Staff Development PowerPoint
Your staff development PPT presentation will include the information from your written paper in 10-12 slides (including a title and reference slide in APA format). Make sure to include speaker notes at the bottom of your slide to explain the content of your slide.
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Reason for choosing this topic.
This topic was chosen to investigate the impact of early ambulation on postoperative complications, specifically deep vein thrombosis, in adult patients who have undergone major surgical procedures. It is an essential topic because postoperative complications such as deep vein thrombosis can significantly impact patient outcomes, hospital length of stay, healthcare costs, and patient satisfaction. Healthcare professionals can improve clinical practice and patient care by identifying the potential benefits of early ambulation.
PICOT Question
Among adult patients who have had a major surgical procedure, early ambulation or within the first 24 hours compared to delayed ambulation or after 24 hours or standard care lead to a reduction in postoperative complications like deep vein thrombosis.
Population: The population, in this case, is the adults who have undergone a major surgical procedure. The population includes patients who can be considered as the surgeries that require general anesthesia, leading to a greater physical effect on the patient's body. Some surgical procedures are major orthopedic and abdominal surgeries (Tazreean et al., 2021). The population can also include patients who are also healthy or individuals with comorbidities who might have had surgery for either emergent reasons or elective reasons.
Intervention: The intervention, in this case, involves early ambulation within the first 24 hours following the surgical procedure. The intervention, in this case, involves getting patients up and moving immediately after the surgical procedure within the first 24 hours of the procedure.
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The intervention also involves the activities like walking, sitting up, or standing, and physical therapists or other healthcare professionals guide this.
Comparison: The comparison, in this case, is the delayed ambulation after 24 hours following the surgical procedure or standard care. The comparison group is the patient receiving delayed ambulation, which involves waiting until 24 hours post-surgery to help initiate mobility activities (Lei et al., 2021). The comparison group also includes the clients receiving the standard care that varies depending on the institution and the type of medical surgical procedure, which does not include a particular focus on early ambulation.
Outcome: The outcome, in this case, is the reduction of postoperative complication. In this case, the complications include deep vein thrombosis. The outcome is the interest of the study, and it is expected that the successful implementation of the intervention will help reduce the complications blood clot and length of hospital stay by the patients and improve patient survivals. The reduction in the cases of blood clots related to positive improvement in the level of patient outcomes. Moreover, it positively impacts the healthcare costs and use of resources. In addition, patient satisfaction is an important aspect to consider since early ambulation can positively affect the patient's overall experience of the surgical process.
Time: The required period for implementing the intervention is the first week of the post-surgery. The first week is an important period where patients can experience different postoperative complications like deep vein thrombosis. The specification of the timeframe for the evaluation of the outcomes of the intervention makes it possible to capture early improvements in patient outcomes related to early ambulation.
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Research indicates that early ambulation following a surgical procedure is linked to reduced risk of postoperative complications, reduced hospital length of stay, and enhanced patient satisfaction. Focusing on the first-week post-surgery allows one to evaluate whether the benefits are important in the immediate postoperative period that can impact the clinical practice. The limitation of the timeframe to the first week post-surgery enables the study to ensure that an improvement in the outcomes linked to early ambulation is not just due to the chances or factors likely to change over time.
Possible integration of the evidence that you found in clinical practice
Creating clinical practice guidelines is one way to incorporate evidence found in clinical practice. These guidelines should be evidence-based and provide specific instructions on when and how to begin early ambulation in postoperative patients. By standardizing the practice and ensuring consistency in care, policies can assist healthcare professionals in implementing early ambulation as a routine part of postoperative care.
Another critical step is to educate and train employees. Nurses, physicians, and physical therapists, among others, should be educated on the evidence supporting early ambulation and its benefits in reducing postoperative complications. Training sessions, workshops, or educational materials can be used to disseminate this information and ensure that healthcare professionals are knowledgeable and confident in incorporating early ambulation into their practice.
In addition to education, early ambulation can be aided by incorporating it into the electronic health record (EHR) system. It may include prompts or reminders for healthcare professionals to begin early ambulation within the recommended timeframe. By incorporating this
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data into the EHR, healthcare professionals are more likely to consistently follow evidence-based practice and track the implementation and outcomes of early ambulation.
Furthermore, for successful implementation, multidisciplinary collaborations and teamwork must be established. Including nurses, physical therapists, and surgeons in the care planning and decision-making process can aid in implementing early ambulation. Regular team meetings and discussions can improve communication, problem-solving, and care coordination, leading to better adherence to early ambulation practices.
Methods to evaluate the effectiveness of implementation.
Several methods can be used to assess the effectiveness of implementing early ambulation. Data collection before and after the intervention allows for comparing outcomes, such as postoperative complications, hospital stay duration, and patient satisfaction, before and after the intervention. This method makes it easier to attribute any observed changes to the implementation of early ambulation.
Audits and chart reviews, for example, provide insights into the implementation process and its impact on patient outcomes. These initiatives allow for identifying areas for improvement, evaluating adherence to early ambulation practices, and tracking changes in results over time.
Collecting patient feedback and conducting surveys can provide valuable insights into the efficacy of early ambulation. Healthcare professionals can better understand the impact of early ambulation on patients' experiences by assessing patient satisfaction, perceived benefits, and any challenges encountered.
Collaboration with researchers or participation in early ambulation studies allows for a more comprehensive evaluation. These studies, conducted using randomized controlled trials or
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other rigorous research designs, provide a deeper understanding of the impact of early ambulation on specific outcomes, thereby strengthening the evaluation process. Healthcare professionals can gain comprehensive insights into the effectiveness of implementing early ambulation by combining these evaluation methods. Continuously monitoring outcomes, soliciting patient feedback, and collaborating on research allow for more informed decision-making, better care delivery, and better patient outcomes.
References
Lei, Y. T., Xie, J. W., Huang, Q., Huang, W., & Pei, F. X. (2021). Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China. Military Medical Research, 8(1), 1-7. https://doi.org/10.1186/s40779-021-00310-x
Tazreean, R., Nelson, G., & Twomey, R. (2021). Early mobilization in enhanced recovery after surgery pathways: current evidence and recent advancements. Journal of Comparative Effectiveness Research, 11(2), 121-129.
