Evidence Based Comparison Project Paper
Evidence Based Comparison Project Paper
Nursing Practice Problem: Infants in NICU (P), does the use of silver alginate coated dressing (I) compared to the standard care (C) decrease the rate of central line associated blood stream infection (O)
Introduction
Silver alginate coated dressing
Silver alginate dressings are made of natural fibers derived from seaweed through a series of special processes. It is a fast acting and highly absorbent dressing that maintains a moist environment for wound healing. It is the most recommended dressing coats in patients with central line catheters to avoid infections in patients in an ICU. Evidence Based Comparison Project Paper
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Comparison 1: Translational Research vs. Qualitative Research
| Criteria | Peer-Reviewed Translational Article and Permalink/Working Link:
Translational Research Type: Neill, S., Haithcock, S., Smith, P. B., Goldberg, R., Bidegain, M., Tanaka, D., … & Ericson, J. E. (2016). Sustained reduction in bloodstream infections in infants at a large tertiary care neonatal intensive care unit. Advances in neonatal care: official journal of the National Association of Neonatal Nurses, 16(1), 52. https://dx.doi.org/10.1097%2FANC.0000000000000164 |
Peer-Reviewed Traditional Article and Permalink/Working Link:
Traditional Qualitative Research Type: Lai, N. M., Taylor, J. E., Tan, K., Choo, Y. M., Kamar, A. A., & Muhamad, N. A. (2016). Antimicrobial dressings for the prevention of catheter‐related infections in newborn infants with central venous catheters. Cochrane Database of Systematic Reviews, (3). https://doi.org/10.1002/14651858.CD011082.pub2
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Observations (Similarities/Differences) |
| Methodology | The research methodology was retrospective intervention study.
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The research methodology was revies of articles in the Standard search strategies and research in the conhrane central register of controlled trials.
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The research methodologies between translational research and qualitative research by data collection process. In translational articles, the data collection process was through experiments during practice while in qualitative research the data was collected by reviewing the previous articles in the register of controlled trials. There are no similarities between the two articles. |
| Goals | The aim of the study was to reduce nosocomial infections in NICU such as blood stream infections by post insertion central line care practices. Evidence Based Comparison Project Paper
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To determine the effectiveness and the safety of antimicrobial dressings to reduce CLABSI in infants in NICU
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The translational research goals different from the qualitative research goals because its purpose is to monitor the infections by post insertion central line care practices. The qualitative research article aim is to determine the effectiveness of the silver dressing. Both articles are similar because they describe the effectiveness in prevention of CLABSI. |
| Data Collection | The method of data collection was through a staged multifaceted infection prevention plan under nursing leadership. Results shows that post insertion central line care practice changes such as use of silver alginate patch reduced infection rate.
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Data was collected by reviewing the CRNG articles.
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Data collection methods are different in the two articles. In translational research, the data was collected a multifaceted infection prevention plan under nursing leadership where post central line insertion care determined the outcome. The data collection between the two articles is based on the patients that used silver to protect the central line. |
Comparison 2: Translational Research vs. Quantitative Research
| Criteria | Peer-Reviewed Translational Article and Permalink/Working Link:
Translational Research Type: Dang, F. P., Li, H. J., & Tian, J. H. (2019). Comparative efficacy of 13 antimicrobial dressings and different securement devices in reducing catheter-related bloodstream infections: a Bayesian network meta-analysis. Medicine, 98(14). https://dx.doi.org/10.1097%2FMD.0000000000014940 |
Peer-Reviewed Traditional Article and Permalink/Working Link:
Traditional Quantitative Research Type: Savage, T., Hodge, D. E., Pickard, K., Myers, P., Powell, K., & Cayce, J. M. (2018). Sustained reduction and prevention of neonatal and pediatric central line-associated bloodstream infection following a nurse-driven quality improvement initiative in a pediatric facility. Journal of the Association for Vascular Access, 23(1), 30-41. https://doi.org/10.1016/j.java.2017.11.002 |
Observations (Similarities/Differences) |
| Methodology | The research method was through controlled trials that compared the efficacy of different dressing methods.
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The research methodology was a retrospective to quantify the effectiveness of the prevention bundle such as the use of silver coated dressing to cover central line in NICU | The difference in the research methodology is that the translative research is done in the current state of treatment and does not involve the numbers. While quantitative data is done over a period of time to show the numbers with positive outcome. There is no common similarity in the research methodology. |
| Goals | The aim of the study was to compare the efficacy of different antimicrobial dressings for prevention of catheter related infection in NICU.
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The aim of the study was to develop effective centralized CLABSI prevention bundle | Both the translative research and quantitative research aim at describing the appropriate method of prevention of central line infections. The difference is that the quantitative study aims at describing the most effective method among others while translative data describes the efficiency of the silver coated dressing. |
| Data Collection | The method of data collection was through a randomized control trial that compared the efficacy of different central line dressings. 8494 patients were involved and 13 dressing methods were included for the study. The results show that silver alginate dressing coats were the most effective. | Data was collected by counting the number of the infection pre, peri, and post intervention of the preventive bundle. The data collected shows there was a decrease in the post intervention cases of central line associated infections by 0.45 %. | Data collection in translative research describes the efficiency of the silver alginate coat among other dressing methods while quantitative research shows the effectiveness by comparison from the previous number to the current number. |
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References
Dang, F. P., Li, H. J., & Tian, J. H. (2019). Comparative efficacy of 13 antimicrobial dressings and different securement devices in reducing catheter-related bloodstream infections: a Bayesian network meta-analysis. Medicine, 98(14). Evidence Based Comparison Project Paper
https://dx.doi.org/10.1097%2FMD.0000000000014940
Lai, N. M., Taylor, J. E., Tan, K., Choo, Y. M., Kamar, A. A., & Muhamad, N. A. (2016). Antimicrobial dressings for the prevention of catheter‐related infections in newborn infants with central venous catheters. Cochrane Database of Systematic Reviews, (3).
https://doi.org/10.1002/14651858.CD011082.pub2
Neill, S., Haithcock, S., Smith, P. B., Goldberg, R., Bidegain, M., Tanaka, D., … & Ericson, J. E. (2016). Sustained reduction in bloodstream infections in infants at a large tertiary care neonatal intensive care unit. Advances in neonatal care: official journal of the National Association of Neonatal Nurses, 16(1), 52.
https://dx.doi.org/10.1097%2FANC.0000000000000164
Savage, T., Hodge, D. E., Pickard, K., Myers, P., Powell, K., & Cayce, J. M. (2018). Sustained reduction and prevention of neonatal and pediatric central line-associated bloodstream infection following a nurse-driven quality improvement initiative in a pediatric facility. Journal of the Association for Vascular Access, 23(1), 30-41.
The order was not completed correctly. How do I talk to someone about the appropriate one being done.
https://doi.org/10.1016/j.java.2017.11.002
PICOT Final
Name_____________________________________
Complete your PICOT using your approved proposed nursing practice problem. If they were approved, you may use the population and intervention developed in your Topic 1 assignment. Include any necessary revisions in this submission. Refer to the “Example PICOT” below as needed for guidance on how to complete the PICOT.
| PICOT Question | |||
| P | Population | neonates who are immunocompromised and in NICU | |
| I | Intervention | Silver alginate dressing coat | |
| C | Comparison | Standard dressing care | |
| O | Outcome | Decrease the rate of central line associated blood stream infections | |
| T | Timeframe | During their stay in NICU | |
| PICOT
Create a complete PICOT statement. Evidence Based Comparison Project Paper |
Infants in NICU (P), does the use of silver alginate coated dressing (I) compared to the standard care (C) decrease the rate of central line associated blood stream infection (O)
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| Problem Statement
Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.
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Neonates in the NICU are born immunocompromised as either there is a disease process happening that has brought them to the NICU or they are premature which in itself puts them at higher risk for infection. This population receives long term nuturional support as well as medications therefore, causing them to often need long-term central lines. Post insertion central line care practices.
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The order was not completed correctly. How do I talk to someone about the appropriate one being done.
Assessment Description PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting a population of focus. The purpose of this assignment is to complete your PICOT for your selected nursing practice problem. Refer to your “Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem” assignment from Topic 1 to complete this assignment. If your nursing practice problem or PICOT required revision, include those revisions in this assignment. The final PICOT you develop in this assignment will provide the framework for developing your evidence-based practice project proposal. Use the “PICOT-Final” template to complete this assignment. Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments. You are required to cite at least four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Evidence Based Comparison Project Paper
