Understand how these practices have changed nursing care Here are just a few examples of how EBP has changed nursing care. You can find many more examples in the literature. The BRAT (Bananas, Rice, Applesauce, and Toast) diet is no longer a nutritional recommendation for gastrointestinal upset in children. The American Academy of Pediatrics now recommends that children be return to a well-balanced diet as soon as possible. • Nurse-driven protocols now guide nursing practice regarding the best time for removing urinary catheters to prevent urinary tract infections . • Aspirin was previously used to control fever in the pediatric population, but it is no longer a standard practice because it increases the risk of Reye’s syndrome. • ICU ABCDEF Bundle is a combination of multiple evidence-based interventions that can collectively reduce delirium, improve pain management and reduce long-term consequences for patients in the ICU. (A: Awakening trials for ventilated patients; B: Spontaneous breathing trials; C: Coordinated effort between the RN and respiratory therapist to perform the spontaneous breathing trial when the patient is awakened by reducing or stopping the patient’s sedation; D: A standardized delirium assessment program, including treatment and prevention options; E: Early mobilization and ambulation of critical care patients.) • Turning patients every two hours is no longer a standard of care. The timing for turning patients should be dependent upon their condition and their risk for skin breakdown. For example, one patient may need to be turned every 15 minutes and another patient may need to be turned every hour. Appreciate how EBP is important to student nurses The evidence-based interventions we learn can improve patient outcomes, help to provide high quality care, reduce costs and eliminate practices that have become obsolete or are not effective.
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