The Use of Incentive Spirometer to Increase O2 in COVID-19 Patients
In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question: **In patients with COVID-19 on supplemental oxygen, what is the effect of proning and proper usage of incentive spirometer compared with those patients who do not prone?**
5. Literature search strategy employed.
6. Evaluation of the literature.
7. Applicable change or nursing theory utilized. ** Lewins change theory ** or **Lippits theory of change**
8. Proposed implementation plan with outcome measures. **prone positioning, incentive spirometer** outcomes- list attached)
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.
Capstone Project
Student’s Name
Institutional Affiliation
Capstone Project
Turning a sick patient in need of supplemental oxygen from their back so that they can lie on their abdomen is referred to as proning. Several studies have verified and listed the advantages of proning in the patient’s ability to take in oxygen by breathing with ease. The usage of an incentive spirometer is also another strategy in facilitating the uptake of adequate oxygen—patients who do not prone need to be intubated or placed in ventilation machines. Again, proning and proper usage of an incentive spirometer are highly effective on the patients’ ability to take in oxygen, compared to patients who are not prone.
Background
In most healthcare organizations, the issue is many patients are not being educated on the importance of lying prone position sideways and using the incentive spirometer appropriately. These patients are positive for COVID-19, on supplement oxygen and lying prone, and doing the right breathing exercises is their last straw before mechanical intubation (Cammarota et al., 2021). Yet, many are not being told to use the incentive spirometer or are not taught exactly how to use it. Patients assume they have to be in a prone position 24/7, when that is not the case, during their sleeping hours would be more than enough. Patients diagnosed with COVID-19 and on supplemental oxygen need to be educated on the need to be proned and the usage of an incentive spirometer. Patients in respiratory distress due to COVID-19 who are lay prone have better outcomes than those who do not and do not use an incentive spirometer.
Problem Statement
Achieving proper outcomes for some COVID-19 patients has been a challenge partly because of poor interventions. Difficulties in breathing are a major concern for COVID-19 patients. Facilitating adequate oxygen uptake has grown into a priority even though not many healthcare facilities have adopted the evidence-based proposals. Proning has proven advantageous in addressing the difficulties in oxygen uptake. Strategies must be developed to educate both patients and healthcare professionals on proning and its impacts on oxygen uptake in COVID-19 patients.
Purpose of the Change
The purpose of this change is to ensure better oxygen uptake among COVID-19 patients through efficient implementation of proning and proper usage of an incentive spirometer. If the change is implemented effectively, nurses will better understand the importance of proning and using an incentive spirometer (Clarke et al., 2021). Also, nurses will be able to use the “teach-back” method with awake patients when educating about the incentive spirometer. Implementing the change will also help to ensure that patients’ oxygen will increase while proning, decreasing their risk of being intubated.
PICOT Question
The PICOT question for this study is PICOT question: “in patients with COVID-19 on supplemental oxygen, what are the effects of proning and proper usage of incentive spirometer compared with those patients who do not prone?” The study hypothesizes better patient outcomes through increased oxygen uptake among COVID-19 patients on supplemental oxygen.
Literature Search Strategy Employed
The search for literature in this study emphasized inputs from peer-reviewed publications from multiple nursing journals. The literature search was desk-based, with the researcher exploring different libraries for the necessary content. The researcher first narrowed the study’s scope to emphasize search on proning and proper usage of incentive spirometer among COVID-19 patients on supplemental oxygen. ProQuest and Google scholar were the primary sources of literature for this study. The search terms for literature in the databases ranged through key terms and phrases, including “proning among COVID-19 patients on supplemental oxygen”, “effect of proning and proper usage of incentive spirometer,” and “oxygen uptake among patients on supplemental oxygen.” The search delivered a total of 217 scholarly sources from both databases. The literature remained bulk, and further analyses would be conducted to narrow it to a manageable quantity. Hence, the choice for literature for the study accommodated aspects such as the year of publication, authors, and place of publication. The search also emphasized pieces of literature with quantitative approaches to their findings. The final literature tally for the study would be 15 sources with adequate insight into the effects of proning and proper usage of incentive spirometers among COVID-19 patients on supplemental oxygen.
Evaluation of the Literature
Evaluation of sources should focus on three primary aspects. Firstly, the evaluator must assess the authority of the source. That is, it is important to understand the author and note his/her expertise in the area of debate (Duff et al., 2020). A res...