Eugenia Uzoechi  
1 posts
Re: Topic 5 DQ 2
Technology and CLABSIs reductionAlthough sophisticated progress has been made in several areas, central line-associated bloodstream infections (CLABSIs) remain a national healthcare problem of crisis proportions. The stakes for healthcare institutions that have not effectively addressed CLABSIs continue to mount (Pageler et al., 2014). Also, the financial stakes for healthcare institutions with CLABSI problems have risen. With the direction from the Congress, the Centers for Medicare and Medicaid Services (CMS) has curbed reimbursing hospitals for hospital-associated conditions, particularly the ones considered preventable. Among the designated preventable conditions is CLABSIs. The above sends a strong message to facilities to implement aggressive CLABSI minimization programs. Among the programs that can be implemented are technological programs (Pageler et al., 2014).An example of a technological program that can be used to address the issue of CLABSIs is a unit-wide patient safety and quality dashboard. This type of technology helps users to measure the outcome metrics such as CLABSI rate, central line utilization and excess cost in relation to the intervention metrics such as hand hygiene and central line maintenance bundle compliance (Field, Fong & Shade, 2018). At the same time, this technology enables users to identify the hospital care location where patients are at increased risk of developing CLABSI. Moreover, it provides infection prevention surveillance teams with automated work lists, and it works by giving the surveillance team the ability to evaluate cases flagged as at-risk, along with supporting clinical details, to make the final determination of the CLABSI case (Field, Fong & Shade, 2018).I plan to use a unit-wide patient safety and quality dashboard because it will provide mw with the ability to rapidly find, assess and document CLABSI cases, efficiently review submission data and CLABSI rates, and easily identify trends in performance and CLABSI prevention bundle compliance. At the same time, this type of technology will help me understand CLABSI risk based on device utilization and bundle compliance a care location to identify and prioritize improvement interventions, and drill down to the facility, unit, service, or patient level to analyze performance, provide feedback, and support measurement of performance improvement interventions.ReferencesField, M., Fong, K., & Shade, C. (2018). Use of Electronic Visibility Boards to Improve Patient Care Quality, Safety, and Flow on Inpatient Pediatric Acute Care Units. Journal of Pediatric Nursing, 41, 69-76.Pageler, N. M., Longhurst, C. A., Wood, M., Cornfield, D. N., Suermondt, J., Sharek, P. J., & Franzon, D. (2014). Use of electronic medical record–enhanced checklist and electronic dashboard to decrease CLABSIs. Pediatrics, 133(3), e738-e746.

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Hello Eugenia & Class,As you know, it is very important for researchers to post his or her work in highly respected journals. Please name a few Nursing Journals that are good for nursing researchers. Please explain their relevance, scope, and target audience. Thanks,

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Marcia Stapleton    4 posts   Re: Topic 7 DQ 1  The OB Committee at the hospital will be an internal method for the dissemination of my EBP project.This committee is comprised of 10 people which include OB providers, nursing administration, medical administration, anesthesia, clinic staff and nursing staff. Their monthly meetings are focused on OB issues, policies, education and process changes.The project has already been presented to them and the providers are in the process of reviewing the order set with the other OB providers and adding their recommendations for changes.Before implementation, the order set must be approved by this committee.Communication with this committee happens by getting on the agenda for the meeting and presenting the process change.Results will be communicated as the process is implemented with feedback requested from the providers and nursing that are involved in the implementation.This group of OB hospital leaders are key for the implementation and dissemination of the EBP project.The successful implementation and maintenance of EBP in an organization is complex and multifaceted.Communication with these leaders needs to be over time and at multiple levels (Stetler, Ritchie, Rycroft-Malone, & Charns, 2014).  An external method for the dissemination of my EBP project is Allina’s Excellian electronic healthrecord, which is a branch of Epic.The final version of the order set needs to be submitted for change to Excellian.This is important because we as a hospital cannot change our own order sets, it must be change through our EMR.Communication with this group will all be done electronically.Once the final revision is made, there is an electronic process to go through to revise the order set.This electronic process is important as each order is dependent on the patient presentation, so there needs to be much detailed work in lining up the orders with the presentation, so when you click on the patient presentation, the orders needed for that presentation are also selected.Results need to be communicated with Excellian for any adjustments needing to be made as the process is implemented.  Reference  Stetler, C. B., Ritchie, J. A., Rycroft-Malone, J., & Charns, M. P. (2014). Leadership for evidence-based practice:  Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4),  219–226. https://doi-org.lopes.idm.oclc.org/10.1111/wvn.12044

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Kimberly Morris    3 posts   Re: Topic 7 DQ 1  Proper dissemination of an evidence-based practice project is key to its success. While evidence-based practices are continually being developed and studied, the results may not be looked at if not given attention by the right people (Harris, et al., 2011). That is what makes it so important to know who the information is given to. In my evidence-based practice project the internal method of disseminating my work will be to discuss it with the staff at the Calhoun County Public Health Department (CCPHD). This is the facility I will be targeting when it comes to discussing changes in lead levels in children. They will be able to review the material and discuss it to see if there are any practice changes or education which needs to happen with their client base after the material is given to them. When talking with CCPHD I would have a better chance of discussing things with them face to face. This would make things more personal and it would allow for questions to be answered.  The external method I would use to help facilitate in disseminating my material would be the Michigan Department of Public Health. I could present the information to them at a State level to see if they may be interested in any practice changes. There is a rather large push in the State regarding lead as there has been so much exposure since the Flint Water Crisis, any new and relevant information regarding lead and its health effects would be welcome. I believe initially I would start with an email in order to communicate with the State of Michigan hoping for a response which could lead to a meeting with those involved in the State Lead Program.  Reference  Harris, J., Cheadle, A., Hannon, P., Forehand, M., Lichiello, P., Mahoney, E., …Yarrow, J. (2011). A  framework for disseminating evidence-based health promotion practices. Prev Chronic Dis,  2012;9:110081. DOI:http://dx.doi.org/10.5888/pcd9.110081.

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Hello Alimatu & Class,The purpose of research projects is for us to learn new ways of doing things in nursing and to share our findings. These findings, when implemented by others, becomes best practices. Why is it so important to share what we know with others in our profession?

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