As intravenous access (IV) in the emergency department (ED) is pertinent to acute care, applied research would be most conducive in order to be able to improve and modify nursing practice in such occurrences. Establishing IV access is one of the most frequent procedures in the ED, and unfortunately, plays a key role in critical care treatment.
According to the Emergency Nurses Association (ENA) multiple studies have been done looking at how trained the IV access user is and the techniques, and alternatives to invasive access such as ultrasound-guided access. According to Girard and Schectman (2005), there are many studies on improving intravenous access, that state that real-time ultrasound IV guidance has been shown to reduce complications …show more content…
According to Dearholt and Dang (2012) the “Practice question, Evidence, and Translation process (PET)” constructs the steps of evidence-based practice (EBP), therefore by asking a question, finds and applies appropriate and applicable evidence, can then evaluate the information gathered to determine its efficacy and worth using a scale to determine its quality. Research Evidence Appraisal and Non-Research Evidence Appraisal differ in scientific/empirical evidence versus ethical, personal and interpretive based information.
The EBP model is helpful in guiding practicing nurses by providing direction in being able to understand and appraise literature by quality and strength, and how they relate to clinical practice.
Practice Question
Step 1: Identify an EBP …show more content…
According to the emergency nurses association (ENA) there are various instances where peripheral access is difficult to obtain, and where other measures are often conflicting in causing infections, such as central venous catheters. Especially with patients with multiple morbidities, such as obesity, diabetes, hypovolemia, sickle cell anemia, and drug abuse, studies have shown significant differences between the ultrasound-guided approach compared to traditional methods for success rate, time to IV access patient satisfaction with the procedure.
On a broader scale, timely IV access impedes necessary treatment in acute situations such as; intravenous fluid resuscitation or pain management for sickle cell patients, the use of more supplies in an attempt to obtain IV access, poor patient satisfaction scores for facilities.
Steps 3, 4, and 5:
According to the Emergency Nurses Association (ENA) multiple studies have been done looking at how trained the IV access user is and the techniques, and alternatives to invasive access such as ultrasound-guided access. According to Girard and Schectman (2005), there are many studies on improving intravenous access, that state that real-time ultrasound IV guidance has been shown to reduce complications …show more content…
According to Dearholt and Dang (2012) the “Practice question, Evidence, and Translation process (PET)” constructs the steps of evidence-based practice (EBP), therefore by asking a question, finds and applies appropriate and applicable evidence, can then evaluate the information gathered to determine its efficacy and worth using a scale to determine its quality. Research Evidence Appraisal and Non-Research Evidence Appraisal differ in scientific/empirical evidence versus ethical, personal and interpretive based information.
The EBP model is helpful in guiding practicing nurses by providing direction in being able to understand and appraise literature by quality and strength, and how they relate to clinical practice.
Practice Question
Step 1: Identify an EBP …show more content…
According to the emergency nurses association (ENA) there are various instances where peripheral access is difficult to obtain, and where other measures are often conflicting in causing infections, such as central venous catheters. Especially with patients with multiple morbidities, such as obesity, diabetes, hypovolemia, sickle cell anemia, and drug abuse, studies have shown significant differences between the ultrasound-guided approach compared to traditional methods for success rate, time to IV access patient satisfaction with the procedure.
On a broader scale, timely IV access impedes necessary treatment in acute situations such as; intravenous fluid resuscitation or pain management for sickle cell patients, the use of more supplies in an attempt to obtain IV access, poor patient satisfaction scores for facilities.
Steps 3, 4, and 5: