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Evidence based nursing assessment

   

Added on  2021-04-21

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Running head: EVIDENCE BASED NURSING RESEARCHEVIDENCE BASED NURSING RESEARCHName of the StudentName of the UniversityAuthor note

EVIDENCE BASED NURSING RESEARCH1Do Intensive Care Patients who receive daily Sedation Breaks Have Reduced Ventilation Time? PDescribe your patient (age, sex, race, past medical history, etc.), the disease, or main topic of your question.Intensive Care Patients IWhat intervention or action are you considering - treatment, diagnostic test, etc. Is there a specific issue you’d like to investigate?For this purpose, the sedation break is used as an intervention to determine the reduced time of ventilation. ME T H O D O L O G YWhat research method should be used tocompare the intervention group with the comparison (or control) group? □ randomized controlled trial □ cohort study □ case-controlled studies □ case reports □ systematic reviews □ meta-analysis □ editorials/expert opinionsC Are you trying to compare or decide between two options - drugs, a drug and no medication or placebo, or two diagnostic tests? Your clinical question does not always need a specific comparison. In this analysis comparison between Sedation Breaks and NO Sedation Breaks was performed. O What is the outcome you’d like to achieve? What are you trying to do for the patient? Relieve or eliminate the symptoms? Reduce the number of adverse events? Improve function or test scores? The two outcomes, that is targeted to achieve for intensive care patients through this process are- Reduced Ventilation TimeShorter Intubation TimeUse the table below to identify the key words and Synonyms for each of the 4 sectionsTable 1: PICO and Search TermsPopulationInterventionComparisonOutcomeMain keywordIntensive Care PatientsOR Critical Care, Sedation BreakOR Sedation Vacation OR Sedation Protocol OR Sedation InterruptionNo ComparisonShorter Ventilation OR Less Ventilation OR Reduced Ventilation OR Duration of VentilationSynonymCINAHL:MeSH:CINAHL:MeSH: sedation, deep sedation, conscious sedation, CINAHL:MeSH:

EVIDENCE BASED NURSING RESEARCH2conscious sedationSedation holdList databases you plan to search: CINAHL, PubMed or PubMed Clinical Trials, PsyArticles. -CINAHL-PubMed-Google Scholar Three databases were searched i.e. CINAHL, PubMed and Google Scholar using the exact search terms outlined in Table 1. List other criteria –gender, age, year of publication, language to be used to limit your search.The age of the patient can vary from 40 to 85 years irrespective of the gender the intervention can be appliedthe year of publication was restricted to last ten years language was restricted to English Sedation is an important aspect of healthcare for the patients receiving intensive care, as it helps them to reduce their stress and depression related to the healthcare practice and minimizes their response to the external environmental factors (Shebabi et al., 2012). Therefore sedation holds an important place in the care process for critically ill patients as duration of sedation determines the rate of attaining wellbeing in the patients. There are different systems through which, the sedation limit for particular patients can be assessed such as electroencephalograms, bispectral index and different non-pharmacological process ensuing patient comfort and wellbeing (Barr et al., 2013). The goal of this activity is to identify the effect of breaks in sedation to reduce the ventilation time. Patients in Intensive Care routinely receive sedation to facilitate ventilation, intubation and tolerance of tubes and lines that is responsible for the cause of anxiety and distress. Historically it was thought that a patient in Intensive Care should be kept deeply sedated. However, medical staffs nowadays are trying to change their practice in accordance with the most recent data but still both doctors and nurses need to be reminded of the importance of daily sedation breaks. Devlin and Roberts (2011), suggest that patients who receive daily sedation breaks have a shorter duration in ventilation. Different studies have determined that deep sedations are responsible for the poor long-term outcomes such as

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