RESPOND to one (1) posting from your peers. The same criteria concerning a personal opinion from the above paragraph, applies here as well. Your postings in response to your peers should be concise but facilitate a lively dialogue on the topic being discussed and should also show critical analysis of this week’s topic. Do NOT simply repeat information from your initial posting.The secondary or peer response must be between 150-200 words with at least one peer-reviewed reference. In-text citations and references are not included in the word count. Please double space between paragraphs but do NOT use double spacing or indention throughout. The only APA format should be for citation of sources in-text and the reference list. No file can be uploaded.
PEER POST:
Our unit is very large and employs over 90 full-time, part-time, and per diem nurses. More than 30 of these nurses have worked in our unit for 15-30 plus years. One can deduce that much of our practice variation may be due to the gap in reeducation and training once there are policy updates. One way to improve disbursement of new studies and discuss patient outcomes and care practices would be to have a pre-shift huddle with nurses to discuss unit and patient care issues. Evidence points to improved patient outcomes, decreased practice variation, and improved adherence to evidence-based practices when there is frequent continuing education and educational communication with the care team (Fontaine et al., 2024). This would also be a great way to evaluate my strategy success once implemented.
A short update on the thermoregulation policy would be discussed during the huddle and allow time for questions and comments on what struggles the nurses have been experiencing. A month after the reeducation, a follow-up discussion during huddle would address what improvements or challenges staff have noticed since reeducation on the thermoregulation policy. Next, a chart review of infants that have undergone transition to an open crib measuring success versus failure would be evaluated and compared to the prior month to substantiate the evaluation results. Using data such as weight, axillary temperatures and success/failure rates collected through a retrospective chart review, as outlined by Jacob and Casatelli (2020), will help confirm if the strategy was a success or not. Further dissemination of this strategy would be to provide the unit with the results of the weaning success through pre-shift huddle, email, and a printed version of the thermoregulation discussion and chart review results in the employee break room.
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