Acemyhomework Writers | Mrs. Linde was a patient who was admitted to a surgical unit at Ocala Regional Medical Center | Acemyhomework Writers
Name of the patient: Mrs. Linde
Age: 76 years
Gender: Female
Clinical Scenario
Mrs. Linde was a patient who was admitted to a surgical unit at Ocala Regional Medical Center where I worked as a nurse. While attending to her, I realized that she as well as most of the patients in my surgical unit developed a high level of acuity that could easily result into severe cardiac arrest and sudden death. Mrs. Linde was therefore transferred to the Intensive Care Unit (ICU) following her critical condition. I decided to talk to my Nurse Manager about rapid response team and how it can be helpful in reducing increasing cases of the contraction of cardiac arrest by the in-patients and unexpected admissions to the ICU. I believed this could be of great help to the hospital. Researchable and answerable is a significant step in the Evidence Based Practice (Fineout-Overholt and Johnston, 2005). Therefore, my manger suggested that I conduct more research to find solid evidence on the contribution of rapid response team in healthcare system. This prompted me to formulate a clinical question.
Research Question
I used PICOT (Patient’s population, issue of Interest, Comparison, Outcome and Time) format to formulate a research question. My PICOT question was derived from the prevailing aspects of the clinical issue at my surgical unit. These aspects include the increased level of acuity among the hospitalized patients in the surgical unit, increased number of in-patients contracting cardiac arrest, unexpected admissions into the ICU, and the intervention by the rapid response team. Since there was no team to provide rapid response to such patients and the hospital was not planning to address the issue of patient’s acuity prior to the impending crisis, element of the comparison (C component) in the PICOT was lack of rapid response team. The outcomes or the results in the question were constant admission into the ICU and in-patients contracting cardiac arrest. Other possible outcomes included prolonged hospitalization and deaths. My proposed picot question therefore was; “Among the adult in-patients in the surgical unit, how does the presence of a rapid response team compared with the absence of rapid response team influence the cases of cardiac arrests among the hospitalized patients and the unexpected admissions to the intensive care unit for patients hospitalized for three months? In this question, the components of PICOT include
Literature Review
According to Stillwell et al. Evidence-Based Practice involves solving a problem in the health care delivery system by integrating the available evidences from the data of the patients and studies with the expertise of medical practitioners and values. From the above scenario, it is clear that various aspects affect personal experiences of patients throughout their stay in the hospital. Additionally, social aspects may influence and surpass curative variables without necessarily involving antiretroviral measures. However, Melnyk et al. 2009 suggests that it is important for nurses and medical practitioners to understand that the formulated question influences any attempt to find evidence to achieve a desirable outcome in patients so as to support a practical change. It is also evident from the previous studies that Rapid Response Teams are the best weapon to curb cardiac arrests since they evaluate the patients at an early stage of the disease thus reducing mortality rate (Dacey et al. 2007). Another study also pointed that while therapeutic interventions have been successfully administered to the patients, such interventions may not be helpful for long-term health care processes (Cheng, 2011).
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