Evidence-Based
Practice
Personal protective equipment reduces the risk of
acquiring infections by providing a physical barrier between micro-organisms
and the wearer if it is used effectively, correctly, and at all times,
especially when coming into contact with blood and body fluids (Wenbin, Zhiping,
Shengyun, Jianghua, & Yuhong, 2014) . Using PPE such as
shoe covers in the operating room may give a sense of protection to the wearer
but according to (Mangram, Horan, Pearson,
Silver, & Jarvis, 1999) per OSHA regulations
shoe covers should only be worn in situations when gross contamination is
anticipated such as with orthopedic operations or trauma cases.
The
evidence-based teaching strategies that will be best in educating staff on the new
practice is the utilization of on-line tutorials, face-to-face instruction and
video. On-line tutorials will promote active learning by prompting staff to
answer set questions or complete a quiz on the information presented (McGonigle & Mastrian, 2015) . Face-to-face
instruction incorporating the use of video in demonstrating concepts will
promote engagement through guided discussions to assist staff in using critical
thinking skills to enhance knowledge and understanding (McGonigle
& Mastrian, 2015) .
Challenges
Challenges
encountered in teaching or implementing evidence-based strategies is due to the
fact that evidence is constantly evolving and may not be readily available to
guide practice interventions. Other challenges that may be encountered involve
the lack of knowledge of current best evidence, resistance to change, and
perceptions that using EBP can be overwhelming and time consuming (Flynn Makic,
Rauen, Jones, & Fisk, 2015) .
Overcoming
Challenges
Overcoming the
anticipated challenges can be achieved by promoting a better understanding and
belief that EBP will improve outcomes by presenting best evidence such as
guidelines and research that will support the proposed change resulting in leadership
modeling EBP in daily practice (Flynn Makic, Rauen, Jones, &
Fisk, 2015) .
References
Flynn Makic, M. B., Rauen, C., Jones, K., & Fisk, A. C.
(2015). Continuing to challenge practice to be evidence based. Critical Care
Nurse, 35(2), 39-50. doi:10.4037/ccn2015693
Mangram, A. J., Horan, T. C., Pearson, M. L., Silver, L. C.,
& Jarvis, W. R. (1999). Guideline for Prevention of Surgical Site
Infection, 1999. Infection Control and Hospital Epidemiology, 20(4),
247-266. Retrieved from http://www.cdc.gov/hicpac/pdf/guidelines/SSI_1999.pdf
McGonigle, D., & Mastrian, K. G. (2015). Nursing
informatics and the foundation of knowledge (3rd ed.). Burlington, MA:
Jones & Bartlett Learning.
Wenbin, L., Zhiping, H., Shengyun, L., Jianghua, H., &
Yuhong, Z. (2014). To determine the effect of wearing shoe covers by medical
staff and visitors on infection rates, mortality and length of stay in
intensive care unit. Pakistan Journal of Medical Sciences, 30(2),
272-275. doi:10.12669/pjms.302.4384
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ReplyDeleteHi Cheryl,
ReplyDeleteI do agree that anticipated challenges can be accomplished by promoting better understanding of EBP. According to Majid et al. (2011) training is necessary for clinical nurses to be able to put in fruition the use of EBP. The implementation of EBP must be consistently reinforced and maintained or the practice change will be sporadic, enabling the traditional ways to come back.
Reference
Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y.-L., Chang, Y.-K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association (JMLA), 99(3), 229–236. doi: 10.3163/1536-5050.99.3.010. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133901/