In adult trauma ICU patients (P), what is the effect of thromboelastographic (I) compare to standard laboratory coagulation testing (C) on patient outcome (O) during their admission (T)?


Description

My hypothesis is that thromboelastographic (TEG) is superior to standard laboratory coagulation testing in hemostatic resuscitation of bleeding adult trauma patients. Once I can establish that, I want to create an education session to teach trauma icu nurses about what is TEG and how they can use it in their practice. I have done some literature review in the attachment below ABSTRACT • Limit the abstract to 300 words. Include five keywords at the end of the abstract. • The abstract and keywords go on a single page. STEP 0: THE SPIRIT OF INQUIRY IGNITED • Write the Introduction and Background to your clinical problem. Ethical Considerations • Include a subheading in Section 0 to address the ethical considerations pertinent to the clinical problem.

STEP 1:

THE PICOT QUESTION • Include your PICOT question from Module 1. Incorporate any feedback you received to strengthen your PICOT question. Include the background and foreground questions. Clearly identify each of the components of the PICOT. In adult trauma ICU patients (P), what is the effect of thromboelastographic (I) compare to standard laboratory coagulation testing (C) on patient outcome (O) during their admission (T)?

STEP 2:

SEARCH STRATEGY CONDUCTED• Summarize and synthesize your search strategy. • Include keywords and MeSH terms. • Identify the databases searched. • Include the number and type of articles found. STEP 3: CRITICAL APPRAISAL OF THE EVIDENCE • Describe your process of critically appraising the evidence. • Include the level of evidence. • You may choose to present the research evidence in a table format (recommended). You may present the table in landscape orientation to facilitate readability. You may include it in the body of the paper or as an appendix. • The emphasis in this section is on synthesizing and summarizing the research evidence. It is not enough to simply include a table of the evidence; you must critically synthesize and summarize the research evidence (see the exemplars).

STEP 4:

EVIDENCE INTEGRATED WITH PATIENT PREFERENCES AND CLINICAL EXPERTISE • Identify how you will incorporate patient preferences and clinical expertise into your project. • Address how this project addresses the triple aim of healthcare (improving the patient experience, improving the health of populations, and reducing the per capita cost of health care).

STEP 5:

PLAN TO GUIDE/IMPLEMENT YOUR PROJECT • Describe the next steps in your project. • Identify the important stakeholders pertinent to your project. How will you include their input in the implementation stage of your project? • Identify any barriers (patient, clinician, healthcare system) to implementing your project and how you will address them. • Does your project require IRB approval? If so, which IRB? Describe any pre-implementation activities that you will need to complete to begin your project and your plan to do so.

STEP 6:

POTENTIAL FUNDING MECHANISMS FOR YOUR PROJECT • Identify at least one source of funding which could support your project.

STEP 7:

PLAN TO DISSEMINATE YOUR PROJECT • Describe your plans to present your project. This may include poster or podium presentations, panel discussions, publications, etc. Note: the project does not have to be completed to present and discuss your plans with professional colleagues

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