Nurs-6052 assignment wk10
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.