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NR 451 Week 6 Assignment: EBP Change Process form

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Week 6 Assignment: EBP Change Process form ACE Star Model of Knowledge Transformation Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson. Name: __________Lishan Brown___________ Star Point 1: Discovery (Identify topic and practice issue) Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.) The topic is hospital acquired infections. The nursing practice issue is catheter associated urinary tract infections and the high incidence on an acute rehabilitation unit. Briefly describe your rationale for your topic selection. Include the scope of the issue/problem. The nursing practice issue I would like to investigate is healthcare associated infections (HAI), particularly catheter associated urinary tract infection (CAUTI). CAUTI is very important to investigate because I believe HAI’s can be decreased, if not prevented. Being that nurses are educated on the possible causes or symptoms of HAI’s, we can be more proactive in our treatment plans. If a patient falls, that can be an unpredictable event but HAI’s are more so predictable. With CAUTI, making sure that the perineal area is cleaned on a regular, consistent basis is important. Providing proper interventions to not keep an indwelling catheter in longer than necessary is also important. Urinary tract infections are one of the most common hospital acquired infections. At least 80% of urinary tract infections an be attributed to an indwelling urinary catheter. There are approximately 13,000 annual deaths associated with catheter associated urinary tract infections (CAUTI). CAUTIs can lengthen hospital stays, increase morbidity and mortality, and raise healthcare costs. Star Point 2: Summary (Evidence to support need for a change) Describe the practice problem in your own words and formulate your PICOT question. The practice problem is members of the healthcare team are not properly cleaning the perineal area of patients who have indwelling catheters and indwelling catheters are placed for unnecessary longer periods of time. PICOT question- In (P) patients with an indwelling catheter on an acute rehabilitation unit, does (I) cleansing the perineal area every eight-hour period compared to (C) routine daily cleansing of the perineal area (O) decrease the catheter associated urinary tract infection with patients over a (T) six month period? List the systematic review chosen from the Cochrane Database of Systematic Reviews from the Chamberlain library. Type the complete APA reference for the systematic review selected. Interventions to improve professional adherence to guidelines for prevention of device‐related infections. Reference Flodgren G, Conterno LO, Mayhew A, Omar O, Pereira CR, Shepperd S. Interventions to improve professional adherence to guidelines for prevention of device‐related infections. Cochrane Database of Systematic Reviews 2013, Issue 3. Art. No.: CD. DOI: 10.1002/.CD2. List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format. In my search for evidence, I found an article about nurse-driven CAUTI prevention. This evidence is relevant to my PICOT because I would like to find a way to decrease or eliminate the instances of CAUTI in a hospital setting. The article gives a history of prevalence of CAUTI then goes into costs related to CAUTI. The article also mentions ways of preventing CAUTI. The article also discusses an algorithm used to decrease the prevalence of CAUTI. I also found an article about the causes of CAUTI and how to properly clean the perineal area as an educational tool. Reference Russell, J. A., Leming-Lee, T. ‘Susie,’ & Watters, R. (2019). Implementation of a Nurse-Driven CAUTI Prevention Algorithm. Nursing Clinics of North America, 54(1), 81–96. Memorial Sloan Kettering Cancer Center (2018). Caring for Your Urinary (Foley®) Catheter. Retrieved from

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Week 6 Assignment: EBP Change Process form
ACE Star Model of Knowledge Transformation
Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson.
Name: _____________________


Star Point 1: Discovery (Identify topic and practice issue)
Identify the topic and the nursing practice issue related to this topic. (This MUST involve a
nursing practice issue.)
Surgical infections are one of the critical issues in healthcare facilities. The infection has various
adverse effects that include the infection of new illnesses, the deterioration of the existing illness
and even death. The topic of evaluation is the rising incidences of surgical infections in
healthcare facilities to establish the possible intervention measures.
Briefly describe your rationale for your topic selection. Include the scope of the
issue/problem.
Surgical infections have led to the reduction in patient safety thereby making hospitals inefficient
in discharging their role of providing efficient and effective patient care. The problem, which is
unavoidable on the patient’s side, has led to the development of various complications after
surgery as well as death of millions of patients across the world. It is therefore imperative to
define the problem and its causes, which would help develop possible intervention measures to
reduce or eliminate incidences of surgical infections.




Star Point 2: Summary (Evidence to support need for a change)
Describe the practice problem in your own words and formulate your PICOT question.
The high rate of surgical infections caused by errors and negligence continues the practice
problem. The infections range from failure to use Chlorhexidine as outlined in pre-operative
procedures, lack of due care and professionalism, common errors and negligence by health care
provides. Despite the wide-ranging effects of surgical infections, there is lacks sufficient
intervention measures to avert the situation.




2.2019 Update. DLP
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, 2


List the systematic review chosen from the Cochrane Database of Systematic Reviews from
the Chamberlain library. Type the complete APA reference for the systematic review
selected.
Anderson, D. J., Podgorny, K., Berrios-Torres, S. I., Bratzler, D. W., Dellinger, E. P., Greene,
L., ... & Kaye, K. S. (2014). Strategies to prevent surgical site infections in acute care hospitals:
2014 update. Infection Control & Hospital Epidemiology, 35(S2), S66-S88.
List and briefly describe other sources used for data and information. List any other
optional scholarly source used as a supplement to the systematic review in APA format.
1. Cataife, G., Weinberg, D. A., Wong, H. H., & Kahn, K. L. (2014). The effect of Surgical Care
Improvement Project (SCIP) compliance on surgical site infections (SSI). Medical care, 52, S66-
S73.
2. Cataife, G., Weinberg, D. A., Wong, H. H., & Kahn, K. L. (2014). The effect of Surgical Care
Improvement Project (SCIP) compliance on surgical site infections (SSI). Medical care, 52, S66-
S73.
3. Semsarzadeh, N. N., Tadisina, K. K., Maddox, J., Chopra, K., & Singh, D. P. (2015). Closed
incision negative-pressure therapy is associated with decreased surgical-site infections: a meta-
analysis. Plastic and reconstructive surgery, 136(3), 592-602.
Briefly summarize the main findings (in your own words) from the systematic review and
the strength of the evidence.
Patient safety is one of the key components and aim of healthcare providers. It is therefore
imperative to come up with the relevant measures to maximize patient safety and minimize
errors that may put the patient at risk. The rise is surgical infections is mainly due to avoidable
human and operational errors. The implementation of measures to reduce the prevalence is a vital
step in improving healthcare safety and efficiency.
Outline one or two evidence-based solutions you will consider for the trial project.
The use of Chlorhexidine as part of the pre-operative procedure is critical in reducing and
preventing surgical errors. Chlorhexidine helps reduce incidences of breakdown and irritation,
which puts patients at a higher risk of infection. The use of Chlorhexidine requires prior
examination to establish whether there is change in strength or regimen specifically among
patients with sensitive skin.
Another solution is the avoidance of hair removal at surgical sites. Hair removal increases the
chances of having cuts and irritations that exposes patients to infections. The alternative to hair
removal is the use of clippers if possible.




Star Point 3: Translation (Action Plan)



2.2019 Update. DLP
This study source was downloaded by 100000831887191 from CourseHero.com on 01-29-2022 08:53:24 GMT -06:00


https://www.coursehero.com/file/40678079/Assignment-Week-6-EBP-Change-Process-FORMdocx/

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