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Design For Change Proposal Term Paper

¶ … PICOT & Literature Review Worksheet NEC remains a challenge in the nursing world despite the major medical progress made in the medical sector. Given the varying clinical presentation of NEC among infants, clinicians have a challenge in diagnosing the disease at both the earliest and least severe stage of pathogenesis (Mulhall, 1998). To curb this problem, assigning disease severity based on staging criteria for NEC is vital for both the diagnosis and treatment. Therefore, properly educating nurses on Bell Staging; the standard in assigning severity of disease to NEC cases is likely to result in accurate and effective diagnosis.

Educating NICU Nurses

Nurses working in the nation's NICUs lack the basic knowledge in handling infants showing possible signs of NEC infection. Thus, to ensure efficient diagnosis and treatment of NEC, proper education of nurses on the diagnosis methods is necessary (Barnsteiner, 1996). The nurses are educated on Bell's three stages for easy recognition and diagnosis of NEC to patients. The nurses are inducted on Stage 1, for patients with mild symptoms, Stage 2 for those with suspected NEC diagnosis and Stage 3 which includes advanced NEC cases.

Research Question

How can NICU nurses increase their knowledge in recognizing early signs and symptoms of necrotizing enterocolitis (NEC) in premature infants?

Focus of the question

How to properly educate NICU nurses on early signs and symptoms associated with NEC.

PICOT Elements

P = Patients(s) or problem

The internal data indicates the nurses lack sufficient information on diagnosing NEC among infants. On the other hand, the external data presents a model; Bell's sampling for nurses. From the collected data, nurse managers concerned about care of NEC patients diagnostic problems for NEC patients existed in the hospital, and devoted to developing an evidence-based change.
Step 2: Link the Problem, Interventions, and Outcomes

In Step 2 of the practice change for patients with…

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