evidence-based practice, research and knowledge professional development. I can remember the reluctance of the nursing staff to incorporate this extra step when we introduced this concept. The Academy of Medical-Surgical Nurses (AMSN) partnered with Medtronic to. It was offered and completed as part of routine care. The most impressive change was the addition of a local anesthetic before my intravenous line was started. I was asked about my pain level every time I awakened. Times have changed, as demonstrated by customer service initiatives and HCHAPS (Hospital Consumer Assessment of Healthcare Providers and Systems) questions. I remember when pain management was not a high priority in patient care. All of these interventions assured my infection risk was low on my list of potential complications. I won't bore you with the details because we all know there is plenty of evidence supporting these practices in reducing infection. Of course I had a dose of antibiotics prior to the surgical procedure (I don't actually remember this as I was already asleep by then). Then I used chlorhexidine gluconate cloths for a final cleansing. Regional Evidence-Based Practice Program, NovemRecommendations : Nursing leadership has the opportunity to develop realistic, clear, and nurse-owned/driven policies for vital sign and physical assessment documentation and clinical decision-making. Findings from an extensive body of research support that EBP improves the quality and safety of healthcare, enhances health outcomes, decreases geographic variation in care, and reduces costs (McGinty & Anderson, 2008 Melnyk & Fineout-Overholt, 2015 Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012a). Evidence-based practice (EBP) integrates the clinical expertise, the latest and best available research evidence, as well as the patient’s unique values and circumstances. I took a Hibiclens shower the night before and the morning of surgery. As a patient, I performed nasal swabs to rule out MRSA (methicillin-resistant Staphylococcus aureus). I'll start with the prevention of infection. It is no longer sufficient to say, "That's the way we've always done it." We've come a long way in building a scientific basis for many medical-surgical interventions. I wondered if we, as medical-surgical nurses, realize so many of our actions are guided by evidence-based nursing, including research findings. I couldn't help but think about the evidence supporting much of the care I received. Furthermore, nurse burnout impacts their ability to provide safe patient care with optimal patient outcomes (Bao & Taliaferro, 2015. Although I never went to the medical-surgical unit, I was very conscious of the "med-surg" care I received as a patient, if only for a short time. I recently underwent an outpatient back procedure and a successful recovery at home. I am once again overcome with great pride and humility that I am able to work with medical-surgical nurses through AMSN. I hope they will consider medical-surgical nursing their specialty, as I have. They are beginning a rewarding and challenging profession. Such decision-making impacts whether an EBP will be adopted or sustained, which ultimately impacts service quality and patient outcomes. Six new graduate nurses are starting orientation on our medical-surgical unit.
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