Assignment: Mechanical Ventilation
Assignment: Mechanical Ventilation
UPDATE OF LITERATURE REVIEW The original project used the seven steps of evidence base practice described by Melnyk and Fineout-Overholt (2015). Using the same keywords, the literature was exam- ined for interventional studies that included an educational intervention and calculation of financial impact. Four addi- tional articles were found demonstrating increasing awareness of the need to calculate and publish financial impact of professional development activities (see Table 1).
Frampton et al. (2014) completed a literature search of studies reporting educational interventions for preventing vascular catheter bloodstream infections, resulting in 74 studies between 2000 and 2012. This 398-page report used a decision-analytic economic model to analyze the cost- effectiveness of educational interventions for preventing catheter bloodstream infections. The model showed di- verse types of educational interventions reduce the incidence, increasing survival by 3.55 years and 2.72 QALYs (quality- adjusted life-years).
Kram, DiBartolo, Hinderer, and Jones (2015) imple- mented the ABCDE bundle for patients in the intensive
Cathleen Opperman, DNP, RN, NEA-BC, CPN, is Professional Devel- opment Nurse Specialist, Nationwide Children’s Hospital, Columbus, Ohio.
Debra Liebig, MLA, BSN, RN-BC, is Program Manager, Accreditation & Regulatory Readiness, Children’s Mercy Kansas City, Missouri.
Judith Bowling, PhD, MHA, RN-BC, is Clinical Learning Educator, Baptist Health South Florida, Miami.
Carol Susan Johnson, PhD, RN-BC, NE-BC, is Principal, Innovations LLC, Fort Wayne, Indiana.
The authors declare no conflicts of interest.
ADDRESS FOR CORRESPONDENCE: Cathleen Opperman, Nation- wide Children”s Hospital, 255 East Main St., Columbus, OH 43205 (e<mail: email@example.com).
1.5 ANCC Contact Hours
Journal for Nurses in Professional Development www.jnpdonline.com 303
JNPD Journal for Nurses in Professional Development & Volume 34, Number 6, 303Y312 & Copyright B 2018 Wolters Kluwer Health, Inc. All rights reserved.
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
care unit (ICU) by educational interventions resulting in a decreased average length of stay and decreasedmechanical ventilation days. The education included (a) a live presen- tation on the evidence regarding the ABCDE bundle for all nursing, respiratory therapy, and rehabilitation staff; (b) a nursing-specific class on proper administration of the Inten- sive CareDelirium Screening Checklist tool; and (c) an online module for all disciplines on the new administrative policy. The authors reported an average savings of $2,156 per pa- tient after a combination of educational interventions. However, information on the cost of the educational inter- vention was not provided, so further economic impact calculations could not be made.
Young, Borris-Hale, Falconio-West, and Chakravarthy (2015) provided caregiver education by an interactive
web-based program on pressure ulcer prevention strate- gies including how to use new skin care products and an algorithm for treatment of wounds. The RNs received 7.5 hours of education, and the patient care technicians had 5.5 hours. This education, the development of an algorithm and change in skin care products, resulted in a significant reduction in nosocomial pressure ulcers from a mean of 5.9/month to a mean of 0.2/month after the program. By educating the RNs and patient care technicians, significant cost avoidance was achieved in this long-term care setting. Though ROI was not calculated by the authors, enough in- formation was reported to calculate a 381% ROI for their interventions.