Evidence-Based Practice Protocol: Back to Basics Bundle of Nursing Care.

摘要

The major aim of this evidence based practice (EBP) project was to continue the development of the Evidence-Based Protocol: The Back to Basics Bundle of Nursing Care (BBBNC) while simultaneously determining the effectiveness of the evidence-based intervention, Back-to-Basics (BTBI. Design: A multiple time series design was used to evaluate the effectiveness of the intervention. Outcomes of interest included Staff Knowledge, Patient Satisfaction with Nursing Care, Skin Integrity, Sleep Quality, Pain Intensity, Infection Rates, and the contribution of BBBNC elements to these outcomes. Methods: The Iowa Model of Research Practice to Promote Quality Care (Titler, et al, 2001) was used to guide the project. The major aim was accomplished through synthesis of the literature while simultaneously determining the effectiveness of the BBBNC and BTBI. Sample: The patient sample included all patients receiving nursing care over a seven-month period on three inpatient wards that organizationally made up the Medical Surgical Nursing Department at a military medical center in southern California. The final sample consisted of 1,795 males with a mean age of 51 years and 1,511 females with a mean age of 54 years. Analysis: Descriptive and inferential statistics (e.g., ANOVA, multiple regression), were used to evaluate clinically and statistically significant (p less than .05) differences over time. Feasibility and cost benefit were also assessed. Findings: Statistically significant (p .05) differences (main effects) were found for Staff Knowledge, Skin Integrity, Hours of Sleep, and BBBNC elements; significant changes were also found for Patient Satisfaction with Nursing Care with exploratory techniques. There was a decrease in mean Pain Intensity and Infection Rate; however, they did not reach statistical significance.