NURSING 439 DISCUSSION Week 2: Search for Literature and Levels of Evidence

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NURSING 439 DISCUSSION - CHAMBERLAIN COLLEGE OF NURSING Discussion week 2 Week 2: Search for Literature and Levels of Evidence Reflect on your practice, and identify a significant nursing clinic... al issue or change project that you would like to search for evidence in online sources. Formulate searchable, clinical questions in the PICO(T) format for your nursing clinical issue. 1. Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue. 2. Briefly describe how it is relevant to your nursing clinical issue. Remember to give a complete reference to the study. In the healthcare field there are many clinical issues or practices that could be changed to benefit the nurses, physicians and patients. Working in the Emergency Department, I have come to the realization of how important it is to address a patients pain needs immediately. Pain is always what the patient says it is, so if the patient is experiencing pain and you relieve it as quick as possible, reviews for the emergency department will increase. When a person believes his/her pain is being ignored or not probably addressed, this will reflect in patient satisfactory scores. PICOT Question: Adults in the Emergency Department that present with pain, how would RN initiated STAT analgesic orders compare to waiting for physician analgesic orders, help reduce patient pain and improve patient satisfaction scores in the Emergency Department? P- Adults in the Emergency Department experiencing pain I-RN initiated STAT analgesics ordersC- Waiting for physician assessment and analgesic orders O-Reduce pain and improve patient satisfaction scares in the Emergency Department T- N/A "Research by its nature is systemic and rigorous; it is about disciplined search for truth. "Systematic"• implies that decisions are carefully considered, options weighed and a rational basis documented to support choices that are made"• (Houser, 2018, pg. 32). After searching the CCN Library, I came across an article titled, Evaluating a medical directive for nurse-initiated analgesia in the Emergency Department, which discusses how pain is often the number one reason that patients present to the Emergency Department. The issue is, there is usually a delay in the patient being seen by the ED physician and in turn relieving the patients pain. The study showed that, "a nurse initiated analgesia effectively improve the timeless and quality of care for patients with acute pain"• (Dewhirst, Zhao, Mackenzie, Cwinn, & Vaillancourt, 2017). Chamberlain University. (2017). RN-Evidence-Based Practice: NR-439: Week Two Lesson Two Dewhirst, S., Zhao, Y., MacKenzie, T., Cwinn, A., & Vaillancourt, C. (2017). Evaluating a medical directive for nurse-initiated analgesia in the Emergency Department. International Emergency Nursing, doi:10.1016/j.ienj.2017.05.005 Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4thed.) Sudbury, MA: Jones and Bartlett [Show More]

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