2.50
Hdl Handle:
http://hdl.handle.net/10755/164187
Category:
Abstract
Type:
Presentation
Title:
A Curricula Strategy: CNS Students Implement VAP Best Practice in a Rural Hospital Setting
Author(s):
Edwards, Anna Marie; Farrell, Kathleen; France, Nancey
Author Details:
Anna Marie Edwards, BSN, Murray State University, Murray, Kentucky, USA, email: nacnsorg@nacns.org; Kathleen Farrell, DNSc, APRN, BC, CCNS; Nancey France, PhD, RN
Abstract:
Purpose: 1. Create an active clinical nurse specialist (CNS) student learning experience to reduce or prevent Ventilator Associated Pneumonia (VAP). 2. Engage CNS students to learn how to change practice by implementing a system change: Research, develop, implement and evaluate the outcomes of a Ventilator Bundle in a small rural institution. Significance: Medical advances save many lives, but good, basic based nursing care such as preventing VAP is more important than ever. VAP, a nosocomial infection associated with morbidity and mortality is costly, preventable, and responsive to evidenced based nursing care. National collaborative initiatives using interdisciplinary teams are addressing VAP prevention. CNS's are an integral part of these teams and CNS students need to prepare for this role. Background/Design: As part of its 100,000 Lives Campaign, The Institute for Healthcare Improvement (IHI) advocated the use of live-saving interventions (bundles) to reduce or prevent VAP. A senior CNS student implemented the VAP bundle at a rural southeast mid-level facility with a senior BSN McNair Scholar and faculty mentor conducting research on the outcomes. CNS students are replicating the project in small, rural community hospitals. Methods: The education project involves CNS students initiating a change in small, rural community hospitals to reduce or prevent VAP. The CNS students conduct site assessments, research "best practice", develop interdisciplinary partnerships to establish consensus on a ventilator bundle, implement and evaluate patient outcomes. Findings: 1.NNIS risk index rate decreased from 9.85% to 2.67% 2. CNS students effectively integrate the role with active learning experiences that produce improved patient outcomes. Conclusions: CNS students developed change agent, team building, and mentoring skills by actively implementing this transformation to "Best Practice". The implementation of the ventilator bundle achieved significantly better patient outcomes and was an effective tool to demonstrate the ability to change practice. Implications for Practice: The concepts and process can be applied to facilitate learning and be effective in any improvement effort.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Curricula Strategy: CNS Students Implement VAP Best Practice in a Rural Hospital Settingen_GB
dc.contributor.authorEdwards, Anna Marieen_US
dc.contributor.authorFarrell, Kathleenen_US
dc.contributor.authorFrance, Nanceyen_US
dc.author.detailsAnna Marie Edwards, BSN, Murray State University, Murray, Kentucky, USA, email: nacnsorg@nacns.org; Kathleen Farrell, DNSc, APRN, BC, CCNS; Nancey France, PhD, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164187-
dc.description.abstractPurpose: 1. Create an active clinical nurse specialist (CNS) student learning experience to reduce or prevent Ventilator Associated Pneumonia (VAP). 2. Engage CNS students to learn how to change practice by implementing a system change: Research, develop, implement and evaluate the outcomes of a Ventilator Bundle in a small rural institution. Significance: Medical advances save many lives, but good, basic based nursing care such as preventing VAP is more important than ever. VAP, a nosocomial infection associated with morbidity and mortality is costly, preventable, and responsive to evidenced based nursing care. National collaborative initiatives using interdisciplinary teams are addressing VAP prevention. CNS's are an integral part of these teams and CNS students need to prepare for this role. Background/Design: As part of its 100,000 Lives Campaign, The Institute for Healthcare Improvement (IHI) advocated the use of live-saving interventions (bundles) to reduce or prevent VAP. A senior CNS student implemented the VAP bundle at a rural southeast mid-level facility with a senior BSN McNair Scholar and faculty mentor conducting research on the outcomes. CNS students are replicating the project in small, rural community hospitals. Methods: The education project involves CNS students initiating a change in small, rural community hospitals to reduce or prevent VAP. The CNS students conduct site assessments, research "best practice", develop interdisciplinary partnerships to establish consensus on a ventilator bundle, implement and evaluate patient outcomes. Findings: 1.NNIS risk index rate decreased from 9.85% to 2.67% 2. CNS students effectively integrate the role with active learning experiences that produce improved patient outcomes. Conclusions: CNS students developed change agent, team building, and mentoring skills by actively implementing this transformation to "Best Practice". The implementation of the ventilator bundle achieved significantly better patient outcomes and was an effective tool to demonstrate the ability to change practice. Implications for Practice: The concepts and process can be applied to facilitate learning and be effective in any improvement effort.en_GB
dc.date.available2011-10-27T11:43:39Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:43:39Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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