Theoretical framework for Capstone project - Application of Theory

Application of Theory: Individual paper
Each student will develop an original paper that details how the student plans to use or modify an original mid-range, micro-range, or situation- specific theory( same as presentation above) that could be used as the theoretical framework for the capstone project

The paper is to be structured as follows with the following headings:
f) Introduction: please provide a 1page summary of your proposed capstone project.

g) Significance: please list and describe why this is an important clinical issue. (1 page)

h) Theoretical Framework: Describe a theoretical framework that will guide your
capstone project.

Describe the theory, its concepts, and the relationship among concepts. Describe studies that have used this theoretical framework. (no more than 2 pages)
i) Application of the Theoretical Framework: Please describe exactly how you will use this framework in your capstone project. You may need to describe how you adapted this theory. (2-3 pages).

j) Provide a visual depiction and a description of your adapted theory, following the instructions for a figure as per the APA manual. (1 page)
k) Summary: A 2-3-paragraph summary.

Please note: ONLY peer-reviewed journal articles are acceptable references for this paper.I would like to use Nola Penders middle range theory -The health promotion model- adpting the theory around the nurse's understanding and processes that motivate individuals to engage in behavior directed towards improvment.

My project is Alarm Fatigue.-I will also send a paper I started working on that has my PICOT question and -This is a paper I have been working on for my research class. It has my PICOT question and some of my ideas and thoughts. PICOT- In an operating room setting, how does reducing alarm fatigue compared to current alarm management influence patient safety and surgical outcomes within 3 months?

Thank you again for all of your hard work, I really appricate itAlarm fatigue remains a significant issue in the operating room setting.Nurse anesthetists are required to maintain a high level of vigilance, alertness, and attention to detail.

When nurse anesthetists are inundated by alarms, they start to become desensitized. Losing their sense of urgency, change alarm limits, and put the lives of the patients at risk. Adverse patient events can primarily contributed to human error (John J. Nagelhout Crna Phd Faan et al., 2018)Click and drag to move.

One of the known errors is disabling the failsafe systems that were developed to protect them and the patients. The nurse anesthetist role can become redundant, especially if performing high volume on the same type of surgical cases.

The overexposure to nuisance alarms results in sensory overload leading to delayed response time to alarms or alarms that are missed entirely. Documented serious clinical events have been attributed to patient deaths due to warnings not being heard or assumed to be false (Jepsen, 2018). Another added contributor is the wealth of new information and technology at their finger-tips, causing information overload.

Technology designed to improve patient safety has created a new hazard by improperly implementing and lack of proper education. It is easy to get lost in the routine idiosyncrasies of the daily workflow and constant beeps. However, it is of utmost importance to retain the high level of vigilance that nurse anesthetists are known for and avoid falling victim to alarm fatigue.
The clinical problem is adverse outcomes for patients.

In the operating room, the environment and patients' hemodynamic stability can change from moment to moment. Not only do nurse anesthetist work with highly potent volatile anesthetic gases and drugs that have a narrow therapeutic range of safety, but there are also other inherent risks as well.

Certain surgeries effect and elicit different responses in the body. The nurse anesthetist has to have a strong understanding of how the operation could affect the patient and be able to predict an adverse outcome, all while remaining receptive of an opposite reaction.

One second the patient is stable, and without warning, the patient's condition could change. This is where the numerous alarms and technology comes into play. Without the alarms and failsafe systems in place to create a check and balance, the patient's safety is gravely put at risk.

The clinical impact desensitization to alarms has been negative, resulting in frustration and confusion amongst nurses and critically endanger patient care (Jubic, 2017).

The Food and Drug Administration (FDA) shed light on the magnitude of the problem in there 2014 report finding more than 560 alarm-related death in the United States between 2005 and 2008.

The FDA also reported between January of 2009 and June of 2012 that hospitals in the United States reported 80 deaths and 13 severe injuries; however, the reported injuries believed to be higher.

It is not uncommon for a large hospital to report over one million alarms sounding in a single week's time period. With an alarmingly high percentage of the warnings being false, reported upwards of anywhere from 88-95% (Ruppel et al., 2018).

PICOT- In an operating room setting, how does reducing alarm fatigue compared to current alarm management influence patient safety and surgical outcomes within 3 months?

Theoretical framework for Capstone project - Application of Theory

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