An Investigation of Evidence-Based Clinical Practice Guideline Implementation to Promote Perioperative Patient Normothermia

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An Investigation of Evidence-Based Clinical Practice Guideline Implementation to Promote Perioperative Patient Normothermia

Bennett, Brandon - Dissertation

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title: An Investigation of Evidence-Based Clinical Practice Guideline Implementation to Promote Perioperative Patient Normothermia

creator: Bennett, Brandon

subject: Dissertations, Academic.

description: There is a lack of knowledge about perioperative registered nurses’ management of unplanned perioperative hypothermia and utilization of evidence-based clinical practice guidelines (EBCPGs). The focus of this practice inquiry is to examine knowledge translation and implementation of EBCPGs. Specifically, this study investigates guideline implementation for the prevention of unplanned perioperative hypothermia, identifies barriers to implementation, and examines staff attitudes about guideline implementation.The study population consists of perioperative Association of Operating Room Nurses (AORN®) members working with adult patient populations. The study determined interventions that are used to manage perioperative thermal regulation and evaluated these measures to determine if they were consistent with the selected evidence-based clinical practice guideline.The study questions included:1. What is the level of knowledge among perioperative nurses related to EBCPGs for the prevention of unplanned perioperative hypothermia?2. What are the barriers to perioperative nurses’ implementation of EBCPGs related to management of perioperative normothermia?3. What nursing interventions are used for thermal regulation and management in the perioperative setting?4. What is the relationship between reported interventions and an identified EBCPG?The study used a descriptive, non-experimental, exploratory survey design. The data collection used an electronic web-based questionnaire to capture information from nurses who have opportunity to recognize EBCPGs and provide practice-based information on correlated interventions.Study results indicated knowledge translation into practice across a group of perioperative registered nurses. Study findings also support implementation of EBCPGs intended to prevent unplanned perioperative hypothermia. Practices by a number of respondents indicate consistent behaviors of “use always” and a large number of utilized interventions. There does not appear to be a significant difference when evaluating educational preparation or job roles, though this was a highly educated and clinically experienced sample.Further study of the concerns described related to BARRIERS to research implementation is recommended with a more heterogeneous sample who are not AORN members and potentially with different education and experience. Additional research incorporating patient outcomes is recommended based on this study’s findings.

publisher: Simmons College (Boston, Mass.)

contributor:

date: 2012

type: Text

format: 1 PDF (167 Pages)

identifier: td_np_2012_bb

source:

language: English

relation:

coverage:

rights: Material from the Simmons University Archives collections are made available for study purposes only. For more information, or to request rights to reproduce or reuse any material, contact the University Archives at archives@simmons.edu.

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