Literature Evaluation Table

Literature Evaluation Table

The purpose of this assignment is to provide research evidence in support of the PICOT you developed for your selected topic.

Conduct a search for 10 peer-reviewed, translational research articles published within the last 5 years that demonstrate support for your PICOT. You may include previous research articles from assignments completed in this course. Use the “Literature Evaluation Table” provided to evaluate the articles and explain how the research supports your PICOT.

Once your instructor returns this assignment, review the feedback and make any revisions necessary. If you are directed by your instructor to select different articles in order to meet the assignment criteria or to better support your PICOT, make these changes accordingly. You will use the literature evaluated in this assignment for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

PICOT:


Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table
Article Title and Year Published

 

 

Research Questions/ Hypothesis, and Purpose/Aim of Study

 

 

Design (Quantitative, Qualitative, or other)

 

 

Setting/Sample

 

 

Methods: Intervention/ Instruments

 

 

Analysis/Data Collection

 

 

Outcomes/Key Findings

 

 

Recommendations

 

 

Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal
Reynolds, S. S., Woltz, P., Keating, E., Neff, J., Elliott, J., Hatch, D., … Granger, B. B. (2021). Results of the Chlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line-associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial. Implementation Science: IS16(1), 45. doi:10.1186/s13012-021-01112-4. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table

 

 

 

2021

 

 

CLABSI causes up to 28000 deaths yet it is preventable. Bathing with CHG has proved to reduce harm yet its uptake in the clinical setting is poor. The study aimed to evaluate the effect of the implementation of a multifaceted program on nurses’ compliance to the bathing process with chlorhexidine and documentation into electronic health records. The secondary objective was to determine the effects of the intervention on the rate of CLABSI. Qualitative – Clustered-randomized design and clustering of units into 4 sequences using step wedge. 14 clinical units were used, 8 being university hospitals while 6 were hospitals in community settings. Conducting education outreach feedback and auditing. Daily bathing of patients with Chlorhexidine gluconate (CHG). The study was guided by the Grol and Wasening model of Implementation Champion nurses for infection prevention and control observed nurses providing CHG baths. The champion nurse documented the body parts bathed with CHG and conducted an audit while remaining anonymous. Data obtained was fed into RedCap for analysis. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table Compliance with the bathing process and the perception and knowledge towards bathing with CHG improved. There was a decrease in the rate of CLASI by 27.4% (Reynolds et al., 2021) Conducting educational outreach, assessing feedback, and conducting periodic audits can improve knowledge and adoption of using CHG to bath patients thus leading to reduced CLABSI. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table This article is essential in improving nurses` knowledge about the process of bathing patients with CHG and its importance. Also, educating and engaging nurses in practice is essential in lowering CLABSI.
Urbancic, K. F., Mårtensson, J., Glassford, N., Eyeington, C., Robbins, R., Ward, P. B., … Bellomo, R. (2018). Impact of unit-wide chlorhexidine bathing in intensive care on bloodstream infection and drug-resistant organism acquisition. Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine20(2), 109–116. Retrieved from https://pubmed.ncbi.nlm.nih.gov/29852849/

 

 

 

2018 CHG bathing reduces the rate of CLABSI as evidenced in many settings. The effectiveness of CHG had not been established in Australia. The objective was to the effectiveness of introducing CHG bathing in preventing CLABSI and multi-drug resistant organisms. Sequential, single-centered observation study The study was conducted in a tertiary Australian ICU. 4262 patients were included in the study Bathing daily using CHG was compared with triclosan in preventing CLABSI Nurses were observed as they conducted the bathing process. Clinical and microbiological data of patients were compared before and 12 months after the introduction of CHG bathing The findings revealed a significant decrease in MRSA with minimal change in the rate of CLABSI (Urbancic et al., 2018). NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table The bathing process with CHG should be done appropriately The result showed a reduced rate of MRSA which is a common cause of CLABSI. This research conquers with my PICOT in reducing CLABSI through reducing the rates of MRSA.
Denny, J., & Munro, C. L. (2017). Chlorhexidine bathing effects on health-care-associated infections. Biological Research for Nursing19(2), 123–136. https://doi.org/10.1177/1099800416654013

 

 

 

2017 Skin colonization with microbial leads to increased incidences of hospital-acquired infections including CLABSI. Appropriate use of CHG helps in preventing CLABSI. The purpose of the research was to assess the impact of CHG based on literature. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table A literature search of peer-reviewed articles 23 articles were reviewed Comparison of different results from different pieces of literature concerning the effectiveness of bathing with CHG. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table A literature search from PubMed and CINANHL. The results showed that incorporation of CHG bathing leads to reduced CLABSI, MRSA, and surgical site infections incidences (Denny & Munro, 2017). CHG bathing should be standard practice that helps in preventing HAIs.

 

Monitoring of resistance should also be monitored. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table

The literature from this research reveals that the use of CHG is simple and effective in preventing CLABSI and therefore, should be incorporated into clinical practice to reduce the rate of infections. this will in turn reduce hospitalization time and cost of treatment.
Musuuza, J. S., Roberts, T. J., Carayon, P., & Safdar, N. (2017). Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veteran’s Hospital by examining nurses’ perspectives and experiences. BMC Infectious Diseases17(1), 75. https://doi.org/10.1186/s12879-017-2180-8

 

 

 

2017 The hypothesis of the study was based on the assumption that daily bathing of ICU patients with CHG reduces the risk of HAIs. The objective was to assess facilitators and barriers to daily bathing while describing the process of bathing using CHG. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table Qualitative study using semi-structured interviews. The study was conducted in a veterans administration hospital. 26 individuals working in the ICU were included in the study. The bathing process was demonstrated while identifying the barriers and facilitators of the process. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table Data was collected using semi-structured interviews that lasted an average of 26 minutes. Qualitative content analysis was used for the analysis and coding of data. The research revealed some barriers to bathing patients with CHG included workload, scheduling, and some patient factors including hypersensitivity, general hygiene, and patient refusal (Musuuza et al., 2017). Facilitators of the process included the availability of CHG soap, the policy of bathing with CHG daily, and reminders by nurse managers. Addressing barriers related to patients, staff, and the organization should be done to improve the process of bathing. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table The study is useful in addressing some barriers and facilitators to CHG bathing. Putting in place measures that counter those barriers can lead to enhanced adoption of CHG bathing in ICU patients. This can result in decreased CLABSI while enhancing patient outcomes.
Zerr, D. M., Milstone, A. M., Dvorak, C. C., Adler, A. L., Chen, L., Villaluna, D., Dang, H., Qin, X., Addetia, A., Yu, L. C., Conway Keller, M., Esbenshade, A. J., August, K. J., Fisher, B. T., & Sung, L. (2020). Chlorhexidine gluconate bathing in children with cancer or those undergoing hematopoietic stem cell transplantation: A double-blinded randomized controlled trial from the Children’s Oncology Group. Cancer127(1), 56–66. https://doi.org/10.1002/cncr.33271

 

 

 

Giri, V. K., Kegerreis, K. G., Ren, Y., Bohannon, L. M., Lobaugh-Jin, E., Messina, J. A., Matthews, A., Mowery, Y. M., Sito, E., Lassiter, M., Saullo, J. L., Jung, S.-H., Ma, L., Greenberg, M., Andermann, T. M., van den Brink, M. R. M., Peled, J. U., Gomes, A. L. C., Choi, T., … Sung, A. D. (2021). Chlorhexidine gluconate bathing reduces the incidence of bloodstream infections in adults undergoing inpatient hematopoietic cell transplantation. Transplantation and Cellular Therapy27(3), 262.e1-262.e11. https://doi.org/10.1016/j.jtct.2021.01.004

 

 

2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2021

The hypothesis of the study was based on the fact that CHG reduced rates of CHG. However, its efficacy had not been tested in oncology patients or those undergoing hematopoietic stem cell replacement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bloodstream infections account for up to 45% of infections in patients undergoing allogeneic HC (Giri et al., 2021). The use of CHG in critically ill reduces the rates of infection. The objective of the study was to assess the impact of bathing with CHG on the adult patient undergoing allogeneic HCT.

Randomized, placebo-controlled trial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prospective cohort study

The study was carried out in 36 centers in Canada and the USA. Patients > 2 months and <22 rears were eligible for the study. 177 patients were enrolled in the study.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The study was conducted at the Duke University Medical Center for 3 years. 192 patients were assessed while grouped into 4 categories.

Patients were grouped into 2 groups. One group was used as a control while the other group was bathed daily using CHG for 90 days.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Patients were grouped into 4 based on the compliance to CHG use. Categories include high, medium, low, and none.

Blood cultures were performed on enrolled patients to determine the various causes of infections. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Blood cultures were collected to assess the presence of infection. Analysis was done using a univariate trend. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table

The result revealed minimal effects of CHG in reducing infections in patients undergoing allogeneic HCT.  The group receiving CHG had a CLABSI rate of 5.44 compared to 3.10 in the control group (Zerr et al.). However, the study was stopped due to poor accrual.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The results showed a reduced rate of bloodstream infection by 15.6% on those who frequently used CHG.

The use of CHG did not show much effect in cancer patients, however, more studies should be conducted to ascertain its effect. Premature stoppage of the study may have influenced the results negatively. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Daily bathing of adults undergoing allogeneic HCT is beneficial should be implemented in patients with cancer. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table

This study was useful in explaining some incidences when CHG use is not beneficial. This gives clear guidelines about the kind of patients that will benefit from a certain intervention. It also provided a platform on which future researches will be based.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The research supports my PICOT question on the effectiveness of CHG in reducing CLABSI.

Lowe, C. F., Lloyd-Smith, E., Sidhu, B., Ritchie, G., Sharma, A., Jang, W., Wong, A., Bilawka, J., Richards, D., Kind, T., Puddicombe, D., Champagne, S., Leung, V., & Romney, M. G. (2017). Reduction in hospital-associated methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus with daily chlorhexidine gluconate bathing for medical inpatients. American Journal of Infection Control45(3), 255–259. https://doi.org/10.1016/j.ajic.2016.09.019

 

 

 

  The study aimed at evaluating the effectiveness of CHG bathing in reducing MRSA in noncritical patients. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table Prospective crossover study The study was conducted in a Canadian academic hospital for 8 months CHG was used on a group of patients while the controls bathed using water and nonmedicated soap. Blood cultures and lab results were used as data. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table The results showed that 58% of individuals complied with CHG bathing. The rate of hospital associate MRSA decreased by 55% for those who complied with CHG compared to 36% for controls (Lowe et al., 2017). Daily bathing with CHG in noncritical patients is effective in reducing MRSA and vancomycin-resistant Enterococcus (VRE). The research is useful in stressing the efficacy of chlorhexidine overuse of nonmedicated soap in the prevention of infection. My PICOT assesses the same effect.
Reagan, K. A., Chan, D. M., Vanhoozer, G., Stevens, M. P., Doll, M., Godbout, E. J., Cooper, K., Pryor, R. J., Hemphill, R. R., & Bearman, G. (2019). You get back what you give: Decreased hospital infections with improvement in CHG bathing, mathematical modeling, and cost analysis. American Journal of Infection Control47(12), 1471–1473. https://doi.org/10.1016/j.ajic.2019.07.003

 

NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table

 

2019 the hypothesis of the study was based on previous results that demonstrated the impact of CHG in reducing the rate of HAIs. The objective of the study was to determine the effects of reduced HAIs on the cost of care. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table Mathematical analysis using Markov Chain. The study compared to different studies that showed reduced incidences of CLABSI CAUTIs. The cost of caring for patients with CHG verse those without was compared The study revealed that reduction of HAIs by 32% attributed to the use of CHG lead to reduced cost of care by $815,301.75 (Reagan et al., 2019). Compliance with CHG bathing is beneficial in reducing the cost of treatment and should be implemented in the care of critically ill patients. The finding from the research conquers the objectives derived from my PICOT which aim at reducing cost through reducing infection rates. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table Understanding the impact of reduced infection on the reduction of cost of care is essential in encouraging healthcare workers to adhere to simple rules to save the lives of patients.
Eggimann, P., Pagani, J.-L., Dupuis-Lozeron, E., Ms, B. E., Thévenin, M.-J., Joseph, C., Revelly, J.-P., & Que, Y.-A. (2019). Sustained reduction of catheter-associated bloodstream infections with the enhancement of catheter bundle by chlorhexidine dressings over 11 years. Intensive Care Medicine45(6), 823–833. https://doi.org/10.1007/s00134-019-05617-x

 

 

 

  The study hypothesis was based on evidence from prospective randomized control that demonstrated the positive impact of using CHG in reducing CLABSI. Real-world data study in a stepwise manner. The study was carried out in Switzerland in the ICU of Centre Hospitalier Universitaire Vaudois (CHUV) and another referral hospital. Only available patients were studied irrespective of their conditions. The study was done from 2006 to 2018. The intervention was provided in a step-wise model. Catheter bundle care was observed with a gradual introduction of CHG in care. CHG gel and sponge dressing were used. Data regarding the length of stay in the hospital and ICU were collected from each patient. SAPS II score was used. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table The results revealed a progressive decrease in the rate of CLABSI over time with the introduction of CHG over the eleven years (Eggimann et al., 2019). The use of CHG in the catheter bundle showed a reduction in the rate of CLABSI. This recommends for its daily use in caring for patients. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table This study was useful in expanding the importance of CHG in caring for the patient. Knowledge from this study can be used in improving care to reduce infection rates.
Patel, P. K., Greene, M. T., Jones, K., Rolle, A. J., Ratz, D., Snyder, A., Saint, S., & Chopra, V. (2019). Quantitative results of a national intervention to prevent central line-associated bloodstream infection: A pre-post observational study: A pre-post observational study. Annals of Internal Medicine171(7_Suppl), S23–S29. https://doi.org/10.7326/M18-3533

 

 

 

  CLABSI is still prevalent in most hospitals in the USA. The goal of the study aimed to evaluate the effects of multimodal interventions in the reduction of HAIs Observational study using clustered non-randomized trial in 3 cohorts of the hospital. The study included 462 hospitals, 24 within Colombia district with other hospitals in rural and urban centers The nursing staff was provided with knowledge about the care of patients through webinars, videos, and interaction with experts. A device proven to reduce the rate of HIAs was used on patients. NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table Data was collected using tabulations. Further information was retrieved from hospital records. The results were compared at pre and post-interventional periods. At the beginning of the study, the CLABSI rates were at 71.4 per 1000 catheter days. During the intervention and post-intervention period, the rate of CLABSI reduced to 0.80 per 1000 catheter days (Patel et al., 2019). Device utilization rate decreased during and after the study. The multimodal approach is effective in reducing the rates of CLABSI when used appropriately. More research was to be done to show the efficiency of the device in reducing HAIs. NUR 550 Evidence-Based Practice Project: Evaluation of Literatu

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS: ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

  • Guarantee

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS: ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

NEED HELP WITH YOUR NURSING ASSIGNMENTS ?

We are dedicated to delivering high quality nursing papers that adhere to the provided instructions, are adequately referenced with the latest scholarly knowledge,

Timely Delivery

Respecting your time and needs, we complete and deliver your orders within the specified timeframe.

Highly skilled writers

We employ experienced and qualified PhD and MD writers able to deal with any types of academic papers

100% unique content

Thorough research and the best academic writing practices ensure complete originality and high quality of every paper we deliver.

Order Now
Online Nursing Owl