Purpose of Assignment:
Professional nurses must be able to identify relevant practice issues, appraise literature and integrate credible evidence into innovative, evidence-based practice solutions for positive outcomes.
Course Competency:
Propose an evidence-based solution aligned with an evidence-based practice question
Instructions:
Content:
Applying The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care create a written proposal for these components of an evidence-based practice solution.
- Implementation plan for the proposed evidence-based practice solution including:
- Description of key stakeholders
- Proposed timeline
- The evaluation plan for the proposed evidence-based practice solution including
- At least two goals written in the SMART format
- Description of types of internal and external data necessary to collect
- Description of the timeline for data collection
- Description of methods for data analysis
- Plan for sustained practice change including:
- Description of at least two resources needed to sustain permanent change
- Description of at least two key indicators for continuous quality improvement
- Plan for reinfusion if needed
Format:
- Use the Template for the Course Project
- Standard American English (correct grammar, punctuation, etc.)
- Logical, original and insightful
- Professional organization, style, and mechanics in APA format
- Submit document through
Template for the Course Project
Resources
Expert Answer
General Guidance
The answer provided below has been developed in a clear step by step manner.Step: 1
Answer:- determining the cause of the trigger
A higher rate of episiotomies during routine deliveries increases the number of readmissions due to episiotomy site infections and the amount of time mothers spend in the hospital after giving birth.
Explanation:
The 10% rate of episiotomies that the World Health Organization advises for all normal deliveries.
Hospital episiotomies range from 20 to 73% in the United States, while they are 51.20% in Gulf nations like Saudi Arabia
Step: 2
Answer 2:-Is this topic is a priority —- Yes
Team includes the following :
1). OB Doctors
2). Labor and delivery nurses
3). Midwife
Evidence-based studies that apply:
A 2017 clinical trial conducted by the M.M. Amorim group came to the conclusion that non-epitotomy protocols appeared to be safer for both mothers and infants.
Episiotomy does not protect nulliparous women and may be linked to an increased risk for Obstetric Anal Sphincter Injury, according to Anat Shcmueli et alstudy .’s from 2016. ( OASI).
Explanation:
P: In patients or women who are in the second stage of labour.
I: Is a perineal tear contagious?
C: Perform an episiotomy
O: Aids in hastening the healing process.
Explanation:Please refer to solution in this step.
Answer:
determining the cause of the trigger
A higher proportion of episiotomies during routine births increases the number of readmissions due to episiotomy site infections and the amount of time mothers spend in the hospital after giving birth.
The 10% rate of episiotomies that the World Health Organization advises for all normal births.
Hospital episiotomies range from 20 to 73% in the United States, whereas they are 51.20% in Gulf nations like Saudi Arabia.
QUESTION:
IS A PERINEAL TEAR MORE EFFECTIVE IN PROMOTING FASTER RECOVERY COMPARED TO AN EPISIOTOMY IN PATIENTS (OR) IN MOTHERS IN THE SECOND STAGE OF LABOR..?
Is this issue a top priority? Yes
Participants on the team include:
1. OB physicians
Nursing staff in labour and delivery
3. Nurse
Evidence-based studies that apply:
In a clinical trial conducted in 2017 by the M.M. Amorim group, it was found that non-epitotomy protocols appeared to be safer for both mothers and infants.
Episiotomy does not protect nulliparous women and may be linked to an increased risk for Obstetric Anal Sphincter Injury, according to Anat Shcmueli et alstudy .’s from 2016. (OASI).
P: In patients or women who are in the second stage of labour.
I: Is a perineal tear contagious?
C: Perform an episiotomy
O: Aids in hastening the healing process.