Foundations of Evidence for Nursing Practice

This report discusses the role of evidence based practice in nursing, different practices that nurses provide to boost patient health, and how research can improve professional skills in nurses. It also provides a case study on the treatment of Vibrio vulnificus skin infection and how evidence based practices can help nurses provide better care. The report emphasizes the importance of evidence based practices in delivering high quality patient care and improving patient outcomes.

Foundations of Evidence
for Nursing Practice

Table of Content.
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
CONCLUSION................................................................................................................................4
REFERENCES................................................................................................................................6

INTRODUCTION
This project report provides brief abut the role of evidence based practise in building the
professional development. Also brief about the different practice that nurse provides boost to
patient health and how the provided research will improve professional skills in nurses. It has
been seen that evidence based practise work as tool for providing or benefiting patient with high
quality care and developing effective care for improved patient outcomes. Also defined about
different evidence based practise used are research studies, expert advice, clinically approved
methods, and according to demand of patients(Grove & Gray (2018)).Evidence based practices is
problem solving approach used in clinical practise which help and encourages nurses to provide
quality care to individual patient, better patient outcomes and decrease the demand for healthcare
resources. This also provides rationale use of given study, as it help nurses to gather knowledge
to use effective and updated method for treatment. Project report provides the understanding that
nurses derive after analysing the provided research paper and how these analysed outcomes will
help nurses to improve there professional development. Professional develop is occur as through
provided studies nurses will get evidence that can be analysed by them to apply better
approaches in clinical practice(Zhu, & et. al.,(2021)).
MAIN BODY
Evidence based practise is the approach used to provide better quality care to patients. It
involves approaches based on research studies and clinically approved methods. The decisions
for treatments are based on patient priorities which are known by building effective
communication and trust in patients for the services physicians and nurses provide. Here,
research studies means informations includes literature or article based documents which
provides a proof and validated treatments that are previously used and have shown benefited
results. Clinically approved methods includes the clinical judgements given by experts they get
from their knowledge and experiences(LoBiondo-Wood, & Haber, (2021)).
These practise also have key emphasis on patients based approaches which includes plan
based on patient beliefs, there personal and financial circumstances, data nurse or physicians gets
after observing activities of patients. Different types of evidence that are used in healthcare
research are result of controlled trials. These also includes evidence that researchers get from
case control studies which is comparison of exposer of disease in two different groups, cohort
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studies where research is done to identify relationship between the risk factor and disease and
individual studies which is long term studies of a particular disease. Additionally, it also includes
expert advice and physicians or nurse individual experience.
Benefits of evidence based practise are nurses develops more professionally by
acknowledging more knowledge. Nurses focus only on researches and needs of individual
patients. These practise focus in improving patient health while focussing more in individual
patient past experience and current demands. Evidence based approaches saves time. This is
because nurses don't have to find ways to provide support, either they get idea from provided
researches or they directly ask patients what type of approaches make the more comfortable.
These evidence based approaches help nurses to b more updated about the current trends or
improved medical protocols that need to be taken on practise for providing better treatment.
Everyday, there is advancement in technology or methods for better results. To know about
changes it is very important for nurses to be up-to-date(Lamon & et. al., (2019)).
Since evidence based approaches provides nurses to collect and then analyse the updated
information to take better decisions for the patients during the treatment. As evidence based
approach is the combination of clinical evidence, research and individual preferences. It will help
patient for quick recovery and motivates them to regular follow the instruction given by
physicians and nurses. This will also help nurses to understand possible risk factors associated
with post treatment to patient after effectively comparing patient situation with pre-defined
researches on particular disease. This will also help nurses to pre inform patients about the
associated side effects associated with treatment. This also help nurses to provide plans to patient
about measure they can take to control and prevent wider spread of disease further.
Above defined research briefs about the 81-year-old women diagnosed with the infection
of Vibrio vulnificus. After some time blue colour blood clotting is seen which lead to many lab
test. Third generation antibiotics were prescribed and after 3 weeks patient has gone through
major surgeries and it take around 1 month for proper living cells to revert back. These research
provide effective guidelines to nurse that they can follow to treat such wounds. It will improve
the health care provided to patients(Cleary & et. al., (2018)).
Research provides effective process that can further be used same diseases. Provides
evidence about the role of tetracycline or cephalosporin to treat infected tissue. Importance of
NPWT is to provides better healing to skin who are suffering from split thickness skin grafts.
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Also provides the set additional therapy used after admission of negative pressure would therapy
(NPWT) which includes artificial dermis implantation, implant of part of epidermis and dermis
tissue which further result in living tissue growth in patient(Park, Chung & Ha, (2018)).
` Aim of research is to demonstrate a definite method for treatment of v. vulnificus which
is done by incorporating NPWT treatment, implantation of artificial dermis and skin graft
imbibition. Aim is to also update nurses with the effective skin infection treatment that they can
used further to provide care to patients. The provided qualitative methodology provides well
proved method for treatment of skin wounds which include different implants therapy. Research
is designed in appropriate manner consist of problem associate with patient, patient history, their
lab test and reporting reports include body temperature, pulse rate,etc. Research report also
includes the effective changes and negative changes seen in body after implanting different
antibiotics and implant therapy. It also carry different phases of recovery. Researcher has
describe about the disease properly how the vibrio vulnificus bound to be lethal for patients
body. Risk factors associated with agents is there is more chance of infection in population
having contact with marine lives. Yes the researcher has addressed all the issues in a clear
manner. Researcher has also defined the result of treatment in body. How much time body needs
to recover from the surgery or treatment is well defined a it contains review photos of all
different phases. There is no participants in this researcher, the evidenced based research based
on vibrio vulfnificus skin infection in which people suffering from acute pain with progressive
swelling. Suffered from injury. After 2 or 3 day hands become discoloration of the dorsal part of
hand and fingers. There is no ethical issue consideration because people with vibrio vulnificus
skin infection are not agree for research on their disease but researcher find symptoms and better
treatment for their research and this information can also help in further treatment. Data analysis
from this research is accurate and beneficial for nursing development and from this research
nursing staff found the information about the viruses and valid treatment and therapies improve
patient condition. This information regarding research is accurate and gives valid outcomes. Yes
there is clear finding of treatment for vibrio vulnificus skin infection that can help people to
overcome wounds realted to these types of infections. This will also help nurses to provide better
treatment. Research is valuable because it gives better methods for skin treatments.It also gives a
clear cut evidence about the complication of vibrio vulfinicus skin infection can cause in body
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Vibrio vulnificus is the skin infection which can cause severe skin and soft tissue
infection (SSTI) and it is caused by the consumption of seawater, shellfish and sea food. Mainly
infect patient with chronic liver disease, diabetes mellitus and renal disease have more chances
for vibrio vulnificus infections. This resulting as life threatening infections in patient. From
many cases of vibrio vulnificus nursing staff observe that patient having acute pain and swelling
over the hand and suffered from injury, according to past medical history patient having renal
disease and viral infection. Physical examination determines that swelling hand with acute pain
and hand becomes bluish discolouration. Doctor and physician recommended antibiotic therapy
for the treatment of vibrio vulnificus infection is combination of cephalosporin and tetracycline,
for three weeks patient undergoes hospitalization for therapies and medication (Hernández‐
Cabanyero & et. al., (2019)).
Addition to antibiotics, patient also requires aggressive supportive theory for intensive
care. Physician and other nursing staff providing recommendations for reducing the risk of vibrio
vulnificus infection like- avoid contact with seafood, wearing globes when working with fishes
and immediately seek medical care for any wound that appeared infected. All over the world,
such conditions undergone with same treatment protocols. This includes specific combination of
antibiotics, therapies, prompt debridement, that help to promote growth of granulation tissues.
This can increase improvement of skin draft and surgical interventions. These interventions are
justified and appropriate for nursing practices, above evidence based theory and intervention are
helpful in nursing practice for vibrio vulnificus infections, provide better treatment to cure skin
infection and provide intervention to avoid the harmful activities (Jiang & et. al., (2020)).
Medical team analysing the patient having vibrio vulficus infection ingesting seafood
and recommend to take intensive care about the infection. Form the evidenced based report
treatment medicines and therapies are more beneficial for health provider, nursing assessment in
their professional development. Patient with skin infection or septic, arriving soon to doctors and
take appropriate antibiotic therapies within 24 hours (Miles & et. al., (2020)). The management
and nursing staff provide better treatment to cure vibrio vulficus infection with therapies which
includes fluid replacement, antibiotics, anti-pyretic, renal infections and urine output are
monitored for further treatment. Current research activity regarding vibrio vulnificus is seeking
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to development of a vaccine against vibrio vulnificus infection it is severe skin problem that may
leads to death (Saeed & et. al., (2019)).
Physician and nursing staff have to build relationship and connect with patient to
understand the situation regarding vibrio vulnificus. From the data gathering and interaction with
such patient with skin infections are more useful information for nursing professional
development. During the research, nurses and doctors build relation and confidence which helps
in gathering further information. This may useful for implementation in patient treatment having
vibrio vulnificus skin infection. Nursing staff and physician helps through research and improves
betterment by implementing information, intensive care, which receive from research paper.
Research paper information includes symptoms, treatment, therapies and intensive care (Suja &
et. al., (2019)). This data is more helpful in nursing professional development and learn more
about this infection
CONCLUSION
From the above study it is concluded that, evidence based practices is the tool for
delivering high quality patient care, provide most effective care for betterment of patient health
and aim to improving patient outcomes. Evidence based practice is more important for registered
nurses by which they can deliver quality care to patient with the help of various interventions.
Evidence based practices is problem solving approach to clinical practices that can help and
encourages nurses and other medical staff to provide quality care to individual patient, better
patient outcomes and decrease the demand for healthcare resources. Evidence based practices
helps nursing staff to determine effective action for care delivery and nurses can increases their
patient chances for recovery. From the evidenced based study report vibrio vulnificus is the skin
infection is caused by in digesting seawater and seafood it is severe condition of limbs. The
pathogen of vibrio vulnificus is marine bacterium; more chances of infection occur in infected
patient having chronic liver diseases, end-stage of renal disease, diabetes mellitus. Form the
evidence based case report it is demonstrated method of treating vibrio volnificus necrotising
fasciitis skin infection with the combination of antibiotics which includes cephalosporin and
tetracycline, therapies and after additionally antibiotics patient needs intensive care, fluid
replacement, wound preparation and skin imbibition that can help patient to cope up with
infection.
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REFERENCES
Books and Journals:
Cleary, M., Visentin, D., West, S., Lopez, V., & Kornhaber, R. (2018). Promoting emotional
intelligence and resilience in undergraduate nursing students: An integrative
review.Nurse education today,68, 112-120.
Grove, S. K., & Gray, J. R. (2018).Understanding nursing research e-book: Building an
evidence-based practice. Elsevier Health Sciences.
Hernández‐Cabanyero, C., Lee, C. T., Tolosa‐Enguis, V., Sanjuán, E., Pajuelo, D., Reyes‐López,
F., ... & Amaro, C. (2019). Adaptation to host in Vibrio vulnificus, a zoonotic pathogen
that causes septicemia in fish and humans. Environmental microbiology, 21(8), 3118-
3139.
Jiang, F., Yang, N., Huang, H., Feng, H., Li, Y., & Han, B. (2020). recovery of Vibrio vulnificus
from head ulceration in seahorse (Hippocampus kuda). Aquaculture International, 28(2),
653-660.
Lamon, S., Consolati, S. G., Fois, F., Cambula, M. G., Pes, M., Porcheddu, G., ... & Meloni, D.
(2019). Occurrence, seasonal distribution, and molecular characterization of Vibrio
vulnificus, Vibrio cholerae, and Vibrio parahaemolyticus in shellfish (Mytilus
galloprovincialis and Ruditapes decussatus) collected in Sardinia (Italy).Journal of food
protection,82(11), 1851-1856.
LoBiondo-Wood, G., & Haber, J. (2021).Nursing Research E-Book: Methods and Critical
Appraisal for Evidence-Based Practice. Elsevier Health Sciences.
Miles, M. V. P., Alexander, K. M., Wright, K. C., Miller, R. P., Lindsey, L. J., Burkett, J. L., &
Kahn, S. A. (2020). Vibrio vulnificus Soft Tissue Infections in the Southern Gulf Coast
Region. The American Surgeon, 0003134820951500.
Park, S. Y., Chung, M. S., & Ha, S. D. (2018). Combined effect of sodium hypochlorite and
gamma-irradiation for the control of Vibrio vulnificus in fresh oyster and clam.LWT,91,
568-572.
Saeed, F., Organti, N., Javed, M. A., & Trottier, S. (2019). Refractory shock and septic arthritis
due to vibrio vulnificus. In D48. CRITICAL CARE CASE REPORTS: INFECTION AND
SEPSIS II (pp. A6627-A6627). American Thoracic Society.
Suja, G., Sharma, S. R., Sayooj, P., Nair, V. A., Reshma, K. J., Amala, P. V., ... & Sumithra, T.
G. (2019). Pathological investigations of Vibrio vulnificus infection in Genetically
Improved Farmed Tilapia (Oreochromis niloticus L.) cultured at a floating cage farm of
India.
Zhu, P., Cui, Y., Pang, J., Xiong, Z., Huang, Z., Guo, S., ... & Cai, T. (2021). Sensitively and
quickly detecting Vibrio vulnificus by real time recombinase polymerase amplification
targeted to vvhA gene. Molecular and cellular probes, 57, 101726.
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