Assignment: Infections Acquired by Patients in Intensive Care Unit Research

Assignment: Infections Acquired by Patients in Intensive Care Unit Research ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Infections Acquired by Patients in Intensive Care Unit Research Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below. CUMS NRS 433V Infections Acquired by Patients in Intensive Care Unit Research Paper PICOT Question Assignment: Infections Acquired by Patients in Intensive Care Unit Research Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor. The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study). Research Critiques In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions. The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question. Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper. Proposed Evidence-Based Practice Change Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes. General Requirements Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. attachment_1 attachment_2 Literature Evaluation Table Student Name: Summary of Clinical Issue (200-250 words): Infections acquired in the hospital, especially in the intensive care unit (ICU) present s huge challenge for patients’ recovery and increase length of stay as well as affecting the prognosis of patient health condition. Some of the common infections include multi-drug resistant organisms such as Methicillin-resistant Staphylococcus aureus (MRSA) commonly known as MRSA superbug due to its resistance to many antibiotics. MRSA infection control in the ICU has thus become a crucial aspect of every healthcare organization and with the current COVID-19 pandemic, infection control in general has become central to every healthcare process. Patient isolation has been the standard care in the industry as a means of reducing contact and hence the rates of infection. However, many hospitals implement standard systematic isolation. In relation to the current pandemic, isolation in hospitals and other public spaces have mainly focused on social distancing and hygiene which is a standard practice in healthcare. With the rates of infection outbreaks increasing in the last decade, there has been the push to implement more targeted isolation procedures. When dealing with the COVID-19 pandemic, targeted isolation is based on identification of a minimum number of symptoms before individual patient targeting is done. This research focuses on targeted isolation as a step ahead of systematic isolation procedures in dealing with the persistent multi-drug resistant organisms such as MRSA. PICOT Question: Among patients in intensive care unit (P), how does targeted isolation (I) compared to systematic universal isolation (C), affect the transmission of multi-drug resistant organisms (O) within a month of implementation (T)? Criteria Article 1 Article 2 Article 3 APA-Formatted Article Citation with Permalink Djibré, M., Fedun, S., Le Guen, P., Vimont, S., Hafiani, M., Fulgencio, J. P., … & Fartoukh, M. (2017). Universal versus targeted additional contact precautions for multidrug-resistant organism carriage for patients admitted to an intensive care unit. American Journal of Infection Control, 45 (7), 728-734. Permalink: https://doi.org/10.1016/j.ajic.2017.02.001 Ledoux, G., Six, S., Lawson, R., Labreuche, J., Blazejewski, C., Wallet, F., … & Nseir, S. (2016). Impact of a targeted isolation strategy at intensive-care-unit-admission on intensive-care-unit-acquired infection related to multidrug-resistant bacteria: a prospective uncontrolled before–after study. Clinical Microbiology and Infection, 22 (10), 888-e11. Permalink: https://doi.org/10.1016/j.cmi.2016.07.012 Xu, D., Lv, W., Liu, Y., Yu, Z., Feng, Y., & Tang, J. (2020). Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel. American Journal of Nursing, 9 (6), 402-406. Permalink: https://doi.org/10.11648/j.ajns.20200906.12 How Does the Article Relate to the PICOT Question? This research compares targeted to systematic isolation as compared in the PICOT question The article compares targeted to systematic isolation as compared in the PICOT question The study implements quality control circle which includes targeted isolation, the intervention of the PICOT question Quantitative, Qualitative (How do you know?) Quantitative- statistical analysis was conducted whereby Chi-square test and Fisher’s Exact test were some of the analyses conducted Quantitative- Data was analyzed statistically Quantitative- Statistical analysis of the outcomes was conducted Purpose Statement To compare targeted additional contact precautions with universal additional contact precautions in reducing MDRO transmissions. To determine the effectiveness of targeted isolation in reducing infections in ICU To “investigate the application of quality control circle (QCC) activities in improving the correct implementation rate of isolation measures for patients with MDRO in ICU medical personnel.” Research Question How does targeted additional contact precautions with universal additional contact precautions in reducing MDRO transmissions? How does targeted isolation compare to systematic isolation in reducing MRSA infections? How does QCC affect adherence to isolation measures? Outcome MDRO transmission rates Rates of infections Adherence to isolation precautions, MDRO rates Setting (Where did the study take place?) A French medical and surgical unit 30-bed ICU at the University Hospital of Lille (France), A single ICU in a hospital in China Sample 413 patients in an ICU setting 1221 ICU patients Medical staff, assistant nurses, cleaning personnel, external consultants, and training personnel in the unit Method Sequential single-center observational study Prospective before–after study Quasi-experimental intervention Key Findings of the Study Rates of MDRO transmission was similar in both groups Targeted isolation was not inferior to systematic isolation in reducing infection rates Assignment: Infections Acquired by Patients in Intensive Care Unit Research QCC significantly improved isolation implementation rates and reduced MDRO incidents Recommendations of the Researcher Targeted contact isolation should be preferred for infection control to reduce resource utilization in ICU Targeted isolation should be prioritized to reduce MRSA infection rates QCC should be implemented with isolation precautions to enhance infection control Criteria Article 4 Article 5 Article 6 APA-Formatted Article Citation with Permalink Krein, S. L., Mayer, J., Harrod, M., Weston, L. E., Gregory, L., Petersen, L., … & Drews, F. A. (2018). Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: A qualitative study. JAMA Internal Medicine, 178 (8), 1016-1022. Permalink: https://doi.org/10.1001/jamainternmed.2018.1898 Tufail, S., Afzal, M., Perveen, K., Waqas, A., & Gilani, S. (2017). Knowledge, attitude and practice towards standard isolation precautions among registered Nurses. Saudi Journal of Medical and Pharmaceutical Sciences, 3 , 534-544. Permalink: https://doi.org/10.21276/sjmps Alvarez, E. N., Pike, M. C., & Godwin, H. (2020). Children’s and parents’ views on hospital contact isolation: A qualitative study to highlight children’s perspectives. Clinical Child Psychology and Psychiatry, 25 (2), 401-418. Permalink: https://doi.org/10.1177/1359104519838016 How Does the Article Relate to the PICOT Question? The study outlines failures in infection control contact isolation and hence serves the purpose of identifying factors relevant to the PICOT question The article presents major facilitators and challenges in implementing isolation precautions hence contributing to the intervention in the PICOT question The researchers outline the experiences of children in isolation. The experiences are important in designing and implementing an intervention according to the PICOT question. Quantitative, Qualitative (How do you know?) Qualitative- data was collected through observations and data analysis was direct content analysis Qualitative- The study design was descriptive cross-sectional Qualitative- data was collected using interviews and surveys; analysis was thematic Purpose Statement To highlight the sources of failure in implementing transmission precautions for infection control. “To assess the knowledge, attitude and practice of nurses toward standard isolation precaution among registered nurses.” To assess the experience of children of being placed in isolation Research Question What circumstances lead to active failures in transmission-based precautions to reduce the transmission of infectious agents by health care personnel? What is the current state of nurses in regards to implementing standard isolation precautions? How do isolation precautions affect patients’ care experiences? Outcome Areas of failure Knowledge, attitudes, and practices Patients’ experiences of care Setting (Where did the study take place?) Medical/surgical units and ICUs of an academic medical center, a Veterans Affairs hospital, and the emergency department of a university hospital A children hospital in Lahore, Pakistan UCLA Mattel Children’s Hospital in California Sample 325 room observations 132 nurses 9 parent-child dyads in the hospital Method Qualitative observational study with field notes descriptive cross-sectional study Phenomenological research design- Interviews were used to determine the experiences of children in isolation Key Findings of the Study Some of the areas of failure included entering rooms without relevant protective gear, errors in removing the gear, and slips such as touching one’s face Most nurses have good knowledge but unsatisfactory attitude towards isolation precautions Negative experiences of isolation may outweigh the benefits of the infection control process Recommendations of the Researcher A range of strategies should be used to reduce the potential transmission of infectious diseases in the hospital CUMS NRS 433V Infections Acquired by Patients in Intensive Care Unit Research Paper Nurses should be educated and motivated to practice standard isolation precautions Assignment: Infections Acquired by Patients in Intensive Care Unit Research More child-friendly isolation signs should be used to reduce negative experiences Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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Assignment: Infections Acquired by Patients in Intensive Care Unit Research

Assignment: Infections Acquired by Patients in Intensive Care Unit Research ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Infections Acquired by Patients in Intensive Care Unit Research Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below. CUMS NRS 433V Infections Acquired by Patients in Intensive Care Unit Research Paper PICOT Question Assignment: Infections Acquired by Patients in Intensive Care Unit Research Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor. The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study). Research Critiques In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions. The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question. Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper. Proposed Evidence-Based Practice Change Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes. General Requirements Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. attachment_1 attachment_2 Literature Evaluation Table Student Name: Summary of Clinical Issue (200-250 words): Infections acquired in the hospital, especially in the intensive care unit (ICU) present s huge challenge for patients’ recovery and increase length of stay as well as affecting the prognosis of patient health condition. Some of the common infections include multi-drug resistant organisms such as Methicillin-resistant Staphylococcus aureus (MRSA) commonly known as MRSA superbug due to its resistance to many antibiotics. MRSA infection control in the ICU has thus become a crucial aspect of every healthcare organization and with the current COVID-19 pandemic, infection control in general has become central to every healthcare process. Patient isolation has been the standard care in the industry as a means of reducing contact and hence the rates of infection. However, many hospitals implement standard systematic isolation. In relation to the current pandemic, isolation in hospitals and other public spaces have mainly focused on social distancing and hygiene which is a standard practice in healthcare. With the rates of infection outbreaks increasing in the last decade, there has been the push to implement more targeted isolation procedures. When dealing with the COVID-19 pandemic, targeted isolation is based on identification of a minimum number of symptoms before individual patient targeting is done. This research focuses on targeted isolation as a step ahead of systematic isolation procedures in dealing with the persistent multi-drug resistant organisms such as MRSA. PICOT Question: Among patients in intensive care unit (P), how does targeted isolation (I) compared to systematic universal isolation (C), affect the transmission of multi-drug resistant organisms (O) within a month of implementation (T)? Criteria Article 1 Article 2 Article 3 APA-Formatted Article Citation with Permalink Djibré, M., Fedun, S., Le Guen, P., Vimont, S., Hafiani, M., Fulgencio, J. P., … & Fartoukh, M. (2017). Universal versus targeted additional contact precautions for multidrug-resistant organism carriage for patients admitted to an intensive care unit. American Journal of Infection Control, 45 (7), 728-734. Permalink: https://doi.org/10.1016/j.ajic.2017.02.001 Ledoux, G., Six, S., Lawson, R., Labreuche, J., Blazejewski, C., Wallet, F., … & Nseir, S. (2016). Impact of a targeted isolation strategy at intensive-care-unit-admission on intensive-care-unit-acquired infection related to multidrug-resistant bacteria: a prospective uncontrolled before–after study. Clinical Microbiology and Infection, 22 (10), 888-e11. Permalink: https://doi.org/10.1016/j.cmi.2016.07.012 Xu, D., Lv, W., Liu, Y., Yu, Z., Feng, Y., & Tang, J. (2020). Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel. American Journal of Nursing, 9 (6), 402-406. Permalink: https://doi.org/10.11648/j.ajns.20200906.12 How Does the Article Relate to the PICOT Question? This research compares targeted to systematic isolation as compared in the PICOT question The article compares targeted to systematic isolation as compared in the PICOT question The study implements quality control circle which includes targeted isolation, the intervention of the PICOT question Quantitative, Qualitative (How do you know?) Quantitative- statistical analysis was conducted whereby Chi-square test and Fisher’s Exact test were some of the analyses conducted Quantitative- Data was analyzed statistically Quantitative- Statistical analysis of the outcomes was conducted Purpose Statement To compare targeted additional contact precautions with universal additional contact precautions in reducing MDRO transmissions. To determine the effectiveness of targeted isolation in reducing infections in ICU To “investigate the application of quality control circle (QCC) activities in improving the correct implementation rate of isolation measures for patients with MDRO in ICU medical personnel.” Research Question How does targeted additional contact precautions with universal additional contact precautions in reducing MDRO transmissions? How does targeted isolation compare to systematic isolation in reducing MRSA infections? How does QCC affect adherence to isolation measures? Outcome MDRO transmission rates Rates of infections Adherence to isolation precautions, MDRO rates Setting (Where did the study take place?) A French medical and surgical unit 30-bed ICU at the University Hospital of Lille (France), A single ICU in a hospital in China Sample 413 patients in an ICU setting 1221 ICU patients Medical staff, assistant nurses, cleaning personnel, external consultants, and training personnel in the unit Method Sequential single-center observational study Prospective before–after study Quasi-experimental intervention Key Findings of the Study Rates of MDRO transmission was similar in both groups Targeted isolation was not inferior to systematic isolation in reducing infection rates Assignment: Infections Acquired by Patients in Intensive Care Unit Research QCC significantly improved isolation implementation rates and reduced MDRO incidents Recommendations of the Researcher Targeted contact isolation should be preferred for infection control to reduce resource utilization in ICU Targeted isolation should be prioritized to reduce MRSA infection rates QCC should be implemented with isolation precautions to enhance infection control Criteria Article 4 Article 5 Article 6 APA-Formatted Article Citation with Permalink Krein, S. L., Mayer, J., Harrod, M., Weston, L. E., Gregory, L., Petersen, L., … & Drews, F. A. (2018). Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: A qualitative study. JAMA Internal Medicine, 178 (8), 1016-1022. Permalink: https://doi.org/10.1001/jamainternmed.2018.1898 Tufail, S., Afzal, M., Perveen, K., Waqas, A., & Gilani, S. (2017). Knowledge, attitude and practice towards standard isolation precautions among registered Nurses. Saudi Journal of Medical and Pharmaceutical Sciences, 3 , 534-544. Permalink: https://doi.org/10.21276/sjmps Alvarez, E. N., Pike, M. C., & Godwin, H. (2020). Children’s and parents’ views on hospital contact isolation: A qualitative study to highlight children’s perspectives. Clinical Child Psychology and Psychiatry, 25 (2), 401-418. Permalink: https://doi.org/10.1177/1359104519838016 How Does the Article Relate to the PICOT Question? The study outlines failures in infection control contact isolation and hence serves the purpose of identifying factors relevant to the PICOT question The article presents major facilitators and challenges in implementing isolation precautions hence contributing to the intervention in the PICOT question The researchers outline the experiences of children in isolation. The experiences are important in designing and implementing an intervention according to the PICOT question. Quantitative, Qualitative (How do you know?) Qualitative- data was collected through observations and data analysis was direct content analysis Qualitative- The study design was descriptive cross-sectional Qualitative- data was collected using interviews and surveys; analysis was thematic Purpose Statement To highlight the sources of failure in implementing transmission precautions for infection control. “To assess the knowledge, attitude and practice of nurses toward standard isolation precaution among registered nurses.” To assess the experience of children of being placed in isolation Research Question What circumstances lead to active failures in transmission-based precautions to reduce the transmission of infectious agents by health care personnel? What is the current state of nurses in regards to implementing standard isolation precautions? How do isolation precautions affect patients’ care experiences? Outcome Areas of failure Knowledge, attitudes, and practices Patients’ experiences of care Setting (Where did the study take place?) Medical/surgical units and ICUs of an academic medical center, a Veterans Affairs hospital, and the emergency department of a university hospital A children hospital in Lahore, Pakistan UCLA Mattel Children’s Hospital in California Sample 325 room observations 132 nurses 9 parent-child dyads in the hospital Method Qualitative observational study with field notes descriptive cross-sectional study Phenomenological research design- Interviews were used to determine the experiences of children in isolation Key Findings of the Study Some of the areas of failure included entering rooms without relevant protective gear, errors in removing the gear, and slips such as touching one’s face Most nurses have good knowledge but unsatisfactory attitude towards isolation precautions Negative experiences of isolation may outweigh the benefits of the infection control process Recommendations of the Researcher A range of strategies should be used to reduce the potential transmission of infectious diseases in the hospital CUMS NRS 433V Infections Acquired by Patients in Intensive Care Unit Research Paper Nurses should be educated and motivated to practice standard isolation precautions Assignment: Infections Acquired by Patients in Intensive Care Unit Research More child-friendly isolation signs should be used to reduce negative experiences Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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