NRS 433V Week 1 Literature Search Prevention of Surgical Site Infection
Thank you Nancy Farouk for your discussion post and I agree that healthcare-acquired conditions (HACs) like health-associated infections negatively affect the attainment of quality outcomes and patient safety. Healthcare facilities can reduce the prevalence of HACs through implementation of risk management strategies that lower the susceptibility of individual patients and providers to infections and other risks (Rodziewicz et al., 2022). As you observe, healthcare organizations in general can manage these conditions to lower the number of individuals who die each year as well as reduce the overall cost burden. Healthcare associated infections increase the cost of healthcare as it leads to longer stays in facilities as well as poor quality outcomes.
Having effective data and information system and surveillance systems to identify HACs and their potential harm on patients is critical. The implementation of such measures helps in elimination or reduction of preventable HACs (AAACN, 2022). In fact, a majority of HACs like hospital acquired infections (HAIs) are preventable. Currently, the world is battling the COVID-19 pandemic that has led to loss of millions of lives across the world, and the United States remain the most affected nation. The implementation of recommended measures like hand hygiene through effective handwashing and use of sanitizers is essential in prevention of infections.
Furthermore, healthcare facilities can use evidence-based practice interventions like better communication means using models like
SBAR (situation, background, assessment, and recommendations) to address these aspects in care provision (Haque et al., 2020). Active surveillance of infections in the healthcare delivery model ensures that organization identify mistakes, learn from and create efficient and safer interventions to address the issue. Organizations can stop or prevent these “never events” when they focus on better interventions that include training of their staff to increase patient awareness and inculcate safety culture for better care delivery.
American Academy of Ambulatory Care Nursing (AAACN) (2022). Prevention and Early
Detection of “Never Events” Within Ambulatory Settings to Enhance Quality and Safety and Prevent Financial Losses. https://www.aaacn.org/prevention-and-early-detection-never-events-within-ambulatory-settings-enhance-quality-and-safety
Haque, M., McKimm, J., Sartelli, M., Dhingra, S., Labricciosa, F. M., Islam, S., Jahan, D.,
Nusrat, T., Chowdhury, T. S., Coccolini, F., Iskandar, K., Catena, F., & Charan, J. (2020). Strategies to Prevent Healthcare-Associated Infections: A Narrative Overview. Risk management and healthcare policy, 13, 1765–1780. https://doi.org/10.2147/RMHP.S269315
Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2022). Medical error reduction and
prevention. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK499956/
Topic 3 DQ 1
Aug 8-10, 2022
Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.
Replies to Krishna Turner
Experimental studies are controlled studies that are true experiments. The researchers multiplate one or more variables to determine how it has an effect other variable. Researchers uses random assignment, and it is less bias. Non-experimental research design measures the statistical relationship between two or more variable, and the cause and effect of the relationship. (GCU, 2018)
Non-experimental can be a survey or observation of one or more group of subjects. This study lacks element of control and is based on calculating simple prevalence rates. For instance, observing people that has a lung injury secondary to a blunt chest trauma. This study is done by multiple cross-sectional observation which can identify changes that are happening at different time intervals and looking at different samples. (Thompson & Panacek, 2007)
Experimental is done with a control group. The subjects are explained the risk and benefits of the study and must consent to participating in it. The participant must meet the criteria of the study, for instance a study that is conducted on changing children eating behaviours. The researcher provides the children with free fruits and vegetables and observes how taste can positively influence the children attitudes and eating behaviour. (DeCosta et al., 2017)
DeCosta, P., Møller, P., Frøst, M. B., & Olsen, A. (2017). Changing Children’s eating behaviour – a review of Experimental Research. Appetite, 113, 327–357. https://doi.org/10.1016/j.appet.2017.03.004
Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1
Thompson, C. B., & Panacek, E. A. (2007). Research study designs: Non-experimental. Air Medical Journal, 26(1), 18–22. https://doi-org.lopes.idm.oclc.org/10.1016/j.amj.2006.10.003
Good post. Experimental research is the type of research that uses a scientific approach towards manipulating one or more control variables and measuring their defect on the dependent variables, while non-experimental research is the type of research that does not involve the manipulation of control variables. Nonexperimental research designs provide Level IV evidence. The strength of evidence provided by nonexperimental designs is not as strong as that for experimental designs because there is a different degree of control within the study; that is, the independent variable is not manipulated, subjects are not randomized, and there is no control group (Glasofer & Townsend, 2020). Yet the information yielded by these types of studies is critical to developing a base of evidence for practice and may represent the best evidence available to answer research or clinical questions.
Glasofer, A., & Townsend, A. B. (2020). Determining the level of evidence: Nonexperimental research designs. Nursing2020 Critical Care, 15(1), 24-27.