Poster Presentation

Students this project will allow you to formulate and hypothetically develop your own research project. The purpose of this project is for the student to follow all of the different steps in a research project on an already published article and presented as a poster presentation. A poster session or poster presentation is the presentation of research information by an individual or representatives of research teams at a congress or conference with an academic or professional focus. The work is usually peer reviewed. Poster sessions are particularly prominent at scientific conferences such as medical congresses.

Students will select a nursing research already published and following the article information you will create a poster presentation that include the below information:

The outline of the poster should include the following tabs (minimum requirements)

Abstract Outline:

-Title of Project

-Problem Statement: what is the problem that needs fixing?

-Purpose of the Project

-Research Question(s)

-Hypothesis

-Methodology (Qualitative vs. Quantitative)

-Steps in implementing your project

-Limitations

Results (Pretend results)

-Conclusion

-References

I have attached an example of a poster presentation for guidance. The due date for the poster presentation is WEEK 13. Please feel free to be artistic and provide graphs and data. You are welcome to use any poster template. Please submit it via turn it in.

AXAMPLE

www.Post

(—THIS SIDEBAR DOES NOT PRINT—)

DESIGN GUIDE

This PowerPoint 2007 template produces a 36”x48” presentation poster. You can use it to create your research poster and save valuable time placing titles, subtitles, text, and graphics.

We provide a series of online tutorials that will guide you through the poster design process and answer your poster production questions. To view our template tutorials, go online to PosterPresentations.com and click on HELP DESK.

When you are ready to print your poster, go online to PosterPresentations.com

Need assistance? Call us at 1.510.649.3001

QUICK START

Zoom in and out

As you work on your poster zoom in and out to the level that is more comfortable to you.

Go to VIEW > ZOOM.

Title, Authors, and Affiliations

Start designing your poster by adding the title, the names of the authors, and the affiliated institutions. You can type or paste text into the provided boxes. The template will automatically adjust the size of your text to fit the title box. You can manually override this feature and change the size of your text.

TIP: The font size of your title should be bigger than your name(s) and institution name(s).

Adding Logos / Seals

Most often, logos are added on each side of the title. You can insert a logo by dragging and dropping it from your desktop, copy and paste or by going to INSERT > PICTURES. Logos taken from web sites are likely to be low quality when printed. Zoom it at 100% to see what the logo will look like on the final poster and make any necessary adjustments.

TIP: See if your school’s logo is available on our free poster templates page.

Photographs / Graphics

You can add images by dragging and dropping from your desktop, copy and paste, or by going to INSERT > PICTURES. Resize images proportionally by holding down the SHIFT key and dragging one of the corner handles. For a professional-looking poster, do not distort your images by enlarging them disproportionally.

Image Quality Check

Zoom in and look at your images at 100% magnification. If they look good they will print well.

ORIGINAL

DISTORTED

Corner handles

Goodprinting quality

Bad printing quality

QUICK START (cont.)

How to change the template color theme

You can easily change the color theme of your poster by going to the DESIGN menu, click on COLORS, and choose the color theme of your choice. You can also create your own color theme.

You can also manually change the color of your background by going to VIEW > SLIDE MASTER. After you finish working on the master be sure to go to VIEW > NORMAL to continue working on your poster.

How to add Text

The template comes with a number of pre-formatted placeholders for headers and text blocks. You can add more blocks by copying and pasting the existing ones or by adding a text box from the HOME menu.

Text size

Adjust the size of your text based on how much content you have to present. The default template text offers a good starting point. Follow the conference requirements.

How to add Tables

To add a table from scratch go to the INSERT menu and
click on TABLE. A drop-down box will help you select rows and columns.

You can also copy and a paste a table from Word or another PowerPoint document. A pasted table may need to be re-formatted by RIGHT-CLICK > FORMAT SHAPE, TEXT BOX, Margins.

Graphs / Charts

You can simply copy and paste charts and graphs from Excel or Word. Some reformatting may be required depending on how the original document has been created.

How to change the column configuration

RIGHT-CLICK on the poster background and select LAYOUT to see the column options available for this template. The poster columns can also be customized on the Master. VIEW > MASTER.

How to remove the info bars

If you are working in PowerPoint for Windows and have finished your poster, save as PDF and the bars will not be included. You can also delete them by going to VIEW > MASTER. On the Mac adjust the Page-Setup to match the Page-Setup in PowerPoint before you create a PDF. You can also delete them from the Slide Master.

Save your work

Save your template as a PowerPoint document. For printing, save as PowerPoint of “Print-quality” PDF.

Print your poster

When you are ready to have your poster printed go online to PosterPresentations.com and click on the “Order Your Poster” button. Choose the poster type the best suits your needs and submit your order. If you submit a PowerPoint document you will be receiving a PDF proof for your approval prior to printing. If your order is placed and paid for before noon, Pacific, Monday through Friday, your order will ship out that same day. Next day, Second day, Third day, and Free Ground services are offered. Go to PosterPresentations.com for more information.

Student discounts are available on our Facebook page.
Go to PosterPresentations.com and click on the FB icon.

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●Worldwide there are approximately 18 million new cases of sepsis each year, with a mortality rate range estimated about 30% to 60%.

●Sepsis is the 10th leading cause of death in the United States.

●Organ failure occurred in 19.1 % of sepsis patients from 1979 to 1989 and 30.2% from 1990 to 2000.

●Severe sepsis as the primary diagnosis increased from 326,000 in 2000 to 727,000 in 2008.

●Severe sepsis as the secondary diagnosis increased from 621,000 in 2000 to 1,141,000 in 2008.

●About 24 % of patients who develop severe sepsis or septic shock will do so in a Medical-Surgical unit.

●Severe sepsis strikes about 750,000 Americans annually

28%-50% of these people die., more U.S. deaths than from prostate cancer, breast cancer and AIDS combined

●Sepsis is on the rise due to: Aging population, increased longevity of people with chronic diseases, spread of antibiotic-resistant organisms, increase in invasive procedures, broader use of immunosuppressive and chemotherapeutic agents

Background

Problem Statement

●Healthcare Practice:

●Nurses early sepsis recognition and management.

●Healthcare Outcomes:

●Improve sepsis mortality and morbidity rates.

●Healthcare Delivery:

●Improve awareness about the subject of sepsis in medical surgical units.

●Potential Core Measure.

●Healthcare Policy:

●Generate policy changes beyond the local municipal government

References

●Quasi Experimental, non-randomized one group pre test-posttest design.

●Retrospective review of the data

●Pre-Implementation

●Education

●Implementation

●Post-Implementation

●Power Analysis

●Sepsis Hospital Length of Stay

●Level of significance (α error probability), power (1-β error probability) and effect size.

●Cohen’s recommendation

●α value was set at 0.05

●β value was set at 0.95.

●Anticipated effect size (Cohen’s d) was set as medium effect, 6% of the variance: d=0.5

●n=256

●Transfers to Higher level of Care

●Cramer’s V table chi-square

●α value was set at 0.05

●power set at 0.80

●V statistics set at 0.30

●n=174

Phase 1: Approval

●Generate administration and management support for the project: Project proposal was presented to Unit Manager, Director and Hospital Nursing Council for approval. Project was also presented to Medical Executive Committee for approval.

●Education was performed to all medical surgical nurses on the topic of sepsis in the pilot unit. All participating staff received a 30-45 minutes education program, including a PowerPoint presentation and education flyers regarding the study.

Phase 2: Development of Bundle

● A sepsis bundle (Tool, Algorithm and Order Set) was developed for medical surgical units following the recommendations of the SSC 2012.

●The sensitivity and specificity of a severe sepsis tool was calculated. Total number of admissions from pilot unit during a three month period was collected. Admitted patients with a discharge diagnosis of sepsis was attained. All patients that had at least one positive screening for severe sepsis was calculated. Those patients with a discharge diagnosis of sepsis but screened negative for sepsis was also calculated. The results yielded the sensitivity and specificity of the tool by utilizing a 2×2 designs and receiver operating curve.

Phase 3: Implementation

●Decrease hospital length of stay: retrospective data collection will be conducted on all patients who have screened positive for sepsis during a three month period prior from implementation with focus on hospital length of stay. The same method will be employ after the implementation of the new sepsis bundle. With again focus on hospital length of stay. An independent t-test will be utilized to obtain results and measure outcome.

●Decrease septic patients transfer to higher level of care: retrospective study will be conducted on all patients who have screened positive for severe sepsis during a three month period with focus on transfers to higher level of care. The same method will be utilized after the implementation of the new algorithm and sepsis bundle. With focus on transfer to higher level of care on all patients that screen positive for severe sepsis. A chi-square will be utilized to obtain results and measure outcome.

Phase 4: Data Analysis

●Data Analysis and Presentation of Outcomes to Stakeholders.

Phase 5: Evaluation

●Evaluation of Project.

Anderson, R. & Schmidt, R. (2010). Clinical biomarkers in sepsis. Front Bioscience (Elite Edition), 2(5), 504-520.

Carter, C. (2007). Implementing the severe sepsis care bundles outside the ICU by outreach. Nursing Critical Care, 12(5), 225-230.

Gyang, E., Shieh, L., Forsey, L., & Maggio, P. (2011). A simple screening tool for the early identification of sepsis in a non-icusetting. Poster session presented at: Surgical infection society. 31st Annual Conference of the Surgical Infection Society. May 11-14, Palm Beach, Fl.

Hall, M. J., Williams, S. J., DeFrances, C, J., & Golosinskiy, A. (2011). Inpatient care for septicemia or sepsis: A challenge for patients and hospitals. Centers for Disease Control and Prevention National Center for Health Statistics, 62, Retrieved from: http://www.cdc.gov/nchs/data/databriefs/db62.pdf.

Sankar, V. & Webster, N. R. (2013). Clinical application of sepsis biomarkers. Journal of Anesthesia, 27, 269-283.

Singer, M. (2013). Biomarkers in sepsis. Current Opinion in Pulmonary Medicine, 19(00), 1-5.

Tazbir, J. (2012). Early recognition and treatment of sepsis in the medical-surgical setting. Medical Surgical Nursing, 21(4), 205-208.

Tromp, M., Tijan, D. H. T., van Zanten, A. R. H., Gielen-Wiffels, S. E. M., Goekoop, G. J. D., Van den Boogaad, M., Wallenborg, C. M., Biemond-Moeniralam, H. S., & Pickkers, P. (2011). The effects of implementation of the surviving sepsis campaign in the Netherlands. Netherlands Journal of Medicine, 69(6), 292-298.

The problem is that no sepsis bundles exists for the identification and treatment of septic patients on medical surgical units.

Purpose

The purpose of this pilot study is to develop and implement a severe sepsis bundle on a medical surgical unit to determine if there is a reduction in hospital length of stay and transfer to higher level of care.

Objectives

●Generate administration and management support for the project

●Educate medical surgical nurses on the topic of sepsis

●Develop and implement a severe sepsis bundle (Tool, Algorithm, Order Set) for medical surgical units

●Evaluate the sensitivity and specificity of a severe sepsis screening tool

●Decrease septic patients hospital length of

stay.

●Decrease septic patients transfer to higher level

of care.

Jorge Hirigoyen ARNP-BC

Efficacy of the Implementation of Early Severe Sepsis Strategies

on a Medical Surgical Unit

Theoretical Framework

Algorithm

Phases

Significance to Nursing

Results