hari setelah dilakukan terapi murotal dari GCS 7 pada hari ke-1 menjadi GCS 11 pada hari ke-7. Saturasi oksigen mengalami peningkatan rata-rata 1,5%. Untuk mencapai hasil perawatan yang optimal, penerapan evidence-based nursing dalam memberikan asuhan keperawatan sangat direkomendasikan.  </em></p>

scholarly journals Effect of Evidence-Based Nursing Care Guidelines on the Quality of Care of Patients in Neurosurgical Intensive Care Units

2020 ◽  
Vol 24 (1) ◽  
pp. 56-67
Author(s):  
Zahra Tayebi Myaneh ◽  
◽  
Maryam Azadi ◽  
Seyedeh Zahra Hosseinigolafshani ◽  
Farnoosh Rashvand ◽  
...  
Keyword(s):  
Intensive Care ◽  
Quality Of Care ◽  
Intensive Care Units ◽  
Nursing Care ◽  
Evidence Based ◽  
Neurosurgical Intensive Care ◽  
Care Guidelines ◽  
The Mean ◽  
Evidence Based Nursing

Background: Evidence-based nursing care guidelines are important tools for increasing the quality of nurses’ clinical work. Objective: The aim of this study was to investigate the effect of implementing evidence-based nursing care guidelines on the quality of care of patients admitted to the Neurosurgical Intensive Care Units (NICUs). Methods: This is a quasi-experimental study on 54 nurses in NICUs of hospitals affiliated to Qazvin University of Medical Sciences selected using a convenience sampling technique and divided into two groups of intervention and control. The intervention included the teaching of evidence-based nursing guidelines and their implementation by the nurses. Before and two months after the intervention, the demographic characteristics and the quality of nurses’ patient care in both groups was evaluated by using a demographic form and a standard checklist with 37 items designed based on the standards of practice for All Registered Nurses (ANA). Data were analyzed in SPSS software using descriptive statistics (Mean±SD), and paired t-test, independent t-test and chi-square test. Findings: The mean score of nursing care quality in the two groups was not significantly different before intervention (P>0.05). After intervention, the mean score was 25.11±6.2 in the intervention group and 20.29±5.3 in the control group, and the difference was statistically significant (P<0.05). Conclusion: Implementation of evidence-based nursing care guidelines can improve the quality of nursing care. Therefore, it is recommended that the teaching of evidence-based nursing care guidelines should be on the agenda of the hospitals’ education unit and related departments.

scholarly journals Effectiveness of implementing evidence based practices guidelines regarding blood transfusion on quality of nursing care and patients' safety in Pediatric Units

2020 ◽  
Vol 10 (10) ◽  
pp. 33
Author(s):  
Orban Ragab Bayoumi ◽  
Nahed Saied Mohamed El-Nagger
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Transfusion ◽  
Nursing Care ◽  
Evidence Based ◽  
Before And After ◽  
Evidence Based Nursing ◽  
Quality Of Nursing ◽  
Nurses Knowledge

Background and objective: The new trend that widely accepted in health care institutions is to implement an evidence-based practice. Health facilities frequently integrate standards of practice that reveal current best evidence to increase patients’ outcomes and consequently decrease hospital cost. Transfusion of blood is a cornerstone in managing many critically ill children. However, nurses have a chief role in transfusing blood and their knowledge and performance are important for them to transfuse blood safely and efficiently. Aim: Evaluate the effectiveness of implementing evidence based nursing practices guidelines on quality of nursing care and patients' safety as regards blood transfusion to improve transfusion practices and ensure safety.Methods: A quasi-experimental design. Settings: This study was conducted at Pediatric Intensive Care Unit, Neonatal Intensive Care Unit, Emergency Room, Medical and Surgical Wards, Hematology/Oncology Units in Children Hospital affiliated to Ain Shams University Hospitals. Sample: A convenience sample composed of 95 pediatric nurses, whom were willingness to participate in the study and 78 children whom were receiving blood transfusion. Tools: I. A Self-Administered Questionnaire Sheet to assess nurses’ knowledge regarding blood transfusion; II. Child’s Medical Record to collect data about child’s health status; III. An Observational Competence Checklist to assess the quality of actual nurses’ practices about Blood Transfusion; and IV. Evidence Based Nursing Practices Guidelines of Blood Transfusion that was described the EBNP guidelines that provide a standardized approach for transfusion (before and after).Results: The studied nurses’ knowledge and practices regarding to blood transfusion were improved and reflected a highly significant differences before and after guidelines implementation.Conclusions: The present study concluded that studied nurses showed an improvement in their knowledge and practices regarding blood transfusion after implementation of evidence based nursing practices guidelines. Recommendation: It is essential that all nurses who administer blood transfusion for children should complete periodic in-services training programs to keep them up to date regarding to safe and efficient administration of blood transfusion.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

scholarly journals Spontaneous Intracerebral Haemorrhage: An Analysis of Factors Affecting Prognosis

1985 ◽  
Vol 12 (3) ◽  
pp. 267-271 ◽  
Author(s):  
A.A. Dixon ◽  
R.O. Holness ◽  
W.J. Howes ◽  
J.B. Garner
Keyword(s):  
Glasgow Coma Scale ◽  
Intracerebral Haemorrhage ◽  
Clinical Factors ◽  
Partial Pressure Of Oxygen ◽  
Factors Affecting ◽  
Coma Scale ◽  
Level Of Consciousness ◽  
Ventricular Rupture ◽  
Predicting Outcome ◽  
Spontaneous Intracerebral Haemorrhage

ABSTRACT:A retrospective study of 100 patients with spontaneous intracerebral haemorrhage was carried out, to identify clinical factors which have a predictive value for outcome. Numerical equivalents for the admission level of consciousness (the Glasgow Coma Scale), ventricular rupture, partial pressure of oxygen in the blood, the electrocardiogram, clot location, and clot size were combined into equations predicting outcome. The best single parameter for prediction was the Glasgow Coma Scale.

scholarly journals PENERAPAN PRAKTIK KEPERAWATAN BERBASIS BUKTI PURSED LIP BREATHING PADA PASIEN DENGAN PENYAKIT PARU OBSTRUKTIF KRONIK DI RUANG RSU PUSAT PERSAHABATAN JAKARTA

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Seven Sitorus
Keyword(s):  
Quality Of Care ◽  
Pulmonary Disease ◽  
Significant Influence ◽  
Exercise Tolerance ◽  
P Value ◽  
Evidence Based ◽  
Copd Exacerbation ◽  
Before And After ◽  
Evidence Based Nursing

Background: Chronic Obstruction Pulmonary Disease (COPD) is disease characterized by obstruction air flow in the breath not wholly reversible. One treatment can be done on improving exercise tolerance is exercise respiration as pursed lip breathing ( PLB ). Purse lip breathing is a techniques of breathing carried out to expelling air by creating power through  in move closer /pursed lips. Purpose: provide an illustration of the application of the practice of evidence based nursing of pursed lip breathing in patients COPD in RSUP Persahabatan Jakarta. Method:  the implementation of the practice of evidence based nursing pursed lip breathing is applied to 12 people sample ( 10 men and 2 women ) diagnosed with COPD exacerbation. Result: the majority of sex respondents is man as many as 10 ( 83,3 % ) persons and women as many as 2 ( 16,7 % ) a person .mean the age of respondents is 61,5 years ± 10.4 .mean the value of PEF ( Peak Expiratory Flow ), the value of the saturation oxygen , the value of respiratori rate before the intervention in a consecutive manner is 131.6 ±  44.6; 92.1 ± 2.44; 31.5 ±  2 . While value after the intervention is 175.0 ±  60.0; 97,1 ± 1.6; 22,6 ± 1.7 with P value = 0.001, α = 0.05. Conclusions: there are significant influence the application of pursed lip breathing between before and after the intervention in patients COPD. Advice: Intervention evidence based nursing can be applied to all patients COPD so reached the quality of care of nursing based on research

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