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Summary Evidence-Based Practice Proposal Final Document........ MOST CORRECT

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Course
NURS 2247

Institution
The University Of Bradford (UoB)

facilities taking part in inpatient quality reporting to assemble information for serious sepsis as well as septic shock and through this measure implementation, CMS will be in a position to assess if severe sepsis care and septic shock clients are getting better (Kuttab et al., 2018). Care f...

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plan to revise project
project statement and proposa
project impacts and anticipated outcome
evidence based practice proposal
based practice proposal final document

Institution
The University of Bradford (UoB)
Education Unknown
Course
NURS 2247

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Running head: EVIDENCE-BASED PRACTICE PROPOSAL 1

Evidence-Based Practice Proposal Final Paper

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,EVIDENCE-BASED PRACTICE PROPOSAL 2

Abstract

Sepsis is a medical emergency. If not treated immediately a patient may quickly progress

to severe sepsis, septic shock and eventually death. The early recognition of severe sepsis

presentation project is an evidence-based project for the medical-surgical floor to decrease the

amount of time from early signs of sepsis to treatment of sepsis. The project focuses on

improving severe sepsis early recognition on the medical surgical floor. The project aim is to get

50 percent or more monthly adherence to early identification or recognition of sepsis on the

medical surgical floor. Compliance will entail getting blood cultures, treatment with fluids and

broad spectrum antibiotics where needed in 3 hours of sepsis presentation. It will be followed by

improving nursing participation, offering EBP training to improve critical thinking concerning

sepsis and also raise increase staff education concerning sepsis. In the end, it will create an

environment of change on care departments where treatment of sepsis is involved.

Keywords; Sepsis, Sepsis Protocol, Medical-Surgical, MSU

,EVIDENCE-BASED PRACTICE PROPOSAL 3

Part A: Population Health Research and PICOT Statement

The condition to focus on is sepsis. It also referred to as blood poisoning and it is a

deadly health condition. It is a serious and sometimes fatal illness that affects millions of people

all over the world despite the developments in technology and medicine the disease outcomes

still is termed as poor. Patient outcomes depends on both controlling the response of the body to

reduce tissue damage, and target treatment concerning the infection process. More than 8

million die from sepsis annually and therefore sepsis is an epidemic that need attention like any

other condition (Arefian et al., 2017). This assignment therefore analyzes sepsis in a selected

population.

Background

Sepsis is generally diagnosed once a client presents to the Emergency Department (ED).

The employees in the ED are well trained to identify sepsis process and start treatment as early

as possible (D’Amore et al., 2015). They understand that early identification of the disease and

treatment can save lives and when sepsis is not recognized it becomes a life threatening

condition. Sepsis require instant treatment to prevent the occurrence of tissue damage, and organ

failure may also occur which may lead to death. Most sepsis clients have infection before they

are admitted to thee care facility which has already grown to sepsis for it was not treated

appropriately. The issue is that not every nursing employee can identify sepsis process or they do

not have the nurse guided process to start treatment early enough.

, EVIDENCE-BASED PRACTICE PROPOSAL 4

PICOT

In adult clients who present with sepsis prior and after sepsis treatment bundle

implementation, does a nurse driven protocol implementation reflect or lead to improve

outcomes?

Patient Demographics

While blood poisoning affects people across all ages, gender, and race, it is largely fatal

and serious among disadvantaged and the underprivileged populations. Variations in age, gender

as well as medical comorbidities such as renal failure and diabetes triggers additional

complications which affects the septic patient outcomes. The disease is among the susceptible

and vulnerable populations predominantly such as the young children, immunocompromised,

and geriatric groups or populations, with old age regarded as an independent factor in sepsis

mortality. People over 65 years with other comorbidities are at great risk of complications from

infections compared to the general population as well as sepsis early presentation is vague in

such age cluster (CDC. 2017). Hence, a decreased threshold and increased suspicion index are

needed to recognize sepsis in older people. In addition, the identification of sepsis can be may be

delayed in clients or people with an immune system that is impaired like those people who are

diabetic, have compromised immune system such as HIV/AIDs and liver failure.

Nursing Science and Sepsis

Information from various sources have demonstrated that early identification through lab

analysis as well as obtained blood cultures before a broad-spectrum antibiotic is offered

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