There has been a structural change in the emergency departments following healthcare reforms and the urge for emergency attention. Practitioners in the emergency department are required to maintain pace with up-to-date research discoveries and also ensure that whatever they practice is evidence-based (Seamon et al., 2015). The two major changes in the emergency department include nutrition screening of patients and also a clinical instruction for vital parameter measurements. Nutrition screening is supposed to be conducted in the emergency room to identify patients who have unstable nutrition support. The nutrition screening is supposed to focus on disease severity, adapted or current weight loss, and also body mass index. Using an evaluation tool that measures physiological parameters such as respiratory rate, blood pressure, temperature, and pulse rate is a requirement for practitioners in the emergency room.
The major flaw is that the evidence-based clinical guidelines and the screening routine provide flow stops. In addition to this contradiction, there are other minor contradictions which include limited time to put in practice the long list of guidelines, noncompliance to the evidence-based practices resulting to guilty conscience among practitioners, different views in what is believed to be professional within the department, and also new practitioners in the emergency room have different priorities (Seamon et al., 2015). These challenges can be eliminated through the application of some recommendations. Firstly, it is important to analyze the culture under which these implementations are being imposed so that the problem associated with evidence-based practice in the emergency room can be alleviated. Flow stoppers and flow culture are aspects that practitioners will utilize as they try to analyze and understand the specialties and culture within the department. Local culture understanding is crucial in realizing evidence-based healthcare ambitions.
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Reference
Seamon, M. J., Haut, E. R., Van Arendonk, K., Barbosa, R. R., Chiu, W. C., Dente, C. J., ... & Magnotti, L. J. (2015). An evidence-based approach to patient selection for emergency department thoracotomy: a practice management guideline from the Eastern Association for the Surgery of Trauma. Journal of Trauma and Acute Care Surgery , 79(1), 159-173.
