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Imagination & Innovation in Evidence-Based Nursing Care
The identified problem area is about lack of sleep/deprivation of sleep of the patient during their hospital admission as it can cause them problems such as fatigue, stress and more.
My innovation is called ‘Protected sleep times’.
– This is where the patient can sleep in peace during their admission on hospital wards.
– The patient can request not to be disturbed when they are sleeping at night/day time by the nursing staff/others/relatives.
– If the patient doesn’t have major problem, then they cannot be disturbed when sleeping just to do 4 hourly observations.
– As lack of sleep/sleep deprivation can lead to fatigue which affects mental state, moods and others problems such as stress… lack of sleep ïƒ lack of physical activity or compliance to treatment.
The aim of this innovation:
– To improve the care experience for patients by allowing them to sleep without disruption.
– To improve patient outcome and increases satisfaction of care.
– To maintain/promote privacy and dignity
– To enable patient to have their own choice and to improve services for patients, relatives and carers
– any other benefits to patient, relatives or staff
PART B (2500 words)
• Literature Review to identify problem area and justify the project to demonstrate a link to the evidence (2500 Words)
The literature overall used must be a mixture of published relevant studies as well as evidence gathered through use of the NHS Outcomes Framework and the NHS Quality Standards. The chosen review must reflect a Patient Experience, Patient Safety or Patient Outcome project.
The introduction should include a brief account and relevance of the area of practice that will be addressed, a brief outline of the proposed innovation and an indication of the content of the rest of the assignment.
This will contain an explanation of the context and the client group that will be affected by the proposed innovation (older people in residential homes, people with learning disabilities living independently, children awaiting surgery etc.) it is not an intention to criticise the staff already working in the environment or recreate what ‘should’ be occurring in the area already.
Critical review of the literature
The content of the critical review of the literature may be quite different, depending on the area to be addressed. However the general pattern should include:
Evidence that there is an aspect of care that can/should be improved (this could include reflection on clinical experience, but where possible statistics and existing research should be explored – i.e. national statistics for the number of older people admitted to hospital in a malnourished condition, the number of falls among care home residents, research showing that users of the service prefer single sex environments, etc. and government initiatives that may relate to the area of care; falls reduction, reducing medication errors etc.)
Once the need for change/improvement is identified any relevant literature that would support the proposed intervention should be considered. The proposed innovation may have characteristics in common with best practice in other care contexts, or a similar (not the same) innovation, may have been introduced in a different context and been shown to be successful. For example you could be proposing a new system for communicating between professionals supporting a transition to independent living, for people with mental health problems. There will be evidence relating to the importance of effective inter-professional communication and studies looking at different aspects of effective communication; these can be used to support your argument for your proposed innovation.
Throughout the literature review you should consider the nature of the evidence and the degree of confidence we can have in any research findings. (This is what makes it a critical review. A research study will carry more weight that an editorial in a pressure group newsletter, but also consider the relative strengths and limitations of different research studies – issues like sample size and reliability of measures in quantitative studies.)
A reference list (35+)
Use relevant United Kingdom policies and guidelines. (Use NMC code of conduct, UK privacy and dignity policies, NICE guidelines)
if possible use references from the united kingdom.
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