Applied Nursing Evidence Based Practice
Anna Bunting
Evidence Based Practice & Applied Nursing Research
EBT Task 3 724.8.3-06, 8.4-01-05
May 21, 2013
A1: Procedure The results of several studies show that preoperative anxiety is associated with negative postoperative outcomes. These studies were conducted on men, women and children, all undergoing surgery for various diagnoses. A study conducted in Singapore on school aged children found a statistically significant correlation between preoperative anxiety and pain intensity 24 hours postoperatively (Chieng, Gu, & Chan, 2012). A broader study on 241 children, that lasted four years, concluded that not only was preoperative anxiety associated with postop pain, but with sleep problems, emergence …show more content…
This committee is made up of the president of nursing services, several physicians, the head surgeon, director of quality control and administrative personnel. I would have to present the recommended intervention to this committee for approval, including all evidence supporting it, for their review. According to Susan Suiter, President of Nursing Services, the current standard of nurses providing preoperative education and emotional support has been in place for at least the last ten years. Policies regarding this practice are based on the best available research, and recommendations of The Joint Commission, Centers for Medicare and Medicaid, and The National Health Institute. This hospital also aligns its policies with the parent university hospital, and medical university, which conduct their own research. Current research continues to suggest that preoperative education, emotional support and family support are effective in alleviating anxiety (Pritchard, 2009). Mrs. Suiter contends that this policy is based in evidence and has provided desired results of decreasing preoperative anxiety but could possibly be improved upon by music …show more content…
The disparity and distrust between management and work force is a common causative factor when a proposed change fails. The feeling by nursing staff that their unit manager is out of touch with patient care or only considers administrative consequences is common in hospital settings. Staff nurses often fail to commit to change because they feel their opinions and work load are not appreciated by their managers. One strategy to overcome this barrier is to have management reflect on their leadership styles. Engaging staff and becoming less authoritative can help to build trust. Providing opportunities for everyone to participate in the process and help tailor the implementation will help employees become vested in the change. It is also helpful to identify and recruit informal or opinion leaders among the staff. Educating opinion leaders on the implementation gives other staff members someone to go to with questions and opinions that does not intimidate
Evidence Based Practice & Applied Nursing Research
EBT Task 3 724.8.3-06, 8.4-01-05
May 21, 2013
A1: Procedure The results of several studies show that preoperative anxiety is associated with negative postoperative outcomes. These studies were conducted on men, women and children, all undergoing surgery for various diagnoses. A study conducted in Singapore on school aged children found a statistically significant correlation between preoperative anxiety and pain intensity 24 hours postoperatively (Chieng, Gu, & Chan, 2012). A broader study on 241 children, that lasted four years, concluded that not only was preoperative anxiety associated with postop pain, but with sleep problems, emergence …show more content…
This committee is made up of the president of nursing services, several physicians, the head surgeon, director of quality control and administrative personnel. I would have to present the recommended intervention to this committee for approval, including all evidence supporting it, for their review. According to Susan Suiter, President of Nursing Services, the current standard of nurses providing preoperative education and emotional support has been in place for at least the last ten years. Policies regarding this practice are based on the best available research, and recommendations of The Joint Commission, Centers for Medicare and Medicaid, and The National Health Institute. This hospital also aligns its policies with the parent university hospital, and medical university, which conduct their own research. Current research continues to suggest that preoperative education, emotional support and family support are effective in alleviating anxiety (Pritchard, 2009). Mrs. Suiter contends that this policy is based in evidence and has provided desired results of decreasing preoperative anxiety but could possibly be improved upon by music …show more content…
The disparity and distrust between management and work force is a common causative factor when a proposed change fails. The feeling by nursing staff that their unit manager is out of touch with patient care or only considers administrative consequences is common in hospital settings. Staff nurses often fail to commit to change because they feel their opinions and work load are not appreciated by their managers. One strategy to overcome this barrier is to have management reflect on their leadership styles. Engaging staff and becoming less authoritative can help to build trust. Providing opportunities for everyone to participate in the process and help tailor the implementation will help employees become vested in the change. It is also helpful to identify and recruit informal or opinion leaders among the staff. Educating opinion leaders on the implementation gives other staff members someone to go to with questions and opinions that does not intimidate