Unit 7, Blog Entry 2
Identify two ways evidence-based practice is used in your
institution. Using the processes described in the article, evaluate how
information technology impacts your use of EBP. What are two implications of
using technology? How can it be improved?
Two ways evidence-based practice is used in my institution
Our outpatient chemotherapy center uses evidence-based
practice in the educational process of our patients on the chemotherapy regimen
they are receiving in our care. Our
center utilizes computer based video education on the chemotherapy regimen each
and every patient is to receive. The needs of each individual patient can vary
but it has been proven that utilizing computer based teaching with interactive
video stimulates the senses of the patient and allows for greater levels of knowledge
retention (Lewis, 1999).
The second way evidence-based practice is utilized in our
institution is in the safety practices we use when administrating chemotherapy products
to our patients. Evidence based
guidelines are followed with each and every administration of chemotherapy
product, this does not vary patient to patient and must be used to protect the safety
of the patient and the health care provider (ONS, 2015).
How Information Technology impacts EBP in the institution
Our computer based interactive video based teaching is
directly linked to the institutions intranet.
The Intranet is linked to video servers that yield specific program and
videos that are relative to the different chemotherapy agents that we use in
the clinic each day. The touch screen
video displays are capable of linking the patient to the internet and many
times links are provided and encouraged by the video teaching program.
The safety guidelines that we utilize in the clinic are also
impacted by technology. Each chemotherapy
drug is cross matched with the patient’s current medication list and
contraindications and possible reactions are provided for the health care
professional to evaluate. Even the IV pumps are linked into the
guidelines of chemotherapy administration through the information system, it is
here that the drug, dose, rate, route, and total mix volumes are analyzed and
double checked before the administration of the chemotherapy can occur. We also utilize a two nurse checklist to
double check our automated IV smart pumps.
Our clinic also utilizes information technology to go back to the
original source of the patient’s pathology report before any treatment can be
given. This is an easy process if the
pathology report was generated within the organization, but can become much
more complex if it exists outside w
Implications of the technology
The greatest implication of the use of information
technology along with our evidence based practice is the increased level of
patient safety and satisfaction that we develop. Another implication is through the
information technology the video teaching allows for greater levels of
compliance because the patient is more aware of how the therapy will benefit
them and the need to stay on schedule with the treatments and evaluations.
Improvements
As technology increases and our information systems become
more advanced it will be possible to achieve even greater rates of intervention
by using technology to benefit more aspects of the evidenced based
practice. We can gear our information
systems to better interact with the evidence based processes we are using to
protect and satisfy our patients. The
more information that is available at the tips of the fingers of the patient
the calmer and more relaxed the patient will be with their treatment regimen.
References
Lewis, D. (1999). Computer-based Approaches to Patient
Education: A Review of the Literature. Journal
of the American Medical Informatics
Association : JAMIA, 6(4), 272–282.
Matter, S. (2006). Empower nurses with evidence-based
knowledge. Nursing Management,
37(12), 34–337
Oncology Nursing Society. (2015). Chemotherapy guidelines
for administration. Retrieved from:
http://www.instituteforquality.org/asco-ons-standards-safe-chemotherapy-administration
This comment has been removed by the author.
ReplyDeleteHi Duane,
ReplyDeleteI do agree that as technology increases and information systems becomes more advanced, the more advantageous it would be. Bakken (2001) (as cited by Bloomrosen & Detmer, 2009) stated that informatics infrastructure is significant for EBP, however, informatics infrastructure should be composed of the following: standardized terminologies and structures, electronic sources of evidence, standards that provide exchange of data no matter what type of systems, methods that assist in the acquirement and implementation of evidence which is distinct in every clinical situation and informatics competencies.
Reference
Bloomrosen, M., & Detmer, D. E. (2010). Informatics, evidence-based care, and research: Implications for national policy: A report of an American Medical
Informatics Association health policy conference. Journal Of The American Medical Informatics Informatics (JAMIA), 17(2), 115-123. doi: 10.1136/jamia.2009.001370. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3000781/pdf/jamia001370.pdf
Hi Duane,
ReplyDeleteComputer-based teaching is a great teaching strategy to use to enhance knowledge. According to (Lau, 2014) CBTM has been validated by several randomized controlled trials to improve teaching efficacy. Some advantages to using this teaching style include increased learner convenience and interact ability. It’s great that your institution uses this type of teaching style to teach about chemotherapy regimens. I think that this style will keep the patient engaged and promote enhanced learning and knowledge. I have found that just doing face-to-face teaching as a strategy in teaching chemotherapy regimens does not always offer enhanced learning.
Reference
Lau, K. H. (2014). Computer-based teaching module design: principles derived from learning theories. Medical Education, 48(3), 247-254. doi:10.1111/medu.12357