Research Proposal for Insulin Protocol in Trauma Patients
Unit 9 Project: Final Research Proposal
A Multiple Regression Analysis of Insulin Usage Versus Non-treatment of Hyperglycemia in Non-diabetic Trauma Patients
Jeana Santostefano
Kaplan University
NU 310-01: Nursing Research
March 5, 2008
Title A Multiple Regression Analysis of Insulin Usage Versus Non-treatment of Hyperglycemia in Non-diabetic Trauma Patients
Abstract
Purpose: The goal of this study is to explore the relationship between insulin administration in non-diabetic patients and their average length of stay in the intensive care unit, versus those non-diabetic patients left to their bodies’ utilization of homeostasis to maintain euglycemia.
Design: Longitudinal, experimental posttest-only.
Setting: Local, suburban regional level I trauma center’s trauma intensive care unit.
Sample: 320 male and female trauma patients, between the ages of eighteen and thirty, without a known history of diabetes, and having an admission blood sugar greater than 150.
Methods: Participants will be selected using a systematic probability sampling method. Blood glucose and insulin dosage value data, or lack there of, will be collected through the use of biophysiologic measures. Meanwhile, cost of care and length of stay will be obtained through systematic chart reviews. All data will be analyzed using multiple regression analysis.
Implications for Practice: Cost-containment and decreased length of stay are essential to the future of health care, and nursing. Additionally, the elimination of unnecessary procedures for patients will assist in a decreased workload for nursing staff. Introduction Working in the trauma intensive care unit, nurses encounter a large number of patient complications and abnormalities. One of the aforementioned abnormalities would be, that said patients having been involved in a traumatic event often present with certain elevated lab values. Often lab values may be abnormal based on the fact
A Multiple Regression Analysis of Insulin Usage Versus Non-treatment of Hyperglycemia in Non-diabetic Trauma Patients
Jeana Santostefano
Kaplan University
NU 310-01: Nursing Research
March 5, 2008
Title A Multiple Regression Analysis of Insulin Usage Versus Non-treatment of Hyperglycemia in Non-diabetic Trauma Patients
Abstract
Purpose: The goal of this study is to explore the relationship between insulin administration in non-diabetic patients and their average length of stay in the intensive care unit, versus those non-diabetic patients left to their bodies’ utilization of homeostasis to maintain euglycemia.
Design: Longitudinal, experimental posttest-only.
Setting: Local, suburban regional level I trauma center’s trauma intensive care unit.
Sample: 320 male and female trauma patients, between the ages of eighteen and thirty, without a known history of diabetes, and having an admission blood sugar greater than 150.
Methods: Participants will be selected using a systematic probability sampling method. Blood glucose and insulin dosage value data, or lack there of, will be collected through the use of biophysiologic measures. Meanwhile, cost of care and length of stay will be obtained through systematic chart reviews. All data will be analyzed using multiple regression analysis.
Implications for Practice: Cost-containment and decreased length of stay are essential to the future of health care, and nursing. Additionally, the elimination of unnecessary procedures for patients will assist in a decreased workload for nursing staff. Introduction Working in the trauma intensive care unit, nurses encounter a large number of patient complications and abnormalities. One of the aforementioned abnormalities would be, that said patients having been involved in a traumatic event often present with certain elevated lab values. Often lab values may be abnormal based on the fact
References: American Nurses Association (2001). Code of ethics for nurses with interpretive statements. Retrieved February 19, 2008, from http://nursingworld.org/ethics/code/protected_nwcoe813.htm. Carlson, G. (2001). The value of point-of-care testing when instituting an insulin drip protocol. Critical Care Nursing Quarterly; 24(1): 49-53. Creasia, J.L., & Parker, B. (2001). Conceptual foundations: The bridge to professional nursing practice (3rd ed.). St. Louis, MO: Mosby-Year Book, Inc. Drury, P. (2008). Barriers to evidence-based nursing care: listen to clinicians! Retrieved February 27, 2008 from http://www.clininfo.health.nsw.gov.au/hospolic/stvincents/stvin98/a9.html. Gale, S. et al. (2007). Poor glycemic control is associated with increased mortality in critically ill trauma patients. The American Surgeon, 73, 454-460. Langdon, C. D., & Shriver, R.L. (2004). Clinical issues in the care of critically ill diabetic patients. Critical Care Nursing Quarterly, 27(2), 162-171. Mathias, J. M. (2006). Aiming for tighter glucose control. OR Manager, 22(9), 21-25. Polit, D.F., & Beck, C.T. (2006). Essentials of nursing research: methods, appraisal, and utilization (6th Ed). Philadelphia: Lippincott. Severance, B., Jones, S., & Merrill, A. (2006). When is checking postoperative blood glucose not enough? An introduction to tracking hemoglobin A1Cs. Critical Care Nurse, 26(2): NTI Abstract Supplement: S4.