THE HEALTHCARE PROFESSION IT IS VERY IMPORTANT THAT DECISION MAKING IS EVIDENCE BASED.

ADJUST AUTOMATIC MARKING AS READ SETTINGI CHOSE TO FURTHER MY EDUCATION IN HOPES OF PROVIDING BETTER PATIENT CARE AND EDUCATION
October 22, 2018
COMPETENT CARE TO YOUR PATIENTS WILL PUT YOU AT RISK FOR MALPRACTICE.
October 22, 2018

THE HEALTHCARE PROFESSION IT IS VERY IMPORTANT THAT DECISION MAKING IS EVIDENCE BASED.

THE HEALTHCARE PROFESSION IT IS VERY IMPORTANT THAT DECISION MAKING IS EVIDENCE BASED.

Need a response to this discussion 3 pages long APA format 3 references1 from Walden University Library. Willing to pay 15 dollarsIntroductionIn the healthcare profession it is very important that decision making is evidence based. For a decision to be evidence based the question must be clearly articulated you must search for relevant evidence and you much choose the evidence of highest quality (Robeson Dobbins DeCorby Tirilis 2010. Pg.1). A crucial first step in EBP involves converting information needs into well-worded clinical questions that can be answered with research evidence (Polit & Beck 2017. Pg. 31).The PICOT guidelines are questions that help clinicians discover the answers to their research (Walden Student Center for Success 2012).With these guidelines in mind I formulated the question Is the daily use of CHG for all pediatric inpatients who have no allergy to CHG associated with a lower incidence of bacterial infection in these same patients? The P in the acronym stands for population or patients in the case the characteristics of the population would be all patients who are staying in the hospital especially for an extended period or those who have risk factors such as central lines. The I stands for the intervention which would be the daily chlorahexadine baths. This intervention would help reduce the risk of hospital acquired infections such as MRSA or c diff. Comparison is the next step and is what the C stands for. In this case the comparison of the effectiveness of daily CHG baths would be compared to not doing CHG baths. The O stands for outcomes that we would hope to see which would be a decrease in hospital acquired infections. The T is the last and final letter and stands for time. In my hospital the study was conducted over a three-month period to see if we saw a decrease in our hospital acquired infections. Using evidence based research I will find the conclusion to this question.Evidence Based ResearchWhen conducting research it is very important to have filtered information and unfiltered information. Filtered information is information that has been appraised for quality and clinical relevance (Hierarchy of Evidence Pyramid). Filtered information includes systematic review critically appraised topics and critically appraised individual articles (Hierarchy of Evidence Pyramid). Unfiltered information is evidence that has not necessarily been appraised for quality. This information tends to come from primary sources (Hierarchy of Evidence Pyramid). Unfiltered information includes randomized controlled trials cohort studies case-controlled studies and expert opinion (Hierarchy of Evidence Pyramid).When searching the Walden Database for articles on my PICOT question I used the search terms CHG Bath CHG Bath in Pediatric Patients and Reducing infection using CHG Bath. The first article I found multiple studies done on multiple patients with bone marrow transplants. The purpose of the study was to see if bathing them daily with CHG would decrease the acquired infections which it did. This article would be considered a systemic review because it had multiple resources and multiple studies. When searching for critically appraised topics it was very difficult to find one that had a cohort study that had to do with CHG baths there were some articles about other ways to reduce infection but none that involved CHG.The next article I found falls under the topic of expert opinion in the case the expert opinion came from the nurses. In this study done in 2017 they interviewed nurses nurses aides and nurse managers. They found that all interviewed did find a decrease in infection when CHG baths were used however many times the nurses did not have time to administer the baths.Research AdviceI think that when conducting a search for evidence base practice it is important to stay open minded and patient. Staying open minded will help you think of different search terms that may yield different search results. It is also important to be patient while searching so that you can stay focused and weed out the unwanted results.ReferencesLaureate Education (Producer). 2012g).Hierarchy of evidence pyramid. Baltimore MD:AuthorMusuuza J. S. Roberts T. J. Carayon P. & Safdar N. (2017). Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veterans Hospital by examining nurses perspectives and experiences.BMC Infectious Diseases 17(1)Polit D.F. & Beck C.T. (2017).Nursing research: Generating and assessing evidence fornursing practice(10Thed.). Philadelphia PA: Wolters KluwerRobeson P. Dobbins M. DeCorby K. &Tirillis D. (2010). Facilitating access to pre-processed research evidence in public health.BMC Public Health 10 95.Rosselet R. Termuhlen A. Skeens M. Garee A. Laudick M. & Ryan-Wenger N. (2009). CH

 
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