Tuesday, 13 July 2010: 4:05 PM
Learning Objective 1: The learner will be able to 1. use a simple “3S” model to implement EBP in the management of DAV patients.
Learning Objective 2: 2.identify barriers and articulate key factors for implementation of EBP
Search for the Clinical Problem Using the PICO format, the clinical problem was “will the use of clinical practice guidelines on the management of DAV patients (I) versus traditional methods of management of DAV patients (C) , reduce the number of patient to patient and patient to staff assaults and restraints per month (O) at the mental health hospital. Search for the Evidence A systematic review was done, which resulted in the development of Clinical Practice Guidelines for management of DAV patients. Strategies to translate and implement EBP The author and a team comprising APN and nurses implemented the following to manage DAV patients:
- Conducted hands-on-workshop and lunch time road shows on implementation of EBP;
- Designed a one page algorithm with 3 protocols merged into one evidenced based nursing protocol;
- Used the Fremantle Acute Arousal Scale for assessment
- Implemented evidence based interventions de-escalation, ventilation, redirection, time-out and a PRN regime of rapid tranquilisation and physical restraints aimed to prevent disturbed behaviours and reduce the risk of violence.
See more of: Evidence-Based Nursing Strategies
See more of: Evidence-Based Practice Sessions – Oral Paper & Posters
See more of: Evidence-Based Practice Sessions – Oral Paper & Posters