6052A/NRSE 6052A: Essentials of Evidence-Based Practice

Full citation of the selected article

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Steffens, E., Spriet, I., Van Eldere, J., & Schuermans, A. (2019). Compliance with evidence-based guidelines for the prevention of central line-associated bloodstream infections in a Belgian home care setting: An observational study. American Journal of Infection Control, 47(6), 723-725.  https://doi.org/10.1016/j.ajic.2018.10.019

Ting, J. Y., Goh, V. S., & Osiovich, H. (2013). Reduction of central line-associated bloodstream infection rates in a neonatal intensive care unit after implementation of a multidisciplinary evidence-based quality improvement collaborative: A four-year surveillance. Canadian Journal of Infectious Diseases and Medical Microbiology, 24(4), 185-190.  https://doi.org/10.1155/2013/781690

Conley, S. (2016). Central line-associated bloodstream infection prevention: Standardizing practice focused on evidence-based guidelines. Clinical Journal of Oncology Nursing, 20(1), 23-26.  https://doi.org/10.1188/16.cjon.23-26

De Miranda Costa, M., Santana, H., Saturno Hernandez, P., Carvalho, A., & Da Silva Gama, Z. (2020). Results of a national system-wide quality improvement initiative for the implementation of evidence-based infection prevention practices in Brazilian hospitals. Journal of Hospital Infection, 105(1), 24-34.  https://doi.org/10.1016/j.jhin.2020.03.005

Why 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)

I chose this article because the study focused on assessing compliance of healthcare organizations with an acceptable practice that is recommended for the prevention of central line-related bloodstream infection. The study was ethical and perhaps much concerned about community health services

The article was chosen because its research was aimed at collecting the data about the use of central venous catheters as a lifesaving treatment approach and perhaps find better approaches that could be deployed to reduce infections associated with a central line-associated bloodstream illness  (Ting et al., 2013).

The selection of this article was based on its content that addressed a case study whereby healthcare professionals were observed during CVC care. It can be concluded that since its primary content was based on the patient interviews (Conley, 2016).

I chose this article because its study aimed at analyzing the impacts of national system-wide QI that was initiated to promote HCAI prevention. The study was ethical and result-oriented (Dumpa et al., 2019).

Brief description of the aims of the research of each peer-reviewed article

The research majorly aimed to evaluate how compliance are healthcare organizations with respect to care practice that helps promote the well-being of patients suffering from central line related blood illness  (Steffens et al., 2019).

The article aimed at identifying EBP strategies that can be implemented to for quality improvement to minimize the incidence associated with neonatal CLABSI

The study aimed at determining EBP approaches that could be implemented within a comprehensive ambulatory cancer to help in standardization of neurology practices for central lines

The researchers of the article intended to assess the effects of national systems that deploy to promote patient safety

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 authors used interviews along with questionnaires to assess the compliance of home care nurses with a good practice that could help prevent central line-associated bloodstream diseases and other infections  (Steffens et al., 2019).

This was a qualitative approach

During the study, the researcher applied a retrospective observational technique to enable be able to a comparison of CLABSI in neonates that had been admitted to level three NICU between 2007 and 2011. This was to facilitate the assessment of the trend across the years selected. It was quantitative research.

The author deployed a wide range of research methodologies in which case the nurses were given two types of tests that included post and pre-tests (Conley, 2016). As for the patients they were interviewed and this generated qualitative outcomes after which the nurses were audited while undertaking CVC care upon exposure to education.

The study utilized well-designed before and after Quasi- experiments that targeted over 1869 hospitals. the study employed a quantitative research technique. The result indicated that utilization of system-wide interventions for the patient had an appositive impact in promoting

A 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 approach used by the authors give their study strength of conducting one-on-one interviews that facilitate effectiveness and reliability of the data collected

The major strengths of this research are that it applied Do-Study-Act cycles (PDSA). This method of study often generates desired and reliable outcomes  (Ting et al., 2013).

Monthly peer-peer audits were one of the strengths of this article. Unlike clinical nurses, special audits peer-to-peer audits provide reliable results. The only weaknesses of the study are that patients’ interviews were subjective and this could reduce the study’s reliability.

The strength of this article can be attributed with its efforts to reach out to more than 26 states during the research as this increases the accuracy of the results obtained. The assessment of HCAI prevents indicated a great improvement through the strategies deployed nationally and in the states (Dumpa et al., 2019).

General Notes/Comments

The need for home care is on-demand, it is, therefore, necessary to assess how homecare nurses are prepared in terms of standardized and recommended good practices that could help reduce impacts of central line-associated bloodstream infections  (Steffens et al., 2019).

Findings indicated that multidisciplinary EBP and collaboration often result in a significant reduction in CLABSI  (Ting et al., 2013).

Implementation of EBP policies that are standardized can help improve patient outcomes (Conley, 2016).

The assessment and evaluation of HCAI prevention provided insights on how maintenance of hand hygiene by the nurse and other care providers could serve as the primary intervention.