Date of Award
Fall 12-1-2020
Degree Type
Dissertation/Thesis
Degree Name
Doctor of Nursing Practice (DNP)
School
Leadership and Advanced Nursing Practice
Committee Chair
Dr. Mary Jane Collins
Committee Chair School
Leadership and Advanced Nursing Practice
Committee Member 2
Dr. Nina McLain
Committee Member 2 School
Leadership and Advanced Nursing Practice
Abstract
The current practice of intraoperatively assessing the cuff pressure of the endotracheal tube (ETT) is arbitrary and potentially leads to negative impacts on patients. This best practice project aimed to review and synthesize the existing evidence-based literature on measuring ETT cuff pressure and to establish a policy guideline for anesthesia providers to measure ETT cuff pressure in the intraoperative environment. Based on the star model of the knowledge transformation framework model provided by the Academic Center for Evidence-Based Practice (ACE), the creation of evidence-based policy on ETT cuff measurement is expected to potentially prevent poor patient outcomes, patient expenses, and hospital expenses (Chism, 2019). Also, the use of the IHI Triple aims at improving patients' safety, enhancing effectiveness, contributing to the implementation of the patient-centered approach, as well as the provision of timely and efficient care to improve patients' experiences (Whittington et al., 2015). A comprehensive literature review was undertaken to evaluate and synthesize the latest evidence-based research that can be used to improve the measurement policy of the endotracheal tube cuff pressure. The established evidence-based policy was emailed to the expert panel for review and assessment per the protected server at The University of Southern Mississippi (USM). The best practice policy recommendation regarding postoperative complications caused by over-inflated ETT was conducted at a USM clinical affiliate hospital in Mississippi. A DNP committee, will be used to assess the utility and practicality of the policy(stakeholders). In addition to quantitative measurements of a clinical affiliate's ETT pressure, qualitative feedback from a DNP committee, was used to assess the evidence-based policy. Policy revisions were made based on data collected from the ACE tool.
Recommended Citation
Reed, Jamare, "Evaluation of an Intervention to Maintain Therapeutic Pressure of the Endotracheal Tube Cuff During Intraoperative Surgery" (2020). Doctoral Projects. 141.
https://aquila.usm.edu/dnp_capstone/141
Included in
Equipment and Supplies Commons, Other Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, Surgical Procedures, Operative Commons, Therapeutics Commons