RESUMO
A research-based policy and procedure to improve the oral hygiene care of intubated and other seriously ill patients was developed, implemented, and evaluated. The project resulted in (a) improved oral hygiene for patients, (b) standardization and simplification of nursing practice, and (c) a reduction in supply costs. The project has implications for nursing practice and evidence-based practice protocol development.
Assuntos
Cuidados Críticos/métodos , Medicina Baseada em Evidências , Higiene Bucal/métodos , Higiene Bucal/enfermagem , Pesquisa em Enfermagem Clínica , Protocolos Clínicos , Cuidados Críticos/economia , Estado Terminal , Humanos , Intubação Intratraqueal/efeitos adversos , Intubação Intratraqueal/enfermagem , Avaliação em Enfermagem , Higiene Bucal/economia , Higiene Bucal/instrumentação , Gestão da Qualidade TotalRESUMO
The software "Profile: A Cancer Risk Profile of Your Patient Practice" was used to estimate cancer screening activities in a primary care practice. "Profile" is a public health tool that does not track the screening histories of individual patients, but rather, using a sampling strategy, provides estimates for the entire practice of the age and sex specific number of screening eligible patients, the number screened, and the number that should have been screened, based on National Cancer Institute/American Cancer Society (NCI/A CS) guidelines. This report describes "Profile," and the results it generated from a sample of medical records. Primary care providers who seek to integrate primary and secondary cancer prevention activities into their routine practices will find it useful to have an objective estimate of their current level of such activities.