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N610 Kristal Cameron
KC
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Kristal Cameron
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Updated Nov 28, 2022
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00:00 - 00:00
Hello.
00:00 - 00:03
My name is Crystal Cameron and I'm going to share with you my research from this term.
00:03 - 00:06
So the PICO question used to guide this research
00:06 - 00:08
is as follows in patients with covid 19.
00:08 - 00:10
What is the effectiveness of prophylactic Hepburn?
00:10 - 00:13
On incidences of venus tremble embolism compared to placebo.
00:13 - 00:16
No treatment are active comparator drugs venus Turnbull
00:16 - 00:18
embolism will be referred to as VT.
00:18 - 00:19
From this point forward,
00:19 - 00:21
patients with covid 19 are at an increased risk
00:21 - 00:24
for CTE related to their hyper collectible state.
00:24 - 00:26
The search included journals for review if they
00:26 - 00:30
discussed um prophylactic Hepburn in the prevention of
00:30 - 00:33
VT in patients with Covid 19 articles focusing
00:33 - 00:35
on all cause mortality failing to examine V.
00:35 - 00:38
T. E. In the effectiveness of prophylactic Hepburn were excluded.
00:38 - 00:40
The five journals that were appraised had
00:40 - 00:43
little consistency in their reported findings.
00:43 - 00:45
The most credible article a Cochrane review
00:45 - 00:48
did report a favorable use of Hepburn and
00:48 - 00:51
prophylactic heparin in patients with Covid 19.
00:52 - 00:55
The sign guidelines were not included in the initial search
00:55 - 00:57
as they were found later on the trip database.
00:57 - 00:59
They were very influential in answering this proposed
01:00 - 01:01
question as they made graded
01:01 - 01:04
recommendations for prophylactic measures for patients
01:04 - 01:08
with COVID-19 depending on the severity of COVID-19 in that individual
01:08 - 01:12
sign is an international organ ization that produces clinical guidelines.
01:12 - 01:14
These guidelines allowed for the proposed pickle
01:14 - 01:16
question to be answered with confidence.
01:16 - 01:20
This is important due to the inconsistencies highlighted in the initial search.
01:20 - 01:21
In addition there is a historically low
01:21 - 01:23
adherence rate to clinical practice guidelines.
01:23 - 01:25
As reported by the american
01:25 - 01:27
College of chest physicians.
01:28 - 01:31
This formed a knowledge to practice gap that guided
01:31 - 01:34
that required a secondary search of the literature.
01:34 - 01:37
The knowledge to action framework was used to adapt the evidence
01:37 - 01:42
to a local context to better create a more sustainable intervention.
01:42 - 01:43
The intervention is to increase the
01:43 - 01:47
awareness of VT guidelines through educational packages
01:47 - 01:49
that would be given to healthcare
01:49 - 01:51
practitioners caring for patients with COVID-19.
01:52 - 01:55
There are no identified Canadian guidelines for
01:55 - 01:58
VT prevention in patients with COVID-19.
01:58 - 02:01
Sign is committed to openly declaring competing interests in all
02:01 - 02:04
its activities and there were no identified conflicts of interest.
02:05 - 02:08
The historically low adherence rate to clinical practice guidelines
02:08 - 02:11
is believed to be related to lack of awareness,
02:12 - 02:15
lack of familiarity, lack of clarity and lack of motivation.
02:16 - 02:20
The goal of this education packet is to increase the reach of this information to
02:20 - 02:22
increase motivation to use this evidence and to
02:22 - 02:24
increase the ability to apply this evidence.
02:25 - 02:27
The design of the educational packet will include,
02:27 - 02:31
will integrate the sine guidelines and recommendations from the Agency
02:31 - 02:34
of Healthcare research and quality known as A H R.
02:34 - 02:36
Q H R. Q.
02:36 - 02:39
Make recommendations on how best to condense research
02:39 - 02:42
evidence to present it to healthcare leaders.
02:43 - 02:48
They make recommendations on layout, content and usability. Healthcare.
02:48 - 02:50
The educational packets will be mass mailed to
02:50 - 02:53
healthcare workers caring for patients with covid 19.
02:53 - 02:59
Um the success of this intervention will be evaluated by incorporating
02:59 - 03:03
kirkpatrick's four levels of evaluation in the form of a survey,
03:03 - 03:06
they are reaction, learning behavior and results.
03:06 - 03:10
The survey will be mailed As one study reported
03:10 - 03:14
a 57% increase in response rates compared to email.
03:14 - 03:17
This will help determine the effectiveness of the proposed
03:17 - 03:20
intervention and that all targeted individuals were reached.
03:20 - 03:22
The results of this survey will help with the sustainability of
03:22 - 03:27
this proposed intervention and for future knowledge to practice gaps.
03:27 - 03:29
Thank you for watching.
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