Dominican University of California
 

Oral Presentations - Guzman 301

Presentation or Panel Title

Simulation-based Investigation of Tracheostomy Care Bundle Practices for Improved Intensive Nursing

Location

Guzman 301

Start Date

4-23-2015 6:00 PM

End Date

4-23-2015 6:15 PM

Department

Nursing

Student Type

Undergraduate

Faculty Mentor

Luanne Linnard-Palmer

Presentation Format

Oral Presentation

Abstract/Description

Tracheostomy nursing care bundles are specific evidenced-based structured protocols, aimed to improve patient care and outcomes, for critically ill patients. If preformed collectively and reliably, utilizing a research-based nursing methodology like the care bundle could provide consistency and quality improvement in tracheostomy care management. Being that intensive care nurses have an instrumental role in the delivery of bundle care practices, this study is aimed at investigating the implementation of tracheostomy bundle care practices by the critical care nurse, and comparing it to tracheostomy nursing care management without bundle guidelines. What was observed during the simulation-based assessment of the intensive care nursing practices was that intensive care nurses, without bundle care guidelines, lacked knowledge of current evidence-based practices for routine tracheostomy care. In addition, there were differences in nurse attitudes relating to competency during implementation of tracheostomy management. Nurses that used the “best practice guidelines” demonstrated more confidence in their competency of intensive nursing care. Furthermore, an inconsistency in the quality of care delivered was also displayed in the nursing practice assessment. Knowledge deficits in current evidence-based practice, ambivalent attitudes towards competency in nursing practice acts and decreased patient care quality, are significant gaps that could have negative effects on the critical patient needing airway management. By utilizing tracheostomy bundle care practices that are based on current evidence-based research, future intensive care nurses could improve care management competency and performance, provide expertise intensive care, and establish a higher standard of care for patients needing tracheostomy care management.

Keywords: evidence-based practice, daily care bundles, intensive care nurses, tracheostomy management, quality improvement initiatives

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Apr 23rd, 6:00 PM Apr 23rd, 6:15 PM

Simulation-based Investigation of Tracheostomy Care Bundle Practices for Improved Intensive Nursing

Guzman 301

Tracheostomy nursing care bundles are specific evidenced-based structured protocols, aimed to improve patient care and outcomes, for critically ill patients. If preformed collectively and reliably, utilizing a research-based nursing methodology like the care bundle could provide consistency and quality improvement in tracheostomy care management. Being that intensive care nurses have an instrumental role in the delivery of bundle care practices, this study is aimed at investigating the implementation of tracheostomy bundle care practices by the critical care nurse, and comparing it to tracheostomy nursing care management without bundle guidelines. What was observed during the simulation-based assessment of the intensive care nursing practices was that intensive care nurses, without bundle care guidelines, lacked knowledge of current evidence-based practices for routine tracheostomy care. In addition, there were differences in nurse attitudes relating to competency during implementation of tracheostomy management. Nurses that used the “best practice guidelines” demonstrated more confidence in their competency of intensive nursing care. Furthermore, an inconsistency in the quality of care delivered was also displayed in the nursing practice assessment. Knowledge deficits in current evidence-based practice, ambivalent attitudes towards competency in nursing practice acts and decreased patient care quality, are significant gaps that could have negative effects on the critical patient needing airway management. By utilizing tracheostomy bundle care practices that are based on current evidence-based research, future intensive care nurses could improve care management competency and performance, provide expertise intensive care, and establish a higher standard of care for patients needing tracheostomy care management.

Keywords: evidence-based practice, daily care bundles, intensive care nurses, tracheostomy management, quality improvement initiatives