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NRS 433V Week 5 – EBP on Healthcare-Associated Infections

NRS 433V Week 5 – EBP on Healthcare Associated Infections

PART A

What Four Infections Were Studied?

Agency for Healthcare and Research Quality identifies four types of common Healthcare-Associated Infections and some of the interventions for dealing with them. The four infections studied include ventilator-associated pneumonia, central line-associated bloodstream infection, catheter-associated urinary tract infections (CAUTI), and surgical site infections. According to AHRQ, these four types of infections are responsible for over eighty percent of all healthcare-associated infections (AHRQ, 2019).

What Was Shown To Be Effective Against Prevention Of Healthcare-Associated Infections And To What Strength Of Evidence?

The several adverse effects of healthcare-associated infections have led to several research efforts to come up with evidence-based practice strategies for preventing the infections as they are the most effective routes to fighting healthcare associate infections (Lorden et al., 2017). Some of the most effective means include removal of unnecessary indwelling catheters, cleaning patient’s skin with chlorhexidine, application of full-barrier precaution when inserting central venous catheters, and handwashing and hygiene. These evidence-based methods of preventing healthcare-associated infections were obtained from systematic reviews, implying that the level of evidence is I.

PART B

Locate An Evidenced-Based Research Paper (Less Than Five Years Old). Describe The Following About The Study:

The Title?

The evidence-based research paper that will be considered for the review using guiding questions is an article by Caselli et al. the title of  the article is “Reducing healthcare-associated infections incidence by a probiotic-based sanitation system: A multicentre, prospective, intervention study.”

What Is The Study About?

The Probiotic Cleaning Hygiene System (PCHS) was previously shown to be able to abate surface pathogens without the selection of antibiotic-resistant species. So the study wanted to dig deeper into this cleaning system and try and apply it in the control of healthcare-associated infections. The cleaning system replaced conventional chemical-based (chlorine products.

Purpose Of The Study?

The purpose of the study to determine whether the application of the Probiotic Cleaning Hygiene System (PCHS) can impact the incidence of healthcare-associated infection.

What Was The Framework Of The Study?

The study was not based on any specific framework as the authors failed to identify any.

Protocol development?

The researchers developed a protocol for the study, which was a prospective, multicentre and pre-post interventional research. The study simultaneously analyzed surface contamination and the incidence of healthcare-associated infections was done in six Italian public hospitals for eighteen months. The hospitals’ sizes were from medium to large. Having come up with the trial protocol, the trial protocol was then approved by the institutional ethics committees of every recruited hospital.

Describe How The Project Began.

After identifying the research gap of the possibility of using the Probiotic Cleaning Hygiene System in controlling healthcare-associated infections, the research team then established eligibility criteria for the hospitals to be enrolled in the study. One of the inclusion criteria was obtaining approval from the ethical committee prior to entering the research and having a size of more than one hundred in-patient beds. The intervention was then introduced to replace the conventional use of chlorine products for sanitation, with the hospitals agreeing not to introduce any other intervention which could have a potential impact on healthcare-associated infections.

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Did The Topic Have Support From Leaders, Clinical Nursing Staff?

Yes, the topic has support from the leaders and the clinical nursing staff as the researchers were given the institutional ethical clearance to proceed with the research. Besides, the staff seemed to buy into the research since they agreed not to use any other intervention that could affect the incidence of healthcare-associated infections.

 

Describe The Members Of The Project Team.

The members of the project team included the researchers and dedicated healthcare professionals who were hired and trained in a particular way to help in data collection. The other members of the project team included a central team that was there throughout the period of the study to help in solving informatics problems, ensuring that the data is standardized, complete, and consistent.

 

How Long Did The Team Meet?

Even though no formal meeting has been described, the authors state that every team member was available throughout the research period. Meaning that even though the meetings are not described, they might have been meeting on a frequent basis to check in the progress of the project.

 

What Materials, Etc. Were Developed?

Some of the materials developed include electronic clinical records, bioburden data, and quantitative and qualitative characterization of the healthcare facility surface bioburden in the areas surveyed.

 

Describe The Evaluation Of The Study.

The study met its objectives as it was able to determine the efficacy of the use of Probiotic Cleaning Hygiene System in controlling the healthcare-associated infection

 

What Were The Findings And Conclusions?

Some of the findings include a significant decrease in cases of healthcare-associated infections upon the use of the Probiotic Cleaning Hygiene System, with incidence rates observed to reduce from 4.8% to 2.3 %. The use of the system also led to decreased amounts of surface pathogens. The study concluded that modulation of environmental microbiota for healthcare setting cleaning could be instrumental in controlling the healthcare-associated infection.

References

Agency for Healthcare Research and Quality. (2019, October). Ending health care–associated infections. Rockville, MD: Author. Available at: http://www.ahrq.gov/qual/haicusp.htm

Caselli, E., Brusaferro, S., Coccagna, M., Arnoldo, L., Berloco, F., Antonioli, P., … & SAN-ICA Study Group. (2018). Reducing healthcare-associated infections incidence by a probiotic-based sanitation system: A multicentre, prospective, intervention study. PLoS One13(7), e0199616. https://doi.org/10.1371/journal.pone.0199616

Lorden, A. L., Jiang, L., Radcliff, T. A., Kelly, K. A., & Ohsfeldt, R. L. (2017). Potentially preventable hospitalizations and the burden of healthcare-associated infections. Health services research and managerial epidemiology4, 2333392817721109. https://doi.org/10.1177/2333392817721109

Topic 5 DQ 2

Aug 22-26, 2022

According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with patients. How do you see this being applied in your workplace? In addition, how can you strive to make spirituality and self-care a practice for your patients as well as yourself? How does this practice align with the Christian worldview?

Nurses use EBP to provide patients with safe, quality care and to improve outcomes. When developing EBP, one is looking at research already conducted (Helbig, 2018). My employer uses EBP for hospital-wide wide patient care. For example, I work on a GI floor. Our patients receive new ileostomy or colostomy placements regularly. However, EBP shows enhanced recovery is better than traditional recovery methods. We encourage our patients to ambulate within 4 hours post-op, intake 500mls within 8 hours post-op, and start patients off on a regular diet. Most patients are educated before surgery.

Workplace spirituality in nursing is mostly defined and researched from the individual viewpoint. The definition includes dimensions of inner life, meaningful work, interconnectedness, transcendence, and alignment between values (Pirkola et al., 2016). A sense of community and meaningful work are the most important dimensions of workplace spirituality in health care.

My goal is to view every shift as 12 hours to make a difference in my patients’ lives. Not just the medical part of the tasking and the critical thinking that comes naturally. But to give my patients the TLC they need in this, their hardest hour. They are down, ill, alone at night. I develop a rapport with them and make sure they are as comfortable as possible. I help them get clean, and pain-free (if possible), meet needs, tidy the room, clarify the night’s plan of care, and expectations from me, and make sure the patient and I are on the same page as far as the doctor’s plan. This may be reiterating the day Ds notes. I offer prayer if appropriate. I always offer a warm blanket, fan, and/or aromatherapy. I do my best to give holistic care and treat each patient with the utmost dignity and respect.

Selfcare is a personal struggle, to be honest. I do need to prioritize “me” time more than I do. I truly feel guilty not spending my extra time with my family since I’m so tired with the night shift and school all the time. I try and use any extra time to be with my family. I want to start going for 30-minute walks daily. It’s been a personal goal for a while.

When it comes to my Christian worldview, I try to treat others the way I want to be treated. It’s a simple rule, but it works for my personal and professional life. I try every day to be a better human than the day before. I am not a perfect mom, wife, sister, daughter, best friend, student, nurse, tia, or daughter-in-law, but I do my best. I do have a personal relationship with my savior. I know where I’m going when my earthly days are done. I’m confident with my actions on earth. I do my best, that’s all we can do.

 

Reference

Helbig, J. (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1

Pirkola, H., Rantakokko, P., & Suhonen, M. (2016). Workplace spirituality in health care: an integrated review of the literature. Journal of nursing management24(7), 859–868. https://doi.org/10.1111/jonm.12398

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