Question

Questions: look for 7 articles about this PICO below.

- Please keep in mind that the topic must deal with an independent nursing action.

- A good way to get started is to think about independent actions that nurses do in this setting.

- must imperical, EBP

PICO question is:

P(Population): Women in labor

I(intervention): music therapy

C(comparison): standard care

O(outcome): postpartum C-sections and pain

Answer 1

Independent nursing interventions are those sanctioned by professional nurse practice acts.they do not require direction or an order from another health care professional.independent nursing interventions are actions that are implemented a collaboration or consulatation with other health Care professional.

The goal of EBP is not to improve the population level health outcomes but to give the patient information,based on on the evidence as well as the clinicians experience and exercise,to help the patient make a choice based on his or her values and preference.

Picco ,following few points,

1. Your patient is a member of a population as well as a person with ( or at risk of ) a health problem.so in addition to age and gender,you may also need to consider ethnicity,socioeconomic status or other demographic variables.

2. A comparison is not always present in a picco analysis.

3. Outcomes post partum c- section a and pain ,

A randomized controlled ,parallel group,superiority,open - label,single - institution,

Phase 3 interventional clinical trial to evaluate clinical out comes in obese gravidas undergoing elective caesarian delivery whose wound were dressed with the PICO negative pressure wound therapy ( NPWT) versus the standard dressing .we hypothesize that the PICO NPWT will reduce the incidence of surgical site occurrences and interventions and postoperative readmissions in obese woman. The study will compare surgical site occurrence and surgical incision intervention incidence within 42+/- 10 days post caesarian delivery in obese woman who have the current standard - of - care dressing versus the PICO NPWT.

PICO: a real alternative to standard c- section wound Care.

Helping to reduce the complications that may impede bonding for new mothers

The days following a c- section ate essential bonding time ,so the last thing your patient needs is an infection.

A recent randomized clinical trial compared our PICO single use negative pressure wound therapy system to standard care following elective or emergency Caesarian section surgery.

It include when compared standard care :

50% reative surgical site infection (SSI) reduction.

31% relative exudate reduction .

should be measurable as the best evidence comes from rigorous studies with statistically significant findings.

An out come ideally measure clinical wellbeing or quality of life,and not alternates such as laboratory test results.

4. Intervention musical therapy

It is our recommendation that the MIMCU nurse increase the use of music therapy as a nonpharamacological pain intervention for immediate care patients with chronic pain who are prescribed a continues release pain medication and an immediate release pain medication for break through the pain .How ever ,while the research does not support music therapy as an equally comparable Pain intervention to prescribed immediate release pain medication,the addition of music therapy to practice. is recommend.