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Evidence-Based Practice: DISSEMINATE - RN Residency EBP Reports

This guide is designed to assist health care professionals to become effective and efficient users of the medical and nursing literature.

Evidence-Based Practice: Navigation

EBP Home | Introduction to EBP in 6 Steps | AJN's EBP Series | ASK - PICO | Levels of Evidence and Study Designs | SEARCH EBP Tools & Pyramid | EBP Tools Table | Literature Review | Getting to Fulltext | APPRAISE-Critical Appraisal | Other EBP Guides, Tutorials, Terms | RN Residency Teaching Activities | DISSEMINATE - RN Residency EBP Reports | How to Identify Peer-Reviewed Journals

Disseminate evidence to colleagues within your organization, and beyond.

Outcome dissemination can be done through intra- and inter-departmental in-services, journal clubs, online media (like this guide), lectures, conferences, poster, and manuscripts.

Adapted from the following article:

Evidence-based practice for the busy nurse practitioner: Part One: Relevance to Clinical Practice and Clinical Inquiry Process

Disseminate the Outcomes - RN Residency Evidence-Based Practice Reports

NOTE: ALL LINKS TO DOCUMENTS STILL LEAD TO LIBGUIDES.

Cohort 2017B
Cohort 2017A
Cohort 2016B
Cohort 2016A
Cohort H Graduation 2016

Cohort 2017B

The following PICO Questions were generated by SOAR RN Residents in the Eastern and Northern Regions) who then searched for evidence-based answers.

Click on the documents to read their results.

Would consistently using a wound protector prevent surgical site infections (SSI) in post-op patients during general surgery cases?
Does the use of target temperature management increase the survival rate of patients with return of spontaneous circulation post cardiac arrest?
Does an 8 hour RN shift vs 12 hour RN shift have a direct impact on patient safety and overall quality of care?
Is palliative chemotherapy beneficial in providing symptom management and prolonging life?
Is procalcitonin or lactic acid a better indicator for sepsis identification?
What role does higher nurse to patient ratios play in nurse burnout and the effect on patient safety?
Surgical Site Infections and scrub preparations
When pre-oping patients for surgery, should we use the current standard two hour allotment or individualize the preoperative time allotment to meet the needs of each patient?
How frequently should IV sites be changed to prevent infection?
How frequently should IV sites be changed to prevent infection?
Mechanical vs. Manual CPR
Implementing the chlordiazepoxide (Librium) protocol rather than lorazepam (ativan) protocol for treating alcohol detoxification
Use of chloroprep for accessing ports - circular scrub vs. friction scrub

Cohort 2017A

The following PICO Questions were generated by SOAR RN Residents in the Eastern and Northern Regions) who then searched for evidence-based answers.

Click on the documents to read their results.

In hospital patients with central lines, does a saline lock vs heparin lock better preserve the patency of the central line?
Would providing individual hand sanitizer to patients to use to wash their hands be beneficial to their health and cleanliness?
Is there a higher rate of infection with peripheral IV catheters left in place longer than 96 hours vs peripheral IVs changed when clinically indicated?
In a non-compliant older adult population, does education and focus on the importance of medication compliance vs. Teachback improve medication compliance?
For [new nurses in a hospital setting], does one mentor/preceptor vs. multiple mentor/preceptor orientation increase nursing skills/experience that will improve patient cares and decrease turnover rates within 8 weeks of orientation?
In mentally unstable children / adolescents. how does the implementation of 15-minute safety checks on the acute inpatient behavioral unit compare to those of a standard medical floor in preventing the risk for self injury throughout the child's stay?
In hospitalized patients, does changing IV sites routinely when not clinically indicated put strain on hospital staff, increase pain for patients and cost more in supplies?
Does [premedicating] adult oncology patients with Benadryl and Tylenol decrease the risk of hemolytic reactions to blood products?
Does the use of Brilinta (ticagrelor) for patients experiencing a STEMI improve post-intervention outcomes over the use of Plavix (clopidogrel)?
In ER patient seeking detox from narcotic/other substances, does medical management and referral vs. no treatment or home management provide for successful and safe detox from substances and remaining sobriety?
In NAS neonates, how does the use of essential oil-based aromatherapy compare to not using essential oil aromatherapy in influencing withdrawal symptoms, weaning pharmacologic treatment, and length of stay?
In patients recently hospitalized due to CHF, does regular remote monitoring after the 7-day follow-up reduce hospitalization due to CHF exacerbation compared to only one post-hospital follow-up within 7 days?
Does including continuous passive motion machines post-operatively after total knee arthroplasty actually benefit the patient?
Among ICU nurses, would mandatory education about bedside shift report vs. no education increase occurrence of beside shift report?
Using TeachBack to improve patient satisfaction
For pediatric pain during blood draws or IV starts, does EMLA cream or spray vs. no numbing cream or vapocoolant spray reduce pain and increase patient satisfaction?

Cohort 2016B

The following PICO Questions were generated by SOAR RN Residents in the Eastern and Northern Regions, who then searched for evidence-based answers.

Click on the documents to read their results.

Does changing a peripheral IV when indicated (leaving, tenderness, redness, infiltrated) reduce the risk of infection vs changing iv routinely (Policy states 96 hours)?
Is there clinical evidence supporting heparin flushing over saline flushing central lines?
In post-op surgical open heart patients, does early mobility vs. bedrest facilitate earlier discharge from hospital, decrease post-op complications such as pneumonia or DVT and reduce costs?
In adult post surgical patients, how effective is patient-controlled analgesia (pca) pain medication compared to PRN oral pain medication (NCA) in controlling post-operative pain?
In patients with pressure ulcers, do alternating pressure air mattresses affect pressure ulcer healing compared to mattress overlays?
In hospitalized patients, is it more beneficial to monitor fevers as compared to treating them, in order to shorten the duration of illness?
In hospitalized patients with pain, does music therapy vs. no music therapy improve the patient's pain level?

Cohort 2016A

The following PICO Questions were generated by SOAR Participants in the Eastern and Northern Regions who then searched for evidence-based answers.

Click on the documents to read their results.

In an acute care setting, does the use of vasopressors and inotropes vs. separately affect patient outcomes in shock?
How can alarm fatigue be reduced in the intensive care setting?
In patients currently experiencing active chest pain, does continuing oxygen after symptoms resolve, as opposed to stopping O2 with symptom relief, help reduce the occurrence of symptoms?
Does a smaller nurse-to-patient ratio increase patient safety?
Does bedside shift report improve patient satisfaction and nurse accountability?
In patients with advanced illness, does palliative care improve quality of life and patient satisfaction in comparison to NOT using palliative care in patients with advanced illness?
Does changing a peripheral intravenous catheter every 72-96 hours routinely prevent/decrease risk for phlebitis/infection compared to only changing PIVs when clinically indicated (redness, leaking, tenderness, erythema, edema, occlusion)?
In the acute care setting, does a smaller patient-to-nurse ratio increase staff retention/satisfaction?
Does the use of isolation precautions during hospitalization for patient with a history of MRSA reduce/affect transmission rates?
Does a pressure redistributing device prevent pressure injuries in high risk patients and treatment of with existing pressure injuries / pressure ulcers?
In patients with heart failure, does enrolling them in palliative care services decrease readmission rates for heart failure?
In an adult medical-surgical population, does changing the IV site as clinically needed vs every 72096 hours reduce infection rates?

Cohort H Graduation 2016

The following PICO Questions were generated by SOAR Participants in the eastern & Northern regions, who then searched for evidence-based answers.

Click on the documents to read their results.

In terminal cancer patients, how does consulting palliative care influence patient and family satisfaction and preparedness of death?
Do computers on wheels increase the speed of infection?
In an acute inpatient care setting, how does a primary staffing model compared to a collaborative model affect patient length-of-stay?
Does N-acetylcysteine help prevent contrast induced nephropathy in adults undergoing cardiac catheterization?
In adult patients with central venous catheters, how does heparin flush compare with normal saline flush to maintain patency?
What kind of impact does doing skin-to-skin have on infants, compared to not doing it?
Would it be beneficial to do uninterrupted skin-to-skin contact between mother and newborn following delivery?
In hospitalized patients over 65 yo, how does giving the pneumonia vaccine at discharge vs. not giving the pneumonia vaccine affect pneumonia rates?
In moms on the OB unit, how does administration of IV Pitocin vs. not administering if after delivery, affect mom’s chance of post partum hemorrhage?
How does kangarooing (skin-to-skin) care benefit low-birth weight infants vs. not doing skin-to-skin care in low-birth weight infants as far as decreased pain, o2 saturation, overall health outcomes, and length-of-stay in the NICU?
In discharged rooms that had patients on isolation, how does cleaning the room manually per protocol compare with cleaning the rooms using an ultraviolet device affect infection control in a healthcare setting?
In a hospital setting, how does working 12-hour shifts compared to 8-hour shifts affect patient care and nurse satisfaction overall?
How does flushing nasogastric tubes with sterile normal saline compare with tap water in infection rate?
In an acute care setting, how does using end tidal CO2 monitoring in mechanically ventilated patients compared to not using it affect incidence of respiratory distress or desaturation?
In hospitalized patients on antibiotics, how does giving a probiotic compare to no probiotic in terms of the incidence of diarrhea and C.diff within 3-4 weeks of treatment?
In patients with cardiac arrest, how does the use of epinepherine vs. vasopressor affect the 1-month survival rate?
Does massage therapy promote growth and development in NICU patients and decreas time of hospitalization?

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