Wednesday, December 11, 2019

Infection Prevention and Control Level

Question: Discuss about theInfection Prevention and Control Level. Answer: Introduction: This essay aims to analyze critically a qualitative and a quantitative research literature for supporting research development. The method of research critique will be utilized for analyzing the different components of the two articles and determining their significance in the research field. At first, the analysis of the two research articles will be done followed by a critical analysis. The essay will first define research critique and will make the readers understand regarding the research findings. For analyzing every section of a literature, an appropriate framework is needed (Parahoo, 2014).A summary will be provided after critically analyzing the two articles. Subsequently, this essay will critique a compulsory section of this article along with the other three sections for evaluating the findings of the research. The reviewing of the other parts includes introduction, literature review and discussion. The essay will critique the two research articles by considering the framew ork of research. Research Critique A research critique is concerned with the evaluation of content of the research papers. It involves the identification of problem, finding out specific questions, studying the theoretical and analytical approaches of the study and evaluating the findings along with the significance. The summary of a research critique involves the personal study and evaluation of the research articles by the authors. The arrangement cannot be similar that a research critique includes only errors in a report; comparatively it may be principally positive. It helps for analysing the weakness and strength of a specific research article. It also assists to identify repetitions, unrelated information and grammatical errors and overall writing style. It is carried out for a number of reasons, for example, when a research paper is all set to be published and for commenting on the research wok prior to publication. In some cases, it helps the emerging scholars in gaining experience, learning and developing the research skills (Fitzgerald, 2012). Summary of the First Article The first article titled Barriers to nurses adherence to central venous catheter guidelines by Jeffrey Picker (2014) is a qualitative research study which has included a descriptive method. This study has involved then participants and the collection of data has been carried out through interview. The analysis of data was performed with the help of Coloaizzis method. This study has aimed to explore the perceived barriers of nurses for adhering to the standard care practice s of Central Venous Catheters (CVCs). The key findings of this study have suggested that the barriers of adherence are potentially able to produce errors and restrict the nurses to provide a high-quality care to the patients. Critique The key findings of this study have suggested that the barriers of adherence are potentially able to produce errors and restrict the nurses to provide a high-quality care to the patients. The researchers with the logical development of the rationale and understanding of the study have done a detailed review of the cited articles. There has been an integrated assessment of all the articles and the researchers have identified the gaps between the knowledge and practice of the nursing professionals. By making a comparison with the other studies, it has been discovered by the researchers that this study has a minor susceptibility to predisposition because it is more rigorous and hence, it the current knowledge has been extended with the basis for less significant deviation. The method of research utilized by the researchers together with exploration of general credibility has highlighted the apparent barriers of the nurses explicitly. Justification These signify the logic, which has been maintained by the researchers throughout the study to provide a reliable understanding regarding the aim of the research with the purpose of the interventions to establish the hypothesis of the research. The researcher has discussed the discussion regarding post-insertion bleeding as a side effect, though no intervention has been suggested to reduce or avoid this bleeding that could have made this study more practical and safety oriented. A clear demonstration regarding the infections associated with the catheters and the significance of CVCs in managing the severely ill patients has been given by the introduction of this article. Summary of the Second Article The second research article titled A comparative evaluation of antimicrobial-coated versus non-antimicrobial coated peripherally inserted central catheters on associated outcomes: A randomized controlled trial by Storey et al. (2016) is a quantitative study. The sample populations of this study comprised the patients who were randomly selected and placed with PICC line in the body. The study involved 167 patients from the three high-risk units and was allocated to receive either a non-CHG or a CHG impregnated line. The collection of data was carried out in the form of laboratory and the patients were reviewed regularly. The study was designed to compare the effects of non-CHG and CHG lines on the development of CLABSI and VTE. The findings of the study revealed that no major differences were observed in the development of CLABSI and VTE by using both the lines. Critique The researchers have developed a coherent development regarding the understanding of the topic with respect to the existing knowledge. This is apparent from the fact that a challenge is presented by the PICC lines in the clinical practice because of the development of complications. Hence, it is necessary for identifying the impact of CHG and non-CHG groups on the development of complications and their successive prevention (Sandrucci Mussa, 2014).It relates the review with the research problem directly and after reviewing, the identification of gaps has been done by summarizing the publications of the research. The development of VTE, CLABSI and post-insertion bleeding has been discussed by the researchers. This provided a thorough assessment regarding the findings of the study and associated them with the findings from another study for gaining knowledge. Justification The findings of this have reflected the different factors that have emerged in the form of contextual factors and cognitive barriers, which were later, associated with the main subject of this study. It can be affirmed form the study that the authors could have underlined some additional things regarding the role of the healthcare organizations to facilitate the barriers that are faced by the nurses as it could have presented a clear image about the issue. In addition to this, the study carried out in this research article is logical and well-linked. It has been exhibited by the introduction of this study that every year several patients die because of medical errors and the need for the nurses to adhere to the guidelines of the practices of standard care along with their responsibility for minimizing the errors. General Credibility (Compulsory Section) The general credibility of the research method can be stated in the way that the research method clearly explored the aim of the research in the study. It is apparent from the fact that the researchers have established an apparent and consistent association between the research aim and findings of the study. The study intended to investigate the impact of both the PICC lines on the arising of problems and the findings advocated no major variations mong both the lines resulting in the development of problems. These signify the logic, which has been maintained by the researchers throughout the study to provide a reliable understanding regarding the aim of the research with the purpose of the interventions to establish the hypothesis of the research. Optional Sections Introduction The first article titled Barriers to nurses adherence to central venous catheter guidelines by Jeffrey Picker (2014) is a qualitative research study which has included a descriptive method. This study has involved then participants and the collection of data has been carried out through interview. The analysis of data was performed with the help of Coloaizzis method. This study has aimed to explore the perceived barriers of nurses for adhering to the standard care practice s of Central Venous Catheters (CVCs). The second research article titled A comparative evaluation of antimicrobial-coated versus non-antimicrobial coated peripherally inserted central catheters on associated outcomes: A randomized controlled trial by Storey et al. (2016) is a quantitative study. The sample populations of this study comprised the patients who were randomly selected and placed with PICC line in the body. Literature Review The literature review systematically reviewed the articles to demonstrate the factors of risk that leads to infection and identifying the patients who are prone to develop infections. A coherent development regarding the understanding of the topic with respect to the existing knowledge has been developed by the researchers. This is apparent from the fact that a challenge is presented by the PICC lines in the clinical practice because of the development of complications. Hence, it is necessary for identifying the impact of CHG and non-CHG groups on the development of complications and their successive prevention (Sandrucci Mussa, 2014).It relates the review with the research problem directly and after reviewing, the identification of gaps has been done by summarizing the publications of the research. Discussion of the Study The results of the study along with their implications and limitations has been analysed by the discussion of the study. It has been associated with the other studies that have been reviewed in the in the background section which assisted in the identification of variables such as resource availability, staffing and documentation. It has been identified that the nurses have an awareness regarding the barriers to standard care practices. Besides the strength, the found weakness was the limitation of the study, which has been recognized properly with recommendations for future research. The discussion regarding the implications of the study has been done that enhanced the validity of the study and they have been proposed by keeping in consideration the complex environments of healthcare. Application to New Zealand Context The two articles involved Central Venous Catheter (CVC), while one of them is concerned with the guidelines by the nurses along with the development of complications such as VTE and CLABSI because of the utilization of PICC lines. The rationales for future research in this area have been provided by these studies. The significant international experiences have been used for reducing the infections that are acquired by healthcare by the Health Quality and Safety Commission of New Zealand (Sturm Antonakis, 2015). The information for helping the healthcare professionals in preventing the infections that re associated with CVC has been provided by this commission. It is clear that in New Zealand; evidence-based guidelines are not followed that brings about differences in the clinical practices. As a result, it is necessary that the nurses along with the other professionals of healthcare should assess the guidelines to ensure the availability of the best evidence (Taylor et al., 2014). T he barriers that are perceived by the nurses in their daily practices must be reduced to facilitate them for adhering to the standard practices of care to minimize the complications associated with CVC (LoBiondo-Wood Haber, 2014).The awareness and knowledge of the nurses can be enhanced by the upgrading of the consistency by developing a model to ensure than evidence-based interventions are received by the patients (Vasudevan, Oddie McGuire, 2016). The healthcare organizations can utilize the findings of these quantitative and qualitative studies for enhancing the quality of care offered to the patients. In order to adhere with the guidelines of management of CVCs, the nurses need to work hard since they are aware regarding the barriers for implementing an evidence-based protocol (Taylor et al., 2014). Conclusion (Compulsory Section) To conclude, by critically analysing the two research articles, it is apparent that in healthcare settings, safe delivery of care is a priority and the main role of the nursing professionals. Negligence in the care of the patients can result in the development bloodstream infections. In order to prevent this from taking place, the orientation of the healthcare organizations together with an official training will play a significant role to provide the essential tools that are needed for carrying out safe practices. They should identify and eliminate the barriers for ensuring the safety of the patient in an efficient manner. References Diggery, R. C. (2012).Catheters: Types, applications and potential complicationsNova Science Publishers, Inc. Dougherty, L., Lister, S. (2015).The Royal Marsden manual of clinical nursing procedures. John Wiley Sons. Fawcett, J. Garity, J. (2009). Evaluating research for evidence-based nursing practice. Philadelphia, PA: F.A. Davis Company. Fitzgerald, L. (2012). Using research evidence in S. Borbasi D. Jackson. Navigating the maze of research: enhancing nursing and midwifery practice (3rd ed., pp193-213). Chatswood, Sydney: Mosby Elsvier Jeffery, A. D., Pickler, R. H. (2014). Barriers to nurses adherence to central venous catheter guidelines.Journal of Nursing Administration,44(7/8), 429-435. Lapp, H., Krakau, I. (2014).Cardiac catheter book(1st ed.). New York: Thieme. LoBiondo-Wood, G., Haber, J. (2014).Nursing research: Methods and critical appraisal for evidence-based practice. Elsevier Health Sciences. Parahoo, K. (2014).Nursing research: principles, process and issues. Palgrave Macmillan. Polit, D. F., Beck, C. T. (2013).Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams Wilkins. Sandrucci, S., Mussa, B. (Eds.). (2014).Peripherally Inserted Central Venous Catheters. Springer Milan. Storey, S., Brown, J., Foley, A., Newkirk, E., Powers, J., Barger, J., Paige, K. (2016). A comparative evaluation of antimicrobial coated versus nonantimicrobial coated peripherally inserted central catheters on associated outcomes: A randomized controlled trial.American journal of infection control,44(6), 636-641. Sturm, R. E., Antonakis, J. (2015). Interpersonal Power A Review, Critique, and Research Agenda.Journal of Management,41(1), 136-163. Taylor, J. E., McDonald, S. J., Tan, K. (2014). A survey of central venous catheter practices in Australian and New Zealand tertiary neonatal units.Australian Critical Care,27(1), 36-42. Valentin, A., Capuzzo, M., Guidet, B., Moreno, R.P., Dolanski, L, Baure, P. Metnitz, P.G.H. (2006). Patient safety in intensive care: Results from the multinational Sentinel Events Evaluation (SEE) study. Intensive Care Medicine, 32 1591-1598. Vasudevan, C., Oddie, S. J., McGuire, W. (2016). Early removal versus expectant management of central venous catheters in neonates with bloodstream infection.The Cochrane Library. Worth, L. J., Spelman, T., Bull, A. L., Brett, J. A., Richards, M. J. (2015). Central line-associated bloodstream infections in Australian intensive care units: Time-trends in infection rates, etiology, and antimicrobial resistance using a comprehensive Victorian surveillance program, 2009-2013.American journal of infection control,43(8), 848-852.

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