| Indicators 1–4 |
(I) A lack of high-quality process studies |
(I) Affiliated hospital and teaching hospital of Southern Medical University. The library has sufficient database resources to facilitate information retrieval |
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(I) Operating room nurses lack evidence-based knowledge and acceptance is low |
(I) The nursing department supports the project |
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No relevant process information is available in the department |
(I) The department has a place for training |
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(II) The application of this process increases the workload of potential adopters |
(II) After the process is formulated, the audit process of the members of the evidence-based group will be rigorous |
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(II) The project team lacks experience in evidence transformation |
(II) The department has sent 3 people to continue to study the evidence-based program |
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(II) Training will be provided on procedures and equipment related to hypothermia at weekly morning or monthly meetings |
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(III) The predictor rating scale lacks corresponding treatment measures |
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| Indicators 5–11 |
(I) The acceptance of the intervention process needs to be improved |
(I) The department has a public account platform that can publish the evidence content and implement the methods for learning in a timely manner |
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(I) Nurses with low seniority lack awareness of the harm of hypothermia to patients |
(I) 97.2% of nurses hold a bachelor’s degree or above, with solid basic knowledge, find it easy to accept new things and work in a positive learning atmosphere |
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(I) Lack of training and assessment of knowledge related to hypothermia in nurses with specialized training |
(I) The evidence-based thinking and evidence transformation process will be reported and discussed in the department meeting, and questions will be answered on the spot |
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(II) The number of temperature measurements needs to be increased |
(II) After the reform, the evidence system will be complete and the flow chart clear |
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(II) Nurses with low seniority account for 48.4% of the department who lack knowledge of and experience with hypothermia The anesthesiologist has poor execution |
(II) Senior nurses in the department have a higher degree of identification with evidence |
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(II) The application atmosphere for evidence transformation in the department is generally not good |
(II) Doctors and nurses will work closely together to promote the change of evidence |
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(III) The director of anesthesiology will be consulted and communicated with to increase understanding and cooperation |
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(III) The implementation of evidence requires the cooperation of anesthesiologists, which increases the difficulty of management |
(III) The manager will support the application of equipment and materials |
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(IV) The heating blanket model is not complete |
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| Countermeasures |
(I) Develop standardized procedures for the prevention of unplanned hypothermia in patients undergoing laparoscopic surgery based on the best evidence and prioritize related training |
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(I) Predictors will be scored for the patients undergoing laparoscopic surgery by nurses in the preoperative preparation room, and the temperature of patients undergoing laparoscopic surgery will be measured and recorded with an ear temperature gun to reduce the workload of itinerant nurses |
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(I) The department has applied for 2 ear temperature guns |
| (II) Strengthen the training and assessment of knowledge related to hypothermia |
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(II) Anesthesiologists will be trained in the proper placement and depth of the nasopharyngeal temperature probe |
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(II) The department has introduced the lateral decubitus heating blanket |
| (III) Strengthen the training of evidence-based knowledge and improve the evidence-based ability of operating room nurses |
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(III) Nurses with low experience will be trained in hypothermia-related knowledge, including the assessment of theoretical knowledge and operational skills |
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(III) The documents related to hypothermia management have been perfected and will be kept in the office for study |
| (IV) Revise the predictor rating table and develop corresponding thermal insulation measures according to the scoring range |
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(IV) The official account platform regularly will send relevant content |
