Nurs-6052 assignment wk10

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WK5Assgn-LopezJ.pptx

Evidence based project

MSN, Walden University

NURS-6052C

Dr. Emily Keyes

10/01/2021

introduction

Most of the health care facilities have implemented Evidence Based Practices mostly in nursing

EBP involves the use of research evidence, clinical expertise as well as patient’s preferences

There is a confusion on the pros and cons of EBP in nursing

Thus, PICOT questions are based on the use of EBP in each day’s nursing project.

Picot question

With the mechanically ventilated patients in the ICU aged 40 years or older, does the use of oral chlorhexidine in comparison to no chlorhexidine aid in reducing the incidence of VAP in 5 weeks?

population

intervention

comparison

outcome

Time

mechanically ventilated patients in the ICU aged 40 years or older

use of oral chlorhexidine

use of no oral chlorhexidine

reducing the incidence of VAP

5 weeks

Databases used for the research

PubMed:

The database aids in ensuring easy search per topic by using the search terms in order to filter results and find certain peer reviewed articles

Google Scholar

Allows me to easily navigate as well as filter the results to fit in my research

Cochrane Library

The database offers a wide range of systematic reviews as well as peer reviewed articles

CINAHL

Provides access to associated health topics as well as nursing based literature using electronic books and journals.

Peer reviewed articles

Al-Rabeei, N., Al-jaradi, A., Al-Wesaby, S., & Alrubaiee, G. (2019). Nursing Practice for Prevention of Ventilator-Associated Pneumonia in ICUs at Public Hospitals in Sana’a, City-Yemen. Al-Razi University Journal of Medical Sciences, 3(2), 69–80.

Frota, M. L., Campanharo, C. R. V., Lopes, M. C. B. T., Piacezzi, L. H. V., Okuno, M. F. P., & Batista, R. E. A. (2019). Good practices for preventing ventilator-associated pneumonia in the emergency department. Revista Da Escola de Enfermagem Da USP, 53. https://doi.org/10.1590/s1980-220x2018010803460

Jam, R., Mesquida, J., Hernández, S., Sandalinas, I., Turégano, C., Carrillo, E., Delgado-Hito, P. (2018). Nursing workload and compliance with non-pharmacological measures to prevent ventilator-associated pneumonia: a multicentre study. Nursing in Critical Care, 23(6), 291–298. https://doi.org/10.1111/nicc.12380

Kapucu, S., & ÖZden, G. (2017). Nursing Interventions to Prevent Ventilator-Associated Pneumonia in ICUs. Konuralp Tıp Dergisi. https://doi.org/10.18521/ktd.285554

Levels of evidence

The level of evidence for the article by Jam et al (2018) is level II since an observational study design was used.

The level of evidence for this article by Fronta et al., (2019) is level I since it a cross sectional study

The level of evidence for this article by Al-Rabeei, et al., (2019) is level III since it is a descriptive, cross sectional study

The level of evidence for this article by Boltey, et al., (2017) is level IV since it is a systematic review.

Strengths of systematic reviews

Systematic reviews aids in making the accessible evidence more accessible to decision makers

They are most accessible forms of study given that they are at the top of the hierarchy of evidence

Systematic reviews are more comprehensive

They offer up to date as well systematic summary for the current evidence

References

Eastern Illinois University. (2018). Why Is Evidence-Based Practice In Nursing So Important? Retrieved from https://learnonline.eiu.edu/articles/rnbsn/evidence-based-practice-important.aspx

Davies, K. S. (2011). Formulating the Evidence Based Practice Question: A Review of the Frameworks. Evidence Based Library and Information Practice, 6(2), 75–80.