Question details

40_Preoperative Skin Preparation Practices
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As a nurse in a leadership role on a surgical floor, you and some of your colleagues have begun to question some of the routine perioperative procedures that are conducted. You wonder whether the procedures have a basis in research. In order to improve quality of care, you decide to undertake an evidence-based project to determine the basis for the procedures, any suggested changes, and possible barriers to implementation of a revised clinical practice guideline.




A. Select a perioperative procedure (e.g., routine shaving of the surgical site) that you would commonly find on a surgical floor.


1. Describe the process or procedure you have chosen and why you think it needs change.


2. Based on your initial investigation of the situation, do the following:

Note: You will need to ask hospital personnel.


a. Explain who determined the basis for the practice.


b. Explain the rationale for making the decision for the procedure.


c. Explain why the practice is performed this way.


3. Conduct a review of the literature concerning the procedure you have chosen.


a. Provide an APA-formatted reference list documentingsix or sevensources used in your review.


Note: You do not need to write a review of the literature.


Note: Credible sources may include professional journals, research reports, professional Web sites, governmental reports, current texts less than five years old, and presentations from professional meetings.


4. Explain (suggested length of 1 page) what the clinical implications of this practice might be, based on your review of the literature.


5. Discuss (suggested length of 1 page)whether the procedure could be done better, more efficiently, or more cost-effectively.


6. Discuss (suggested length of 1 page) how you would involve key stakeholders in the decision to change this procedure or comply with a proposed change.


B. Write an essay (suggested length of 2 pages) in which you:


1. Discuss the difficulties in translating what you have identified in the research into practice.


Note: You should distinguish between difficulties you would have interpreting what the research says and synthesizing it into a practice guideline or procedure, rather than just the outside barriers to change.


2. Discuss the possible barriers you could encounter in attempting to institute a change in procedure, based on your evidence-based study.


3. Identifythree or fourstrategies that you and your team could use to overcome these barriers to change.


4. Explain how you can apply your findings to guide the implementation of improvements to the procedure.


C. If you use sources, include all in-text citations and references in APA format.


Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.


Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly.

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