NR 439 Week 7 Graded Discussion Topic:
Applying and Sharing Evidence
Week 7 NR 439
After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this
information must be shared with your healthcare team.
1. Choose one of the articles from the Week 5 RRL assignment, and discuss the findings. Would you
apply the evidence found to your practice? Explain your answer.
With the article about Quantitative Balance and Gait Management in Patients with Frontotemporal
Dementia and Alzheimers Diseases: A Pilot Study, the findings showed that there were balance and
gait problems with the elderly population in general, however, there was a significant increase in the
abnormality of balance and gait for patients with FTD and AD. They determined that FTD had a
tendency to lean forward while AD had a tendency to lean backward. Researchers felt that postural
stability training early on in the diagnosis of these two dementias would possibly delay future falls in
these patients. I feel as though the conclusions they determined were in fact related to the data they
collected post test conduction. The test showed impaired gait and stability in both FTD and AD, but it
also demonstrated a unique pattern of balance for each of the diagnoses. In this instance, I would
highly suggest the physical therapists utilized in our facility to incorporate these findings when
assessing and treating those with both Frontotemporal Dementia and Alzheimers Dementia. The
results found certain aspects towards balance indifferences that would benefit their treatments. In
this situation, they found those with Frontotemporal Dementia to lean forwards as opposed to those
with Alzheimers Dementia who showed to lean backwards. When initiating gait and balance training
for these patients, they can take to mind which deficiency is associated with which Dementia and
focus on the gain for those aspects.
2. Translating research into practice is the final and most important step in the research process.
Review information you found your nursing clinical issue and explain ways in which you would
share the research-based evidence with your peers.
For my clinical issue, the article I chose to use as support was called Stop the Noise: A Quality
Improvement Project to Decrease Electrocardiographic Nuisance Alarms. In this article, they
discussed methods of revising lead application, and tweaking certain thresholds that are not
necessarily as alarming to increase urgency when alarms do go off. They left specific life-threatening
alarms active, lowered bradycardia thresholds and increased tachycardia thresholds, as well as shut
off alarms related to couplets and bigeminy. In order to persuade my facility to consider
implementing these changes, I would want to conduct a sample experiment in my own unit. I would
want to observe if these changes would show the same reduction, or a reduction similar to that that
has been reported from this article. If these changes showed similar results, then the
implementation of these changes shouldn’t be an issue, since it would benefit both patients and
nurses during hospitalizations. The alarms that would go off would have a higher chance that there is
an arrhythmia or heart rhythm that should be looked into with these modifications.
References:
This study source was downloaded by 100000829957125 from CourseHero.com on 02 -05-2022 09:34:47 GMT -06:00
https://www.coursehero.com/file/35652350/Week-7-Discussion-Topic-NR-439docx/
Applying and Sharing Evidence
Week 7 NR 439
After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this
information must be shared with your healthcare team.
1. Choose one of the articles from the Week 5 RRL assignment, and discuss the findings. Would you
apply the evidence found to your practice? Explain your answer.
With the article about Quantitative Balance and Gait Management in Patients with Frontotemporal
Dementia and Alzheimers Diseases: A Pilot Study, the findings showed that there were balance and
gait problems with the elderly population in general, however, there was a significant increase in the
abnormality of balance and gait for patients with FTD and AD. They determined that FTD had a
tendency to lean forward while AD had a tendency to lean backward. Researchers felt that postural
stability training early on in the diagnosis of these two dementias would possibly delay future falls in
these patients. I feel as though the conclusions they determined were in fact related to the data they
collected post test conduction. The test showed impaired gait and stability in both FTD and AD, but it
also demonstrated a unique pattern of balance for each of the diagnoses. In this instance, I would
highly suggest the physical therapists utilized in our facility to incorporate these findings when
assessing and treating those with both Frontotemporal Dementia and Alzheimers Dementia. The
results found certain aspects towards balance indifferences that would benefit their treatments. In
this situation, they found those with Frontotemporal Dementia to lean forwards as opposed to those
with Alzheimers Dementia who showed to lean backwards. When initiating gait and balance training
for these patients, they can take to mind which deficiency is associated with which Dementia and
focus on the gain for those aspects.
2. Translating research into practice is the final and most important step in the research process.
Review information you found your nursing clinical issue and explain ways in which you would
share the research-based evidence with your peers.
For my clinical issue, the article I chose to use as support was called Stop the Noise: A Quality
Improvement Project to Decrease Electrocardiographic Nuisance Alarms. In this article, they
discussed methods of revising lead application, and tweaking certain thresholds that are not
necessarily as alarming to increase urgency when alarms do go off. They left specific life-threatening
alarms active, lowered bradycardia thresholds and increased tachycardia thresholds, as well as shut
off alarms related to couplets and bigeminy. In order to persuade my facility to consider
implementing these changes, I would want to conduct a sample experiment in my own unit. I would
want to observe if these changes would show the same reduction, or a reduction similar to that that
has been reported from this article. If these changes showed similar results, then the
implementation of these changes shouldn’t be an issue, since it would benefit both patients and
nurses during hospitalizations. The alarms that would go off would have a higher chance that there is
an arrhythmia or heart rhythm that should be looked into with these modifications.
References:
This study source was downloaded by 100000829957125 from CourseHero.com on 02 -05-2022 09:34:47 GMT -06:00
https://www.coursehero.com/file/35652350/Week-7-Discussion-Topic-NR-439docx/
