Scenario
Often times in practice, changes occur that nurses may not agree with or don’t understand. As a BSN prepared registered nurse, you are expected to identify areas of opportunity for practice change based on current, best evidence. While having lunch with your nurse manager you were discussing a recent practice change that was implemented on the unit. The nurse manager shared that some of the staff nurses were questioning why the change occurred. They asked if you would prepare a presentation to share with the staff nurses about the importance of utilizing current evidence to guide and support nursing practice. You will present the information at next month’s staff meeting.
Instructions
Create a presentation about one evidence-based practice change that you have encountered in either your workplace or clinical experience. If not research one. Include the following in your presentation.
- Provide background and significance of problem
- Describe the practice change
- Summary of research literature supporting the practice change
- Apply a theoretical framework to support the practice change
Provide clearly stated, detailed description of the background and significance of problem including relevancy to the practice setting.
Clearly stated, detailed description of the practice change including 4 or more impacts of the change.
Clearly stated, detailed summary of the research literature supporting the practice change, including a summary of three studies that support the practice change.
Clearly stated, detailed application of a theoretical framework to support the practice change.
Expert Solution Preview
Introduction:
As nurses, we are expected to identify areas of opportunity for practice change based on current, best evidence. In this scenario, we will be creating a presentation about one evidence-based practice change that we have encountered in either our workplace or clinical experience. The presentation must include the background and significance of the problem, description of the practice change, summary of research literature supporting the practice change, and application of a theoretical framework to support the practice change.
Answer:
The evidence-based practice change that I would like to present is the use of aseptic techniques during a central line insertion. Central line-associated bloodstream infection (CLABSI) is a serious complication that can result in morbidity and mortality. Therefore, preventing CLABSI is a priority in healthcare settings.
Background and significance of the problem:
CLABSI is a major healthcare-associated infection, resulting in prolonged hospitalization and increased health care costs. According to the Centers for Disease Control and Prevention (CDC), each year there are approximately 250,000 cases of CLABSI in the United States, with a mortality rate of 12% to 25%. The use of aseptic techniques during a central line insertion can significantly reduce the incidence of CLABSI.
Description of the practice change:
The practice change involves the use of aseptic techniques during a central line insertion. This includes hand hygiene, wearing sterile gloves and gowns, using sterile drapes, and cleaning the skin with an antiseptic solution before insertion. These changes aim to reduce the risk of introducing bacteria and other pathogens into the bloodstream, which can cause infection.
Summary of research literature supporting the practice change:
Numerous studies have shown that the implementation of aseptic techniques during central line insertion significantly reduces the incidence of CLABSI. For example, a study by Pronovost et al. (2006) found that the use of a central line insertion bundle, which includes aseptic techniques, reduced the incidence of CLABSI by 66%. Similarly, a study by O’Grady et al. (2011) found that the use of aseptic techniques during central line insertion reduced the incidence of CLABSI by 52%.
Application of a theoretical framework to support the practice change:
The theory of planned behavior provides a theoretical framework to support the practice change. According to this theory, behavior change is influenced by attitudes, subjective norms, and perceived behavioral control. By implementing evidence-based practices such as aseptic techniques during central line insertion, healthcare providers can change their attitudes toward infection prevention and control, comply with subjective norms within the healthcare setting, and increase their perceived behavioral control over infection prevention and control practices.
In conclusion, the use of aseptic techniques during central line insertion is an evidence-based practice change that can significantly reduce the incidence of CLABSI. Healthcare providers can apply the theory of planned behavior to support the practice change and improve infection prevention and control practices.
