Phenomena of Interest
Heart disease is the leading cause of death in the United States (O 'Gara et al., 2013). Evidence-based clinical practice guidelines regarding patients with ST-segment elevation myocardial infarction (STEMI) seek to reduce variation in practice and improve outcomes for this patient population (O 'Gara et al., 2013). Current evidence-based practice includes immediate reperfusion therapy of the involved coronary artery in ST-segment elevation myocardial infarction patients. Nurses play a significant role in identifying this patient population when triaging patients in the emergency department. Nurses are often challenged to implement the initial steps of identifying this these patients, which includes obtaining a 12-lead electrocardiogram within ten minutes of arrival, as some patients present with symptoms other than chest pain, or atypical symptoms. For instance, atypical presentations may include shortness of breath, altered mental status, upper extremity pain, upper back pain, generalized weakness, or abdominal pain (Glickman et al., 2012). Ultimately, this resu...
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• Age ≥ 50 with dyspnea, altered mental status, upper extremity pain, syncope, or weakness
• Age ≥ 80 with abdominal pain and/or nausea and vomiting
In conclusion, there are several evidence-based practice models for implementing a change in practice (LoBiondo-Wood & Haber, 2014). The key steps for conducting a best practice project include: identify a new best practice; form a project team; complete a literature review and critique of the evidence; develop an evidence-based practice standard; implement the new best practice; and finally evaluate the outcomes (LoBiondo-Wood & Haber, 2014). As my current position provides an opportunity to improve patient outcomes, I will continue to hone my nursing research skills, and incorporate this new found knowledge regarding evidence-based practice, research, and research utilization into my practice.
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