EBP

litappraisal.docx

Literature Appraisal (25 points)

Directions: Select a research publication (not an evidence-based practice guideline) from the literature search to critically appraise. Complete the following items on the word document (.docx) provided in the module (download the document, complete it, then upload into the assignment area). Or, copy and paste the assignment (below) into your own word document (.docx), then upload it into the assignment area. (adapted from Polit & Beck, 2017, p. 100). DO NOT ALTER THIS DOCUMENT (a 5-point deduction will occur).

Name (-1 point if missing)
Academic Program & Population of Focus (-1 point if missing)
APPRAISAL
APA Citation (3 points)	Haverstick, S. (2017). Patients’ Hand Washing and Reducing Hospital-Acquired Infection. Critical Care Nurse, 37(3), e1–e8. https://doi.org/10.4037/ccn2017694
Purpose of the Study (1 point)	The purpose of the study is to improve patient’s hand hygiene by promoting and using hand washing with soap and water, hand sanitizer, or both and further improve patients’ education to reduce the hospital-acquired infections.
Type of Study (1 point)	Quantitative Qualitative Mixed Methods Meta Analysis Systematic Review Other: Any Specifics? Cross-sectional Longitudinal Phenomenology Other:
Setting (1 point)	An adult 36-bed cardiothoracic surgical step-down unit at the University of Michigan Health System, a large academic medical center in the Midwest
Intervention (1 point)	Hand washing with soap and water, hand sanitizer
Variables (1 point)	Independent Variables: Hand wash Dependent Variables: Soap and water, hand sanitizer Controlled Variables: Other:
Framework/Theory (1 point) (If none, state none)	None
Design (1 point)	Experimental Randomized Control Trial Factorial Design Quasi-Experimental Non-Experimental Descriptive Survey Correlational Other:
Sample (1 point)	Population: Patients and providers Number in Sample: Sampling Method: Nonprobability sampling Generalizable? Yes No
Data Sources (1 point)	Self-Report/Survey Observational Retrospective Prospective Other:
Outcome Measures (1 point) (What data was collected?)	Survey data - unit-specific infection control data
Statistical Analysis (1 point)	Bivariate (e.g., t-test, ANOVA, Pearson’s r): Multivariate (e.g., multiple regression, logistic regression): Other: SPSS version 21
Effect size (if provided) and/or p values (if provided) (1 point)	Vancomycin resistant enterococci (P = .003) and methicillin-resistant Staphylococcus aureus (P = .01)
Findings/Themes (2 point)	The implementation of the interventions led to the significant reduction of both infections.
Results Valid or Reliable? (2 point) (Explain)	Results valid/reliable.
Conclusions (2 points)	The quality improvement project demonstrated increased hand hygiene compliance by patients and healthcare professionals. It led to decreased infection rates and increased compliance with hand hygiene.
Strengths (2 points)	· Data is consistent, reliable, and precise · Provided data is descriptive · Data relatively easy to analyze
Limitations (2 points)	· The study was conducted on 1 unit in 1 medical center; this limited the generalizability of the findings to other settings · Results in the study were compared with results for a group of patients from before the intervention instead of with results from a randomized control group, and the demographics of the 2 groups were not evaluate · Small sample size