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The Background

The current evidence carried out due to the research done is very important to the health professionals especially when it comes to performance improvement in terms of practices. The research is also meant to reduce the variations in care, waste of resources if there is need and to perform the needed work based on the evidence of the research carried out, for instance, performing a research on the hypo- and hyperglycaemia which is associated with the increase of the vulnerable infection and impaired immune response in patient will provide an insight to the medical professionals and the seriousness in it.

Glucose control has been considered to be the only option to critically ill patients so as to reduce mortality and morbidity issue. This has led to the implementation of the glucose management protocols in those Units.

Use of the audit and feedback will help in the facilitation in the translation evidence into the regular care thus encouraging the staff so get involved in the development approaches so as to improve the current routine.

With the view above, it then means that the reason for such a research is to come up with the ways of improving the current practices in the prevention and management of the hypo- and hyperglycaemia in those patients who are seriously ill.

Method

Nevertheless, for one to garner the needed information concerning this hypo- and hyperglycaemia, then the research was done on the ill patients. This research focused on public hospitals in Brisbane, Queensland of which it focused on the critically ill adults in the Intensive Care Unit (ICU). Other things that were undertaken during the research were the implementation of glucose on those ill patients. Technology was also embraced through the use of Practical Application of Clinical Evidence System (PACES) was in the analyzing data in order to determine the ICU’s current observation in relation with the glucose management. The outcome results were used in determining the action plan to be undertaken in determining the glucose management protocol improvement within the ICU. Some of the implementations to take place were the development and implementation of the glucose management protocol, barriers and facilitator’s identification and offering some education to the medical team when it comes to the initial audit.

Ethical considerations

During the research study, it focused only on the critically ill patients to come up with the information needed. It never focused on other patients or hospital team members. The reason why it focused on those critically ill patients was because the research was based upon on the NHMRC guidelines. There was no need for full ethical approval even though the there was a submission outlining the research. This was then given to the Hospital Research Ethics Committee of which the ethical permission was given.

Results

The pre-implementation audit showed that glucose management practice within the ICU did not match with the best available management and there was need to monitor patients by the clinical staff.

In line with the above, development of glucose management protocol was agreed upon so as to make work easier for the patients. After the approval above, then there was need to implement the protocol and staff education whereby a PowerPoint presentation method was to be used to explain the guidelines, current evidence for tighter glucose controlling critical illness and ways of using glucose algorithms. Then the implementation audit was posted

Discussion

The purpose of this research was never meant to identify current agreement with the recommended best practice in glucose management of critically ill patients but was also important in matters to do with improvement of glucose management protocol.

Conclusion

With the accomplishment of the above research, it is expected that the clinical staff will be in a position to improve their practices and services. 

References

  1. Mulhall, A.  (1998). Nursing, research, and the evidence. Retrieved on 21st July 2011 from http://ebn.bmj.com/content/1/1/4.full#ref-4
  2. Elham, I. (2011). Standards of Nursing practice. Retrieved on 21st July 2011 from http://www.asqh.org/entries/6-Standards-of-Nursing-practice
  3. Ploeg, J. (1999). Identifying the best research design to fit the question. Part 2: qualitative designs. Retrieved on 21st July 2011 from http://ebn.bmj.com/content/2/2/36.full
  4. Serena, H. (1999). The Importance of Research. Retrieved on 21st July 2011 from http://www.froedtert.com/HealthResources/ReadingRoom/HealthBlogs/MovingForward/TheImportanceofResearch.htm

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