DVT Risk Assessment Tool for Nurses Using Modified Delphi Essay Assignment Paper

DVT Risk Assessment Tool for Nurses Using Modified Delphi Essay Assignment Paper

DVT Risk Assessment Tool for Nurses Using Modified Delphi Essay

Mr.Kapil Sharma1,Ms. Jaspreet Kaur Sodhi2, *Ms.Rupinder Kaur3

Deep vein thrombosis (DVT) is a very serious, potentially fatal, and very preventable medical condition. It is important for all patients admitted to the hospital to be screened for the risk of developing a DVT. This could be easily accomplished by performing a risk factor assessment-screening tool on all patients. It is also important to educate the medical and nursing staff on the fact that all patients are at risk for developing DVT, not just surgical patients who are often believed to be at the highest risk of DVT. The implementation of the risk factor assessment could potentially save lives and reduce the hospital costs of treating and managing the complications of DVT and venous thromboembolic disease. The implementation of a risk factor assessment tool could potentially aid in the recognition and appropriate prophylaxis of those patients who are at extremely high risk for DVT. Without appropriate recognition of the risk for DVT, patients may be placed at risk for DVT and the potentially fatal and/or debilitating complications associated with the development of DVT.1.

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Aim

The aim of the study is to develop Patient’s DVT Risk Assessment Tool for Staff Nurses.

Objectives

  1. To select and pool the items to develop Patient’s DVT Risk Assessment Tool for Staff Nurses.
  2. To obtain consensus of Panelists for the development of Patient’s DVT Risk Assessment Tool for Staff Nurses.
  3. To organize valid items in a structured format for the development of Patient’s DVT Risk Assessment Tool for Staff Nurses. DVT Risk Assessment Tool for Nurses Using Modified Delphi Essay

Methods

Using instrument development design for Patient’s DVT Risk Assessment Tool for Staff Nurses. 66 Items were generated from evidence and qualitative data. Face and content validity were established through experts by 3 modified Delphi round. Content validity was computed. The content validity index (CVI) was calculated for each item i.e CVI-i, content validity index for experts i.e CVI-e and general content validity index for the tool i.e CVI-total. Item level CVI (CVI-i) is calculated by number of experts agreeing on the value of relevance of each item (value between 3 and 4) divided by total number of experts, expert level CVI (CVI-e) is calculated by number of items scored between 3 and 4 by an expert divided by total number of items and general CVI (CVI-total) is calculated by sum of all experts individual CVI divided by number of experts. Based on expert panel, CVI-i lower than 0.6 were deleted, (CVI-e) is 0.8,and CVI-total) 0.89. DVT Risk Assessment Tool for Nurses Using Modified Delphi EssayDVT Risk Assessment Tool for Nurses Using Modified Delphi Essay

Results

Patient’s DVT Risk Assessment Tool for Staff Nurses had face and content validity. The content validity index was 0.89.

Conclusion

The study concluded that assessment of DVT risk is essential in hospitalized patients.The identification of DVT risk at its earliest stage can help to decrease the morbidity and

mortality rate in hospitalized patients.The Patient’s DVT Risk Assessment Tool will be helpful to identify risk of DVT at its earliest stage so that preventive measures can be taken. DVT Risk Assessment Tool for Nurses Using Modified Delphi Essay

Keywords

Deep Vein Thrombosis,Patient’s DVT Risk Assessment Tool.Modified Delphi Technique,Content Validity Index

INTRODUCTION

“An ounce of prevention is cheap, the pound of cure costly”

(A.Taylor, B.J. Whiting)

In India, the incidence of deep vein thrombosis (DVT) is not well highlighted and literature survey shows scanty works in this field. Most of the literature available in India is from the orthopaedic departments, overall incidence of DVT in general population is largely unknown. Most of the DVTs are idiopathic and occur in less than 45 years age group. Irrespective of the etiology, LMWH and Warfarins are efficient, safety is well demonstrated, and domiciliary treatment is advisable with surveillance. Idiopathic DVTs require long term follow up to watch for recurrent thrombosis.2 DVT Risk Assessment Tool for Nurses Using Modified Delphi Essay

Each year, deep vein thrombosis (DVT) occurs in 1 of every 1,000 Americans, hospitalizes nearly 600,000 for DVT-related complications, and kills up to 300,000. It is possibly the most common preventable cause of hospital deaths in the United States. Occupations in transportation, air travel, con­fined spaces, and sedentary office positions pose risks for DVT. The risk of DVT increases with factors such as obesity, cancer, pregnancy, estrogen-containing medications, major surgery, and hospitalizations. , With an understanding of DVT, occupational health nurses are well positioned to promote DVT awareness and reduce the risk of complica­tions for employees diagnosed with DVT.3DVT Risk Assessment Tool for Nurses Using Modified Delphi Essay

Deep vein thrombosis [DVT] is one of the most dreaded complications in post-operative patients as it is associated with considerable morbidity and mortality. Majority of patients with postoperative DVT are asymptomatic. The pulmonary embolism, which is seen in 10% of the cases with proximal DVT, may be fatal. Therefore it becomes. DVT Risk Assessment Tool for Nurses Using Modified Delphi Essay

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