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Refinement of a Nursing Concern into an Evidence-based Practice Proposal Using the Research Process
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Get Help Now!The area of interest selected for this assignment as well as the main topic for the evidence based research project involves the use of blood thinners in patient populations with documented history of previous cerebral vascular accidents (CVA). Karp, Wolff, Branas, Carr and Mullen (2016) write that a literal stroke belt exists in the United States covering an 8-state region of the Southeast, which has been present since 1940, and has remained constant in mortality rates despite reported decreased numbers elsewhere throughout the country.
One explanation could be the differences in vascular risk factors, but the majority of the burden lies with limited access to primary stroke centers (PSCs) which impacts the above stated demographic population. (Karp, et al, 2016) Key Research Findings Identification of key research findings that support the need for developing an evidence based practice (EBP) project on this area of interest or phenomenon includes the risk of higher mortality rates among patients placed on blood thinners after suffering a CVA.
According to Harvard Health Letter (2013) until recently, most patients with previous history of CVA were placed on Coumadin as a prevention, however, a few new drugs have emerged onto the pharmaceutical market. These new drugs consist of Xarelto, Pradaxa and Eliquis and come with their own fair share of benefits versus risks. ( Harvard Health Letter , 2013) Identification and Clarification of Selected Nursing Issue With the emergence of these new blood thinners, some have the inherited risk of being irreversible, which places the patient at a higher risk of mortality with hemorrhage.
The nursing issue at hand then becomes the safety versus efficacy of Pradaxa in patient populations with a documented history of a previous stroke. This issue can be even more defined as applying only to
REFINEMENT OF NURSING ISSUE INTO RESEARCH ASSIGNMENT 3 those patients with a history of ischemic CVA alone, even though that fact does not necessarily preclude the patient from having a secondary hemorrhagic CVA after being placed on blo……………………
Refinement of a Nursing Concern into an Evidence-based Practice Proposal Using the Research Process
