Vancomycin-Resistant Enterococci and ambulation ( evidence based Dissertation

Vancomycin-Resistant Enterococci and ambulation ( evidence based practice ) - Dissertation Example In most instances, recognition of a practice problem prompts an evidence based practice (EPB). For instance, an EPB team with the goal of conducting an EPB project in a given duration would have to consider what outcomes by the patient need more improvement (Jones, 2004). Once a practice problem has been realized or determined, data both internal and external is collected. This data should be relevant to the practice problem to confirm that there is indeed the need for change and in the long run, improvement. It is crucial that the focus of evidence based practice is justified because it is resource intensive. A practice problem statement is also prepared so as to clarify what the evidence based practice is exactly (Fulton, 2010). The best evidence is also located using key actions. These are identifying the types and sources of evidence, making arrangements for the search for evidence, and conducting the search for best evidence. Types of evidence could include clinical practice gui delines, systematic reviews, expert reports, single studies as well as critical appraisal topics. The search of evidence is planned as a rigorous, systematic review, which would include formulating the research question to guide the search, selection of the research strategy, choosing the inclusion and exclusion criteria, and planning the synthesis (Kathleen, 2011). Clinical Question The nursing practice to be detailed is based on a hugely serious clinical question. The question seeks to establish whether patients acquired with Vancomycin-Resistant Enterococci (VRE) more likely to recondition due to physical therapy limitations. This is a clinical problem that requires research on how to handle it. The evidence also in his case is that patients with VRE are more likely to recondition due to physical therapy limitations. This is the main objective of evidence based research and what it entails (Parke, 2011). Literacy in significant information is required and access to adequate infor mation so that evidence based practice (EBP) can be researched. The patient is the main stakeholder, and their health is vital. Besides the fact that the infection brings various disadvantages to their movement, policies should be put in place that would encourage movement by them without increasing the risks of spreading the infections. Physical therapy has extremely strict rules in relation to ambulation, but still there exists other kinds of infections that are not warranted to this policy measure. Even though, lobby privileges are awarded to some patients, risks are still there related to spreading the infection because of the infectious risks the VRE has. The patient can still walk and not undergo confinement to bed. The only set back is that infection makes them confined in their rooms leading to physical inactivity. This has its health related hazards like muscle problems for instance muscle atrophy (Lawrenceville, 2006). Synthesis of Literature Literature reviews have been a ble to provide details of primary research in human health policy as well as their care. These are considered as the highest standards in evidence based health care. They help in the provision of evidence during the investigation of the responses to the interventions of prevention, rehabilitation as well as treatment. They also detail about how valuable and accurate a diagnostic test for a given