Iowa Model of Evidence-based Practice is one of the EBP strategies implemented in the ICU of Kamuzu Central Hospital (KCH) presented by Chiwaula et al. (2021). In the ICU, fever monitoring is a significant concern because patients in ICU are very vulnerable, requiring intervention as there are discrepancies in the fever management protocol. The study highlights the importance of using a temperature monitoring device with connected sensors (patient care technology) for fever monitoring in the ICU. This technique has empowered frontline nurses in the systematic management of the ICU for efficient, competent, and optimal care of patients. The purpose of the model is to generate a guideline for routine practice. Data was collected and analyzed using STATA 12.0 software for applying statistical tools like paired t-tests and to correlate the patient’s condition (temperature change) with clinical interventions spearman correlation was used. A study by Liu et al. (2020) evaluated the use of AI technology in a wearable wireless device iThermonitor WT705. This device helped in continuous temperature monitoring for patients admitted to the surgical wards. The device aided in the continuous temperature measurements during the perioperative period. The study demonstrated that this device can capture more fevers as compared to intermittent observations. The precision of the device can be improved by adding advanced algorithm training and development.
NURS FPX 5005 Assessment 3 Evidence-Based Practice Application
The consent of patients could not collect which they cannot give because patients mostly in ICU are unconscious and permission was sought from the caretakers of patients. This is the main area of uncertainty because EBP is based on patient critique and participation (Chiwaula et al., 2021).
EBP has the potential to become a go-to guide for the patient with a specific condition, but the circumstances and symptoms of the patient can vary from patient to patient. EBP demands great care while implementing guidelines using EBP (Chiwaula et al., 2021).
Ethical concerns relating to patient-doctor confidentiality and the code of ethics demand that patients are briefed on the study and that health implications and permission must be sought while conducting investigations relating to the patient (Chiwaula et al., 2021). The ethical considerations for evidence-based practice ensure that all the ethical principles recommended by Belmont principles must be followed (Tu & Gao, 2021). Belmont’s ethical principles include respect for the autonomy of persons, beneficence, and justice. The regulatory considerations are that the evidence-based technology needs to fulfill all regulatory recommendations by FDA. The Belmont principles and regulatory recommendations from FDA impacted the implementation of the wearable wireless technology device iThermonitor WT705 for continuous temperature monitoring in intensive care units of hospitals.
Patient safety and privacy are concerns that sometimes can call for intervention as in the case of fever intervention in the ICU (Chiwaula et al., 2021). With intervention relating to serious procedures, patient safety becomes a major factor while implementing EBP. EBP always calls for structural changes in an organization and technology upgrades, which demands more funds and are linked to financing, which is another policy concern while implementing EBP (Chipps et al., 2020).
Evidence-Based Practice can solve novel problems in the healthcare sector if opportunities and scholarships are provided to nurses participating in these studies because they are contributing with time and effort. Nurses conducting evidence-Based Practice must consider strict evaluation criteria for literature and ensure methodological quality. While performing any EBP study, patient confidentiality concerns and patient anonymity must be maintained.
Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35. https://doi.org/10.11648/j.ajns.20200901.16
Chipps, E., Tucker, S., Labardee, R., Thomas, B., Weber, M., Gallagher-Ford, L., & Melnyk, B. M. (2020). The impact of the electronic health record on moving new evidence-based nursing practices forward.&n
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