Jhnebp Evidence Rating Scales - The Johns Hopkins Hospital ✓ Solved

Jhnebp Evidence Rating Scales The Johns Hopkins Hospitalthe

The Johns Hopkins Nursing Evidence-based Practice Rating Scale includes different levels of evidence and quality assessments as follows:

Strength of the Evidence:

• Level I: Experimental study/randomized controlled trial (RCT) or meta-analysis of RCT
• Level II: Quasi-experimental study
• Level III: Non-experimental study, qualitative study, or meta-synthesis
• Level IV: Opinion of nationally recognized experts based on research evidence or expert consensus panel
• Level V: Opinion of individual expert based on non-research evidence

Quality of the Evidence:

• A (High): Research consistent results with sufficient sample size, adequate control; evidence-based recommendations
• B (Good): Reasonably consistent results, sufficient sample size, fair control; some research references
• C (Low): Little evidence, insufficient sample size; major flaws in methodology

This scale emphasizes the importance of high-quality studies while recognizing that lower-rated evidence may still contribute valuable insights.

Paper For Above Instructions

Introduction

The rapid outbreak of COVID-19 has necessitated efficient testing methods, highlighting the importance of proper nasopharyngeal swab procedures. Educated medical-surgical (MedSurg) nurses play a vital role in ensuring accurate COVID-19 test results through correct swabbing techniques. This paper addresses the PICOT question regarding whether educated MedSurg nurses are more successful than their non-educated counterparts in performing these tests. The framework for this inquiry is shaped by the Johns Hopkins Nursing Evidence-based Practice Rating Scale.

Knowledge Focused Trigger

The emergence of COVID-19 has triggered a need for immediate action in healthcare settings. Adequate training and education for nurses are paramount to improve testing outcomes. The literature suggests that training can significantly enhance the technical skills of nurses, which, in turn, affects patient care quality and test accuracy (Abud et al., 2020).

Organizational Priorities

Healthcare organizations are prioritizing the education of staff in light of COVID-19. Such priorities must align with the overarching goal of managing the pandemic effectively. Implementation of training sessions and workshops is essential to foster a competent workforce (Bwire et al., 2020).

Current Practice

Current practices in many hospitals reflect varying levels of preparedness regarding nasopharyngeal swab procedures. Often, nurses receive minimal standardized training in performing these swabs, impacting overall testing efficiency (Li et al., 2020). Recognizing this gap is crucial for future interventions.

PICOT Question

The PICOT question formulated for this study is: Are educated MedSurg nurses (I) more successful in performing COVID-19 nasopharyngeal swabs (P) compared with non-educated MedSurg nurses (C) for accurate COVID-19 test results (O)? This question serves as the backbone of our evidence assessment.

Literature Review

The initial literature search yielded significantly relevant articles which were further refined to ten pertinent studies after eliminating duplicates and outdated information. These articles provide a mixture of qualitative and quantitative evidence related to nurse education in the context of COVID-19 testing.

Appraisal of Evidence

The appraisal process follows the Johns Hopkins Nursing Evidence-based Practice Rating Scale. The selected studies feature varying levels of evidence:

• Level I: Evidence from experimental studies, such as RCTs
• Level II: Quasi-experimental studies
• Level III: Non-experimental and qualitative studies
• Level IV: Opinions from recognized experts
• Level V: Non-research evidence including case studies and literature reviews

Synthesis of Evidence

Upon synthesizing the evidence, studies illustrate that nurse training, particularly through visual aids and hands-on demonstrations, significantly improves the proficiency of swab procedures. For instance, Chee et al. (2020) demonstrated that 3D-printed nose models enhanced the understanding of anatomy and swab techniques among healthcare workers.

Strengths and Limitations

Strengths of the reviewed studies include robust methodologies and diverse sample groups that enhance validity. However, limitations arise from inconsistent training approaches, small sample sizes, and potential biases in qualitative insights.

Summary of Findings

Findings indicate a distinct advantage in educational interventions for MedSurg nurses performing nasopharyngeal swabs. The evidence supports the hypothesis that trained nurses possess better skills leading to more accurate testing outcomes.

Recommendations

• Implement in-service training sessions focused on swabbing techniques.
• Utilize visual education tools, such as videos and 3D models, for effective learning.
• Establish designated training personnel on each floor to promote consistency.

Conclusion

The training of MedSurg nurses is critical in the performance of nasopharyngeal swabs for COVID-19 testing. Evidence clearly indicates that educated nurses outperform those without specific training. Therefore, healthcare organizations must prioritize nursing education and training to enhance overall patient care during the pandemic.

References

• Abud, B. T., Hajnas, N. M., Redleaf, M., Kerolus, J. L., & Lee, V. (2020). Assessing the Impact of a Training Initiative for Nasopharyngeal and Oropharyngeal Swabbing for COVID-19 Testing. OTO open, 4(3).
• Bwire, G. M., Majigo, M. V., Njiro, B. J., & Mawazo, A. (2020). Detection profile of SARS-CoV-2 using RT-PCR in different types of clinical specimens: A systematic review and meta-analysis. Journal of Medical Virology.
• Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2017). Empowering education: A new model for in-service training of nursing staff. Journal of Advances in Medical Education & Professionalism, 5(1), 26–32.
• Chee, J., et al. (2020). Using 3D-printed nose models in nasopharyngeal swab training. Oral Oncology.
• Li, L., Shim, T., & Zapanta, P. E. (2020). Optimization of COVID-19 testing accuracy with nasal anatomy education. American Journal of Otolaryngology, 42(1).
• Mark, M. E., et al. (2020). Effect of implementing simulation education on health care worker comfort with nasopharyngeal swabbing for COVID-19. Otolaryngology–Head and Neck Surgery, 163(2), 271–274.
• Pondaven-Letourmy, S., et al. (2020). How to perform a nasopharyngeal swab in adults and children in the COVID-19 era. European Annals of Otorhinolaryngology, Head and Neck Diseases, 137(4), 325–327.
• World Health Organization. (2020). WHO coronavirus disease (COVID-19) dashboard.