NU 6252 Wk 5 project.docx

NU 6252 Wk 5 project.docx - RUNNING HEAD LITERATURE REVIEW...

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RUNNING HEAD: LITERATURE REVIEW 1 Literature Review Walden University Essentials of Evidence-Based Practice 31 March 2018 Literature Review for Chest Pain Protocol A literature review is generally conducted prior to data collection as it provides a foundation on which to base new evidence. When performing a literature review an individual does not outright complete a comprehensive critique on the study but instead, evaluate the
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2 quality of evidence in each study so the researchers can formulate conclusions about the current overall body of evidence (Polit & Beck, 2017). The purpose of this paper is to review the current literature on the implementation of chest pain protocol (by nursing staff) and how this improves the outcome of the patient as opposed to routine care. Nursing Regulation Across the nation, hospitals have been pushing to improve patient care as well as overall experience with improvements specifically in the assessment, treatment, and prevention of a myocardial infarction (MI). More specifically, the emergency department (ED) pushes towards utilizing and maintaining a standard of protocols that nurses utilize on a daily basis. Most facilities have a set standard of protocols that are geared towards moving patient care forward and to help cut down on wait times while in the ED. The Joint Commission, Medicare, Medicaid and the Emergency Nurses Association (ENA) are some of the driving factors in helping to set these protocols into place. “The use of protocols is an important strategy to expedite care, improve patient flow, and increase patient safety” (Emergency Nurse Association, para 2, 2015). With overcrowding, fewer emergency department facilities and critically sick patients, nurses must be trained adequately to know the signs and symptoms of an acute emergency. During the triage process, a nurse must utilize the emergency severity index (ESI), that has been set forth and regulated by ENA. More than 70% of large, urban hospitals are teaching and using the ESI levels ( McHugh, Tanabe, McClelland, & Khare, 2012). “Advanced nursing interventions during initial patient assessment have been proven to reduce time to treatment and diagnosis, improve patient flow through the ED and reduce the length of stay across a wide variety of emergency presentations” (Carlton, Khattab & Greaves, para 2, 2016). This standardization of care not only
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3 helps improve patient outcomes but boosts patient’s satisfaction well as establish the ability and skill set of nurses who triage within ESI levels. Role of The Nurse “Emergency nurses collaborate with interprofessional colleagues to develop, approve, and evaluate evidence-based protocols within the emergency nursing scope of practice to assure they are consistent with current best practices” (Emergency Nurse Association, para 2, 2015). A significant concern, such as chest pain, can trigger any number of protocols that a nurse can implement to better suit the care of the patient. The biggest role of a nurse is to ensure that the patient is receiving the best care that they are capable of. With ED protocols in place, nursing
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