Nursing EBP Clinical Protocol & Pilot Study Essay

Nursing EBP Clinical Protocol & Pilot Study - Essay Example 2002). All but one study did show a reduction in length of stay and increased range of motion for patients that used CPM short term. A pilot study will be initiated to test the following protocol which is written based on the evidence from literature review. These results will be reported and that report will help initiate and evidence based protocol for full time use. Permission will be sought from those involved as well as senior staff and physicians. The goal of the protocol would be to use CPM for initial knee flexion but to increase PT rapidly, decreasing use of CPM as research shows that CMP only has a short term advantage and PT has a long term advantage. The aim of the pilot study is to test the protocol that is recommended at this time to assure that it works well and produces good quality results for the patient as well as a reduction in the patients length of stay. At the same time, documentation recommendations as well as pain tolerance and post op bleeding will be analyzed. The pilot study will be carried out on the orthopedic floor. This will be discussed first with the orthopedic surgeons and then with the nursing management at the hospital that is responsible for this floor (Vincent & Chapman et.al. 2000).. Once the evidence base is explained and it is cleared, patients will be permitted as needed for the pilot, assuring that they understand the new protocol. Nurses on the floor will be educated and ten patients will be chosen for the pilot. Those patients will need to be post operative knee with the need for CPM use and as few other co-morbidities as possible. For example, we do not want to include someone that is prone to infection because the likelihood is that the infection would skew the data collected. The results of the pilot will be studied to assure that there is improvement in cost, quality and length of stay. The evaluation of the pilot will include physicians, nurses, and nurse administrator. A positive result will mean permanent change of the protocol. Resources Bruun-Olsen, V., Heiberg, K. & Mengshoel, A. (2009). Continuous passive motion as an adjunct to active exercises in early rehabilitation following total knee arthroplasty. Disability and Rehabilitation. 31(4). 277-283. Retrieved from Academic Search Primer. Accession # 35702360. Davies, D., Johnston, W., Beupre, L. (2003). Effect of adjunctive range of motion therapy after primary total knee arthroplasty on the use of health services after hospital discharge.

Comments on ideology, class, structure and agency as used in media Assignment

Comments on ideology, class, structure and agency as used in media studies - Assignment Example The audience of Jeremy Kyle show is a group of people who share the same problem as those presented by the guests. The show offers relief and introduces anxiety by presenting and discussing a problem that the audiences can potentially identify as opposed to guests’ assumptions that the viewers are not familiar with the problems. In other words, specialist guests represent the voice of audience’s own commentary, which is unexpressed, creating a sense of superiority being and viewer’s ideology continually reaffirmed and articulated (Barwise & Gordon, 2002 p207). Therefore, it is evident that both the programme and its viewers share common ideological message. I feel that sponsorship and advertising of this Jeremy Kyle show undermines the programme’s message. The sponsors of this programme and its adverts claim that it helps to counsel and rehabilitate couples (guests) yet its ideological stance that is primarily violence and sex, is what is used to reaffirm its moral codes and maintain its audience. According to Kyle, failure of women to attend to their domestic duties and abstinent with a child-bearing role, and men’s failure to use sexual protection method and contraceptives is the source of their problems. Other programmes that share the same ideological message with Jeremy Kyle show include the Jerry Springer Show, Ricky Lake Show and Trisha Goddard Television talk show (Barwise & Gordon, 2002