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2 pages/≈550 words
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3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
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MS Word
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Topic:

Evidence Based Practice Proposal Section C: Literature Support

Research Paper Instructions:

To begin, work through the reference list that was created in the "Section B: Problem Description" assignment in Topic 2. Appraise each resource using the "Rapid Critical Appraisal Checklists," available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.
Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the "Evaluation Table Template," available in the textbook appendix. Use the "Evaluation Table Template" as an adaptable template.
Write a narrative of 750‐1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:
Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).
Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.
Incorporate a description of the validity of the internal and external research.
It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer‐reviewed professional journal articles.
Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine "Section C: Literature Support" for your final submission. This will be a continuous process throughout the course for each section.

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Literature Support
The implementation of a universal checklist gave rise to multiple studies to observe its effects on morbidity and mortality. In the review made by Fudickar, Hörle, Wiltfang, and Bein (2012), they analyzed the effects of the WHO safety checklist using the results of about 20 different studies that included a single prospective randomize trial. The researchers reviewed original publications from databases on the search term "Surgical Safety Checklist." Furthermore, the articles used in the study include the PubMed and Medline databases that were published before February 2012. In these studies, patients who had undergone an emergency surgical procedure before and after the implementation of the WHO checklist, complete with all three phases, were observed. The reduced instances of wrong-site surgery and an increased improvement of communication and awareness of patient safety within the OR setting was concluded using the comparative review of different studies.
Among these studies, two presented a drastic decrease of perioperative mortality and morbidity, which shows the need for the effective implementation of the WHO checklist as part of all operating procedures. In the study made by Haynes et al. (2009), the reduction of wrong site surgery using the checklist was observed from October 2007 to September 2008 from eight hospitals located in eight different cities, including: Toronto, Canada; New Delhi, India; Amman, Jordan; Auckland, New Zealand; Manila, Philippines; Ifakara, Tanzania; London, England; and Seattle, WA. The initial data were collected on clinical process and outcomes of 3733 patients, whom are undergoing non-cardiac surgery with ages of 16 yrs. and older, before the implementation of the WHO checklist. Afterwards, the data of 3955 patients, after the WHO checklist was introduced, were collected to be compared with the initial data. The study only included the morbidity and mortality during the 30 day observation period after the operation. There are about 3733 patients who were studied before the WHO checklist and about 3955 patients after the WHO checklist was implemented. The resulting observations revealed a significant reduction of mortality cases from 56 in 3733 cases (1.5%) to 32 in 3955 cases (0.8%) and significant reduction of morbidity cases from 411 in 3733 cases (11%) to 288 in 3955 cases (7%).
In a complementary study made by Weiser et al. (2010), the evaluation of the checklist's effectiveness in reducing the rate of complications and deaths during emergency surgical procedures was observed. The study is in conjunction with the previous study as it was also observed in the same hospitals of the same eight countries of the previous study; however, this study focused only on urgent surgery operation, within 24 hrs of assessment, rather than scheduled surgery. The initial data was collect from 842 patients with ages 16 yrs. and older who underwent emergency surgical procedure before the implementation of the WHO checklist. Afterwards, the data of 908 patients, after the WHO checklist was introduced during emergency medical procedures was collected. The study also revealed a significant reduction of mortality cases from 3...
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