Evidence based practice activities Rachael has been working with other CNSs at

Evidence based practice activities rachael has been

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Evidence-based practice activities. Rachael has been working with other CNSs at NTC to better understand why her unit has the lowest HCAHPS score related to noise levels at night. She explains an evidence-based project to promote a quiet and restful environment on her busy stepdown and med-surg telemetry floors. She states that the project had goals of implementing a “welcome quiet time” packet which included, ear plugs and eye masks to promote “quiet time.” Rachael states that the implementation of the “welcome quiet time” packet should establish both patient and staff expectations about reducing noise levels and will act as an implication for practice which ensures a standardization of care to reduce the level of noise on the floor. Quality improvement projects. In addition to the evidence-based project Rachael was working on, she was also leading a quality improvement project called the PQRST Movement. The PQRST Movement stands for Promote Quiet Rest and Sleep Time. She mentions that the
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ESSENTIALS OF ADVANCED NURSING PRACTICE 10 methodology she is using for this quality improvement project was the PDSA—plan-do-study- act—model with a goal to improve patient-satisfaction scores related to noise on the HCAHPS survey by 16% within 6 months. She mentions that signs are posted on the walls, emails with education alerts, and discussion of the PQRST Movement at every huddle are being done so staff is aware of the quality improvement project. Recommendation for Organization Change Recommendation for organizational change Based on the analysis of the interview with Rachael, it is recommended that she formulate a noise level survey for all in-patients to complete when they hear noise levels that are unacceptable to them. It is also recommended that she add on a sound level decibel device to monitor the amount of noise throughout the night and compare it to the World Health Organization’s (WHO) recommendations for noise control in her evidence-based project. By doing so, she can show proof that noise levels on her units are above the recommended level by the WHO. It is also recommended that she appoint members of the Unit Based Council to act as noise control champions or “yacker trackers” to control the number of visitors, and noise levels at night. In order to hold staff accountable for the new evidence-based practice project, it is recommended that there be a new documentation checklist in the charting system, documenting the education of patients on “welcome quiet time” packet uses upon admission. It is also recommended that nursing staff and security be educated on the PQRST Movement, particularly about adherence to visiting hours to promote an environment of healing for the patient. While patient’s family may want to stay with the patient in the hospital all hours of the night, patients need to get restful sleep if they are to get better. The PQRST Movement should enforce the hospital policies so that it can help maintain a quiet environment after visiting
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