Assignment: Potentially Use in Your Evidence Based Change Proposal

Assignment: Potentially Use in Your Evidence Based Change Proposal ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Potentially Use in Your Evidence Based Change Proposal Post a preliminary working synthesis outline/chart of the chosen evidence to date for your EBP change proposal to be reviewed with the instructor (A bundle methodology for the prevention of Hospital Acquired Pressure Ulcer). Assignment: Potentially Use in Your Evidence Based Change Proposal Example of a Synthesis Chart is attached. You do not have to do it in a table format. You can create it any way you want as long as you have all the main points. The purpose is to create a summary of the articles you have found and then can discuss them and decide which ones to pick for the project. At least show 4 articles you have found from CINAHL, Cochrane, Medline, Embase, PsyINFO. Assignment: Potentially Use in Your Evidence Based Change Proposal synthesis_table__1_.docx synthesis_table.pdf Synthesis Chart of Reviewed Research Articles to Potentially Use in Your Evidence Based Change Proposal Title, Authors, Year, Journal/Source Study Design (Quantitative, Qualitative, RCT, Guideline, etc Number of Participants Location (where conducted) Level of Research Evidence Main Findings Strengths Weaknesses Use in Evidence Based Proposal? 1 2 3 4 5 6 7 Synthesis Chart of Reviewed Research Articles to Potentially Use in Your Evidence Based Change Proposal Title, Authors, Year, Journal/Source 1 2 3 4 5 6 7 Study Design (Quantitative, Qualitative, RCT, Guideline, etc Number of Participants Location (where conducted) Level of Research Evidence Main Findings Strengths Weaknesses Use in Evidence Based Proposal? Kelly Jankosky and ?Roechelle Montenegro Title, Authors, Year, Journal/Source 1 Title: Effects of guided imagery on postoperative outcomes in patients undergoing same-day surgical procedures: a randomized, single-blind study. Authors: Gonzales, Ledesma, McAllister, Perry, Dyer, Maye. Year: 2010 Journal/Source: American Association of Nurse Anesthetists Journal Study Design (Quantitative, Qualitative, RCT, Guideline, etc Randomized, single-blinded, quasi experimental study. Synthesis Chart of Reviewed Research Articles to Potentially Use in Your Evidence Based Change Proposal Number of Participants Location (where conducted) Wright-Patte rson Medical Center in Ohio with 44 adults. Level of Research Evidence Main Findings Strengths Weaknesses Use in Evidence Based Proposal? Level Three because it is a single randomized quasi-experimen tal study. -If guided imagery is implemented on the same day of surgery, results suggest that it still aids in decreased anxiety in patients. -No significant difference was found in narcotic consumption, time of discharge, or patient satisfaction. -Guided imagery group had statistically significant lower pain levels at the 2-hour mark post operatively. -Supports prior studies done that show statistical significance of guided imagery preoperatively to reduce pain. -Ability to be used by a patient without a trained specialist. -Trend of preemptive analgesia that providers would prescribe to patients prior to surgery as loading doses to reduce long-term requirements of pain medicine. This factor makes it challenging to assess differences in narcotic consumption. -It is a single blinded study versus a double blinded which is usually desired -Different types of surgeries which cause a difference in the degree of pain and length of surgeries. Yes, supports use of guided imagery to reduce pain in surgical patients 2 Title: Guided Imagery for Pain Management in Postoperative Orthopedic Patients: An Integrative Literature Review. Year: 2017 Journal/Source: Journal of Holistic Nursing 3 Title:Imagery for Self-Healing and Integrative Nursing Practice Year: 2015 Journal/Source: American Journal of Nursing Systematic Review 9 studies were included. Databases searched for this study included Cumulative Index to Nursing and Allied Health Literature, ProQuest, and PubMed. Systematic review This article incorporates a review of studies, which include randomized control trials, a meta-analysis , and pilot studies. Level One because this is a systematic review of randomized control trials, quasi-experimen tal, and non-randomized trials. Assignment: Potentially Use in Your Evidence Based Change Proposal -Eight of the studies showed some reduction in pain levels for the intervention group, with five being statistically significant. -Little evidence to support the use of guided imagery to reduce narcotic consumption -Patients reported that they liked the relaxation technique and helped create a healing environment for them. -Helped promote healing, dignity, and control over environment -Too much variation in frequency and length of interventions among studies. -Some sample sizes were too small to make a statistical analysis. – Pain was measured at different times in the studies which made it hard to analyze the outcome of interventions. Yes, this systematic review showed support for guided imagery although future research is recomme nded. Level Three because this is a systematic review of correlational/ob servational studies -A RCT of 26 patients with COPD found that oxygen saturation levels were significantly higher in the 13 patients who received guided imagery intervention than in the 13 assigned to quiet rest. -A pilot study investigating the effects of a 20-minute imagery-plus-music protocol on dyspnea in 53 patients with advanced cancer found that the intervention significantly increased end-tidal carbon dioxide levels, while significantly reducing heart rate, -Reduced pain and anxiety, decline in pharmacy costs, shorter lengths of stay, lower medical visits. -Majority of the trials show a significantly greater pain reduction with the use of guided imagery in the intervention groups then the control groups. -Minimal risks -Relaxation-induc ed anxiety, defined as a “sudden increase in anxiety during deep relaxation that can range from mild to moderate intensity and that can approach the level of a minor panic episode,” -Recommends that guided imagery should not be used as a stand-alone therapy when conventional medical treatment is recommended. This article supports the use of guided imagery with the review of prior studies. respiratory rate, and patient report of dyspnea. 4 Title: Is guided imagery effective in reducing pain and anxiety in the postoperative total joint arthroplasty patient? Quasi-experim ental, posttest-only design. 121 patients on the orthopedic unit at St.Luke’s Hospital. Level 3 because it was a quasi-experimen tal, posttest-only design controlled without randomization. -The use of non-pharmacological interventions has shown to reduce pain. -The study has shown there is a correlation between guided imagery and pain management. -Future research of guided imagery as an intervention for reducing pain and anxiety levels utilizing randomized control trials with attention to treatment should be done. Systematic review 8 studies were selected. Level 1 because it is a systematic review -The results from the study indicate that evidence could be identified on the use of guided imagery associated with relaxation therapy as a complementary approach to drug analgesia in postoperative pain Authors: Thomas, K.M., Sethares, K.A. Year: 2010 Journal source: Orthopaedic Nursing 5 Title: Relaxation therapy with guided imagery for postoperative pain: an integrative review. Assignment: Potentially Use in Your Evidence Based Change Proposal Authors: Felix, M.M., Ferreira, M.B., da Cruz, L.F., Barbosa, M.H. Data sources for the study included PubMed, Lilacs, Cochrane, Embase, Web -Using non-pharmacolog ical interventions such as guided imagery has a direct correlation to reduce pain. -The relationship between decreased anxiety and pain has been consistently demonstrated throughout the research study. -When patients had a choice to use guided imagery as opposed to the control, more patients chose the non-pharmacolog ical approach. -The benefits of guided imagery in association with relaxation therapy as a complementary approach to drug analgesia for postoperative pain management -The sample size represented a sample bias where the subjects were motivated to use a non-pharmacolog ical intervention. -The researchers did not have baseline data to compare since the study was a posttest only design. Yes, the study supports the implemen tation of guided imagery to have a direct affect on pain managem ent. -The reviews only included studies in Portugese, English and Spanish. Literature reviews were excluded from the study. Yes, because the study is nurse focused. Also the suggestion for nurses to seek training courses of Science and Cinahl. Year: 2019 Journal source: Pain Management Nursing 6 Title: Efficacy of guided imagery for postoperative symptoms, sleep quality, anxiety and satisfaction regarding nursing care: a randomized controlled study. Randomized control study 60 patients were randomized in the study, 30 in the control group, 30 in the intervention group. Level 1 because it was a randomized controlled study. Qualitative Study 40 hospitalized patients with cancer Level 4 because it is a single correlational/be havioral study Authors: Acar, K., Aygin, D. Year: 2019 Journal source: Journal of PeriAnesthesia Nursing 7 Title: Patients’ perceptions of the effectiveness of guided imagery and control strengthens its indication for nursing practice. -Among the 8 studies, 7 of them were developed by nurses. -6 of the 8 studies suggested the intervention was effective and 2 found no significant effects on postoperative pain, indicating the evidence was encouraged but not conclusive. -Anxiety and intensity of pain were higher in the control group than the intervention group. -Results supported that guided imagery can be useful in improving perianesthetic symptoms and can be a part of nursing care. -The study found that guided imagery reduced the anxiety in relation to the operation, improved patient satisfaction and decreased postoperative pain level. strengthens indication for nursing practice. Assignment: Potentially Use in Your Evidence Based Change Proposal -Nurses should seek training courses as well as guidelines to increase the awareness of guided imagery as an intervention to reduce postoperative pain. -The study has found preoperative surgery related anxiety and postoperative pain level were lower in the intervention group than the control group. -The study was randomized. -The study is very recent, less than a year ago. -Cognitive behavioral strategies such as guided imagery are -Health care providers can use this information to help patients for guided imagery to implemen t into nursing practice would support our interventi on for our EBP. -Limitation of the study included a wide range of surgeries. Results might be different if it was focused on a specific type of patient population. -Small sample size for a quantitative approach Yes, because it supports that guided imagery has an effect on decreased postopera tive pain level. -A small sample of participants was available for analysis. No, because the sample progressive muscle relaxation interventions used for cancer pain. Authors: Kwekkeboom, K.L., Hannah, H., Wanta, B., Bumpus, M. Year: 2008 Journal source: Complementary Therapies in Clinical Practice related pain in Wisconsin. Research study only included 26 post study interviews. useful in treating cancer pain for some patients. -Future research should explore treatment related characteristics such as active involvement and environmental factors. select behavioral strategies and customize individual care plans for patient’s pain. -Perceptions of pain relief were consistent with observed changes in pain scores. -Patients who dropped out of the study, information was not obtained as to which intervention they used. -The sample was not a representation of the population as the majority of the patient’s were caucasian. size was too small, it does not represent the populatio n. -The research article is 12 years old. -The patient’s in the article did not have surgery, and it discussed cancer pain, not postopera tive pain managem ent. … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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