Abstract
Objective To integrate best evidence of venous thromboembolism (VTE) prevention into practice, improve nurses′ compliance, and reduce incidence of VTE in orthopaedic department. Methods Guided by standard procedure in JBI-Paces program, collected best evidence from online databases and set standards. Collected data through field observation, interviews and review of nursing records. A total of 167 patients and 36 nurses we recruited in study and audited twice. We judged result by knowledge level of nurses and nurses′ compliance with evidence and incidence rate of VTE. Results In baseline review, three criteria of poor compliance, the correct situation of daily inspection of VTE risk Wear gradient pressure stockings correctly for VTE high-risk patients, Intermittent pneumatic compression device (IPCD) used twice a day for 30 minutes each time, were significantly improved after application of evidence, increased from 47.22% (17/36) ,36.11% (13/36) ,36.11% (13/36) to 86.11% (31/36) , 86.11% (31/36) , 91.67 (33/36) respectively (χ2=12.25, 18.94, 24.08, all P < 0.05); The incidence of VTE decreased from 2.7% to 0 (P=0.195); correct rate of VTE risk assessment, awareness rate of health education among implementation rate of physical preventive measures and qualified rate of VTE-related knowledge and skills among nurses increased from 82.43% (61/74) ,74.32% (55/74) ,83.78% (62/74) ,77.03% (57/74) to 97.85% (91/93) ,91.40% (85/93) ,97.85% (91/93) ,96.77% (90/93) respectively (χ2= 8.86-15.24, all P < 0.01) . Conclusion The integration of best evidence standardize nurses′ behaviors, reduce incidence rate of VTE, improve quality of clinical care and promote satisfaction of patients continuously. Key words: Venous thromboembolism prevention; Evidence-based nursing; Best practice
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