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WHDL - 00018639
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Description / Abstract
Extracorporeal membrane oxygenation (ECMO) is an aggressive medical intervention that is considered a last-resort care measure. Caring for patients receiving ECMO requires nurses to have a high skill set and demands constant attention to detail. Intensive care unit protocols provide structure, consistency in care and aid in improved patient outcomes. The use of ECMO increased drastically during the COVID-19 pandemic and continues to be used more often for acute respiratory distress syndrome. This quasi-experimental project aimed to implement an evidence-based protocol and evaluate the impact on patient outcomes. Quantitative data was collected, analyzed, and compared to data collected before protocol implementation. Results revealed that sedation scores, nutritional status, and mortality improved post-protocol implementation. ECMO nurses were surveyed pre- and post-protocol implementation to evaluate understanding and confidence in ECMO best practice care. Nurse survey results showed that nurses felt more confident caring for the ECMO population post-implementation. Limitations of the study included a small sample size, time constraints, and the dependency on accurate documentation in the electronic medical record for data collection and analysis. Future projects would benefit from a larger sample size, a prolonged project timeline, and more reliable ways to collect additional specific patient data, such as mobility. A final consideration is to collect patient and hospital cost savings data incurred with this protocol implementation.
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File Size Small - 467 KB
Degree AwardedDoctor of Nursing Practice
Awarding InstitutionIndiana Wesleyan University
Peer Reviewed?No
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DNP Scholarly Projects
16 Resources
- Medicine and Health Sciences
- English
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