PICOT 1.docx - Picot Statement 1 Literature Evaluation...

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Picot Statement 1 Literature Evaluation Table Student Name: Summary of Clinical Issue: Central venous lines/catheters (CVCs) are often used in critically ill patients and they offer a variety of advantages over peripheral intravenous lines. Nevertheless, theses CVCs lead to blood-borne infections, with the risk increasing with a range of characteristics such as catheter choice, catheter location, insertion technique and catheter maintenance. Central line-associated bloodstream infections (CLABSIs) is amongst the hospital-acquired infections (HAIs) that is quite common. CLABSIs are associated with thousands of deaths in every year, healthcare’s increased costs and prolonged stay in the hospitals (Cho et al., 2017). Central line-associated bloodstream infections (CLABSIs) can be a devastating complication of intensive care in the hospital. According to Schwartz et al. (2016), it is the responsibility of the nurses to give the possible and best care to patients. During the provisions of patient care, the nurse is required to follow the standards of infection control. The implementation and development of hospital's wide dedicated teams established to oversee entire central lines for the data collected and inpatients reveal a reduction in the rates of CLABSIs. Over the past few years, healthcare workers have concentrated on providing evidence-based practices or solutions in decreasing central-line infections in the intensive care units (ICUs). Cho et al. (2017) stated that central line bundles should be utilized in the quest of preventing CLABSIs. This bundle is reported to have five effective elements which includes: continuous monitoring, site selection, proper cleaning prep, sterile barriers, and hand washing. This bundle has been recognized by numerous health agencies (CDC, SHEA, and NHNS) as effective. PICOT Question: The question to be addressed: What are the CLABSI-related preventive measures implemented among adult patients hospitalized in an ICU and how can these helps improve the complications associated with the infection?
In PICOT format, the question is: P-Inpatients. I- Preventive measures for CLABSI. C- Reduced infection rate. O-Decreased infections/complications with the central lines. T-During the stay in hospitals (ICU). Criteria Article 1 Article 2 Article 3 APA- Formatted Article Citation with Permalink Cho, S. Y., Chung, D. R., Ryu, J. G., Choi, J. R., Ahn, N., Kim, S., Kim, M. J., Ha, Y. E., Kang, C. I., Peck, K. R., & Song, J. H. (2017). Impact of Targeted Interventions on Trends in Central Line-Associated Bloodstream Infection: A Single-Center Experience from the Republic of Korea. Critical care medicine, 45(6), e552–e558. Scheck McAlearney, A., Hefner, J., Robbins, J., Harrison, M., & Garman, A. (2015, May). Preventing central line-associated bloodstream infections: A qualitative study of management practices. Retrieved July 19, 2020, from 703102 Atilla, A., Doğanay, Z., Çelik, H., Tomak, L., Günal, Ö, & Kılıç, S. (2016, December). Central line-associated bloodstream infections in the intensive care unit: Importance of the care bundle.

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