Nursingis regarded as one of the most fulfilling professions across theglobe. The nurses who are assertive in their clinical techniques,knowledge base, as well as communication skills, have the capacity toinstill hope and trust in patients handling with stress and pain inhectic medical surroundings. Several evidence-based studies thatoffer information on improving nursing care and patient safety havebeen published. These studies cover numerous topics in nursing.Therefore, this paper presents a review of four research studiessupporting a change in nursing care. Besides, the paper also outlinesthe way the information in these studies can improve practice.
Thefirst research undertaken by Parisi et al. (2016) sought to appraisethe VAP occurrence in a diverse ICU (intensive care unit) as well asscrutinize the impacts of the enactment of ventilator bundles plusemployee instruction on its prevalence. The researchers assessed 1097patients in the course of evaluating the VAP incidence as well asrate, the mechanical ventilation period, the microbiological profile,and the length of stay in the ICU. The findings indicated that out ofthe 1097 patients who took part in the study, 362 managed to pass theconditions for inclusion. The standard VAP proportion was recorded as21.6 for every 1000 ventilator days. In the course of thepost-intervention period, the rate reduced to 11.6 for every 1000vent days with a P value of 0.01. The length of stay in the ICU alsoreduced to 27 recording a P value of 0.04. The mechanical ventilationduration yielded a P value of 0.06. The study concluded that the VAPoccurrence was great in the common ICU in a Greek hospice.Nonetheless, the ventilator package execution, as well as staffeducation, decreased in both length of stay as well as VAP incidence.The second study, which was undertaken by Appari, Eric, and Antony(2013), sought to approximate the incremental impacts of electronichealth record changeovers on the hospital procedure quality. Thequalitative study categorized the hospital EHR schemes into 5 levelsranging from 0 to 4 and measured the process quality as combinedtotals on a 100-point gauge for heart failure, heart attack, surgicalrepair contamination, and pneumonia deterrence. The findings showedthat executing level 3 schemes provided an additional 0.35 to0.49–proportion point upsurge in quality above level 2. The level 4systems produced an additional decrease of 0.9 to 1 point for threecases. The study concluded that the hospitals switching to EHRsystems with the capacity to meet the 2011 evocative use intentionshad enhanced process value.
Thethird study evaluated the impacts of using progressive EHR on patientsatisfaction as well as hospital quality (Jarvis et al., 2013). Intheir cross-sectional study, Jarvis et al. (2013) included 2988hospitals, 248 of which were categorized as advanced EHR users. Theresults indicated that the advanced EHR use had a 4.2-point upperprogression of care with a p value less than 0.001. The studyconcluded that majority of the advanced EHRs had the highest payoffwith regard to improving the clinical process of the care scores withno detrimental impact on the experience of the patient. The finalstudy undertaken by Lim et al. (2015) sought to gauge theeffectiveness of bundle care in the deterrence of the VAP (ventilatedassociated pneumonia), which forms the most severe treatment-relatedcontagions that result in elevated costs and deaths. The study, whichanalyzed 28,454 ICU patients, reported that the VAP densitydiminished immensely from 3.3 to 1.4 instances for every 1000 ventdays following the implementation of the bundled care.
Inconclusion, the information obtained from these studies point toseveral ways of improving the nursing practice. The studies byAppari, Eric, and Antony (2013 and Jarvis et al. (2013) emphasizesthe need to incorporate EHRs in hospitals to better the quality ofnursing care and service delivery. The research works by Parisi etal. (2016), and Lim et al. (2015) encourages the use of the bundledcare in the prevention of VAP and eventually decrease the highmortality rates.
Appari,A., Eric, J., & Antony, D. (2013). Meaningfuluse of electronic healthrecord systems and process quality of care: Evidence froma paneldata analysis of U.S. acute-care hospitals.HealthServices Research, 48(2Pt 1):354-75.Jarvis,B.,Johnson,T., Butler,P., O`Shaughnessy,K., Fullam,F., Tran,L.,& Gupta,R.(2013). Assessingthe impact of electronic health records as an enabler of hospitalquality and patient satisfaction. Academicmedicine: Journal of the Association of American Medical Colleges,88(10):1471-7.Lim,K. P., Kuo,S. W., Ko,WJ.,Sheng,W. H., Chang,Y. Y., Hong,M. C.,Sun, C.,  Chen,Y..,& Chang,S.C.(2015). Efficacyof ventilator-associated pneumonia care bundlefor prevention of ventilator-associated pneumonia in the surgicalintensive care unitsof a medical center. Journalof Microbiology, Immunology, and Infection, 48(3):316-21.
Parisi,M., Gerovasili, V., Dimopoulos, S., Kampisiouli, E., Goga, C.,Perivolioti, E., … & Nanas, S. (2016). Use of Ventilator Bundleand Staff Education to Decrease Ventilator-Associated Pneumonia inIntensive Care Patients. Critical Care Nurse, 36(5), e1-e7.