Evidence Based Nursing Research on Early Tracheostomy for Severe Burn Patients

Running head: EVIDENCE BASED NURSING RESEARCH
EVIDENCE BASED NURSING RESEARCH
Name of the Student:
Name of the University:
Author Note:

1EVIDENCE BASED NURSING RESEARCH
1. a.
The research question involves the severely burned patients for whom the
early tracheotomies are conducted within seven days in comparison to 28 days result
in case of earlier weaning from the ventilator. Does this decrease rates of pneumonia,
ICU delirium and shorter length of stay in the intensive care unit?
1.b.
1. Population/Problem Patients with severe burns who require mechanical
ventilation of a prolonged manner
2. Intervention Early placement of a tracheostomy
3. Comparison
Intervention/Group
Compared to long term intubation with oral care
4. Outcomes Reduction of incidence of ventilator assisted pneumonia,
ICU delirium and improvement of overall patient
outcomes
5. Time to achieve outcome
(if applicable)
within seven days versus 28 days
1. c.
This PICO question is important to identify the patients who have severe burns and
are need of long term intubation along with mechanical ventilation as an important part of

2EVIDENCE BASED NURSING RESEARCH
their care. The main aim of this clinical question is to investigate and identify the risk factors
that are involved in prolonged periods of intubation, additionally how early tracheostomy
will lead to decrease these risks and how early tracheostomy can prevent/decrease the onset
of VAP, ICU delirium and thus reduce the ICU LOS and provide a better patient outcome
(Durbin, Perkins &Moores, 2010).
2. The type of PICO question is Prognosis (Agency for Healthcare Research and Quality
(2013).
3. a. The inclusion criteria will involve the following:
Populations- the population will involve both the male and the female patients who
are suffering from severe burns
Interventions- The intervention involves the early tracheotomies performed to addressing
severe burns
Comparison Group or Intervention- It involves the same populationwho choose to participate
to weaning from the ventilator
Outcomes- It involves thedecreased rates of pneumonia, ICU delirium and shorter length of
stay in the intensive care unit along with the symptom management
Time Factors- will include studies published or updated between 2010- 2018.
Types of Studies that will be included- It will include thesynthesis of cohort studies or case-
control studies along with single cohort studies or case-control studies, meta-synthesis of
qualitative or descriptive studies, single qualitative studies, and single descriptive studies. All
the studies that will be included should be published in English language and should be peer
reviewed (Glas, Levi & Schultz, 2016).