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Running head: RESEARCH CRITIQUES AND PICOT STATEMENT FINAL Christa Robideau Grand Canyon University: NRS 433V-0503 September 30, 2018 1
RESEARCH CRITIQUES AND PICOT STATEMENT FINAL Research critiques and PICOT statement final Central line associated bloodstream infections (CLABSI’s) are often preventable and are a factor in the cost of health care, increased use of high-powered antibiotics, longer hospital stays, changes in level of care and mortality rates in acute care settings (Pathak, Gangina, Jairam, & Hinton, 2018). Central line associated bloodstream infections may be caused during insertion or during the maintenance of the line (Ling, M. L., 2016), would it be prudent to intervene in only one aspect of central line access? This paper will use previous research articles identifying the background, methods, results and ethical considerations of the studies to support the PICOT: In the adult population, what is the effect of using central line alternatives and goal setting to reduce CLABSI rates in acute care settings over a 5-year period? Background of studies The clinical problem identified in the research study entitled Getting to Zero: Goal Setting to Reduce Blood Stream Infections is noted to lead to inconsistent results in improving patient safety and quality of care in health care across different leaderships and settings. It was unknown weather differences in management or leadership styles have an impact on the success of CLABSI initiatives (Mcalearney & Hefner, 2017). Understanding what helps make a CLABSI initiative successful has a large impact on financial costs incurred by patients, society and hospitals as well as non-financial costs (Mcalearney & Hefner, 2017). The studies purpose was to improve the understanding of the researcher’s knowledge of weather goal setting and goal commitment can contribute to better outcomes with hospital’s CLABSI initiatives (Mcalearney & Hefner, 2017). Questions the study was designed to answer appear to be, what is the importance of, how specific is and how difficult will it be to reach the CLABSI prevention goal, are feedback and results provided to staff, is there peer to peer accountability, is there a 2
RESEARCH CRITIQUES AND PICOT STATEMENT FINAL teamwork culture, does the facility believe the goal of zero CLABSI’s is attainable, do the individual staff believe they can attain the goal of zero CLABSI’s, does the zero CLABSI goal align with the hospitals goals. Each question was directly related to goal setting and attainability (Mcalearney & Hefner, 2017). The clinical problem that led to the study A Vascular Access and Midlines Program can Decrease Hospital-Acquired Bloodstream Infections and Cost to a Community-Based Hospital was the need to decrease the number of days central lines are in place and to reduce central line associated bloodstream infections (CLABSI) and the resulting increased lengths of hospitals stays and costs associated with them (Pathak, et al., 2018). It was unknown if the use of a

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