Evidence Based Practice Nursing Research 2

Evidence Based Practice Nursing Research 2
EVIDENCE BASED PRACTICE NURSING RESEARCH
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Evidence Based Practice Nursing Research 2
EVIDENCE BASED PRACTICE NURSING RESEARCH
Introduction
This paper examines the use of evidence practice in a health care. (EBP) involves the
application of best scientific and clinical evidence to treat patients. The paper discusses the
application of EBP in operational theatre. The personnel in operational theatre, especially
individuals who perform surgical procedures, are exposed bloody body fluids, large quantity of
blood and different types of materials for example bone (Schaefer and Welton 2018). These
materials are capable of transmitting numerous pathogens. The different types of pathogens that
can be transmitted include HIV, hepatitis B (HBV) and hepatitis C (HCV). The operating theatre
also represents the environment of the hospital that has higher number of sharp instruments.
Hence, the contaminated objects can cause percutaneous injuries which can lead to the
transmission of disease to health workers who operate in the environment of Operational theatre.
The hands- free techniques has been developed in order to decrease the risks of sharp injuries.
The use of HFT reduces the risks associated with the use of sharp instruments in the Operational
Theatre as compare to the passing of instruments thru hand to hand (Melnyk et.al 2018). I
synthesized and reviewed different research studies that compliance with the use of HFT and
factors that enhances its use by using different articles, secondary search of reference and online
database (Alving, Christiansen and Thrysoe 2018). I reviewed related factors using the model of
Hopkins Nursing Evidence Based practice. I found out that the perception of health care workers
‘has a great influence on the use of HFT. The perception of health works is that the application

Evidence Based Practice Nursing Research 2
of HFT to pass sharp instruments is effective than using hand to hand because it protect them
against bloody contamination and sharps injury. Workers especially clinical professionals are
expose to numerous life altering disease when they use hand to hand as compare to using HFT.
The application of HFT reduces the risk that is associated with the surgical procedures in the
operational theatres (Rohan, Hayman and Lake 2018).
Search strategy hand picot tool
The data was collected on eligible injuries and eligible surgeries, contaminations and
glove tears from different hospitals and three intervention hospitals. All the three hospitals were
publicly funded, private and nonprofit hospital. In the hospital the available data was collected
using Baseline period 1. The implementation of the data collected took place after a period of
one week. Because of low use of HFT and low outcome of incident rates, the intervention was
implemented using the three hospitals for a period of three months (Kim, Jeong and Park 2015).
Eligible surgeries involved both emergency and elective surgeries that lasted for duration
of 20 minutes, were performed everyday on weekdays. The report on the percutaneous injuries
and contamination was conducted by the anesthesia personnel.
In order to enhance good response, there is inclusion of one-page and a double-sided
questionnaire was also conducted for each surgery that was performed using HFT and hand to
hand. Circulating nurses recorded the number of injury that the health workers encountered and
number of people that were present. The outcome from the study is that the use of HFT by the
surgical personnel is more effective than the use hand to hand. The eligible personnel (i.e. the
assistant of the surgeons, surgeons, residents, circulating nurses and resident) contacted a
percutaneous injury, mucocutaneous contamination and glove tears (Schirm, Banz, Swartz and
Richmond 2018).

Evidence Based Practice Nursing Research 2
The intervention was then made using the opinion of the nurses and other health care
workers who offered knowledge about the importance of using HFT in the operational theaters as
compares to the use of hand to hand. The core reason why the implementation of the HFT should
be allowed in the environment was then stated using the advantages of the Effectiveness of HFT
as compares to hand to hand in passing sharp instruments during surgical procedures in the
operational theatre. The use of Video in collaboration provided in the collection of data provided
written text and Voiceover which gave up to date data about the occurrence of injuries and
various exposures that occurred during surgery and other different information. The nurses
discuss how HFT can be applied in the Operational theatre. The implementation of the
intervention was made possible by the nurses and the entire health worker that are in the
department of the Operational theatre. The interactive and teamwork among the health workers
was found to be important factors in the implementation of the intervention that was derived
from the study. Given the different of terminology linked to sharps injuries, there is also
application of primary search and secondary search. The research obtained from the study of the
two articles shows strong evidence from the review of the articles on the effectiveness of the
HFT application in the operating. Among the finding is that the use of HFT reduces the injuries
that are associated with the sharp instruments. The surgical personnel should encourage the use
of the HFT in the Operational theatre that involves the use of sharp instruments during their daily
activities.
Critical Appraisal Tool: A qualitative and Quantitative research Reports
Nursing as a career is quite challenging, and nurses are required to relay on various
mental and physical resources to cope up with the continuously challenging healthcare
environment. As a result of the seriousness needed in the medical field research reports used by