Essay about Evidence Based Practice

1731 Words Jun 2nd, 2015 7 Pages
Evidence Based Practice
Western Governors University
Tracy Wallace

Hospital-acquired pneumonia has a very high morbidity and mortality rate here in the United States and is the second most common nosocomial infection. HAP consists of approximately fifteen percent of all hospital-acquired infections and occurs in five to fifteen percent of every 1,000 admissions. Critical care nurses are presented with unique challenges when caring for patients who are at risk for developing VAP. Strategies must be developed using evidence-based practice and incorporated into daily care in order to prevent VAP in patients receiving mechanical ventilation. ICU Doctors, Nurse Educators and the DON on the ICU unit are currently responsible for our current
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Explain to them that in this study, there were very strict criteria, in order to be enrolled. To be eligible for the research project, the patient had to be intubated for more than 48 hours and be admitted into the ICU unit. Although there was not a discussion for an informed consent for this study, the consent for treatment that was signed during the admission process may include consent for study. Ventilated patients are considered a vulnerable population, and this study would not do any harm to the patient. In our first group study, the patients received oral care using foam swabs dipped in a mixture of saline and hydrogen peroxide. We choose the foam swabs because they are more flexible than a toothbrush and are easier to manipulate around the curvatures in the mouth, the only problem is that they do not remove as much plaque as a toothbrush does. Research has found that patients who mouth breath have adapted well in using tongue scrappers, due to the tongue being the major source malodor and halitosis. Manual toothbrushes have been proposed as the ideal method of promoting the oral hygiene of orally intubated patients (Chan E, Ruest A, Meade,

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