NURSING PAPER #3.docx - Running Head RESEARCH CRITIQUES...

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Running Head: RESEARCH CRITIQUES & PICOT STATEMENT FINAL DRAFT1Research Critiques & PICOT Statement Final Draft Shelby L. NelsonGrand Canyon University: NRS-433V4/14/2019
RESEARCH CRITIQUES & PICOT STATEMENT FINAL DRAFT2PICOT StatementPPatient/ProblemIInterventionCComparisonOOutcomeTTimeAdultspresenting withsurgical siteinfectionsHand washing,sterile technique,skin preparation,and propermaintenanceafter surgeryNon-steriletechnique(contamination),improperhandwashing,patient neglectof surgical sitepost-surgery, etc.Decrease insurgical siteinfections2 monthsPICOT Question/StatementP:In adults with surgical site infections,I:will proper hand washing, sterile technique, skin prep, and maintenance after surgeryC:as compared to non-sterile technique (contamination), improper hand washing/skin prep, and patient’s neglect of surgical site post-surgeryO:be more or less effective in reducing surgical site infectionsT:over a 2-month time frame?QUALITATIVE STUDYSurgical site infections (SSIs) are the most common healthcare-associated infection (HAI) that continues to affect the quality of patient health care. SSIs contribute to prolonged hospital stays, reduced quality of life, increased mortality, additional cost for patients and their family, and rising health care cost (Sickder. Wanchai, Hunsa, & Nongkran, 2017). Nurses play a major role and initiate continuum of care in order to prevent surgical site infections. Risk factors,
RESEARCH CRITIQUES & PICOT STATEMENT FINAL DRAFT3such as improper skin preparation and hand hygiene, can be modified and improved to prevent SSIs. Other procedure-related risk factors that contribute to SSIs include inappropriate preoperative shaving, inadequate preoperative showering, inadequate patient skin preparation, poor hand hygiene practices, inadequacy of prophylactic antibiotics used, and inappropriate dressing techniques (Sickder. Wanchai, Hunsa, & Nongkran, 2017). Sickder. Wanchai, Hunsa, & Nongkran (2017) recommends that SSIs can be prevented with proper adherence to surgical site infection preventive practices in aspects of preoperative shaving; prophylactic antibiotic administration; and hand hygiene.The study by Humaun Kabir Sickder, Wanchai Lertwathanawilat, Hunsa Sethabouppha, and Nongkran Viseskul was initiated to identify nurses’ practices in the prevention of SSIs and its barriers and facilitators, and find direction for improvement.MethodA mixed method was used for the design of the study. Since this paper is about qualitativeresearch, I will only focus on the qualitative portion of this study. The qualitative portion of this study used focus group interviews (FGI) and in-depth interviews (IDI) with nurses and administrators to capture barriers and to improve adherence to SSI prevention.

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