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Essay Available:
Pages:
9 pages/β‰ˆ2475 words
Sources:
10 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 52.49
Topic:

Hip Fracture Repair in Less Than 24 Hours

Coursework Instructions:

The project selected is Hip Fracture Repair in less than 24 hours for ages greater than 65yrs. Our organization (HCA) expects geriatric patients (age greater than 65) with the need for hip fracture repair to be done within 24 hours – the threshold goal is greater than 80% of the time. Darwin Ang published a paper on this experience. The capstone project will require me to do a retrospective review of 100 records to assess where fallouts have occurred. Out of the 100 records, 40% of the fallouts were due to noncompliance with ordering stat cardiology and anesthesia consults. Thus, not meeting the greater than 80% goal and is currently at 60%. Our target educational opportunity will be to the emergency department providers.

The plan is to make this about an educational experience (Capstone project) targeted to a specific population (emergency department providers, with the focused group of those patients 65years or older needing to have hip fracture repair greater than 24 hours.

The PICOT question should be related to: will educating the emergency department physicians regarding the hip fracture repair protocol increase compliance greater than 80%

Develop a 7-page problem statement that presents information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. 

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

For the first section of your final capstone project, you will develop a proposal for an intervention plan to fulfill a need within a specific population. This assessment is meant to capture your initial thoughts about the need and impacting factors to help focus your in-depth analysis later in the course.

First you will brainstorm and crystallize some of your ideas for this assessment, specifically ideas around needs, a target population, and some initial support from the literature and other sources of evidence. The problem statement is an important part of your capstone project as it will help illustrate the importance of your project, as well as help to clarify your project's scope.

Coursework Sample Content Preview:

PICOT Project
Name
Institution
Course Code and Title
Instructor
Date
PICOT Project
Introduction
As people grow older, they are at an increased risk of bone fractures due to elderly falls and other conditions such as osteoporosis. Emergency healthcare response necessary to manage these injuries is also challenging. For instance, hip fractures are rising among the older demographic, emphasizing the critical need for targeted interventions to strengthen patient outcomes and prevent further complications. Emergency surgical repair within 24 hours has emerged as a crucial factor in improving the prognosis for these patients, yet achieving a compliance rate exceeding 80% has been a chronic challenge. Consequently, it is vital to educate emergency department professionals on the essence of timely response since they play a crucial initial role in the sequence of interventions for such hip fracture patients.
Problem Statement
Need Statement
The core objective is to ensure compliance with the hip fracture repair procedure among elderly patients aged 65 and above, recommended within the initial 24 hours after injury. This quality control measure focuses on improving compliance with the protocol, thereby increasing the number of patients receiving timely surgical treatments. The demand is fueled by overwhelming proof that prompt hip fracture surgery considerably influences patient results, prevents complications, and adheres to best evidence practice. Efforts to fulfill this protocol adherence aim to improve safety and care for elderly patients suffering from hip fractures.
Population and Setting
This project targets elderly individuals aged 65 or older, hospitalized after suffering a hip fracture and requiring emergency surgical intervention. Such patients are at increased risk of fractures due to elderly falls and age-related changes in bone density, such as osteoporosis. The emergency department provides the context for this project, where patients are initially evaluated. Ensuring timely response in the emergency room setting is essential, as it can significantly influence patient outcomes and facilitate adherence to suggested protocols.
Intervention Overview
Educating emergency department physicians on the proper technique for repairing hip fractures is expected to improve compliance with the established 80% threshold. It will deliver through an engaging educational format incorporating interactive seminars, case-study analyses, and sharing of educational resources. By enhancing physicians' understanding of the importance of early intervention, the specific steps of the protocol, and the collaboration required with cardiology and anesthesia services, this intervention aligns with the project's goal of improving compliance within the targeted population and setting.
Comparison of Approaches
This alternative method encompasses improved communication between medical professionals in these respective fields, including physicians, cardiologists, and anesthesiologists, to streamline the fracture repair protocol above the 80% threshold. As such, the strategy emphasizes teamwork and coordination amongst diverse medical specialties. Despite addressing communication challenges, this strategy could stil...
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