The hospital used for the study already had protocols in place to prevent patients from getting pneumonia. Published data was provided and posters were placed in all units. However, the nurses chose not to follow the protocols set forth. This is the reason the study was conducted. The nurses confessed that they felt oral care was more of a comfort to the patients than a preventative measure to pneumonia. The really did not take the time to learn that improper oral care in these patients lead to the excessive growth of bacteria which eventually found its way down the respirator tube and into the patient's lungs causing pneumonia. Once the nurses went through formal evidence-based program and followed the proper protocol, the rate of ventilator pneumonia decreased by 50%.
Providing proper training in addition to the posters displayed helped to reinforce the significance of proper oral care for their patients. The nurses adapted to the protocols because they were formally educated which removed barriers and their perceptions of the true reason behind proper oral care. Even though evidence was presented and posters were hung, the main points behind actually brushing the patient's teeth at least twice a day as opposed to using oral swabs twice daily were lost on the nurses because they had not gone through an actual evidence-based program that explained how an improperly treated mouth can gather harmful bacteria responsible for pneumonia.
Once the decision was made to educate the nurses beyond the postings...
Evidence-Based Leadership As a grade school principal evidence-based leadership requires that I implement learning strategies that have been adequately researched and proven to be successful and effective with the population my school serves. Evidence-based leadership also requires that I continuously gather feedback and data regarding my leadership activities and my effectiveness within my school's environment. As a grade-school level principal in an underperforming urban school I have many opportunities to use
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