evidence based practice day an innovative educational.pptVIP

Critique and synthesize evidence Denis M, Moffet H, Caron F. at al. Effectiveness of continuous passive motion and conventional physical therapy after total knee arthroplasty: a randomized clinical trial. Physical Therapy 2006;86:174-185. Intervention 35 minutes per day, 2 hours a day, etc. What is key to all this is that she had access to information, resources, support and the opportunity to take advantage of them. * Continuous Passive Motion Machine: An Evidence Based Practice Project Alicia Emaish, RN Jean Cody, MS, RN 99 Bed, Rural Community Hospital Magnet Designated since 2002 Objectives Describe the physiological evidence for CPM use Describe the state of the science of nursing care related to CPM therapy. Describe how this small, staff nurse developed project is evolving into a nursing research study. Describe how this innovation is a Magnet Nursing Exemplar for using New Knowledge and Innovation. Leadership Opportunity Organization became involved in a long term designee leadership program Problem solving the “pebble in your shoe” Opportunity for innovation What is a CPM machine? Continuous Passive Motion machine Developed in late 1970’s in animals (1) Early 1980’s CPM use began after total knee replacement (TKR) (2) Allows the knee to move without engaging muscles Provides a favorable environment for the cells to grow Reduces the likelihood of the knee joint becoming stiff CPM Machine Nursing Innovation: Creatively timing the administration of the CPM machine. Opportunity Accuracy Smaller, more specialized group of caregivers Safety Less equipment Decreased risk of falls Amount of therapy Uninterrupted therapy Additional PT Project Developed the trial innovation Evaluated 12 pt’s that used CPM’s during the day Educated staff of trial Trialed 12 pt’s using CPM’s during the night shift hours Compared lengths of stay Project Outcomes Post-operative length of stay was decreased by 1 day (on average). Measured by pre and post implementation dat