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Being Accountable Essay

1034 words - 5 pages


Being Accountable: Utilizing Evidence-Based Research
Grand Canyon University
NRS 430V Professional Dynamics
August 27, 2011

Being Accountable: Utilizing Evidence-Based Research

Merriam-Webster defines accountability as “an obligation or willingness to accept responsibility or to account for one’s actions” (Merriam-Webster, n.d.) What does this term mean from the global healthcare perspective? In the healthcare arena, it is a legal, moral, and ethical term used to describe healthcare providers’ obligation to themselves, their patients, and to society as a whole. The nurse is an integral part of the healthcare team that ...view middle of the document...

It is of essential importance for the nurse to stay current on standards of care for their specialty. Using data from comprehensive research methods provides the crucial groundwork for best practices. Integrating clinical expertise with this sound research will lead to positive patient outcomes. (Seton Healthcare Family, 2011).To improve patient outcomes nurses can utilize thorough research from government agencies whose focus is to ensure that quality healthcare is being provided to all Americans. The Agency for Healthcare Research and Quality Assessment, (AHRQ), which is an agency within the Department of Health and Human Services, provides yearly patient safety initiatives based on research that should be implemented in order to provide safe patient care. This paper will use a patient care scenario to demonstrate how changes can be made to patient care using research to meet the requirements set by AHRQ. One opportunity for patient safety improvement set forth by AHRQ is the use of maximum sterile barriers while placing central intravenous catheters to prevent infections. (Agency for Healthcare Research and Quality Assessment [AHRQ], 2011).
The nurses on a critical care unit have been informed by nursing leadership that the rate of central line- associated bloodstream infection (CLABSI) has risen on their unit. The nurses are asked to form a task force to evaluate the situation and implement ways to improve the CLABSI rate on their unit. Based on evidence based practice, the nurses start off by looking at the hand hygiene protocol and make sure that the staff is adhering to the guidelines set forth by the institution and the Center for Disease Control (CDC). The nurses find that antiseptic hand gel is not strategically placed in the patients’ rooms. They also find that patients and their families are not educated on CLABSI prevention. Upon observation of multiple central line insertions, the nurses find that the patients are not draped with large sterile drapes and the residents are not necessarily using maximum barrier protection for the insertions of central lines, and that they are sometimes using different antiseptics for skin preparation prior to insertion and using the femoral vein for access. Based on these findings, the nurses use literature and research from the CDC and the Joint Commission; they prepare new guidelines and update...

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