QI Padlet NUR-112 by Morgan Sumner https://padlet.com/morgankrsumner/8angal177y8clh8j en-us 2023-02-24 15:00:49 UTC 2023-02-24 17:07:55 UTC hello@padlet.com Evidence Based Article morgankrsumner https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494053266 Yujiao, Y., Juan, D., Xurui, Z., & Hong, W. (2021). Establishment of evidence‐based nursing review indicators for airway management of adult critical patients and analysis of obstacle factors. Nursing Open, 8(6), 3677–3687.]]> 2023-02-24 15:50:55 UTC https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494053266 Gap in practice and supporting background morgankrsumner https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494080144 There is a significant gap in the training of airway management in intensive care staff. In a knowledge test on airway management done on 25 NICU nurses, the pass rate was only 44%. This meaning that the overall awareness and understanding of airway management was low in intensive care staff. It was also said in the article that, " there is a large gap between the best evidence and clinical practice of airway management in critically ill adults" (Hong et al., 2021).]]> 2023-02-24 16:14:36 UTC https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494080144 Gap in practice morgankrsumner https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494090050 Another smaller yet still important gap in practice is the lack of resources available to staff. It was noted that the staff needed to be supplemented at the department level with adequate equipment. The training and day to day tasks needed to have the correct and up to date equipment to be able to appropriately manage the airway of the intensive care patients. ]]> 2023-02-24 16:22:53 UTC https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494090050 Current practice morgankrsumner https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494104270 Prior to implementation of evidence based practice, the staff was given a knowledge based exam on airway management. After taking this exam, of the 25 NICU staff nurses, there was only a 44% pass rate, indicating a need for further education. This combined with a lack of equipment and resources shows a need for follow up in practice. ]]> 2023-02-24 16:30:39 UTC https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494104270 Implementation morgankrsumner https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494114137 The nurses will undergo artificial airway assessment and care training, the doctors will undergo training of airway knowledge, an airway management team is to be established, the hospital will increase its nursing human resources, and the department is to introduce subglottic catheters to aid in management. ]]> 2023-02-24 16:39:33 UTC https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494114137 Research Method morgankrsumner https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494116786 The research was qualitative due to a knowledge based test and several indicators used. ]]> 2023-02-24 16:42:05 UTC https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494116786 morgankrsumner https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494118864 With 25 NICU nurses tested, a pass rate of 44% was seen, requiring a need for follow up using the indicators. ]]> 2023-02-24 16:44:04 UTC https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494118864 Recommendation for change morgankrsumner https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494126292 The results support a need for follow up on the teaching and training both in and out of the NICU and around the hospital. The need for nurses to seek out their own knowledge to supplement is also mentioned. Another recommendation is for the department and hospital to supply the staff with adequate equipment both in training and on the unit. ]]> 2023-02-24 16:50:33 UTC https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494126292 Future implementation morgankrsumner https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494135773 The implementation of the steps outlined in the article including training, addition of supplies, and resources to staff to be used on other ICU's and floors with patients at risk of poor airway management.]]> 2023-02-24 16:57:35 UTC https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494135773 PDSA morgankrsumner https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494145507 Plan: They planned to evaluate the staff of a NICU floor and the reason for an increase in lung infections in critically ill, intubated or trach patients
Do: The article evaluated the need for additional training and resources for the nurses taking care of critically ill patients requiring ventilator support
Study: After reviewing the knowledge based test pass rate, it was seen that there is a significant gap in the knowledge of how to adequetly take care of these patients.
Act: The authors recommended the addition of training and human and equipment resources to the floors to aid the nurses in taking care of these critically ill ventilated patients]]> 2023-02-24 17:06:57 UTC https://padlet.com/morgankrsumner/8angal177y8clh8j/wish/2494145507