NURS 6052 wk 3 assignment Matrix Worksheet Template

NURS 6052 wk 3 assignment Matrix Worksheet Template
 
Use this document to complete Part 2 of the Module 2 Assessment, Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies
 
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Full citation of selected article
Article #1
Article #2
Article #3
Article #4

 
 
 
 

Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)
 
 
 
 
NURS 6052 wk 3 assignment Matrix Worksheet Template

Brief description of the aims of the research of each peer-reviewed article
 
 
 
 

Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
 
 
 
 
 
 
 
 
 
 

A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.
 
 

General Notes/Comments
 
 
 
 
 
 
 

 

Matrix Worksheet Template

Matrix Worksheet Template
 

Citation
Article #1
Article #2
Article #3
Article #4

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. British Journal of Nursing, 27(7), 382-388.
 
 
 
 
Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. The Lancet Infectious Diseases, 18(11), 1269-1277.
 
Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs vs. Handwashing. American Journal of Critical Care, 27(4), 334-337.
 
Loftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus Aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. American journal of infection control, 46(10), 1134-1141.
 

Relations with Clinical Issue and the ethics of research in Relation to the Clinical Issue
The article addresses a similar clinical issue by acknowledging Healthcare-Associated Infections as a public health concern for the health sector across the globe according to NICE. Some of the commonly identified infections include surgical, respiratory and urinary tract infections. This calls for the implementation of better strategies to control infections including education, reinforcing knowledge to the public, healthcare providers and individuals at high risk of infections in all areas of nursing practice.
This article similarly highlights how Healthcare Associated infections hinder patient safety, increases mortality and morbidity rates prolong hospital stays and increases medical costs. The researchers further acknowledge compliance of hand hygiene among healthcare providers as a significant strategy to maintain patient safety especially with regards to methicillin-resistant staphylococcus Aureus. However, very few national programmes have been sustained and integrated successfully into the national-health structure. Based on the results of the National Hand hygiene Initiative, hand hygiene reduces the risks of healthcare associated infections which continue to be a major public health concern.
The article highlights how Handwashing with soap and water is the most preferred way to manage and control infections.
NURS 6052 wk 3 assignment Matrix Worksheet Template
The article discusses how an increase in the awareness and epidemiology of pathogen transmission can help to improve compliance with intraoperative measures for infection control. This was specific to the risk of transmitting Staphylococcus Aureus during operations.
 
 

Aim of Study
To evaluate the effectiveness of alcohol-based gel for handrubs in the control of infections in clinical settings. The article was specific to renal nursing following a growth in the focus of evidence-based practice.
The study aimed at evaluating the outcomes of the National Hand Hygiene Initiative including its effect on the incidences of healthcare associated staphylococcus Aureus and hand hygiene compliance. This study aim was influenced by the background knowledge that healthcare provider’s compliance with hand hygiene is a significant national strategy for patient safety.
To examine the impact of  alcohol based handrubs supplemented with the use of lotions influences health outcomes among healthcare providers
NURS 6052 wk 3 assignment Matrix Worksheet Template
 
 
 
To characterize the epidemiology of Staphylococcus Aureus sequence types in the operating environment.

Research methodology
The EBP process for clinical decision making was reviewed for effective literature on the effectiveness of alcohol based gel and the results published recently with respect to the findings of the best model.
 
However, in a systematic review conducted by
 
 
 
 
 
 
 A longitudinal study where the outcomes of the NHHI eight years after implementation were assessed. The assesment included compliance with hand hygiene and the hospital’s participation, costs and association with heathcare-associated staphylococcus Aureus and educational engagement.
 
 
The researchers searched the databases of MEDLINE and CINAHL using the keywords ABHR, contact dermatitis, dermatitis and Handwashing. This search was limited to the past 10 years.
 
 
 
Staphylococcus Aureus species that that were isolated and collected from three academic medical centers underwent biofilm absorbance, genome analysis and analytical profile indexing. An assessment on the virulent, antibiotic-resistant and hyper transmissible and strains of staphylococcus Aureus was done.
 
 
 

Strengths of the Study, reliability and Validity
The review utilizes the steps of EBP and numerous articles relevant to the review purpose are used to justify the information shared.
Wide population data was used to evaluate the clinical impact of NHHI, specific, statistical analysis was done comparisons of proportions (χ² or t test), with a p value of 0·05 or less (two-tailed) considered statistically significant.
A comprehensive literature search that was conducted was within the limit of 10 years. The following key words were used in the literature search: hand hygiene, ABHR, hand washing, dermatitis, and contact dermatitis.
Randomization of study participants, a large study sample which increased chances of applicability to wide-population settings, χ2 tests were used to in examining the possible associations of c covariates previously mentioned variates in relation to transmission.

General Comments
When compared to approaches that use detergents and disinfectants that can result to pathogen dissemination, alcohol when adequately used is even more effective. Therefore, handrubs should be provided at the bedside, ward entrances and hospital for use when the hands are not visibly dirty, after, before and when performing all activities related to care. NURS 6052 wk 3 assignment Matrix Worksheet Template
 
 
 
 
 
The NHHI has been linked to significant improvement in hand hygiene compliance and a reduction in the incidence of HA-SAB. For a sustained central coordination and standardized approach for integration in hospital accreditation standards, several features should be observed.
In order to promote the use of  ABHRs and reduce the prevalence of contact dermatitis, nurses should be taught that Handwashing after and before  using ABHRs removes emollients and sebum layers thus increasing the risk of contact dermatitis
 
 
Intraoperative strains of staphylococcus Aureus are pathogenic and hyper-transmissible. In order to control their spread, compliance with hand hygiene and patient decolonization are essential.
 
 

 
 
References
Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. The Lancet Infectious Diseases, 18(11), 1269-1277. NURS 6052 wk 3 assignment Matrix Worksheet Template
Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs vs Handwashing. American Journal of Critical Care, 27(4), 334-337.
Loftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. American journal of infection control, 46(10), 1134-1141.
Lim, K., Kilpatrick, C., Storr, J., & Seale, H. (2018). Exploring the use of entertainment-education YouTube videos focused on infection prevention and control. American journal of infection control, 46(11), 1218-1223.
Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. British Journal of Nursing, 27(7), 382-388. NURS 6052 wk 3 assignment Matrix Worksheet Template

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