NR 351 Week 5: Evidence to Support Nursing Practices (Graded)

Week 5 Discussion: Evidence to Support Nursing Practices (Graded)

Patients who have surgery and undergo general, spinal, or epidural anesthesia are at increased risk for hypothermia. Preventative measures are taken to prevent postoperative hypothermia as hypothermia can result in increased complications such as increased risk of surgical site infections, cardiac events, changes in drug metabolism, and increased blood loss. A study was conducted at a Midwestern community hospital that studied the postoperative hypothermic effects of patients after using a combination of preoperative and intraoperative conductive skin warming. The conductive skin warming being studied was a newer technology of a reusable conductive mat that is placed under the patient and has even heating to prevent overheating yet warms the patient. Comparisons were made with the use of this new heating mat to measure results of postoperative hypothermia. The results of this study showed that overall, 3.5% of the 948 patients were hypothermic on admit to the postoperative anesthesia care unit (PACU). Different categories were compared. 5.7% of patients who received warming in preop with the mat and no intraoperative warming became hypothermic. The best outcome was the patients who received the warming mat preoperative with a combination of the warming mat and forced air warming intraoperative where only 2% became hypothermic (Steelman et al., 2017).

I chose this article because it is very relevant to my nursing practice working with surgical patients. Although we have not used the warming mat they are studying, I found the article interesting and applicable. This was the first time I have heard of the warming mat that was studied in this article. I found it surprising that research has shown it takes approximately 17-23 years from the time a journal is submitted until the practice is in place for evidence-based practice changes (Chamberlain College of Nursing, 2021).  The facility I work for does not do any preoperative warming to prevent postoperative hypothermia, so I found this study valuable to begin my research on evidence-based practice to reduce hypothermia in postoperative patients. It will be interesting to see if in 15 years these mats are the preferred practice in most facilities.

References:

Chamberlain College of Nursing (2021). NR351 Transitions in Professional Nursing: Week 5 lesson. Chicago, IL: Online Publication.

Steelman, V. M., Schaapveld, A. G., Perkhounkova, Y., Reeve, J. L., & Herring, J. P. (2017). Conductive skin warming and hypothermia: An observational study. AANA Journal, 85(6), 461-468.

Purpose

The purpose of this discussion is for learners to demonstrate their ability to search for evidence in the scholarly nursing literature and share with colleagues.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO 5: Discuss theories and evidence-based practice in the planning of patient-centered care. (POs 1, 8)

Due Date

During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):

• Posts in the discussion at least two times, and
• Posts in the discussion on two different days

Total Points Possible: 50 points

Preparing the Discussion

Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:

• Demonstrate understanding of concepts for the week
• Integrate outside scholarly sources when required
• Engage in meaningful dialogue with classmates and/or instructor
• Express opinions clearly and logically, in a professional manner

 Discussion

Evidence is necessary to improve our nursing practice. Using the CINAHL database in the Chamberlain Library, search for and locate a scholarly professional nursing journal article that meets these criteria:

• Full-text
• English language
• Peer-reviewed
• NOT an Evidence-Based Care Sheet or CINAHL Guide
• Published in the past five years
• Contains evidence to support a nursing practice in your practice area

Summarize this article in one paragraph. Explain why you selected this article. Provide an APA reference for this article.

Remember to credit an assigned reading or the lesson, in addition to your article selection.

Grading

To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. See Syllabus for Grading Rubric Definitions.

RNBSN_50_Point_Discussion_Rubric_1_21

Criteria	Ratings	Pts
This criterion is linked to a Learning Outcome Answer Post•Answers the discussion question(s) in a detailed manner, and •Demonstrates excellent knowledge and understanding of course concepts	16 pts 100% ExcellentAnswers the discussion question(s) in a detailed manner and demonstrates excellent knowledge and understanding of course concepts. 14 pts 88% GoodAnswers the discussion question(s) but detail is lacking, and demonstrates good knowledge and understanding of course concepts. 13 pts 80% FairPartially answers the discussion question(s) and partially demonstrates knowledge and understanding of course concepts. 6 pts 38% PoorMinimally answers the discussion question(s) and minimally demonstrates knowledge and understanding of course concepts. 0 pts 0% MissingDoes not answer the discussion question(s).	16 pts
This criterion is linked to a Learning Outcome Scholarly Sources•Integrates evidence from assigned reading OR lesson, •Integrates evidence from at least one outside scholarly source, •All sources are credited within the body of the post, •Evidence supports the discussion, and •APA format is not required but is encouraged.	12 pts 100% ExcellentIntegrates evidence from assigned reading OR lesson AND from at least one outside scholarly source. All sources are credited within the body of the post. Evidence supports the discussion. 11 pts 88% GoodIntegrates evidence from assigned reading OR lesson only. All sources are credited within the body of the post. Evidence supports the discussion. 10 pts 80% FairIntegrates evidence from outside scholarly source only. All sources are credited within the body of the post. Evidence supports the discussion. 5 pts 38% PoorLists sources at conclusion of post but does not integrate/credit evidence into body of post OR integrates evidence but evidence does not support the discussion. 0 pts 0% MissingDoes not integrate any evidence.	12 pts
This criterion is linked to a Learning Outcome Reply Post•Replies to a classmate’s and/or instructor’s post, •Reply post provides additional information or clarification, and •Reply post adds excellent depth to the discussion.	14 pts 100% ExcellentReplies to a classmate’s and/or instructor’s post by providing additional information or clarification. Reply post adds excellent depth to the discussion. 12 pts 88% GoodReplies to a classmate’s and/or instructor’s post by providing additional information or clarification. Reply post adds good depth to the discussion. 11 pts 80% FairReplies to a classmate’s and/or instructor’s post. Limited information or clarification provided. Brief reply post adds fair depth to the discussion. 5 pts 38% PoorReplies to a classmate’s and/or instructor’s post. Reply does not provide additional information or clarification. Brief reply post does not add depth to the discussion. 0 pts 0% MissingNo reply post to classmates or instructor.	14 pts
This criterion is linked to a Learning Outcome Communicates ProfessionallyAll posts: •are clear and concise, •are respectful, civil, and caring, and •contain excellent English grammar, spelling, and punctuation.	8 pts 100% ExcellentAll posts are clear, concise, respectful, civil, and caring. Posts contain excellent English grammar, spelling, and/or punctuation. 7 pts 88% GoodAll posts are clear, concise, respectful, civil, and caring. Posts contain good English grammar, spelling, and/or punctuation. 6 pts 80% FairAll posts are respectful, civil, and caring but are not clear or concise. Posts contain fair English grammar, spelling, and/or punctuation. 3 pts 38% PoorAll posts are not clear and concise, AND contain poor English grammar, spelling, and/or punctuation. 0 pts 0% MissingAll posts are not respectful, civil, and caring.	8 pts
This criterion is linked to a Learning Outcome ParticipationDuring the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week): •Posts in the discussion at least two times, and •Posts in the discussion on two different days	0 pts No Points DeductedDuring the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week): •Posts in the discussion at least two times, and •Posts in the discussion on two different days 0 pts Points Deducted (-5 Points)During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week): •Does NOT post in the discussion at least two times AND/OR •Does NOT post in the discussion on two different days	0 pts
Total Poi