Dorothy Troutman    4 posts   Re: Topic 8 DQ 1  For my evidence-based project I will need to collect independent variables including the nurses’ response to whether they are more comfortable recognizing and treating hemorrhage. Additionally, I must collect data on the dependent variables including hemorrhage rate and transfusion rate. I will evaluate if the nurses’ improved comfort level in recognizing and treating hemorrhage decreases the rate of hemorrhage and rate of transfusion. It is important to remember that the dependent variable depends on another variable (the independent variable). We must understand the relationship between the two in order to understand the outcomes of research (L. Flannelly, K. Flannelly, and Jankowski, 2014).  The goal of my project is to decrease the overall number of hemorrhages patients experience after giving birth, as well as to decrease the number of transfusions needed to treat hemorrhage. By decreasing the hemorrhage, and transfusion rates we will improve patient outcomes and decrease maternal morbidity. I plan to track hemorrhage rates post education and compare them to the pre-education hemorrhage rates. I will do the same thing with transfusion rates.  

Reference  Flannelly, L. T., Flannelly, K. J., & Jankowski, K. R. B. (2014). Independent, dependent, and other  variables in healthcare and chaplaincy research. Journal of Health Care Chaplaincy, 20(4), 161–170.  doi:10.1080/08854726.2014.959374

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Profile Picture     Dorothy Troutman    2 posts   Re: Topic 9 DQ 2  Staff turnover is always a concern. New nurses will not understand the importance of evidence-based care. If existing staff is unable to clearly explain the new way of caring for hemorrhage patients, they may instead teach the “old” way. If staff has worked in other labor and delivery units, they may be used to how their old facility cared for postpartum hemorrhage patients, and resort to how they have always done things.  Postpartum hemorrhage only happens in about 2% of births. Though nurses may have a strong desire to continue to provide evidence-based care, they may forget some of the information they learned during the implementation phase.  One way to overcome both concerns is to hold simulation trainings several times per year, and to re-educate as necessary. Additionally, including the training during new hire orientation will help new staff learn about the importance of evidence-based care for postpartum hemorrhage.  Clark and Marks-Maran (2014) discuss the importance of leadership engagement in sustainability. Additionally, they point out that sometimes change is not retained because too many changes occur at once, or additional changes are made before the new way of doing things becomes part of the routine.  Reference  Clarke, U., & Marks-Maran, D. (2014). Nurse leadership in sustaining programmes of change. British   Journal of Nursing, 23(4), 219–224. Retrieved from https://search-ebscohost-com.lopes.idm.  oclc.org/login.aspx?direct=true&db=ccm&AN=107894077&site=eds-live&scope=site

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Carrie Smithson    1 posts   Re: Topic 9 DQ 2         Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of Evidence Based Practice is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. There are barriers that may prevent my Evidence Based Practice change proposal from continuing to obtain the same desired results six months to a year from now. My PICOT statement is, In adults with tobacco dependency (P), would providing teaching/research about tobacco cessation (I) compared to medications to assist in tobacco cessation (C) lead to a decrease in tobacco dependency and better health outcomes (O), after four weeks of intervention/quit date (T)? One barrier is new staff coming on board and not knowing the proper way to educate patients on tobacco cessation. The current staff will receive proper education on how to educate tobacco dependent patients. To assist new staff with the process change, we can create required computer based learning assignments (CBL’s) that have to be completed before coming out of orientation. This will allow all new nurses to be up-to-date on the education process. Another barrier is language. Not only is language a barrier in education, but other forms of communication as well. Upon communicating with a patient who does not speak English, the health care team must first decide what language the patient understands best, and in what way the patient learns best. Once the assessment is completed, the nurse can obtain an interpreter. At our facility, there are interpreters on wheels; this is an IPad that we bring to the patient and an interpreter comes on live to speak to the patient in their specific language. Not only can we use the interpreter, but provide written education in different languages as well. Throughout the education process, it is important to remember communication techniques. A few communication techniques are listening, asking open ended questions, and having an open posture (Elsheikh, 2018). Change initially can be a good thing and take off quickly. It is important to sustain new change through methods like I mentioned above.  Reference  Elsheikh, K. (2018, March 21). 7 Effective Communication Techniques That Will   Make YouExcellent. Retrieved from https://medium.com/better-humans/7-  effective-communication-techniques-  that-will-make-you-excellent-89eb17e60b36

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Discuss one personal strength and one weakness you have regardingprofessional presentations. Name one method for improvement for eachof these, and discuss why it is important for you to work on theseskills if you want to present your findings in a more formal setting.     Attempt Start Date: 23-Sep-2019 at 12:00:00 AM

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