RUA: Analyzing Published Research
Bmsafiri
RUA_analyzing_published_research_HAI.docx.pdf
ANALYZING PUBLISHED RESEARCH
Clinical Question
The Required Uniform Assignment delegated to our team is Healthcare Associated
Infection (HAI). HAI is an infection that a patient received due to procedure and poor
interventions. Patients were admitted getting treatment for illnesses and ending up getting
another infection. The team’s focus is to analyze and formulate the risk factors and prevention
methods. HAIs are a global concern and an increasingly recognized cause of preventable
Running Head: ANALYZING PUBLISHED RESEARCH
RUA: Analyzing Published Research: Healthcare Associated Infection
Chamberlain College of Nursing
NR 449: Evidence-Based Practice
April 4, 2019
This study source was downloaded by 100000758613853 from CourseHero.com on 05-14-2021 13:05:03 GMT -05:00
https://www.coursehero.com/file/92886020/RUA-analyzing-published-research-HAIdocx/
Th is
stu dy
re so
ur ce
w as
sh ar
ed v
ia C
ou rs
eH er
o. co
m
2 morbidity and mortality (Ellingson, 2014). The PICOT question that we focus on this paper is
“What kind of nursing’s action changes can be done to decrease occurrences of HAI?”.
The purpose of this paper is to analyze the two identified articles from the Week 3 RUA
that precisely respond to the devised PICOT question. One article from American Journal of
Public Health under Research and Practice performed by Ellingson and her partners (2014)
whom were focusing on the Enhancement of Health Department Capacity for Healthcare
Associated Infection Prevention Through Recovery Act- Funded Programs. The second article is
from a research article of PLOS ONE conducted by Caselli and her colleagues (2018) focusing on
“Reducing Healthcare Associated infections incidence by a probiotic-based sanitation system: A
multicenter, prospective, intervention study” under the topic of the impact of a probiotic
sanitation on healthcare associated infections.
Description of Findings Concepts
The articles focused on quantitative approach where the purpose of the study is to
measure the effect of an intervention. The quantitative study conveys comprehensible concept,
and utilizes observable data, such as behavior and actions, to represent the substantial
importance of the research’s cause and effect. The analysis is also designed to understand the
meaning of a phenomenon (Houser, 2018). During the funded program that is organized by the
Department of ANALYZING PUBLISHED RESEARCH
Health and Human Services (DHHS) through the American Recovery and Reinvestment Act
(ARRA) relating to Healthcare Associated Infection (HAI), 51 health departments were instructed
to organize updating the capacity of healthcare environments to see if capacity available was
relating to HAI (Ellingson, 2014). A question was asked, and theory was implanted whether if
using an eco-sustainable probiotic-based hand hygiene system decrease the rate of HAI (Caselli,
https://www.coursehero.com/file/53565652/RUA-analyzing-published-research-HAIdocx/This study source was downloaded by 100000758613853 from CourseHero.com on 05-14-2021 13:05:03 GMT -05:00
https://www.coursehero.com/file/92886020/RUA-analyzing-published-research-HAIdocx/
Th is
stu dy
re so
ur ce
w as
sh ar
ed v
ia C
ou rs
eH er
o. co
m
3 2018). The statistical data conceptualizes the rationale behind the research being conducted,
and the overall purpose of the RUA subject.
Methods
The first article, Ellingson et al. (2014) organized capacity enhancements achieved
according to the guide line of ARRA-HAI finds by activity and attributed them measurable
indicators of progress. They implanted 6 activity categories and scoring for each category such
as staffing (5 points), strategic partnerships (3 points), training (4 points), technical assistance (4
points), data quality and use (5 points), and prevention collaborative support (4 points). The
healthcare facilities were rated based on the categories and scoring they met, and according to
the score, the funds were continued to be provided or discontinued. Two abstractors who were
trained with abstraction protocols chose to evaluate the applications. The second article
supported the one of the first article’s activity categories; prevention collaborative support,
from the perspective of implanting the material to witness the reduced rate of HAI. “The
intervention consisted uniquely of the introduction of PCHS sanitation (a patented system by
Copma, Ferrara, Italy), replacing the conventional chemical-based (chlorine products) one”
(Caselli, 2018). The study was conducted in two phases; a 6 months pre-intervention period
(pre-PCHS) where the conventional chemical-based sanitizing procedures were used, and a 6
months post-intervention period (PCHS) when PCHS was routinely applied (Caselli, 2018).
ANALYZING PUBLISHED RESEARCH
Participants
The participants of the first research were from 51 health departments in 40 states, the
District of Columbia and Puerto Rico. The contributors included all healthcare associated
personal selected through convenience sampling from September 1, 2009, to December 31,
https://www.coursehero.com/file/53565652/RUA-analyzing-published-research-HAIdocx/This study source was downloaded by 100000758613853 from CourseHero.com on 05-14-2021 13:05:03 GMT -05:00
https://www.coursehero.com/file/92886020/RUA-analyzing-published-research-HAIdocx/
Th is
stu dy
re so
ur ce
w as
sh ar
ed v
ia C
ou rs
eH er
o. co
m
4 2011, in order to collect precise amount of data needed to conduct the study (Ellingson, 2014).
The second research was performed for 18 months in the Internal Medicine wards of six Italian
public hospitals (January 1,2016 – June 30, 2017) as a multicenter pre-post interventional study
(Caselli, 2018). The study was recorded and evaluated based on the participation of the patients
and the reduced rate of HAI. A total of 5,930 patients participated in pre-PCHS and 5,531
participated in PCHS (Caselli, 2018).
https://www.coursehero.com/file/53565652/RUA-analyzing-published-research-HAIdocx/This study source was downloaded by 100000758613853 from CourseHero.com on 05-14-2021 13:05:03 GMT -05:00
https://www.coursehero.com/file/92886020/RUA-analyzing-published-research-HAIdocx/
Th is
stu dy
re so
ur ce
w as
sh ar
ed v
ia C
ou rs
eH er
o. co
m
5
The article of Ellingson et al. used a point giving system as an instrument to measure the
success and failure of the research. As mentioned above, six activity categories were evaluated
by the evaluation team through regular team meetings, extracted any text related to program
capacity, categorized text into broad predetermined categories, and entered text into a
database (Ellingson et al, 2014). In contract, Caselli and her colleagues utilized the actual
https://www.coursehero.com/file/53565652/RUA-analyzing-published-research-HAIdocx/
ANALYZING PUBLISHED RESEARCH
The quantitative analysis gave a rationale to the cause and effect relating to a decreased
percentage of HAI, which is important to understand in patient-centered care as an evidence-
based practice. Both of the articles were able to identify the effectiveness. Even though the
researches had limitations, we can utilize them as a guide for future reference in improving
patient safety and public health infrastructure across the nation.
The next step for our team is to examine the articles that are most relevant when
answering the devised PICOT question using evidence-based practice. The articles selected
should detail enough evidence to support the topic’s significance and the reason behind the
significance, such as the quantitative data examined. Once identified, the team will make a
PowerPoint giving a solution to the clinical problem.
Conclusion
The purpose of this paper was to analyze two articles and determine whether they answer
the PICOT question. The articles were a quatitative analysis of the cause and effect in reducing
the percentage of HAI occurrences based on the capacity and availability of the healthcare
facility and the intervention of nursing action by using probiotic-based hand hygiene system.
Those articles were determined to be an effective evidence-based research. The article will be
used for further study, as it does provide substantial evidence.
This study source was downloaded by 100000758613853 from CourseHero.com on 05-14-2021 13:05:03 GMT -05:00
https://www.coursehero.com/file/92886020/RUA-analyzing-published-research-HAIdocx/
Th is
stu dy
re so
ur ce
w as
sh ar
ed v
ia C
ou rs
eH er
o. co
m
6 implantation of the probiotic hand sanitizer product as an instrument and using it before and
after giving care to individual patients (2018). In both articles, the authors mentioned that the
research conducted is reliable, as the subjects involved were studied through a consistent
measurement during the research period. Furthermore, the research was valid, as the
production of the study’s outcome directly meets the objective of the research.
Purpose
https://www.coursehero.com/file/53565652/RUA-analyzing-published-research-HAIdocx/This study source was downloaded by 100000758613853 from CourseHero.com on 05-14-2021 13:05:03 GMT -05:00
https://www.coursehero.com/file/92886020/RUA-analyzing-published-research-HAIdocx/
Th is
stu dy
re so
ur ce
w as
sh ar
ed v
ia C
ou rs
eH er
o. co
m
Running Head: ANALYZING PUBLISHED RESEARCH 1
Evidence Matrix Table
Arti cle
Reference Purpose
Hypothesis Study Question
Variables Independent(I) Dependent(D)
Study Design
Sample Size and Selection
Data Collection Methods
Major Findings
1 Ellingson, K., McCormick, K., Sinkowitz-Cochran, R., Woodard, T., Jernigan, J., Srinivasan, A., Rask, K., State-Based Healthcare-Associated Infection Prevention Public Health Advisors/Analysts (2014). Enhancement of health department capacity for healthcare-associated infection prevention through Recovery Act-funded programs. American journal of public health, , e104(4) 27-33.
To describe capacity enhancements, examine the role of baseline capacity and size, achieved with ARRA-HAI finding, and assess whether infection rate is lesser in funded program or not.
D- Percentage of HAI I- Used six activity categories in scoring system; staffing, technical assistance, strategic partnership, data quality and care, prevention collaborative support
Quantitative healthcare 51 department in 49 states, District of Columbia, and Puerto Rico.
Physiologic Measurement
The decrease rate of HAI infection was seen in the areas of research. These improvements in capacity allowed state health departments to assume a more prominent role in patient safety (Ellingson, 2014).
2 Caselli, E., Brusaferro, S., Coccagna, M., Arnoldo, L., Berloco, F., Antonioli, P., … null, null. (2018). Reducing healthcare- associated infections incidence by a probiotic-based sanitation system: A multicentre, prospective, intervention study. PLoS ONE, 13(7), 1– 17. https://doi- org.chamberlainuniversity.idm.oclc.org/1 0.1371/journal.pone.0199616 Links to an( external site.)Links to an external site.
To regulate whether Probiotic Cleaning Hygiene System PCHS) (
application could impact on HAI occurrences.
D- Percentage of HAI occurrences I- Implantation of Probiotic hand sanitizer
Quantitative 11,842 patients were participated from the Internal Medicine wards of six Italian public hospitals.
Physiologic Measurement
The finding showed that a decrease rate of HAI occurrences in all hospita
This study source was downloaded by 100000758613853 from CourseHero.com on 05-14-2021 13:05:03 GMT -05:00
https://www.coursehero.com/file/92886020/RUA-analyzing-published-research-HAIdocx/
Th is
stu dy
re so
ur ce
w as
sh ar
ed v
ia
Co ur
se H
er o.
co m
1
Running Head: ANALYZING PUBLISHED RESEARCH
Reference:
Caselli, E., Brusaferro, S., Coccagna, M., Arnoldo, L., Berloco, F., Antonioli, P., … null, null.
(2018). Reducing healthcare-associated infections incidence by a probiotic-based
sanitation system: A multicentre, prospective, intervention study. PLoS ONE, 13(7), 1–
17. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1371/journal.pone.0199616 (Li
nks to an external site.)Links to an external site.
Ellingson, K., McCormick, K., Sinkowitz-Cochran, R., Woodard, T., Jernigan, J., Srinivasan, A.,
Rask, K., State-Based Healthcare-Associated Infection Prevention Public Health
Advisors/Analysts (2014). Enhancement of health department capacity for healthcare-
associated infection prevention through Recovery Act-funded programs. American
journal of public health, 104(4), e27-33.
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury,
MA: Jones and Bartlett.
This study source was downloaded by 100000758613853 from CourseHero.com on 05-14-2021 13:05:03 GMT -05:00
https://www.coursehero.com/file/92886020/RUA-analyzing-published-research-HAIdocx/
Th is
stu dy
re so
ur ce
w as
sh ar
ed v
ia C
ou rs
eH er
o. co
m
Powered by TCPDF (www.tcpdf.org)
This study source was downloaded by 100000758613853 from CourseHero.com on 05-14-2021 13:05:03 GMT -05:00
https://www.coursehero.com/file/92886020/RUA-analyzing-published-research-HAIdocx/
Th is
stu dy
re so
ur ce
w as
sh ar
ed v
ia C
ou rs
eH er
o. co
m
Powered by TCPDF (www.tcpdf.org)
