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specific research questions you want the answer to

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Support the Need for a Change Rsearch Essay Example

Discussion Topic

As you learned from this unit’s readings, research is about asking and answering questions. In this discussion, you will work with classmates to brainstorm research questions, and identify how and where you can answer those questions.

For your initial post, do the following:

·List 1-3 specific research questions you want the answer to. These questions should arise from your work on Essay #2 — the questions should be related to your argument. Your questions should be a mix of “fact,” “value,” and “policy” questions. For instance, you might ask questions like:

oEx: How many people attended an undergraduate institution in the United States in 2017? (“Fact” question.)

oEx: What do college students believe about the purpose of college? (“Value” question.)

oEx: What proposals have been made about ensuring that college graduates are career ready? (“Policy” question.)

·For each question, explain why you want to answer each research question. What will knowing the answer add to your essay?

Though not required, follow-up posts will be most helpful if you do the following:

·Suggest 1-3 places your classmate could look to find the answer to each question. Suggest a specific source, web site, database, or keyword search.

·Pose an additional question that might help your classmate expand their essay for this unit’s essay assignment.

Your instructor will also offer suggestions and feedback on research questions, but your goal in this discussion should be to work together to identify research methods.

Solution

Research and Evidence: Support the Need for a Change

This exercise locates current research articles that provide evidence for the proposed solution to the selected clinical problem. The proposed solution is to establish routine nurse training and patient education as an effective intervention for preventing and reducing CLABSIs in the ICUs.(Support the Need for a Change Rsearch Essay)

Aloush, S. (2018). Educating intensive care unit nurses to use central venous catheter infection prevention guidelines: effectiveness of an educational course. Journal of Research in Nursing23(5), 406-413. https://doi.org/10.1177%2F1744987118762992

This study evaluates the effectiveness of educating ICU nurses on the existing prevention guidelines for central venous catheter infections (CVC-RI). The study hypothesizes that the efficacy of CVC-RI prevention guidelines is adequately supported in current literature despite the inadequate knowledge among nurses(Support the Need for a Change Rsearch Essay). Notably, the article highlights inadequate knowledge among nurses in the primary limiting barrier to CVC-RI prevention and presents recommended guidelines for CVC-RI. Therefore, teaching nurses about these guidelines is essential for improving their competency and enhancing care delivery quality, leading to effective CVC-RI prevention activities, reduced medical costs, and better patient outcomes.(Support the Need for a Change Rsearch Essay)

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Significant CVC-RI guidelines include antiseptic solutions, hygiene procedures such as washing hand and sanitizing insertion site, identification of insertion point, use of antibiotics and anticoagulants, use sterile gloves when inserting catheter or dressing, indications of dressing change, regular CVC change, signs and symptoms of infection, nursing interventions for oozing, types of dressing and catheters. These guidelines will be included in the demonstration-based nurse training proposed to prevent and reduce CLABSIs in ICU settings. For instance, the training schedule will involve active demonstration of how to prepare for catheter insertion, identify the appropriate site, and different types of dressing. Having a working knowledge of these guidelines would improve nurses’ competencies and eventual prevention of CLABSI cases within the hospital’s ICU.(Support the Need for a Change Rsearch Essay)

Furthermore, the article authors argue that the inadequate knowledge of CVC-RI prevention guidelines could be because of inadequate nursing school education or hospital training on CVC-RI prevention. However, as identified in this study, other factors contributing to inadequate or lack of knowledge of CVC-RI prevention include nurses’ dissatisfaction with the infection control strategies and institutional barriers(Support the Need for a Change Rsearch Essay). Therefore, the proposed demonstration-based nurse training will highlight and solve these knowledge acquisition barriers by presenting the nurses with training opportunities to learn about and apply the evidence-based CLABSI prevention guidelines. Thus, the training will bridge the knowledge gap and help the nursing teams achieve competency in CLABSI prevention. Besides, the article’s input on nurses’ perception will guide knowledge dissemination to allow nurses to appreciate and apply different strategies for preventing CLABSI since one routine can be monotonous and ineffective, leading to dissatisfaction.(Support the Need for a Change Rsearch Essay)

Reyes, D. C. V., Bloomer, M., & Morphet, J. (2017). Prevention of central venous line-associated bloodstream infections in adult intensive care units: a systematic review. Intensive and Critical Care Nursing43, 12-22. https://doi.org/10.1016/j.iccn.2017.05.006

The article identifies and critiques the best evidence-based practices interventions for preventing CLABSIs among adults in the ICUs.  The study found out that interventions such as education, surveillance, mandatory nurse reporting, checklists, aseptic management, and VL bundles are low cost yet contribute significantly to preventing and reducing CLABSIs. The proposed solution is founded on nurse training and patient education as a strategy to prevent CLABSIs in ICU settings. This solution is exclusively rooted in this article. Besides, the proposed education will include aseptic management techniques and guidelines of various VL bundles, which are identified in the article as effective CLABSI prevention interventions. Other interventions such as mandatory nurse reporting, surveillance, and checklists will form part of knowledge acquisition.(Support the Need for a Change Rsearch Essay)

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The other significant guidelines presented by the study include the use of open infusion containers, site dressing using chlorhexidine, communication among nursing teams, and other aseptic interventions as crucial measures for preventing CLABSIs in the ICU. Besides, feedback mechanisms, nursing checklists, regular rounds, and appropriate patient supervision also contribute to effective CLABSI prevention(Support the Need for a Change Rsearch Essay). These guidelines will be integrated into the education bundle for both nurses and patients. For instance, the nurses will be trained to foster effective communication of various aspects of ICU care relevant to CLABSI prevention. By compelling nurses to perform all the clinical actions to be performed in an ICU setting, provide regular patient rounds, and patient supervision through the education program, they will contribute to effective management of CLABSIs in ICU as hypothesized in the proposed solution.(Support the Need for a Change Rsearch Essay)

Moreover, the study supports the significance of interdisciplinary, interactive teams, bedside checklists education, at least three learning sessions per month through conferences or face to face training, and interdisciplinary, interactive teams as vital to CLABSI prevention initiatives. Equally, the proposed nurse training intervention will be carried out in conjunction with various clinical teams throughout six months and making use of various guidelines to prevent CLABSI cases within the institution’s ICU.(Support the Need for a Change Rsearch Essay)

Valencia, C., Hammami, N., Agodi, A., Lepape, A., Herrejon, E. P., Blot, S., … & Lambert, M. L. (2016). Poor adherence to guidelines for preventing central line-associated bloodstream infections (CLABSI): Results of a worldwide survey. Antimicrobial Resistance & Infection Control5(1), 1-8. https://doi.org/10.1186/s13756-016-0139-y

This study highlights the crucial areas that require improvement to prevent CLABSI, particularly in the insertion and maintenances of central lines. The study’s findings indicate that measuring outcomes and associated processes is vital for CLABSI interventions and care quality improvement initiatives.  Consequently, the study documents nurses’ attitudes and practices involved in CLABSI prevention in ICUs(Support the Need for a Change Rsearch Essay). These findings are vital to the proposed intervention since they provide more insight on various aspects of CLABSI prevention initiatives that can be bundled into the proposed demonstration-based nurse training and patient education. For instance, the effect of the proposed solution will be determined by evaluating the adequacy of processes involved and the outcomes achieved within the study period. Besides, evaluating nurses’ and patients’ attitudes of the training and education program would reveal whether they have a positive attitude crucial for effective intervention.(Support the Need for a Change Rsearch Essay)

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Moreover, the study assesses compliance with various CLABSI prevention guidelines and identifies precedence for interventions. The identified interventions include reporting the availability of CLABSI prevention guidelines in a clinical setting and increasing awareness of the CLABSI problem status. Consequently, the proposed intervention will stress strict adherence to the prevention guidelines and procedures as a precautionary measure for effective management of central lines.  Besides, creating awareness of CLABSIs and intervention measures would effectively integrate the proposed solution into the institution’s comprehensive prevention initiatives(Support the Need for a Change Rsearch Essay). Other relevant measures highlighted by the article, crucial for the proposed solution, include routine monitoring and reporting of CLABSI cases, compliance, and bundle policy within a health facility. Furthermore, the study team will ensure that the components of nurse training are adhered to through the help of the institution’s administration to enhance chances of positive impacts on the rate of CLABSIs within the institution’s ICUs.(Support the Need for a Change Rsearch Essay)

(Support the Need for a Change Rsearch Essay)

References

Aloush, S. (2018). Educating intensive care unit nurses to use central venous catheter infection prevention guidelines: effectiveness of an educational course. Journal of Research in Nursing23(5), 406-413. https://doi.org/10.1177%2F1744987118762992(Support the Need for a Change Rsearch Essay)

Reyes, D. C. V., Bloomer, M., & Morphet, J. (2017). Prevention of central venous line-associated bloodstream infections in adult intensive care units: a systematic review. Intensive and Critical Care Nursing43, 12-22. https://doi.org/10.1016/j.iccn.2017.05.006

Valencia, C., Hammami, N., Agodi, A., Lepape, A., Herrejon, E. P., Blot, S., … & Lambert, M. L. (2016). Poor adherence to guidelines for preventing central line-associated bloodstream infections (CLABSI): Results of a worldwide survey. Antimicrobial Resistance & Infection Control5(1), 1-8. https://doi.org/10.1186/s13756-016-0139-y

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