Draft Proposal for Captsone Project
This research is peer viewed and the source illustrates that the vitality of the topic because the authors perform studies that describe how the occurrence as well as the frequencies of the interpretations rises in the incidences of medical and clinical errors.
Ventilator associated pneumonia is one of the major sources of nosocomical infection that affects about 27% of almost all critically ill patients. An attempt is made in this study to try and estimate the effect of oral decontamination which contains 0.2% chlorhexidine gluconate solution alongside hydrogen peroxide solution on incidence pertaining oropharyngal colonisation and ventilator-associated pneumonia. A conclusion was arrived at that ventilator-associated pneumonia was of high levels in the patients that were given oral care that contained hydrogen peroxide than those on the 0.2% chlorhexidine which happens to be more effective in the reduction of orophyryngeal colonisation (Gantz, 2006, p 350).
Many risks for patients suffering Ventilator-associated pneumonia (VAP) have been identified with the major ones including inadequate washing of hands by the staff VAP circuit management practices, posioning of the patients without the required backrest elevation, antibiotic therapies of the previous periods and gastric alkalinization. Another problem that presents itself in VAP is the annexation of oropharynx by pathogens which include Streptococcus pneumoniae or gram negative rods (Pennington, 1982, p 203).
Interventions that are included for healthcare improvement in ventilator bundle to reduce the risks that are involved in the complications of the pattients that are treated with mechanical ventilations include prohylaxis for the peptic ulcer disease as well as vein thrombosis, elevation of the head to thirty degrees or more and the interpretation of the day in day out sedation vaccination. Several studies have also shown that the application of topical oral chlorhexidine, when initiated before incubation have led to the reduced nosocomial infections in the patients that are having elective cardiac surgey. Meta-data analysis of recent times show that chlorhexidine does not reduce the nosocomial pneumonia or even the rate of mortality which makes it a good recommendation.
In the designing of practice change further research is needed but the use of a different method of brushing teeth is needed because chances are that it will yield better results. The latter can be based on the fact that despite the findings having not being signifcant in terms of significance, the number of patients involved that received the intervention of toothbrushing ended up having higher values of CPIS on the third, fifth and seventh days as opposed to patients of other groups. Another design practice that is to be implemented is the educating and the mentoring of the nurses in startergies used to detect warning signs at an early stage and thereafter communicating the findings to other members of the healthcare team (In Bristol, 2011, p 255).
In the implementation and the evaluation of changes in thepractice as of recent times, the evidence that exists does not support the changes in practice but adequatly building as well as fortifying systems that are used in knowing of the patients better, identifying changes at early stages and communicating as well as managing changes in the status of the patients in a timely manner.
The impact as per the set of interventions aimed at the development of interventions so as to reduce the errors that are involved in the interpretations as well as the distractions during the administration of medicine are peer viewed (Carpenito, 2009, p 203). Research as to ways on how to reduce distractions and incorporates a set of interventions so as to reduce the numbers of distractions as well as interpretations that are taken during the administration of medicine. Some of the ways to stop the latter include distractions such as the modification of behaviour, the education of the staff members, the putting up of signs that are visible and indicate that no interpretations should be allowed as well as visible red vests that are to be worn by nurses. So as to ensure that the issues of distractions are completely eliminated, there will also be a need to educate the patients as to the consequences that arise when they interprete a medical round (White, 2001, p 160). With these interventions in place, it is more likely that the errors that will occur will be reduced by a great percentage or even eliminated. An added advantage will also be visible in that there will an environment that is less chaotic than before which will also facilitate more efficiency as well as concentration in the medical practice (Dressman, 2008, p 38).
After implementations of the results to the masses and the medical practices, the results that were observed were amazing because there were fewer distractions as which meant that the margin of error was reduced which meant an overall effect of improving the quality of the treatment that was offered to patients.
A conclusion can therefore be arrived at that so as to decrease the errors that occur when carrying out rounds in medical practices, we have to look at what are the causes of distractions and thereafter separate those causes into categories on which ones can be eliminated and which ones can be reduced. The latter as a result will end up improving the overall quality of the patients involved as a result of errors being a decline.
References
Dressman, A. F., Northern Kentucky University., & ProQuest Information and Learning Company. (2008). Distractions and the effects of distractions on nurses’ abilities to appropriately assess patient status and prevent adverse events.
Carpenito, L. J. (2009). Nursing care plans & documentation: Nursing diagnoses and collaborative problems. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
White, L. (2001). Foundations of nursing: Caring for the whole person. Albany, N.Y: Delmar/Thomson Learning.
Gantz, N. M. (2006). Manual of clinical problems in infectious disease. Philadephia: Lippincott Williams & Wilkins.
Pennington, . (n.d.). (2006). Respiratory infections. Second edition.
In Bristol, T. J., & In Zerwekh, J. A. G. (2011). Essentials of e-learning for nurse educators. Philadelphia: F. A. Davis Company.
