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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Types of Records I: Unit and Nurses Records01:27

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 Unit records in healthcare settings document the patient's treatment history, including interventions, medications, diagnostic and laboratory results, progress notes, personal care needs, vital signs, and other medical information. They are crucial for managing patient care, aiding healthcare professionals in providing quality treatment and informed decision-making.
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Role of Communication in the Nursing Process II: Planning and Implementation01:25

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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Every measurement provides three kinds of information: the size or magnitude of the measurement (a number), a standard of comparison for the measurement (a unit), and an indication of the uncertainty of the measurement. While the number and unit are explicitly represented when a quantity is written, the uncertainty is an aspect of the errors in the measurement results.
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Measurement: Derived Units03:02

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The International System of Units or SI system, by international agreement, has fixed measurement units for seven fundamental properties: length, mass, time, temperature, electric current, amount of substance, and luminosity. These are called the SI base units.
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Implementing Enhanced Recovery After Surgery (ERAS) Program on a Specialty Nursing Unit.

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  • 1Authors Affiliations: ERAS Nurse (Ms Tezber), Nurse Practitioners (Dr Aviles and Ms Eller), Clinical Research Data Manager (Ms Cochran), ERAS Leader and Associate Professor of Surgery (Dr Vrochides), Chief Surgeon and Professor of Surgery (Dr Iannitti), Nurse Manager (Mr McClune), Hepatobiliary Surgery, Carolinas Medical Center, Charlotte, North Carolina.

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Implementing Enhanced Recovery After Surgery (ERAS) guidelines standardizes care and improves outcomes. The ERAS Implementation Program facilitated evidence-based changes for pancreaticoduodenectomy patients, enhancing care and reducing costs.

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Area of Science:

  • Surgical patient care
  • Evidence-based practice
  • Quality improvement in healthcare

Background:

  • Enhanced Recovery After Surgery (ERAS) guidelines offer a framework for standardizing perioperative patient care.
  • Optimizing patient outcomes and reducing healthcare costs are key objectives in surgical practice.
  • The International ERAS Society provides a structured implementation program to support guideline adoption.

Purpose of the Study:

  • To assess the impact of implementing ERAS guidelines on patient care for pancreaticoduodenectomy.
  • To evaluate the effectiveness of the ERAS Implementation Program in a clinical setting.
  • To determine the influence of ERAS implementation on patient outcomes and cost reduction.

Main Methods:

  • The hepatopancreaticobiliary surgery team completed the ERAS Implementation Program.
  • Evidence-based practice changes were implemented for pancreaticoduodenectomy patients.
  • Care was managed on an acuity-adjustable unit to facilitate implementation.

Main Results:

  • Successful implementation of evidence-based practice changes was achieved.
  • Improvements in patient care were observed following ERAS guideline adoption.
  • Cost reduction was identified as a positive outcome of the ERAS implementation.

Conclusions:

  • The ERAS Implementation Program is an effective tool for standardizing care and improving outcomes in pancreaticoduodenectomy.
  • Implementing ERAS guidelines leads to enhanced patient care and significant cost savings.
  • Adoption of ERAS protocols is a valuable strategy for quality improvement in surgical settings.