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Related Concept Videos

Lung Capacity01:47

Lung Capacity

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The air in the lungs is measured in volumes and capacities. Lung volume measures reflect the amount of air taken in, released, or left over after a lung function, like a single inhalation. Lung capacity measures are sums of two or more lung volume measures.
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Respiratory Capacities01:24

Respiratory Capacities

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Respiratory capacities are crucial indicators of lung function, representing the maximum amount of air an individual's respiratory system can handle during various breathing phases.
One key metric is the Inspiratory Capacity (IC), which represents the maximum amount of air that can be inhaled with full effort. IC is calculated by summing the tidal volume and inspiratory reserve volume, typically ranging from 2.4 to 3.6 liters.
The Functional Residual Capacity (FRC) represents the air in the...
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Respiratory Volumes and Capacities01:22

Respiratory Volumes and Capacities

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The respiratory system is responsible for the intake of oxygen and the expulsion of carbon dioxide from the body. Respiratory volumes describe the volume of air in the lungs at different phases of the respiratory cycle. Tidal volume is the air breathed in and out during normal, quiet breathing. Inspiratory reserve volume is the air that can be forcefully inspired beyond the tidal volume. In contrast, expiratory reserve volume refers to the air that can be expelled from the lungs after a normal...
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Buffers: Buffer Capacity01:09

Buffers: Buffer Capacity

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Buffer capacity is the quantitative measure of a buffer to resist the change in pH. As shown in the following equation, the buffer capacity, denoted by 'beta', is expressed as the number of moles of acid or base needed to change the pH of a one-liter buffer solution by 1 unit. Here, Ca and Cb indicate the number of moles of acid and base, respectively. Note that dpH represents the change in pH.
In the graph, pH is plotted as a function of the number of moles of base (Cb) added to a weak...
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Heat Capacity: Problem-Solving01:17

Heat Capacity: Problem-Solving

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The heat capacity of a gas is the amount of heat energy required to raise the temperature of a unit mass of gas by one degree Celsius. It is an important thermodynamic property of gases, and its determination is essential in many industrial and scientific applications. Here are the steps to solve problems related to the heat capacities of gases:
Determine the type of gas: The heat capacity of a gas depends on its molecular structure and the degree of freedom of its molecules. Different types of...
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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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What is full capacity protocol, and how is it implemented successfully?

Amir Alishahi Tabriz1, Sarah A Birken2, Christopher M Shea2

  • 1Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, 016 Beard Hall, 301 Pharmacy Lane, Chapel Hill, NC, 27599-7355, USA. amir17@live.unc.edu.

Implementation Science : IS
|July 20, 2019
PubMed
Summary

Implementing the Full Capacity Protocol (FCP) requires hospital-wide collaboration, especially with nursing staff, to address emergency department (ED) crowding effectively. Overcoming barriers involves leadership support and cultural change for successful FCP adoption.

Keywords:
Adaptation frameworkConsolidated Framework of Implementation Research (CFIR)Emergency department crowdingEmergency department managementFull capacity protocolHospital operationsIntervention core componentsPatient flow management

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Area of Science:

  • Healthcare Management
  • Hospital Operations
  • Public Health

Background:

  • Full Capacity Protocol (FCP) is an internationally recognized intervention for emergency department (ED) crowding.
  • Despite proven benefits, widespread FCP implementation remains limited, even in high-crowding hospitals.
  • This study investigates FCP core components, implementation barriers, and facilitators.

Purpose of the Study:

  • Identify the essential elements of the Full Capacity Protocol.
  • Explore critical barriers and facilitators impacting FCP implementation.
  • Develop practical recommendations for overcoming implementation challenges.

Main Methods:

  • Employed a non-experimental approach with semi-structured interviews of key informants.
  • Utilized the Consolidated Framework for Implementation Research (CFIR) for data collection and analysis.
  • Applied template analysis and an adaptation framework to categorize FCP components and formulate recommendations.

Main Results:

  • FCP has evolved into a multi-component, hospital-wide intervention.
  • Key success factors include collaboration with nursing staff, consensus on FCP activation criteria, EHR modification, and leadership support.
  • Addressing regulatory compliance and inpatient unit restructuring are also crucial.

Conclusions:

  • Successful FCP implementation hinges on fostering a collaborative hospital culture.
  • Engaging all stakeholders, particularly inpatient nursing staff, is vital.
  • Recognizing ED crowding as a hospital-wide issue necessitates a unified response.