Development of a Clinical Practice guideline for Acute Care Nursing

Clinical practice guidelines are formulated as a necessity to provide uniformity in the nursing field, cut down costs involved and improve the quality of care offered to patients. One of the most important ways of developing a practical and effective guideline is the systematic review of literature on this area since extensive and credible research has been carried out and documented by qualified professionals. It is important to examine whether the formulation of such guidelines has helped influence the conduct of nurses and by extension to evaluate the extent, if any that the provision of health care has benefited from such guidelines.

It becomes essential to consider specifically the various areas of intensive medicine since the importance of the department makes it a necessity to have clear, uniform and sustainable practices that fosters discipline, acquisition of new knowledge and a diligence in ensuring that exact and prompt care is administered to save lives. Introduction Nursing is a vital part of our society due to the mortal nature of humanity. The average human person cannot live his whole life without need to acquire some medical attention due to either ailment or injury.

Nurses therefore provide the necessary care in ensuring that people receive treatment of their various ailments and injuries and hence the role of the nurse is to foster good health and maintain good quality of life. Nurses work under all kinds of environment depending on the nature of ailment, preferences of the patients, personal choices that are influenced by various social and economic factors and in accordance to the laws and guidelines of the various institutions that have jurisdiction over the conduct of nurses under their authorities.

These institutions might range from federal and state governments, registration and oversight bodies and specific hospitals in which individual nurses are attached. There are many fields in medicine and nurses work in all these departments depending on the specificity of the fields they have received training in. This paper will dwell on the area of acute care provision since as a student specializing in this field; it is common logic that my review should rotate within the educational confines of this field.

The area of acute care nursing usually involves attending to patients within the intensive unit set up and is mainly patients whose lives are in danger due to fatal ailments and serious injuries. The history of the development of intensive unit care can be traced to Florence Nightingale and the contribution it has brought to the field of medicine is monumental if the great number of lives saved can be a testimony of its importance and success.

It is important that nurses receive sufficient training since their occupation involves saving lives or restoring health regardless of whether assisting medics or administering such services independently. Education then becomes a vital part in the development of the nursing profession and hospitals have recognized the importance of education and by extension, hospitals are mandating that their nurses update their training annually (Kurjak & Chervenak, 2006).

There is a lot of prudence and common sense behind such directives, most of which are due to the increasing innovations in technology, medicines and methodologies in the field of medicine and nursing. Nurses, especially acute care nurses are required to have accurate knowledge in operating various machines employed in treating patients and since many improvements and new inventions are a daily occurrence, failure to have current knowledge might be a cause for catastrophe and civil liability thereafter.

Guidelines are used to ensure that new findings in nursing are used to ensure that gains are felt in the nursing sector to ensure that all stake holders benefit. Good guidelines should be based on evidence and the best way to collect such evidence is through systematic reviews of the existing literature (Silagy, 2001). However, since several literatures exists on this field and the nature of the many changes in technology and technique that have occurred through the ages, it is necessary to limit your review to materials produced in the near past.

The actual period one chooses to examine might be determined by several factors but among them might be the length of the systematic review with a small review like this one going back 5 to 10 years. This means that knowledge contained in these primary documents is current and a reflection of the present condition of nursing sector and guidelines based on such materials will act as an improving factor in the current health service provision.

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