The Impact of Using Clinical Practice Guidelines on Nursing Practice Patterns and Patient Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/153900
Type:
Presentation
Title:
The Impact of Using Clinical Practice Guidelines on Nursing Practice Patterns and Patient Outcomes
Abstract:
The Impact of Using Clinical Practice Guidelines on Nursing Practice Patterns and Patient Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 21, 2004
Author:Grigsby, Karen Ann, PhD, RN
P.I. Institution Name:University of Nebraska Medical Center
Title:Associate Professor
Co-Authors:Bonnie Wesorick, RN, MSN
Objective: The purpose of this study is to describe nursing practice patterns and the occurrence of complications experienced by patients hospitalized for congestive heart failure or cerebral vascular accident. Significance: Hospital nurses provide care to patients who are acutely ill, have co-morbidities, and are hospitalized for shorter lengths of stay. Nursing surveillance is related to the mortality and morbidity of patients (Institute of Medicine, 2003). Multiple demands decrease the nurses’ ability to maintain adequate surveillance of patients. The use of Clinical Practice Guidelines (CPG) (CPMRC, 2003) to identify potential complications alerts nurses to monitor patients for developing complications and to begin intervention early, thus decreasing patient mortality and morbidity. Design: This is a descriptive study using a case study approach. Population, Sample, Setting: Two patient care units in one Midwest hospital that is introducing CPMRC’s CPG is the setting for this study. Nurses caring for adult patients admitted with diagnoses of congestive heart failure (CHF) or cerebral vascular accident (CVA) comprise the sample. Intervention and Outcome Variables: Introduction of the CPG for Congestive Heart Failure and Cerebral Vascular Accident to nurses and their use in practice is the intervention for this study. The expected outcomes are a change in nurses’ practice patterns, a decrease in patient complications, and a decrease in the number of failure to rescue incidents. Methods: Data will be collected prior to the introduction of the CPG and at the following intervals: 3 months, 6 months, and 12 months. Data collection includes: 1) demographic data; 2) review of discharge summaries, patient care plans; and nursing documentation; 3) organizational reports of the number and type of patient complications and failure to rescue situations, and 4) unstructured interviews of nurses describing changes in their practice patterns after introduction of CPG. Findings: This study is in process.
Repository Posting Date:
26-Oct-2011
Date of Publication:
21-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Impact of Using Clinical Practice Guidelines on Nursing Practice Patterns and Patient Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153900-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Impact of Using Clinical Practice Guidelines on Nursing Practice Patterns and Patient Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 21, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Grigsby, Karen Ann, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kgrigsby@unmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Bonnie Wesorick, RN, MSN</td></tr><tr><td colspan="2" class="item-abstract">Objective: The purpose of this study is to describe nursing practice patterns and the occurrence of complications experienced by patients hospitalized for congestive heart failure or cerebral vascular accident. Significance: Hospital nurses provide care to patients who are acutely ill, have co-morbidities, and are hospitalized for shorter lengths of stay. Nursing surveillance is related to the mortality and morbidity of patients (Institute of Medicine, 2003). Multiple demands decrease the nurses&rsquo; ability to maintain adequate surveillance of patients. The use of Clinical Practice Guidelines (CPG) (CPMRC, 2003) to identify potential complications alerts nurses to monitor patients for developing complications and to begin intervention early, thus decreasing patient mortality and morbidity. Design: This is a descriptive study using a case study approach. Population, Sample, Setting: Two patient care units in one Midwest hospital that is introducing CPMRC&rsquo;s CPG is the setting for this study. Nurses caring for adult patients admitted with diagnoses of congestive heart failure (CHF) or cerebral vascular accident (CVA) comprise the sample. Intervention and Outcome Variables: Introduction of the CPG for Congestive Heart Failure and Cerebral Vascular Accident to nurses and their use in practice is the intervention for this study. The expected outcomes are a change in nurses&rsquo; practice patterns, a decrease in patient complications, and a decrease in the number of failure to rescue incidents. Methods: Data will be collected prior to the introduction of the CPG and at the following intervals: 3 months, 6 months, and 12 months. Data collection includes: 1) demographic data; 2) review of discharge summaries, patient care plans; and nursing documentation; 3) organizational reports of the number and type of patient complications and failure to rescue situations, and 4) unstructured interviews of nurses describing changes in their practice patterns after introduction of CPG. Findings: This study is in process.</td></tr></table>en_GB
dc.date.available2011-10-26T12:35:51Z-
dc.date.issued2004-07-21en_GB
dc.date.accessioned2011-10-26T12:35:51Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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