D.1.a.
Evidence-based practice assisted me with evaluating primary research and learning how to use primary research in my current practice. When I look for evidence to improve my practice, I complete searches on the Internet using keywords. The relevance and believability of data depend on if the research and non-research evidence have the best scientific evidence with experimental evidence from a patient and practitioner. Published articles or studies that are peer-reviewed means it has been reviewed by professionals. The information articles should be current with in-cite notations which made me realize if the information I researched was reliable. I also considered if articles had evidence to determine …show more content…
An example of quality improvement would be to decrease the number of catheter-associated urinary tract infections due to improper Foley catheter care by direct care providers. The direct care providers and the staff development coordinator would review the practices of Foley catheter care and make changes to the new employee orientation and additional training on a regular basis. The difference between quality improvement and research is that research utilizes a systematic way to investigate which will include research development, testing, and evaluate for the purpose of developing and contributing to knowledge. An example of the investigation would be using a reproducible experimental, randomized, control group with manipulation with experimental, quasi-experimental such as experimenting with soothing music on a dementia unit to see if the outcome decreases agitation which contributes to increasing in falls. Playing soothing music thirty minutes before meals and sixty minutes after meals proved the residents were less agitated, the reduction in agitation and turned decreased the falls. Resources are available on the internet through searches but …show more content…
One example I am playing soothing music before critical time-frames when residents with dementia begin to have aggressive, combative, and yelling type behaviors. Staff members working at the facility received education about the implementation of music on the secure dementia unit. The music was placed in the main areas through a sound system on the secure unit where they reside and through monitoring and analyzing results, fall incidents on the secure unit decreased by 25% over two months. A second example of using evidence-based practice was to reduce pressure ulcers developed by indwelling foley catheters. Review of pressure injuries related to pressure on the meatus or upper thigh area on male residents proved implementation or prevention was required. I formed a team including key staff members and discussed indwelling foley catheter care and procedures. Evidence confirmed staff was not utilizing a leg band to ensure the catheter was stationary adding pressure to the. Peri-care for uncircumcised men was not being completed correctly. Education provided, practice and policy were updated to include procedure requirement with leg bands and meatal care provided by the licensed nurse every shift. Continued training, education, and validation with return performance will be completed upon when an employee is hired and