DPI Project DQ1 and DQ2

DPI Project DQ1 and DQ2

DPI Project DQ1 and DQ2 : EVIDENCE-BASED PICOT QUESTION 5

Running head: DPI PROJECT: EVIDENCE-BASED PICOT QUESTION 1

DPI Project: Evidence-Based PICOT Question

Abstract

Central Venous Catheters (CVCs) are climacteric for the inoculation of intravenous fluids, blood components, medications, and parenteral nutritive fluid, and for hemodialysis monitoring but it also enacts as one of the substantial routes for the microbial infestation (CLABSIs) (Alonso-Echanove et al., 2003). Thus, there arises an urgency to intervene and develop effective measures to curtail the incidence of CLABSIs. Exploitation of hand hygiene before the examination, as well as the application of skin antiseptics over the insertion site, is a pre-requisite for preventing the microbial invasion. It is obligatory to maintain hygiene on a regular basis to advocate its efficacy to forbid septicemia (Perin, Erdmann, Higashi, & Sasso, 2016).

The PICOT question provides guidelines to frame an effective CLABSIs-prevention and eradication program and implementation of the same in the current nursing practices. The application of these evidence-based strategies requires continued efforts to reveal results. DPI Project DQ1 and DQ2

Question:

“In Patients > 65 years of age with central line catheters, how does staff training of key personnel and reinforcement of Central line catheter hub hygiene after its insertion, along with the apt cleansing of the insertion site, before every approach compared with other area hospitals, reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections)?”

P: Patients > 65 years of age with Central line

I: Staff training and reinforcement of Central Catheter, Hub Hygiene

C: Other area hospitals

O: Reduce probability of CLABSIs

T: Two months

PICOT Decision Pathway:

Central line patients ? Yes ?ICU, CVICU, and CCU patients

Staff training, Reinforcement, Hygiene of hub Effective measure to curtail incidence of infections

Infection; CVC reinforcement costly? Two months

Sterilization necessary Infection;

Need Hygiene

Maintenance of therapy Practices at other area hospitals

Reduction in incidence of CLABSIs Yes Yes Routine blood investigation

for microbial infestation

P: Patients with Central lines Adequate time requirements for efficacy of Intervention

I: Staff training, reinforcement, Hub Hygiene

Two months

C: Other hospitals

O: Reduce probability of CLABSIs

T: Two months

PICOT Question Template:

In this section provide one word to describe each section of your proposed PICOT question

P

CVC patients 65 years of age and older

I

Hygiene of hub

C

Other area hospitals

O

Low CLABSIs

T

Two Months

Section 2: Write your PICOT question below using the words listed above.

“In Patients > 65 years of age with central line catheters, how does staff training of key personnel and reinforcement of Central line catheter hub hygiene after its insertion, along with the apt cleansing of the insertion site, before every approach compared with other area hospitals, reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections)?”

Section 3: Use your PICOT to develop a formalized problem statement. Use the example below to help formulate your problem statement.

Problem Statement

Though the studies have substantiated CLABSIs to be a significant health concern as it impedes the recovery of the patients, the degree of efficacy of hygiene of the hub, before each access in the prevention of CLABSIs, is not well documented (O’Grady & Centers for Disease Control and Prevention (U.S.), Healthcare Infection Control Practices Advisory Committee (U.S.), 2011).

Section 4: Based on your PICOT, create a declarative purpose statement. Use the example below as a reference. DPI Project DQ1 and DQ2

Purpose Statement: The purpose of this quantitative project is to establish a relation between the occurrence of CLABSIs and staff training, reinforcement, hygiene for Central Venous Catheters (CVCs) inserted patients at the hospital (Davis et al., 1999). Hygiene will be defined regarding the use of hand wash before inspection as well as the application of antiseptics over the insertion site. The anticipation of CLABSIs will be measured by routine blood cultures for microbial inoculation.

References

Perin, D. C., Erdmann, A. L., Higashi, G. D., & Sasso, G. T. (2016). Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review. 1 Revista Latino-Americana de Enfermagem, 24(0). doi:10.1590/1518-8345.1233.2787

O’Grady, N. P., & Centers for Disease Control and Prevention (U.S.), Healthcare Infection Control Practices Advisory Committee (U.S.). (2011). Guidelines for the prevention of intravascular catheter-related infections, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

Davis, D., O’Brien, M. A., Freemantle, N., Wolf, F. M., Mazmanian, P., & Taylor-Vaisey, A. (1999). Impact of Formal Continuing Medical Education. JAMA, 282(9),867.doi:10.1001/jama.282.9.867 [PubMed]

Alonso-Echanove, J., Edwards, J. R., Richards, M. J., Brennan, P., Venezia, R. A., Keen, J., … Gaynes, R. P. (2003). Effect of Nurse Staffing and Antimicrobial-Impregnated Central Venous Catheters on the Risk for Bloodstream Infections in Intensive Care Units. Infection Control & Hospital Epidemiology, 24(12), 916-925. doi:10.1086/502160 [PubMed] DPI Project DQ1 and DQ2