Case Study
A nurse manager in an acute care agency brings a nursing challenge to the EBP, Research, and QI Committee for assistance. The challenge is with accurate temperature assessment in clients at risk for sepsis.
Infection control nurses currently follow recently added sepsis identification guidelines. Subsequent to research and collaboration with medical practitioners, a guideline and order set was developed to help identify patients who are developing sepsis; these patients urgently need early identification and intervention to prevent complications. In addition to the new guideline and order set, a new thermometer was also purchased for use. Clients' temperatures are checked at 4-hour intervals, as hypothermia (temperature under 96.4 degrees) is an early indicator of sepsis. A low-temperature reading is one of the triggers requiring an immediate response to document sepsis and initiate early treatment.
However, too many patients have triggered this response (due to a recorded temperature of under 96.4 degrees). When rechecked, many of these temperatures were actually much higher. This situation has created excessive work for the nurses and practitioners, as they must sort out who is actually manifesting signs of sepsis and recheck all of the client's vital signs.
Instructions:
The information needed to fit a one-to-two-page paper, please respond to the following: As a member of the EBP, Research, and QI Committee, you must decide how to tackle this problem by addressing the following:
As the EBP, Research, and QI Committee gets started, one of the committee's first tasks is to decide whether this problem meets the criteria for either a QI project or an EBP change. Which process would be best for this challenge and why? Identify at least two resources other than the text to support your decision and reference it using APA format if you can
Develop a PICOT question that can guide this project. Use the PICOT process identified in Melnyk and Fineout-Overholt Table 2.2 Keep in mind that your question may not need all of the PICOT identifiers.
Identify at least one database you would use to do a literature search, and identify at least three keywords you would use to find available evidence to approach your project. Need Assignment Help?
Please don't use any AI and include all accessible references.
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