NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies

Use this document to complete Part 1 of the Module 2 Assessment, Evidence-Based Project, Part 1: Identifying Research Methodologies

A central line bloodstream infection (CLABSI) is a laboratory-confirmed bloodstream infection not connected to an infection at another site that occurs within 48 hours of a central line placement. It is associated with poor health outcomes, high morbidity and mortality rates, and high healthcare costs for patients and the healthcare system. Most CLABSI cases are preventable with appropriate aseptic techniques, surveillance, and management strategies. The purpose of this assignment is to analyze peer-reviewed articles related to CLABSI.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies:

Full citation of selected articleArticle #1Article #2Article #3Article #4Elliott, J., Hatch, D., Yang, Q., & Granger, B. B. (2021). Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial. Implementation science : IS, 16(1), 45. https://doi.org/10.1186/s13012-021-01112-4 Acharya, R., Bedanta Mishra, S., Ipsita, S., & Azim, A. (2019). Impact of Nursing Education on CLABSI Rates: An Experience from a Tertiary Care Hospital in Eastern India. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 23(7), 316–319. https://doi.org/10.5005/jp-journals-10071-23205Mohapatra, S., Kapil, A., Suri, A., Pandia, M. P., Bhatia, R., Borkar, S., Dube, S. K., Jagdevan, A., George, S., Varghese, B., & Dabral, J. (2020). Impact of Continuous Education and Training in Reduction of Central Line-associated Bloodstream Infection in Neurointensive Care Unit. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 24(6), 414–417. https://doi.org/10.5005/jp-journals-10071-23455Goldman, J., Rotteau, L., Shojania, K. G., Baker, G. R., Rowland, P., Christianson, M. K., Vogus, T. J., Cameron, C., & Coffey, M. (2021). Implementation of a central-line bundle: a qualitative study of three clinical units. Implementation science communications, 2(1), 105. https://doi.org/10.1186/s43058-021-00204-yWhy you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)The article was selected because it is concerned with identifying approaches that can prevent CLABSI and the adoption of these interventions among nurses.It relates to the clinical issue because it provides evidence-based data on interventions that can be employed to lower CLABSI rates in hospitals.The study was reviewed by the Duke University and WakeMed’s Institutional Review Boards and established to be exempt. The article was selected because it assesses the effectiveness of educational program for nurses and how educating nurses can reduce CLABSI rates. It relates to the clinical issue because it adds to literature on interventions that can be employed to lower CLABSI rates in hospitals.All participants gave their informed consent.The article was selected because it identifies education as an important aspect of the hospital infection control that improves infection-control practices.The study supports that continuous education interventions on hand hygiene with and training on the catheter hub care are the two most crucial preventive measures in reducing CLABSI incidence.Ethical permission for the study was not needed since it was part of routine continuing surveillance activity.I selected this article because it gives insight on the impact of socio-cultural factors in CLABSI bundle implementation.This relates to the clinical issue since socio-cultural factors could be causing high CLABSI rates or hindering the implementation of preventive strategies. The research was approved by the Research Ethics Boards at the hospital where the research was conducted. Brief description of the aims of the research of each peer-reviewed articleThe aim of the study was to examine the effect of a tailored, multifaceted implementation program on nursing staff’s compliance with the chlorhexidine gluconate (CHG) bathing process and EHR documentation in critically ill patients. It also sought to assess the intervention’s impact on nursing staff’s knowledge and perceptions of CHG bathing, and the effect of the intervention on CLABSI rates. The study carried out an education based program on hand hygiene with a pre- and post evaluation to evaluate the effect of the educational intervention in promoting performance improvement among the nurses.The aim of the study was to assess the impact of continuous teaching and training on strict adherence of the bundle care, particularly the compliance of hand hygiene and the care of central-line catheter hub for the prevention of CLABSI among patients in neurocritical ICUs.The aim of the study was to assess how socio-cultural factors influencing bundle implementation and practices in three clinical units in a pediatric hospital were identified and addressed by leaders of the safety program.Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.The researchers utilized a stepped wedged cluster-randomized design. Quantitative methods were used to evaluate assess the effect of utilizing a tailored implementation strategies program on nursing staff compliance with daily CHG bathing processes. The study employed a quantitative quasi-experimental study with respect to education of nursing staff to decrease the incidence of CLABSI.A pretest and post test design was employed to measure nurses’ knowledge on the infection prevention and control practices of central catheter care.The study applied a quantitative prospective observational study in the NICU over two years from January 2017 to December 2018.The researchers conducted a qualitative study of the implementation of a hospital-wide safety programA brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.The strength of a randomized control trial lies in its excellent internal validity.The study’s methodology is reliable since it produced results consistent with other studies that have established daily CHG bathing as effective in reducing patients’ risk of infections.The methodology is valid since it adequately evaluated the impact of the implementation program on nursing staff compliance and CLABSI rates. The methodology is reliable since it produced consistent results with previous studies that show that educating nurses on hand hygiene lower the rates of CLABSI. The methodology passed the validity criterion since it measures what it was supposed to, that is, the impact of a nurses’ educational intervention in reducing CLABSI.The research methodology is reliable since it the results are consistent with other studies that have established that hand hygiene and catheter hub care reduce CLASI rate.The methodology’s validity is apparent since it actually evaluates if a quality improvement initiative on hand hygiene reduces CLABSI rate.The methodology is reliable since it produced results consistent with previous studies that socio-cultural factors play a major role in CLABSI bundle implementation.Its validity is evident since it sufficiently identified socio-cultural factors related to bundle compliance in CLABSI prevention.General Notes/CommentsAdoption of evidence-based CHG bathing practices can be used to lower the cases of CLABSI in healthcare facilities.Education programs for nurses and providing feedback on implementation is an effective way of promoting adoption and compliance of this practices. CLABSI rates can be alleviated by enhancing compliance with the basic steps of hand hygiene. Although educating and implementing hand hygiene is easy, sustaining it over time is a challenge and requires regular training and motivation for healthcare providers.Adherence of healthcare providers to hand hygiene practices and catheter hub care alongside continuous teaching, training, and supervision is highly effective in reducing the CLABSI rate.Difficult to change socio-cultural factors can hinder the sustainability of interventions to reduce CLABSI and are a barrier to further improvements.

Conclusion

The above articles examined the impact of interventions aimed at preventing CLABSI like hand hygiene and catheter hub care. The impact of nurses’ education programs on implementing the hand hygiene and catheter hub care was also examined. The study findings show that these interventions are highly effective in lowering CLABSI rates. However, one of the articles demonstrates that socio-cultural factors can hinder their implementation. The articles highlight evidence-based interventions that can be applied in a quality improvement initiative on reducing CLABSI rates in a healthcare facility.

References

Acharya, R., Bedanta Mishra, S., Ipsita, S., & Azim, A. (2019). Impact of Nursing Education on CLABSI Rates: An Experience from a Tertiary Care Hospital in Eastern India. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 23(7), 316–319. https://doi.org/10.5005/jp-journals-10071-23205

Elliott, J., Hatch, D., Yang, Q., & Granger, B. B. (2021). Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial. Implementation science : IS, 16(1), 45. https://doi.org/10.1186/s13012-021-01112-4

Goldman, J., Rotteau, L., Shojania, K. G., Baker, G. R., Rowland, P., Christianson, M. K., Vogus, T. J., Cameron, C., & Coffey, M. (2021). Implementation of a central-line bundle: a qualitative study of three clinical units. Implementation science communications, 2(1), 105. https://doi.org/10.1186/s43058-021-00204-y

Mohapatra, S., Kapil, A., Suri, A., Pandia, M. P., Bhatia, R., Borkar, S., Dube, S. K., Jagdevan, A., George, S., Varghese, B., & Dabral, J. (2020). Impact of Continuous Education and Training in Reduction of Central Line-associated Bloodstream Infection in Neurointensive Care Unit. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 24(6), 414–417. https://doi.org/10.5005/jp-journals-10071-23455

Related posts: