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NR 451 Discussion Posts/ WEEK 3,WEEK 4 AND WEEK 8/RATED A

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NR 451 Discussion Posts Week 2 Your capstone change project begins this week when you identify a problem that you judge needs to experience a change in order to produce better patient outcomes. ... • Formulate a significant clinical question that will be the basis for your capstone change project. • Relate how you developed the question. • Describe the importance of this question to your clinical practice. • Define meta-analysis, and explain how this relates to evidence -based practice (EBP). • Describe what a research-practice gap is. The scope of nursing practice and the standards of professional nursing are intertwined. The who, what, when, where, why, and how questions are all intricate parts of developing the nursing practice. When developing a question to try to improve the nursing practice, we are looking at the “how” portion. “The “how” of nursing practice is defined as the ways, means, methods, processes and manner by which the registered nurse practices professionally[Ame15]. It is important that professional nurses are constantly looking for ways to integrate improvement and change processes by doing their own evidence based practice research. For my capstone project, I would like to look at the surgical area of nursing because I am a circulating nurse. I would like to know if the use of chlorhexidine pre-wash or cloths for 3 days prior to surgery helps to prevent a surgical site infection. In our area, we have a had a large controversy over the last year in regards to the use of chlorhexidine. We use it for a surgical scrub in the operating room, but we have also switched to giving patients the bath soap and wipes to use for 3 days prior to surgery. I have noticed that a lot of patients are very sensitive to the product. It seems to have a larger problem of drying and irritating the skin, which I think afterwards might cause further irritation. I would like to do further nursing research to determine if the use of this product is beneficial and if there are other options or variations such as diluting the chlorhexidine to minimize the irritation to the patients. I would like to look at the amount of patients that end up with a surgical site infection before and after introducing the bath product or wipes and see if there is a significant statistical difference. [Show More]

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