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REFERENCES

Beekman, K., & Steward, D. (2020, February). Chlorhexidine Gluconate Utilization for Infection Prevention in the NICU – A Survey of Current Practice. Advances in Neonatal Care, 20(1), 38-47.

 

Bierlaire Stéphanie, Olivier, D., Katherine, C., & Fiammetta, P. (2021). How to minimize central line-associated bloodstream infections in a neonatal intensive care unit: a quality improvement intervention based on a retrospective analysis and the adoption of an evidence-based bundle. European Journal of Pediatrics, 180(2), 449-460. https://doi.org/10.1007/s00431-020-03844-9

 

Hussain, A. S., Anjum, M. A., Arbab, S., Ariff, S., Rehan, A., Demas, S., Zeb, J., Rizvi, A., Saleem, A., & Farooqi, J. (2021). CLABSI reduction using evidence based interventions and nurse empowerment: a quality improvement initiative from a tertiary care NICU in Pakistan. Archives of Disease in Childhood, 106(4), 394-400. https://doi.org/10.1136/archdischild-2019-318779

 

Topic:  CLABSI in the NICU- using chlorhexidine for cleaning hubs/ports as opposed to 70% alcohol.

Approach the problem/question using the five evidence-based practice guidelines discussed below. The problem/question will be related to nursing practice in some way. In other words, there needs to be nursing implications to addressing your question. 

***The Five Steps of Evidence Based Practice***

STEP ONE: Ask a clinical question which may interest you in PICO format. For example, are there pharmacologic interventions that have been effective in decreasing allergy symptoms in children? OR In children, what is the effect of pharmacologic interventions on allergy symptoms?

P= Population you are interested in (e.g., children under 5 years of age)

I= Intervention or interest (e.g., use of Singulair for allergies)

C= Comparison intervention or group (e.g., comparison of Singulair with control and another allergy medication)

O= Outcome (e.g., 20% decrease in allergy symptoms for experimental group as compared to control group).

Define your question using PICO. Your question should be used to help establish your search strategy. Submit the following information for your clinical question. First provide the following (use the below format):

Patient/Problem: __________________________

Intervention: __________________________

Comparison: __________________________

Outcome: __________________________

 

*Be sure you include “compared to” in your clinical question using PICO.

STEP TWO: Conduct a literature search. Be sure to include also systematic reviews (e.g., the Cochrane Database of Systematic Reviews) and evidence-based practice guidelines (www.guideline.gov) in your search strategy.

STEP THREE: Review and Critically Appraise the evidence. Describe the problem and purpose of each research study. Describe the research methods, including process of data collection, sampling, and data analysis, for each research study What were the results of the study? Summarize the major findings and conclusions of each research study Critique the strengths and weaknesses of the research methods. The expectation is that you also cite your textbook, when describing research methods or criteria for evaluating research. Are the results valid? To answer this question, you need to critique the studies for validity-based on your critical appraisal of the literature, are the results valid? Are the findings clinically relevant to patient(s) identified? Do you believe this will work in practice?

STEP FOUR: Integrate evidence to implement a decision.

STEP FIVE: Evaluate the outcome. Students will not be evaluating the outcome in this assignment. This occurs in clinical practice.

 

SCIENCE
HEALTH SCIENCE
NURSING
NUR 185