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RUNNING HEAD: RESEARCH CRITIQUES AND PICOT 1Research Critiques and PICOT Statement Final Draft Sara PetersGrand Canyon University: NRS-433VMarch 17, 2019
RESEARCH CRITIQUES AND PICOT2Research Critiques and PICOT Statement Final DraftEach year there are hundreds of thousands of patients what develop hospital acquired infection (HAI) that leads to longer hospital stays and even death. Patients in the intensive care unit (ICU) have been found to develop secondary infections such as central line associated bloodstream infections (CLABSI). This is because patients in the ICU setting have a lower immune system. These secondary infections can become difficult to treat and can even cause death. Nurses can prevent these secondary infections by practicing standard precautions and including Chlorhexidine gluconate (CHG) soap. In order to evaluate more sufficient ways to prevent infections researchers have conducted numerous studies about the use of CHG products such as CHG wipes. There is hope that CHG products will reduce the rates of CLABSIs and multi-resistant organisms (MDROs). PICOT StatementIn adult patients in the Intensive Care Unit (ICU), does daily chlorhexidine baths compared to baths with soap and water decrease the rate of central line-associated blood stream infections (CLABSI) during the duration of the ICU stay?P- Adult patients in the ICUI- daily chlorhexidine baths C- baths with soap and waterO- decreased rates of CLABSIT- duration of ICU stayQualitative StudyBackground
RESEARCH CRITIQUES AND PICOT3There is a need in nursing practice to reduce HAI’s that burden a patient’s health and economic factors. Thousands of patients die each year from HAI’s and costs the healthcare system billions of dollars annually. CHG bathing in other research has been proven to reduce HAIs such as CLABSIs, but there was no support from the nursing staff. Also, CHG daily bathing has not been studied using implementation research and this type of research is “critically needed to facilitate translation of evidence into practice” (Musuuza, Roberts, Carayon,& Safdar, 2017). For there to be successful acceptance of CHG bathing among nursing, there needs to be understanding of the practice.This research article was part of a project to look into the nursing staff’s compliance with daily CHG bathing for ICU patients. The questions the study was designed to answer was: “How do you communicate with the other nursing staff that a chlorhexidine bath for a patient was done?” and “Please tell me what you know about the chlorhexidine bathing policy” (Musuuza, Roberts, Carayon, & Safdar, 2017). The study was performed by observing the nursing staff using CHG soap for bathing. Medical charts were checked for documentation of CHG bathing.