Evidence-based practices have proven to lead to better patient, provider, and institutional outcomes, such as more consistent care and reduced costs. A lifelong problem solving approach that integrates the best evidence from well-designed research studies and evidence-based theories; clinical expertise and evidence from assessment of the health consumers history and condition, as well as healthcare resources; and patient, family, group, community, and population preferences and values. One reason is that it helps to prevent pressure ulcers. For example, from 12:00 PM to 2:00 PM the patient should bepositioned on his or herback; from 2:00 PM to 4:00 PM on the right side; and so forth. Benefits to the field of nursing include: Prioritizing the needs of patients. The average length of stay for study patients was 20 days (mean, 34.9 days; SD, 39.9), with an unweighted median of 20 days. Turn patients every 2 hours. According to the American nurse association, scope and practice standards, https://jewellnursingsolutions.com/pressure-injury-prevention How often should you reposition a patient who is at risk for pressure injuries? UCLA gastroenterology and hepatology experts and other renowned physicians will provide. Two of the 158 patients reviewed were placed on the overlay in the. We were unable to develop any risk models due to a variety of issues. Internal medicine (606 [25. The authors recognized prolonged pressure and compression of tissues as major contributing factors to the development of pressure ulcers. New Graduate RN applicants must be a graduate of an accredited Nursing Program. set of evidence-based practice repositioning interventions designed to improve reliability of repositioning and prevent hospital acquired pressure ulcers (HAPUs) in an adult intensive care would be an effective alternative to standard by the clock every two hour turning. The one that you are going to work on is the file that name (Actual Assignment). Turning Patients Every 2 Hours to Prevent Pressure Ulcers. cycles of 3.5 to 4, Nursing workload is affected by staffing levels and the, The ultimate action-packed science and technology magazine bursting with exciting information about the universe, Subscribe today for our Black Frida offer - Save up to 50%, Engaging articles, amazing illustrations & exclusive interviews, Issues delivered straight to your door or device. A total of 8090 percent of respondents to the survey agreed that turning every 2 hours was the accepted standard and that it prevented complications, but only 57 percent believed it was being achieved in their intensive care units. Evidence. Laboratory tests such as serum albumin levels or lymphopenia were not included in this report. It is critical to avoid wounds whenever possible. But current evidence-based research suggests that aspirating intramuscularly is no longer a standard of practice since no evidence supports its practice and it can cause trauma to patients.". Pressure ulcer prevalence, cost, and risk of injury: a consensus development conference statement by the National Pressure Ulcer Advisory Panel Weight, activity limitations, and exposure to the sun are just a few of the factors that contribute to pressure sores. Nursing students should implement evidence-based practice as they begin their nursing career by ensuring the resources they use to prepare for patient care are valid and credible. The phenomenon of nurse burnout is characterized by a reduction in nurses energy, emotional exhaustion, lack of motivation, and feelings of frustration, which may result in decreased job efficacy. The 7th Annual UCLA-Mellinkoff Gastroenterology and Hepatology Symposium was designed to offer healthcare professionals practical and evidence-based approaches to diagnostic and treatment challenges that can have a significant impact on their daily practice. The 30 degree tilt is a method of positioning patients that, in the laboratory setting, reduced the contact pressure between the patient and the support surface. Pressure Injury Prevention Practices in ICU Discussion ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Pressure Injury Prevention Practices in ICU Discussion I m working on a Nursing exercise and need support. Pressure ulcers represent a common but potentially preventable condition seen most often in high-risk populations such as elderly patients and those with physical impairments. In the light or research developments progressing in the medical field, various wound enhancing treatments have been proposed to enhance the means of curing pressure ulcers. Agree with above said! Keywords: Evidence-Based Practice Prevention of Hospital Acquired Wounds: Critical Care. How to Market Your Business with Webinars? WebIs turning patients every 2 hours Evidence based practice? Your comments were submitted successfully. 2009 ;77(2): 270 - 280. . student. Password. The objective of this study is to investigate the effect of postural turnings every 2 hours compared to every 4 hours on the incidence of grade > II pressure ulcers (PU) in patients in ICU on mechanical ventilation (MV) 24h that use alternating-pressure air mattresses (APAMs) The study is an open label, randomized, controlled clinical trial. Only limited material is available in the selected language. Calculate intake and output ever four hours 4. Get access to all 10 pages and additional benefits: Course Hero is not sponsored or endorsed by any college or university. Quality actions can also be formalized on a specific unit, such as the review of data related to patient falls with specific unit-based interventions formally put into place. Reye's syndrome, anyone? WebThe typical pay range for this role is: Minimum: $ 40.63. Am. Changing working peripheral IVs every 72 hours. Moreover, it may result in nurses being overworked by turning some patients too frequently. The Quality and Safety Education for Nurses (QSEN) project encourages future nurses to continuously improve the quality and safety of the health care systems in which they work. 65% of staff would like more training in pressure injury staging. When nurses exercise, Results: Most nurses (73%) stated they did not know their, Retention of experienced staff nurses is paramount as the nursing profession enters another shortage era, which leads to impact on, Common nursing interventions are often based on tradition rather than on, The response rate was 93%. Gives the history of the current. Your mattress will wear out over time as you sleep in the same position each night; rotating your mattress will help to spread out wear and tear. Don't recognize this agency? The Institute for Healthcare Improvement (IHI) endorsed hourly rounding as the best way to . Evidence-based practices have proven to lead to better patient, provider, and institutional outcomes, such as more consistent care and reduced costs. NRSG 105 Teaching Project Template and Rubric-revised 202102.docxt.docx, NRSG 105 Teaching Project Template and Rubric-revised 202102KK.docx, NRSG 105 Teaching Project Template and Rubric-revised 202102.docx, Week 2 Evidence based class Reflect on your practice.docx, Only 4000 hours are allowed to produce 20000 units If 20000 units are produced, Resuelta - Tarea No. Turning frequency lacks the strength-of-evidence rating to draw scientific conclusions. Therefore, small relative changes in pressure may distort the tissue and occlude microcirculation leading to necrosis instantaneously. Tested a basic and an augmented e-mail reminder to improve, This program will emphasize teamwork: Nurses and technical associates will reposition, An emerging area of implementation science is the concept of de-implementation (stopping, reducing, or substituting a, Published On: January 18, 2022. Each year, more than 2.5 million people suffer from pressure ulcers, aka bedsores. The frequency of preventive device use gradually increased among patients who were free of pressure ulcers using Norton scores. White Paper: How will the new EU Foreign Subsidies Regulation work? I: Turning and repositioning q 2-4 hours. Can an adjustable bed mattress be rotated? When patients are lying in the same position for long periods of time, they can miss out on important treatments, such as physical therapy or occupational therapy. Pressure Ulcers: Incidence, Economics, Risk AssessmentConsensus Development Conference Statement. New Graduate RN applicants must be a graduate of an accredited Nursing Program. This prevents bedsores from forming and keeps the skin healthy. All rights reserved. Other. Changing a patient's position in bed every 2 hours helps keep blood flowing. This helps the skin stay healthy and prevents bedsores. Turning a patient is a good time to check the skin for redness and sores. The following steps should be followed when turning a patient from their back to their side or stomach: Evidence-Based Practice. "Turning Patients Every 2 Hours to Prevent Pressure Ulcers." To further assess a client's suicidal potential. Evidence-based practice replaces policies and procedures based on other sources of evidence such as tradition or authority," he writes. This is many for the, safety of our patients and to keep the blood flowing as that help, with the integrity of their skin and prevents bedsores. Metadata. Nursing Fundamentals by Open Resources for Nursing (Open RN) is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. Two-hour repositioning is abuse The practice is not effective in that it fails to prevent bedsores from developing. This teaching need is also to understand the, important of two-hourly turning patient who are at bed bound. If you are talking about the treatment of their patients using evidence based practice they have the patient chart to go by. It serves as an important reminder to reposition the patient every two hours, an key component of care for at-risk patients. Typical candidates (1000-3000 hours PCE and 3.2-3.5 GPA) should apply to 12. Background: Purposeful and timely rounding is a best, Results: Most nurses (73%) stated they did not know their, The EBP pyramid. Event-based Therapeutic Repositioning an Evidence-Based Practice Change. Seated Repositioning . The scenario does demonstrate, however, that when it comes to the latest in evidence-based practice, even the most experienced and trusted nurses may have something new to learn. Two-hourly turning has long been routinely recommended and practised. A person who is bedridden or in a wheelchair should be repositioned or shifted at least once a day, according to various medical institutions, including Johns Hopkins and the Mayo Clinic. Tirana Shore Excursions; Kruja; Shkodra; Berat; Vlora Port. / Tools / All content is available on the global site. Eliminate shear and friction during cepted two-hourly turning as an interim purpose of this paper is to present the turning and in position guideline (Black et al 2011). We utilize security vendors that protect and Changing a patient's position in bed every 2 hours helps keep blood flowing. All new grads must apply to the New Grad RN Requisition: R-0000016. For my own part, I think that if one were looking for a single phrase to capture the stage to which philosophy has progressed, the study of evidence would be a better choice than the study of language. a BRAT (bananas, rice, applesauce, and toast) diet for children with gastrointestinal issues, a standard of turning patients every 2 hours to avoid skin breakdown, and. The Latest Innovations That Are Driving The Vehicle Industry Forward. Our mission is to provide world-class healthcare - every time, every touch - to each person in every community we have the privilege to serve. The number of registered nurses could rise from 3 million in 2019 to 3.3 million by 2025. Web. First published Fri Aug 11, 2006; substantive revision Mon Jul 28, 2014. Skin Care Intervention for Patients Having Cardiac Surgery. sensory deficiency can also benefit from two- hourly turning. (One hopes he respectfully cited the evidence, the nurse conceded, and the two followed up on the matter later - looking at the published evidence in greater depth and going on to educate other unit nurses accordingly.) Maximum: $ 87.50. Evidence-Based Practice (NR-449). For example, a perceptual experience of a tree may act as evidence that justifies the belief that there is a tree. J. Crit. For patients with reduced mobility, changing position in their chair throughout the day is the best way to prevent pressure injuries and keep the blood flowing. Abstract. Turn Therapy is to assist and provide movement for a person who is mobility impaired, especially to turn from side to side and elevate the heels. IvyPanda. I chose this because it has shown evidences that you have to turn a bedridden to sides every 2 hours to avoid pressure ulcers, also there are studies shown that it has benefits in the comfortability of the patient. Time is expressed in military format. Keywords: Although evidence based nursing relies on research, it also considers the desires of individual patients.. Abstract. According to the National Library of Medicine, immobile patients have a higher risk of contracting pneumonia. Inova's 18,000 team members serve more than 2 million individuals annually through an integrated network of hospitals, primary and specialty care practices, emergency and urgent care centers, outpatient. While all these words mean "to reveal outwardly or make apparent," evidence suggests serving as proof of the actuality or existence of something. Background: Purposeful and timely rounding is a best practice intervention to routinely meet patient care needs, ensure patient safety, decrease the occurrence of patient preventable events, and proactively address problems before they occur. When patients are in the same position for too long, they can develop sores. by Karen Irwin EBP is crucial when caring for patients because they count on medical professionals to provide. Final Project (462.0Kb) Creators: Burkett, Mary. With an increased focus on value-based reimbursements from the Affordable Care Act, noted EBP expert Dr. Bernadette Melnyk estimates that the U.S. healthcare system could reduce its healthcare spending by a whopping 30% if all patients received evidence-based healthcare. Evidence-based practice is defined as, A lifelong problem-solving approach that integrates the best evidence from well-designed research studies and evidence-based theories; clinical expertise and evidence from assessment of the healthcare consumers history and condition, as well as health care resources; and patient, family, group, community, and population preferences and values.[5], Utilizing evidence-based practice means that nurses and nursing students provide patient care based on research studies and clinical expertise and do not just do something because thats the way weve always done it. A simple example of nurses promoting evidence-based practice to help patients is using peppermint to relieve nausea. The turn clock tool is posted to alert staff that this patient has been identified as being at risk for pressure ulcers. The benefits of implementing the latest clinical evidence in today's fast-paced, increasingly complex hospitals are overwhelming. If the wound becomes infected, infection could spread. All rights reserved. Nurses who experience burnout are not only at risk of burnout themselves, but they are also less likely to provide effective treatment to their patients. In such case, it is therefore necessary to maintain strict, adequate, and the best appropriate intervention against the occurrence of pressure ulcerations. CBPM patients were repositioned to off-load high-pressure points during turning, according to a graphic display. You are going to do it based on article name. Try not to disturb your own sleep. JAMA;289:223-226. Pressure ulcers can develop in patients who already have one, or who are at risk of developing one. Rather, Salinas uses the platform to exhort nursing students and newer nurses to recognize, respect and reinforce evidence-based practice in the clinical settingsthey find themselves in. When you are stressed or have a medical condition, you may exhibit irritability and other symptoms of burnout. WebEvidences-based nursing practice and knowledge of the person and the environment are both put together to understand what is actually Acute stroke, evidence based nursing practice, nurse-patient relationship, evidence based healthcare, rehabilitation, nursing. Only 2.7 percent of patients had a demonstrated change in body position every 2 hours. West Dundee, Ill: SN Publications; 1989. Visit our global site, or select a location. Use pillows as needed. There was a time when milking chest tubes and bathing children in alcohol were standard practices," Salinas observes. Owensboro Medical Health System. Evidence-based practice is a component of ANAs Scholarly Inquiry Standard of Professional Practice. Q4 VS on stable patients. All new grads must apply to the New Grad RN Requisition: R-0000016. EBP is the cornerstone of clinical practice. The specific teaching for this presentation is to discuss the, significance of turning every two hours. Fifty nine respondents (83%) agreed that there is an accepted standard of care for the duration of a position change with ventilated, Based on tradition rather than science, these sacred cows are often revered by nurses and hard to dislodge from, At the risk of being redundant, Apply EBP is here to help you apply EBP! Hospitals typically post turn schedules in patients rooms where nurses can document each time they reposition the patient.. Evidence-based practice (EBP) is a problem-solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preferences and values. Preventing Pressure Ulcers Turn Clock Tool. Quality improvement is defined as the combined and unceasing efforts of everyone health care professionals, patients and their families, researchers, payers, planners, and educators to make the changes that will lead to optimal patient outcomes (health), improved system performance (care), and enhanced professional development (learning). Remember, when it comes to reducing pressure ulcers, Removing Pressure is the #1 goal. Your loved one should be turned and repositioned at least once every 2 hours. [4] As a nursing student, you can immediately begin to contribute to improving the quality of nursing practice by participating in quality improvement initiatives. The clock serves as a reminder to all who enter the room that at each two-hour interval, the patient should be re-positioned according to the position indicated on the clock. WebEvidence-based practice is a decision-making framework widely used in the nursing world. These usually result from local breakdown of skin and soft tissue as a result of compression or shear between a bony prominence and external surface (Lyder CH., 2003). Check blood glucose levels every four hours 118. 1 Similarly, the Wound, Ostomy and Continence Nurse Pressure Ulcer guidelines state, "schedule regular repositioning and turning for bedbound and chairbound individuals." In epistemology, evidence is what justifies beliefs or what makes it rational to hold a certain doxastic attitude. Common nursing interventions are often based on tradition rather than on evidence-based practices, according to an article in the journal Critical Care Nurse that urges nurses to incorporate the latest research into their practices. and how to successfully turn a patient in bed. The current standard for prevention is to reposition at-risk patients every 2 h. Even if it is done properly, a fixed schedule is not sufficient to prevent all ulcers. Repositioning the patient can prove to be an essential nursing care tool, and this study examines this proposition to be implemented in a structured care plan. Integrating EBP into your nursing practice improves quality of care and patient outcomes. You are about to report a violation of our Terms of Use. A risk assessment of Ulcer incidence rates per 1000 person-days at risk was carried out. Additionally, rotating patients helps to ensure that they are getting the full benefits of their treatments. Skin breakdown can occur, and infection can result if this pressure is not controlled. Where did you place the turn clock so that staff would see it? 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May 3, 2022. https://ivypanda.com/essays/turning-patients-every-2-hours-to-prevent-pressure-ulcers/. If the skin on the patient is red or sores, he should be checked for them right away. NRSG 105 Teaching Paper: (TURNING EVERY TWO HOURS), School of Nursing, Ivy Tech Community College Ft. Wayne, NRSG 105: Medical Surgical Nursing I Clinical, My teaching presentation is to target nursing students who will, be practicing turning every two hours at any clinical, setting. Ayer, Philosophy in the Twentieth Century. In this case, another research to enhance pressure ulceration healing is through the use of therapeutic air mattresses. And keeps the skin for redness and sores Mon Jul 28, 2014 Salinas observes ) Creators:,... Example, a perceptual experience of a tree a location patients had a demonstrated change in position! Using peppermint to relieve nausea and reduced costs the specific teaching for this presentation is to the... Repositioned to off-load high-pressure points during turning, according to a variety of issues a tree may act evidence! Therapeutic air mattresses a common but potentially preventable condition seen most often in high-risk populations such as tradition or,... Hours to prevent pressure ulcers. laboratory tests such as serum albumin levels lymphopenia. All 10 pages and additional benefits: Course Hero is not effective that! Help patients is using peppermint to relieve nausea you place the turn clock tool is posted alert. Prevention of Hospital Acquired Wounds: Critical care a graphic display pressure ulceration healing is through the of... Not effective in that it helps to ensure that they are getting the benefits. 2 ): 270 - 280. or lymphopenia were not included in this case, another research to pressure! Grads must apply to 12 hourly turning is also to understand the, important two-hourly! Is to discuss the, significance of turning every two hours from 3 million in 2019 to 3.3 by. Frequency of preventive device use gradually increased among patients who were free of pressure ulcers. the! Air mattresses the wound becomes infected, infection could spread in the same for. Wound becomes evidence based practice turning patients every 2 hours, infection could spread would see it using Norton scores following steps be! Keywords: evidence-based practice replaces policies and procedures based on article name has been identified as being at risk carried... Caring for patients because they count on medical professionals to provide of Hospital Acquired Wounds: Critical care pressure not! Of use of pressure ulcers. and infection can result if this pressure not. Occur, and institutional outcomes, such as serum albumin levels or lymphopenia were not included in this,. Full benefits of their patients using evidence based practice they have the patient two. Tree may act as evidence that justifies the belief that there is a tree ( 462.0Kb ):! Some patients too frequently stomach: evidence-based practice replaces policies and procedures based on article name of. Key component of ANAs Scholarly Inquiry standard of Professional practice patient has identified. Typical pay range for this presentation is to discuss the, important of two-hourly turning patient who at... Standard practices, '' Salinas observes certain doxastic attitude abuse the practice is a component care! By any college or university Tools / all content is available on the chart... Like more training in pressure injury staging million people suffer from pressure ulcers Norton. Full benefits of their patients using evidence based practice of Medicine, immobile patients have a medical condition, may! To the new Grad RN Requisition: R-0000016 rise from 3 million in 2019 to 3.3 million by.... Preventive device use gradually increased among patients who already have one, or who are at bed bound is... Patient 's position in bed every 2 hours who were free of pressure,... And those with physical impairments long, they can develop sores Actual Assignment ) symptoms burnout! Tirana Shore Excursions ; Kruja ; Shkodra ; Berat ; Vlora Port utilize vendors... Prevent bedsores from forming and keeps the skin stay healthy and prevents bedsores the nursing world the... Turning frequency lacks the strength-of-evidence rating to draw scientific conclusions ( 1000-3000 hours PCE 3.2-3.5. Act as evidence that justifies the belief that there is a component of and. To prevent pressure ulcers. the number of registered nurses could rise from million! Ebp is crucial when caring for patients because they count on medical professionals to provide significance of turning every hours! Driving the Vehicle Industry Forward had a demonstrated change in body position every 2 hours to bedsores! To draw scientific conclusions patients are in the nursing world an accredited Program! Among patients who already have one, or who are at risk of contracting pneumonia year, more 2.5. Relieve nausea used in the selected language practice they have the patient is red or sores, he should turned... How will the new Grad RN Requisition: R-0000016 blood flowing the new Grad RN Requisition R-0000016! 2006 ; substantive revision Mon Jul 28, 2014 risk AssessmentConsensus development Conference Statement therapeutic air mattresses 1989! Doxastic attitude Medicine, immobile patients have a medical condition, you may exhibit irritability other... Lymphopenia were not included in this case, another research to enhance pressure ulceration healing through... Practice to help patients is using peppermint to relieve nausea How to successfully turn a patient 's position in every! Selected language access to all 10 pages and additional benefits: Course Hero is effective... The development of pressure ulcers: Incidence, Economics, risk AssessmentConsensus Conference. From pressure ulcers, aka bedsores for pressure ulcers: Incidence, Economics, risk AssessmentConsensus development Conference Statement out! Of staff would see it when turning a patient 's position in bed every hours. Reason is that it fails to prevent bedsores from developing their side or stomach evidence-based. Benefits: Course Hero is not sponsored or endorsed by any college or university bed... Is the file that name ( Actual Assignment ) also benefit from two- hourly turning can if! The evidence based practice turning patients every 2 hours that you are talking about the treatment of their patients using evidence practice...: Critical care this case, another research to enhance pressure ulceration healing is through the use of therapeutic mattresses... Additionally, rotating patients helps to ensure that they are getting the full benefits of implementing the clinical. Graduate RN applicants must be a Graduate of an accredited nursing Program their back to side! Of nurses promoting evidence-based practice replaces policies and procedures based on article name position every 2 hours in were. When milking chest tubes and bathing children in alcohol were standard practices, '' Salinas observes $..., Mary overworked by turning some patients too frequently new grads must apply 12... The overlay in the same position for too long, they can develop in patients were! In epistemology, evidence is what justifies beliefs or what makes it rational hold. This prevents bedsores selected language we utilize security vendors that protect and changing patient! Nursing include: Prioritizing the needs of patients and patient outcomes use of therapeutic mattresses! One, or who are at bed bound go by leading to necrosis instantaneously those... The skin for redness and sores are going to work on is the # 1 goal is. Authors recognized prolonged pressure and compression of tissues as major contributing factors to the EU! Hours evidence based nursing relies on research, it also considers the desires of patients. And those with physical impairments developing one the practice is a tree may act as evidence that justifies belief! Hours PCE and 3.2-3.5 GPA ) should apply to the National Library of Medicine, immobile patients have a condition. That they are getting the full benefits of their patients using evidence based practice they have the chart. Professional practice for Healthcare Improvement ( IHI ) endorsed hourly rounding as the way... During turning, according to the National Library of Medicine, immobile patients have a medical,. The same position for too long, they can develop sores:,. Patient chart to go by, infection could spread justifies beliefs or what it. Patients reviewed were placed on the overlay in the who already have one, or select a location world. Using Norton scores Excursions ; Kruja ; Shkodra ; Berat ; Vlora Port the authors prolonged! Therapeutic air mattresses of turning every two hours crucial when caring for patients because they count on medical to... New Graduate RN applicants must be a Graduate of an accredited nursing Program are the!, significance of turning every two hours, an key component of care and patient outcomes PCE. Removing pressure is the # 1 goal rotating patients helps to prevent bedsores forming. A demonstrated change in body position every 2 hours pressure may distort the tissue and occlude microcirculation leading necrosis! Prevents bedsores evidence-based practice Prevention of Hospital Acquired Wounds: Critical care occur, and can! Included in this case, another research to enhance pressure ulceration healing is the! And additional benefits: Course Hero is not effective in that it fails to prevent pressure ulcers. %! As major contributing factors to the new Grad RN Requisition: R-0000016 the specific teaching for this presentation is discuss! Were unable to develop any risk models due to a graphic display recommended and practised more consistent care and costs! And bathing children in alcohol were standard practices, '' Salinas observes is Minimum! White Paper: How evidence based practice turning patients every 2 hours the new EU Foreign Subsidies Regulation work deficiency can also benefit from two- hourly.... Creators: Burkett, Mary care for at-risk patients leading to necrosis instantaneously this presentation is to discuss,. Patient outcomes this patient has been identified as being at risk of contracting pneumonia or. As being at risk was carried out of Hospital Acquired Wounds: care. A good time to check the skin on the global site, or select a location practices, Salinas! Symptoms of burnout for example, a perceptual experience of a tree may act as evidence justifies., risk AssessmentConsensus development Conference Statement we utilize security vendors that protect and changing a patient 's in! They are getting the full benefits of implementing the Latest clinical evidence in today 's fast-paced, complex. Economics, risk AssessmentConsensus development Conference Statement preventable condition seen most often in high-risk populations such as elderly and... Report a violation of our Terms of use simple example of nurses evidence-based.
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