Effects of shift work and fatigue on medication errors

Literature Search Worksheet Select a literature search topic relevant to your practice. The topic must be sufficiently delineated in scope without being trivial. You will revisit this article in the Week Five presentation. Possible topics include but are not limited to: Nonpharmacological pain relief with childbirth o Effects of shift work and fatigue on medication errors o Best practices for pin site care o Nurse satisfaction in magnet hospitals o Accurate temperature assessment methods in neonates o Pain assessment in the cognitively impaired o Childhood type II diabetes and obesity o Complementary and alternative therapies for control of menopausal symptoms o Best practices in nurse-led smoking cessation classes o Thermoregulation in the operating room o Best practices for pain assessment and management in specified area of practice Complete the table below: Which topic did you choose? Which three databases will you use? 1. 2. 3. Search each database, using keywords, for relevant research on this subject. What keywords did you use in the Search Strategy fields? Include all attempts and limitations used to refine your search. 1. 2. 3. Report the number of citations identified from each database in the number of articles found field. 1. 2. 3. Select one article from a peer-reviewed nursing journal published within the last three years or a germinal article which may contain an earlier publication date and provide the citation in APA format. Answer the following questions using your selected research article: 1. Is this qualitative or quantitative? What is the study design? What criteria did you use to determine the study design? 2. How did you confirm that the journal you selected was peer-reviewed or germinal? 3. Does this research article generate support for evidence-based practice? If not, state why it does not. Please review the critical appraisal guideline on pg. 466-480. ANSWER Evidenced Based nursing, literature search worksheet The following paper is a literature worksheet that aims at analyzing various aspects of evidence-based nursing.Topic. Thermoregulation in the operating roomDatabases used. 1. Pub Med 2. CINAHL 3. MedlineKey words used in the Search Strategy fields. Including all attempts and limitations used to refine your search. 1. Thermoregulation 2. Operation room 3. Thermoregulation in the operating roomNumber of citations identified from each database in the number of articles found field. 1. Pub Med reported 6 citations 2. CINAHL reported 10 citations 3. Medline reported 8 citations. The peer-reviewed article chosen is Reducing the risk of unplanned preoperative hypothermia journal. The journal addresses the issue of patient safety in the surgical or operating room. Maintain normal temperature is significant in positive surgical results, patient safety, and amplified patient satisfaction (Lynch, Dixon & Leary, 2010). There are various causes of unplanned hypothermia in the operating room including effects of anesthesia, wound and skin exposure, cold irrigation solutions, cold room temperatures, and patient risk aspects (Lynch, Dixon & Leary, 2010). The Journal conducted a project to evaluate the efficiency of using warm irrigation solutions, warm blankets and beddings, forced warming through air for patients and warming of operation rooms during surgical operations. Nursing standards clearly state that patient safety and welfare are the key factors that ought to be upheld by all professional nurses (Weirich, 2008). Is this qualitative or quantitative? What is the study design? What criteria did you use to determine the study design?The article is qualitative because it used various methods or techniques of attempting to regulate or normalize temperatures for patient in the operation room. The results proved the methods were of quality in regulating temperature. The study design in this journal includes three trials conducted aimed at warming the patient with various different techniques at separate intervals (Lynch, Dixon & Leary, 2010). The first trial was to use warm blankets to maintain and increase temperature for the patient during operating periods. The trial was applied to 28 randomly selected patients from November 2007 to February 2008 (Lynch, Dixon & Leary, 2010). The second trial involved the application of warmed irrigation fluids for temperature maintenance. In this trial warmed laparoscopic irrigation, fluid was used in 28 patients from June 2008 to July 2008 (Lynch, Dixon & Leary, 2010).The third technique was using forced-air warming in patients. It was applied to 28 patients from August 2008 to September 2008. The criteria used for the study design was the purpose of the project, which was to research and employ best practices to guarantee normal or regulated temperatures in surgical patients and meet Association of periOperative Registered Nurses standards that recommends the use best practices for avoidance of hypothermia (Lynch, Dixon & Leary, 2010).How did you confirm that the journal you selected was peer-reviewed or germinal?The journal is peer reviewed since it is based on numerous sources that include very many professional in that practice. In addition, the Association of periOperative Registered Nurses has approved it.Does this research article generate support for evidence-based practice? If not, state why it does not. Please review the critical appraisal guideline on pg. 466-480.The research has generated support for evidence-based practice. The research was conducted in Riddle Memorial Hospital and used 28 random patients and carefully documented, sorted, and summarized the data that proved to be very effective (Lynch, Dixon & Leary, 2010). References Lynch, S., Dixon, J. & Leary, D. (2010). Reducing the Risk of Unplanned Perioperative Hypothermia.AORN J. 92, (5): p 553-565. Weirich, T. (2008). Hypothermia warming protocols: why are the not widely used in the OR?. AORN J.87, (2): p 333344.

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