Paper: Mexican Nurses Learning to Search for Evidence: Examining the Use of Icodextrin-Based Solutions in Clinical Practice and Quality Improvement Policy (19th International Nursing Research Congress Focusing on Evidence-Based Practice)

Monday, 7 July 2008

Luxana Reynaga-Ornelas, MN, RN , Departamento de Enfermería y Obstetricia de León, Universidad de Guanajuato Campus León, Division de Ciencias de la Salud, Leon. Guanajuato, Mexico

Carol M. Baldwin, PhD, RN, AHN-BC , College of Nursing & Healthcare Innovation; Southwest Borderlands; Director, Office of International Health, Scientific & Educat, Arizona State University, Phoenix, AZ

Octavio A. Jimenez-Garza, MS, RN , Departamento de Enfermería y Obstetricia sede León, Universidad de Guanajuato Campus Leon, Division de Ciencias de la Salud, Leon. Guanajuato, Mexico

Sergio Marquez-Gamino, PhD, MD , Research Institute on Human Work, University of Guanajuato, Leon, Guanajuato, Mexico

Cipriana Caudillo-Cisneros, MS, RN , Research Institute on Human Work, University of Guanajuato, Leon, Guanajuato, Mexico

Alyce A. Schultz, PhD, RN, FAAN , College of Nursing and Healthcare Innovation, Arizona State University, Phoenix, AZ

Learning Objective 1: Describe the way in which a team of Mexican nurses are learning to apply the EBP process in their clinical práctice and organizational quality improvement.

Learning Objective 2: Apply the EBP process to examine the icodextrin solution as one of the best practices intervention for peritoneal dialysis patients.

Evidence-Based Practice (EBP) is an approach that helps nurses to provide the highest quality of care in meeting the needs of their patients. The first EBP Conference for Health Sciences held in Guanajuato, Mexico in August 2007 generated interest in the application of EBP in the clinical setting in Mexico with the belief that EBP will result in improved patient care and outcomes. A group of nurses, who are clinical coordinators at several hospitals in central Mexico, applied the five-step EBP process taught at the conference to determine the most recent and best evidence for the clinical benefits of icodextrin-based solutions on peritoneal dialysis for adult patients. This paper describes the EBP steps applied by the team of nurses in Mexico. The clinical question, using the PICO format, was “In adult peritoneal dialysis patients (Population), how does the use of icodextrin-based solutions (Intervention) compare to the currently used glucose-based solutions (Comparison intervention) affect daily ultrafiltration (Outcome)?” PubMed, CINAHL, iGoogle, and CUIDEN (a Spanish-language database) were searched using key terms and controlled vocabulary from the clinical question. Seven articles were identified, as well as pharmaceutical information on the intervention solution. Only one Spanish-language article was found in the search. Despite English-language search barriers, the Mexican nurses recognize the value of the EBP process, the potential for learning critical appraisal, as well as the application of EBP to the clinical setting to foster best clinical practices. Searching for best evidence has raised awareness of the need for Mexican nurses to improve their EBP skills, and to implement EBP as a part of the continuous quality improvement policy for the producers of icodextrin and other pharmaceutical companies throughout Mexico.

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