Nurs-6052 assignment wk10

Full APA formatted citation of the selected article.

Article #1

Article #2

Article #3

Article #4

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

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

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

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.

Evidence Level *

(I, II, or III)

Level I

Level III

Level III

Level II

Level IV

Conceptual Framework

The conceptual framework used was well organized with the bid to gather the information that is EB to ascertain using questionnaires on a population sample of 290 ICU. This was a reasonable number as per the study's intention, and this provided acquired responses from the professional on the protocols used to prevent VAP among patients.

The study deployed a prospective observational approach in two different medical-surgical ICU units in Spain to determine how nurses were to prevent VAP.

Data collection began May to august 2017where observations were made about nursing practices that prevented VAP and were kept confidential. The analysis was conducted via a cross-sectional analytical study with a quantitative approach.

The article used components of different PICO-based frameworks to establish EB practice questions in treating various illnesses.

Design/Method

The study deployed the use of interviews and questions to collected a wide of details from the participants. The research included student’s t-test was utilized to compare two groups and analysis of variance used to compare more than two groups.

Used prospective observational to forecast the issues related to nursing compliance level to reduce VAP. A questionnaire along with workload was used to indicate the baseline for VAP interventions.

A cross-sectional analytical approach along with a quantitative study was used in the study to assess the conformity of a set of good practices of preventing VAP within the emergency department in the university of a hospital in the city of São Paulo.

The article never indicated any method used for their research

Sample/Setting

The number and characteristics of

patients, attrition rate, etc.

The research sample was made of 535 ICU nurses working within the Ankara municipality.

Nurses from the state level and university hospital were selected using stratified sampling.

The sample studied was composed of 97, where 65 nurses were from one of the ICU the remaining 32 patients were from the 2nd ICU. All staff nurses were qualified for the study as long as they attended patients with invasive mechanical ventilation.

The sample comprised of opportunities for care observation that entailed a set of good practices for preventing VAP in the emergency department.

The study population was composed of all years and above. hospitalized patients aged

Its utilized various sample question to illustrate on how to formulate PCIOT questions using a wide range of PICOT- Based framework

Major Variables Studied

List and define dependent and independent variables

Independent variables.

Male and female participants.

Age between 20 to 35 but grouped in a range of 5.

Dependent variables

Time.

Hand sanitizers.

Gloves.

Independent variables.

Compliance.

Nurses age.

Knowledge questionnaire

Dependent workload.

Workload 

Work shift.

Year of experience.

Independent variables

Infections.

Neurological

Cardiovascular

Pulmonary.

Time.

Dependent variables.

Age.

none

Measurement

Identify primary statistics used to answer clinical questions (You need to list the actual tests done).

The student's t-test was used to

The SPSS V18 package was utilized along with a regression model to assess the link between compliance to non-pharmacological preventive approaches and workload.

A cross-sectional analytical study with a quantitative approach,

A questionnaire together with transaction log analysis was used

Data Analysis Statistical or

Qualitative findings

(You need to enter the actual numbers determined by the statistical tests or qualitative data).

The study used questionnaires to collect data, after which statistical data evaluation was conducted to compare two groups.

The analysis of data was done using statistical methods. It was found that when the relation mentioned above was measured, greater compliance with workload was (B 0·001, 95% CI 0·000, 0·003; p = 0·05).

the quantitative approach,

a total of 209 observations were performed in 42

patients.

Among the hospitalized patient’s 23.8% developed VAP, and 52.4% died

Qualitative analysis of data on PICOT questions

Findings and Recommendations

General findings and recommendations of the research

Only 7.9% of the nurses admitted having read and adhered to the scientific literature on VAP.

A hospital should find its own way of training nurses while on the job on issues regarding VAP.

Out of the 96 nurses from the two ICUs, 79% were observed, to 327 total observations made.

Compliance with parameters such as hand hygiene indicated a vast discrepancy between what they do and what they know.

Among the hospitalized patient’s 23.8% developed VAP, and 52.4% died.

It was found that lack of compliance and application of recommended care was not well utilized.

Recommendations: progressive renewal of nurse education on VAP intervention.

Rather than using all the frameworks for PICOT questions, it will be advisable to consider key elements like timeframe, duration, content, and type of question to structure website searches.

Appraisal and Study Quality

Describe the general worth of this research to practice.

What are the strengths and limitations of the study?

What are the risks associated with the implementation of the suggested practices or processes detailed in the research?

What is the feasibility of use in your practice?

The research is worth is it aimed at finding the factors that could accelerate issues of VAP in healthcare organizations and the interventions to prevent VAP.

The strengths are that it used reliable sources of information that was quality but only limited within the one healthcare facility.

The only risk of implementing the suggested practice is increased Cost.

There are high chances of adopting and implementation of the identified.

The study was well organized and used the required population to ascertain how nurses comply with practices that reduce VAP.

Its strength is that it selected a wide range of nurses based on their age and years of experience in order to collect quality data. The use of nurses might have changed their habits while the study was on (Frota et al., 2019) 

Cost of and expenses may increase beyond the annual budget for the facilities.

The quality of the study indicates that there are higher chances of adopting the recommended practice.

The study was well conducted to collect data on compliance and application of knowledge on preventing VAP.

The study used data collected from reliable subjects and clinical settings. The limitation is that it was performed in a single center.

Possibility of infections spreading infection during the study

Increased Cost of training nurses

From the research outcomes, there is a high probability of adopting the practice to facilitate compliance.

The methodology used is missing, and this limits the quality of work done.

Not well structured due to lack of proper methods of research.

Insufficient knowledge gathered could limit the application of the said practice.

Although the content provided is good, the probability of adopting the findings is low.

Key findings

Only 7.9 nurses could adhere to the instructions provided on the management of VAP.

Only a few nurses know how to apply what they understand about hand hygiene to reduce VAP cases impacts.

The nursing care provided is not in line with compliance guidelines.

To refine website searches in the use of different frameworks enable the searcher to suit their search as opposed to trying to fit a search scenario into a framework.

Outcomes

Cases of VAP are reported due to lack of proper reading and application of suggested interventions to reduce its impacts on patients.

Nurses’ compliance with the required standards was insufficient.

Healthcare facilities need to develop on-job training on better interventions to prevent VAP (Frota et al., 2019).

PICOT based frameworks are tools that could be used to guide one on the search strategy formation (Davies, 2011) .

General Notes/Comments

The research provided more insight on how best to manage VAP in hospitals

Nurses should make use of the knowledge they have rather than applying other approaches that are not relevant with respect to compliance (Davies, 2011).

Good work from the researchers, but they ought to have expanded and covered several centers in order to get a clear picture of the issues related to VAP.

Not much is covered nor expounded on.