Rm

[Rm @thedrfroggy]

M11 One difference between PBE and EBP regarding delirium is generalizability. My implementation uses a specific EHR to populate a family education nursing task. The poster and education are based on EBP from literature, the intervention will generate PBE #NURS751

[Rm @thedrfroggy]

M12 The most important point of EBP in my future practice is cooperation. Inter-department and inter-facility collaboration makes creating and disseminating EBP much more achievable. #NURS751

[Rm @thedrfroggy]

#RiddleMeThis The greatest challenge to implementation for my intervention will probably be convincing bedside nurses that increased family education will benefit their workload #NURS751

[Rm @thedrfroggy]

M12 I take an active role in is the American Association of Critical-Care Nurses. I am looking into a local chapter, am submitting a poster abstract for their next national conference, and have a manuscript in the works for their journal @AACN #NURS751

[Rm @thedrfroggy]

M10 I plan to use a CDSS to create the innovation task for the bedside nurse. The innovation is a CPG for family education to reduce risk factors of ICU delirium, so when risk of delirium is detected from nurse assessment information the CDSS will schedule the task#NURS751

[Rm @thedrfroggy]

Welcome Dr. Jeffery! I have to carry pager, phone, & portable monitor to a rapid response evaluation. How do you see incorporating a deterioration PB-CDS into current electronic tools? Your article made it sound great, but I don’t want to carry another thing #NURS751 #AJNURS751

[Rm @thedrfroggy]

M9 The CPG for the Prevention and Management of…Delirium…in Adult Patients in the ICU (2018) is a strong policy. Interprofessional & international experts & ICU survivors used GRADE criteria for current literature & recommendations. Endorsed by AACN @AACNme #NURS751

[Rm @thedrfroggy]

M8 Decision aid for delirium: obvious – the CAM-ICU /#CAMICU; provider treatment decision aid – eCHAMP /the obvious # all taken, would make it #eCHAMP4delirium. I know it is long, but “eCHAMP” has a lot of meanings on twitter #NURS751

[Rm @thedrfroggy]

@JaneCarrington2 My child refused to major in what he loves. "I want it to still be fun, not work"

[Rm @thedrfroggy]

M7 Floor nurse innovation adoption will be the greatest challenge. The key to overcoming will be early inclusion of floor nurses in the design of the innovation for trialability, sharing improved patient outcomes, and demonstrating lowered nursing burden #NURS751

[Rm @thedrfroggy]

M6 The JHNEBP best fits my research of family inclusion in ICU dementia screening. Author Johns Hopkins Nursing Center for Evidence-Based Practice: @IJHNursing posts projects, education, and update information #NURS751

[Rm @thedrfroggy]

Thank you @JenniferMensik for taking the time to answer so many questions! You were a great help! #NURS751 #JMNURS751

[Rm @thedrfroggy]

M5 One problem with CPG mandated treatment is patient response to treatment does not always follow the guideline. Treatment individualized for better patient outcomes = insurance payment in jeopardy. Have seen DKA with CHF: lowered infusion rates, would not pay #NURS751

[Rm @thedrfroggy]

Welcome @JenniferMensik! I have colleagues that use “over at *** they…” or “I heard…” but do not have any evidence or research to go with their suggestions. How do you professionally encourage others to bring evidence based practice findings to meetings? #JMNURS751

[Rm @thedrfroggy]

M4 A systematic review and meta-regression analysis of organizational factor influence on ICU delirium incidence by Rood et al., 2018. Contributes through identifying associated and non-associated organizational factors in ICU delirium measured by CAM-ICU #NURS751

[Rm @thedrfroggy]

M3 Use of qualitative or quantitative EBP depends on the planned intervention. Quantitative measures are stronger indicators of significance but outcome measures should be considered. For qualitative goals, qualitative research applies, and the same for quantitative #NURS751

[Rm @thedrfroggy]

@RN_dwilliams I would take recommendations into consideration, especially with labile patients. Low evidence does not mean no evidence.

[Rm @thedrfroggy]

M2 The AACN article evidence is B (silence during readings) down to E (best frequency) by author statement and citations. Readings indicate finding meta-analysis for low evidence such as cuff sites for non-arm measurements and elderly would strengthen recommendations. #751

[Rm @thedrfroggy]

M1 Quest Goal: learning how to implement EBP that meets patient goals, not my perception of their needs #NURS751

[Rm @thedrfroggy]

@JaneCarrington2 @UACON It means providing current researched solutions to practice problems (mine and my patients') #NURS751