Rough Draft Qualitative Research Critique and Ethical Considerations-2.docx

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Running head: ROUGH DRAFT QUALITATIVE RESEARCH CRITIQUE 1 Rough Draft Qualitative Research Critique and Ethical Considerations Brandee Roy Grand Canyon University NRS-433V Introduction to Nursing Research
ROUGH DRAFT QUALITATIVE RESEARCH CRITIQUE 2 Chlorhexidine Gluconate’s Effectiveness in CLABSI Prevention Most healthcare associated bloodstream infections are associated with a central venous catheter insertion known as a central line associated bloodstream infection (CLABSI). CLABSIs are laboratory-confirmed bloodstream infections that develop within the first 48 hours (about 2 days) of central line insertion (Haddadin, 2020). Central lines are placed for patients requiring medication administration and fluid resuscitation in critically ill patients requiring prolonged hospitalization. This process is more efficient and effective for the patient and healthcare providers, but they are prone to developing infections in the bloodstream. CLABSIs are healthcare associated infections with increased morbidity and mortality rates. CLABSI has increased patients’ hospital length of stay as well as medical costs due to additional and prolonged treatments. These infections of central lines have led to research needs and evidence- based guidelines for CLABSI prevention. This paper will review and critique two qualitative research articles regarding the use of chlorhexidine gluconate in the prevention of CLABSIs. Qualitative Studies The author of this paper will review two qualitative research studies pertaining to the effects of chlorhexidine gluconate and central line associated bloodstream infections in patients during a hospital admission. Even though CLABSIs are one of the leading causes of healthcare associated infections, they are preventable when the mechanism is understood, and evidence- based guidelines are instituted. The following articles discuss CLABSIs and the effect of chlorhexidine gluconate in the prevention of them. Background of Study
ROUGH DRAFT QUALITATIVE RESEARCH CRITIQUE 3 Edwards M, Purpura J, Kochvar G. Quality improvement intervention reduces episodes of long- term acute care hospital central line–associated infections. AJIC: American Journal of Infection Control . 2014;42(7):735-738. doi:10.1016/j.ajic.2014.03.014 In this first article, the researchers discuss the significance in bathing patients admitted in long term acute care hospitals (LTACHs) with 2% chlorhexidine gluconate cloths to reduce CLABSIs. Because these patients come to these facilities with the central line already in place, the healthcare providers at the LTACHs lack prevention of bloodstream infections during the insertion process but are the direct line in preventing them during admission and treatment in LTACHs.

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