Yakın İşbirliğine Dayalı İleri Araştırma ve Klinik Uygulama Modeli: Kanıta Dayalı Düşme Önleme Stratejilerinin Kullanımı

Hasta düşmeleri, kliniklerde sık yaşanan ve ciddi sonuçlara neden olan hasta güvenliği problemlerindendir. Bu nedenle; düşme önleme stratejilerinin hastalara uygunluğunun ve uygulanabilirliğinin değerlendirilmesi, aynı zamanda düşmelere ilişkin kanıta dayalı hemşirelik rehberlerinin kullanılması hasta bakımının kalitesini artırmak açısından önemlidir.Kanıta dayalı hemşirelik uygulamalarının kullanılması ile hastanelerdeki hasta güvenliği süreçlerinin iyileştirilmesi mümkündür. Kanıtın uygulamaya geçirilmesinde, karmaşık olan süreçleri daha iyi anlamak ve yapılan girişimlerin işe yaradığını değerlendirebilmek için teori ve model kullanımına gereksinim bulunmaktadır. Bu makalenin amacı, Yakın İşbirliğine Dayalı İleri Araştırma ve Klinik Uygulama Modeli aşamalarının kanıta dayalı düşme önleme stratejileri kullanımını örnek üzerinden tartışmaktır. Makale, hemşirelerin kaliteli ve güvenli hasta bakım hizmeti sunmasına katkı sağlayacaktır.

Anahtar Kelimeler:

Yakın İşbirliğine Dayalı İleri Araştırma ve Klinik Uygulama Modeli, Kanıta dayalı hemşirelik, Düşme önleme stratejileri

The Advancing Research & Clinical Practice through Close Collaboration Model: Use of Evidence-based Fall Prevention Strategies

Falls are frequent patient safety problems that cause serious consequences occur at clinical settings. Therefore; fall prevention strategies and applicability assessment of the compliance of the patients and the use of evidence-based nursing guidelines on patient falls is important to improve the quality of patient care. Evidence-based practice can improve patient safety process in hospitals. Implement evidence to practice,there is better understanding of complex processes and requirements to use theories and models to assess interventions. To use this practice systematicly, evidence based nursing practice models should be appropriate to hospital process. Implemention of evidence to the practice, there is a better understanding of complex processes and requirements to use theories and models to assess utility of interventions. The purpose of article is to discuss evidence- based fall prevention strategies with The Advancing Research & Clinical Practice through Close Collaboration Model phases.Article will contribute nurses to provide quality and safe patient care

Keywords:

The Advancing Research & Clinical Practice through Close Collaboration Model, Evidence-based nursing, Fall prevention strategies,

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Bally JM. The role of nursing leadership in creating a mentoring culture in acute care environments. Nursing Economics. 2007;25(3):143-148.
Barker ER. Mentoring – A ccomplex relationship. Journal of The American Academy of Nurse Practicioners. 2006;18:56-61.
Bulut S, Türk G, Şahbaz G. Hemşirelerin hasta düşmelerini önlemeye yönelik uygulamalarının belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2013; 16(3):163-169.
Bleijlevens MHC, Hendriks MRC, Van Haastregt JCM, Crebolder HFJM, Van Eijk JTHM. Lessond learned from a multidisciplinary fall-prevention programme: The occupational-therapy element. Scandinavian Journal of Occupational Therapy 2010;17:319-325.
Craig JV, Smyth RL. The evidence-based practice manual for nurses. Churchill Livingstone, 2007.
Currie L. Fall and Injury Prevention. In: Hughes RG. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ Publication No. 08- 0043. April 2008
Cummings GG, Estabrooks CA, Midodzi WK, Wallin L, Hayduk L. Influence of organizational characteristics and context on research utilization. Nursing Research, 2007;56(4S):524-539.
DiCenso, A, Guyyat, G, Ciliska, D. Evidence-Based Nursing: A Guide to Clinical Practice. Mosby, 2005.
Dossey BM, Keegan K. Holistic nursing: A handbook for practice. American Holistic Nurses Association, 2013. Estabrooks C, Midodzi WK, Cummings GG, Wallin L. Predicting research use in nursing organizations: A multilevel analysis. Nursing Research 2007; 56 (4):7– 23.
Gawlinski A, Rutledge D. Slecting a Model for EvidenceBased Practice Changes: A Practical Approach. AACN Advanced Critical Care 2008; 19 (3):291-300.
Gerrish K, Ashworth P, Lacey A, Bailey J, Cooke J, Kendall S, McNeilly E. Factors influencing the development of evidence-based practice: a research tool. JAN 2007; 57(3):328-338.
Gray-Micelli D. Preventing falls in acute care. In: Capezuti E, Zwicker D, MEzey M, Fulmer T, editor(s). Evidence-based geriatric nursing protocols for best practice. 3rd ed. New York(NY): Springer Publishing Company:2008. p: 161-98.
Grenier-Sennelier C, Lombard I, Jeny-Loeper C, MailletGournet MC, Minvielle E. Designing adverse event prevention programs using quality management methods:the case of falls in hospital. International Journal for Quality in Health Care 2002;14(5):419-426.
Healey F, Scobie S, Oliver D, Pryce A, Thompson R, Glampson B. Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. Quality and Safety in Health Care 2008;17:424-430.
Houser J, Oman KS. Evidence-Based Practice: An Implementation Guide for Healthcare Organizations. Jones & Bartlett Learning. 2011.
Ingersoll GL. Evidence-based nursing:What it is and what it isn’t. Nursing Outlook 2000;48:151-152.
Kaushal R, Goldmann DA., Keohane CA, Abramson EL, Woolf S, Yoon C, Zigmont K, Bates DW. Medication errors in paediatric outpatients. Quality & Safety in Health Care 2010:19 (6), e30.
Kocaman G. Hemşirelikte Kanıta Dayalı Uygulama. Hemarge Dergisi 2003; 2:61-69.
Lake ET, Shang J, Klaus S, Dunton NE. Patient Falls: Association With Hospital Magnet Status and Nursing Unit Staffing. Research in Nursing & Health; 2010,33:413-425.
Levin RF, Fineout-Overholt E, Melnyk BM, Barnes M, Vetter MJ. Fostering Evidence-Based Practice to Improve Nurse and Cost Outcomes in a Community Health Setting: A Pilot Test of the Advancing Research and Clinical Practice Through Close Collaboration Model. Nurs Admin Q. 2011; 35 (1):21–33.
Melnyk BM, Fineout-Overholt E. Key steps to implementing evidence-based practice: asking compelling, searchable questions and searching for the best evidence. Pediatr Nurs. 2002;28(3):262-263.
Melynk BM, Fineout-Overholt E, Mays MZ. The evidence-based practice beliefs and implementation scales: psychometric properties of two new instruments. Worldviews on Evidence-Based Nursing 2008; 5(4): 208-216.
Melnyk BM, Fineout-Overholt E. ARCC (Advancing Research & Clinical Practice through Close Collaboration): a model for system-wide implementation and sustainability of evidence-based prectice. In: Rycroft-Malone J, Bucknall T, editors.
Models and frameworks for implementing evidencebased practice: linking evidence to action. Oxford; Ames;IA: Wiley-Blackwell; Sigma Theta Tau; 2010.
Melnyk BM, Fineout-Overholt E, Giggleman M, Cruz R. Correlates among cognitive beliefs, EBP implementation, organizational culture, cohesion and job satisfaction in evidence-based practice mentors from a community hospital system. Nurs Outlook 2010; 58: 301-308.
Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2011.
Melnyk BM, Fineout-Overholt E, Gallagher-Ford L, Stillwell SB. Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model: The team adopts the Advancing Research and Clinical Practice Through Close Collaboration model.AJN 2011; 111 (9): 57-60.
Melnyk BM. Achieving a High-Reliability Organization Through Implementation of the ARCC Model for Systemwide Sustainability of Evidence-Based Practice. Nurs Admin Q. 2012; 36(2): 127–135.
National Center for Patient Safety:Fall Prevention and Management. Standard Fall Prevention Interventions. Erişim Tarihi: 27.12.2014
http://www.patientsafety.gov/CogAids/FallPrevention/i ndex.html#page=page-7
National Health Service England (NHS England). NRLS Quarterly Data Workbook up to March, 2012 Erişim Tarihi: 04.12.2014
www.nrls.npsa.nhs.uk/resources/collections/quarterlydata-summaries/?entryid45=135152 Oliver D, Connelly JB, Victor CR, Shaw FE, Whitehead A, Genc Y, Vanoli A, Martin FC, Gosney MA. Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analyses. BMJ 2007;334:82-5.
Oliver D, Killick S, Willmott M. Do falls and falls-injuries in hospital indicate negligent care—and how big is the risk? A retrospective analysis of the NHS Litigation Authority Database of clinical negligence claims, resulting from falls in hospitals in England 1995 to 2006. Quality and Safety in Health Care 2008;17:431- 436.
Özkan S, Öztürk C. Neuman’ın sistemler modeli kullanımına bir örnek: pnömonili bir bebeğin hemşirelik bakımı. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 2013; 4( 3):109-114.
Porter-O’Grady T, Malloch Kathy. Innovation leadership: Creting the landscape of health care. Jones and Bartlett Publishers,LLC; 2010.
Rycroft-Malone J, Harvey G, Seers K, Kitson A, McCormack B; Titchen AAn exploration of the factors that influence the implementation of evidence into practice. Journal of Clinical Nursing 2004; 13(8), 913– 924.
Sağlık Bakanlığı Hastane Hizmet Kalite Standartları, 2013. Erişim Tarihi: 04.12.2014
http://www.datcadh.saglik.gov.tr/files/ek122082013.pd f Schaffer MA, Sandau KE, Dierdrick L. Evidence-based practice models for organizational change:overview and practical applications. Journal of Advanced Nursing, 2012; 69(5):1197-1209.
Scott K, McSherry R. Evidence-based nursing: clarifying the concepts for nurses in practice. Journal of Clinical Nursing 2008; 18:1085-1095.
Scully NJ. The theory-practice gap and skill acquisition: an issue for nursing education. Collegian. 2011;18(2):93-8.
Squires JE, Estabrooks CA, Gustavsson P, Wallin L Individual determinants of research utilization by nurses: a systematic review update Implementation Science, 2011, 6:1, 1-20.
Upton D, Upton P. Development of an evidence-based practice questionnaire for nurses. JAN 2006; 54(4), 454-458.