Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.
This assignment enables the student to meet the following course outcomes:
CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)
CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)
Preventing central venous catheter-related infections
Lai, N. M., Lai, N. A., O’Riordan, E., Chaiyakunapruk, N., Taylor, J. E., & Tan, K. (2016). Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database of Systematic Reviews, (7), CD010140. doi:10.1002/14651858.CD010140.pub2.
My clinical Question asked using PICOT method is, In patients who are adults (population), how effective is skin antisepsis regimen (Intervention) as compared to no skin antisepsis (Comparison intervention) in controlling central venous catheter-related infections (Outcome) with time? Since the PICOT method stands for Population Intervention Comparison Outcome and Time, the intervention question is formulated as follows:
Population- It could be children, adolescents, adults or the elderly. In this case, it is Adults with CVT
Intervention: The method used for treatment. In this case, it is, skin antisepsis regimen
Comparison intervention: The method used to establish a comparison with the proposed method. In this case, it is no skin antisepsis
Outcome: The results of treatment of the disorder or disease. In this case, it is, Controlling central venous catheter-related infections
Time: With time
The question on the use of antiseptic to reduce the susceptibility of patient contracting infections related to the central venous catheter is very critical in my current and future practice as a nurse. Since most patients admitted required blood transfusion, fluids, as well as medication to be injected into the body through the CVT, it is critical to identify whether in antiseptics are useful as an intervention strategy to control infections or not. The current gap that requires to be adequately filled in the determination of an intervention strategy that will be most effective in significantly reducing the patient contracting infections along the where the CVT is inserted into the patient’s body.
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