Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Importance of research
Importance of research
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Importance of research
“An intellectual research critique is a careful, complete examination of a study to judge its strengths, weaknesses, logical links, meaning and significance” (nursing planet, 2013).In this paper this writer is going to perform a critique analysis on a research article named as “Using criteria –based reminder to reduce use of indwelling urinary catheters and decrease urinary tract infections” written by Chen, et.al. This article is published in March, 2013 by American journal of critical care. According to Chen, et.al, the duration of urinary catheter places an important role in developing UTI’s. The main aim of this study was to decide whether a reminder approaches help to decrease the urinary tract infection by reducing the duration of the …show more content…
Likewise they had 88% achievement rate in pulling out the indwelling urinary catheters with mediation by day seven. There was a 53% lessening in the frequency of CAUTIs per 1000 patient-days and a 40% decrease in the rate of CAUTIs per 1000 catheter-days with the utilization of the update procedure. According to the study, with the assistance of a reminder sheet there was a diminishment in the utilization of such catheters and this decreased the recurrence of CAUTIs in patients with respiratory ailment. This emphasizes the vital role the nurses play in the care of urinary catheters. It is imperative to make an assessment tool for urinary catheter evacuation. On the premise of this evaluation, medical caretakers would remind doctors to take out patient's urinary catheter. This study has numerous limitations. Catheter insertion procedure is different in each unit of the hospital. On the other hand, this bias impact was not huge in light of the fact that with as specific end goal to create standard catheterization method and consideration measures, the study was directed either in a hospital unit or in the RICU. With a specific end goal to diminish the occurrence of CAUTIs, reducing the incorrect use of indwelling urinary catheters ought to be focused, and catheter use must be frequently checked. The study results propose that the criteria-based reminder method is valuable when the avoidance of CAUTI is a veritable desire. Nurses can assume a critical part in catheter consideration and in reducing the threat of infection. The researchers recommends future study by using more effective interventions to prevent the occurrence of
The topic that I chose is interventions used to reduce catheter associated urinary tract infections(CAUTI). This type of infection is acquired from the use of urinary catheter while in the hospital. According to the Institute for Healthcare Improvement, urinary tract infections are responsible for 40 percent of all hospital-acquired infections annually, with 80% of these hospital acquired infection caused by use of indwelling urinary catheters. When any type of tubes or catheters are introduced in the body it serves as a medium for infection. Urinary catheters are used during surgery to prevent injury to the bladder. It is also used for urinary retention or bladder obstruction. The implementation of evidenced based practice when providing care
Different studies had different result numbers or different percentage reduction rates which was primarily based on their indifferences in regards to study design utilized and sample size. As evidenced by research results (Magers, June 2013) and (Welden, 2013), these showed a reduction of urinary catheter days resulted in reduced CAUTI rates. Though different outcome results between the different research studies, they all strongly significantly supported the notion that a nurse-driven protocol to assess and evaluate the appropriateness and use of urethral catheter compared with a no protocol is essential to help in the reduction of CAUTIs. Interpreting these results, (Meddings et al., 2013) showed a drop greater than 52% in CAUTIs and a decrease in catheterization by 37%. The study results from the six scholarly research study articles showed nearly similar or corresponding outcomes. The results were significant enough to support the PICO question. In general, though the difference in sample size, the results still strongly supported excellent outcomes when a nurse-driven protocol is used to evaluate the necessity of continued urethral catheter use. (Chen et al., 2013, para.
The Iowa model, developed by Titler in 1994, focuses on organization and collaboration incorporating conduct and use of research, along with other types of evidence (Titler et al, 2001). Since its origin in 1994, it has been continually referenced in nursing journal articles and extensively used in clinical research programs (LoBiondo-Wood and Haber, 2006). This model allows us to focus on knowledge and problem-focused triggers, leading staff to question current nursing practices and whether care can be improved through the use of current research findings (Titler, 2006). In using the Iowa model, there are seven steps to follow: (1) selection of a topic or problem for evidence-based practice, (2) forming a team, (3) Evidence retrieval, (4) Grading the Evidence, (5) Developing an EBP Standard, (6) Implement the EBP, and (7) Evaluation (Titler et al, 2001.
Urolithiasis is the process of forming stones in the kidney, bladder, and/or urinary tract.1 1,200 to 1,400 per 100,000 people will develop a urinary stone each year. Urinary stones are formed when there is a decrease in urine volume or an excess of stone forming substances are present. The use of diagnostic imaging plays a vital role in the diagnostic and treatment processes of a stone in the urinary track. This paper will discuss the signs, symptoms, diagnosis, treatment, and prognosis of Urolithiasis.
Kaplan, L. (2012, October 2012). Reading and Critiquing a Research Article. American Nurse Today, 7(10). Retrieved from
A urinary tract infection (UTI) is an infection of the urinary tract. The urinary tract is the body's drainage system for removing wastes and extra water. Urinary tract infections can have different names, depending on what part of the urinary tract is infected. The infection can include the bladder, kidneys, ureters, or the urethra. If the infection is in the bladder it is called “cystitis” or a bladder infection. If the infection is in the kidneys is it called “pyelonephritis” or a kidney infection? If the infection is in the urethra it is called “urethritis”. Most urinary tract infections are bladder infections. Infections in the ureters are very rare. Everyone is at risk of getting a UTI allowing bacteria to grow in the urine that stays
In gathering articles for this review, numerous methods were used to narrow journal articles that were relevant to nursing. A search was conducted on EBSCO HOST for key terms such as ________. This was narrowed down to articles which were between 2009 and 2014, plus articles which had full text...
When performing evidence based practice research, the Iowa Model uses a team or individual approach to assist nurses in the journey to quality care. The Iowa Model begins by offering a process of selecting a proper clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is formulated as a question to improve a technique or procedure. Once the researcher determines that an ample amount of reported investigation exists on the desired question, information may be gathered and presented for approval (Polit & Beck, 2012). The research may lead to a gradual change in nursing practice.
There are few telltale signs of what Shelly Gregory copes with on a daily basis. On closer observation, one may notice the odd way she holds the right side of her abdomen when she walks or the way she tilts her body to the side when she sits on a chair for too long.
Central lines (CL) are used frequently in hospitals throughout the world. They are placed by trained health care providers, many times nurses, using sterile technique but nosocomial central line catheter associated blood stream infections (CLABSI) have been a dangerous issue. This is a problem that nurses need to pay particular attention to, and is a quality assurance issue, because CLABSI’s “are associated with increased morbidity, mortality, and health care costs” (The Joint Commission, 2012). There have been numerous studies conducted, with the objective to determine steps to take to decrease CLABSI infection rate, and research continues to be ongoing today. The problem is prevalent on many nursing units, with some patients at great risk than others, but some studies have shown if health care providers follow the current literature, or evidence based guidelines, CLABSIs can be prevented (The Joint Commission, 2012). The purpose of this paper is to summarize current findings related to this topic, and establish a quality assurance (QA) change plan nurses can implement for CL placement and maintenance, leading to decreased risk of nosocomial CLABSIs.
There have been an incidents of prolonged hospital stay due to central line infections putting patients at risk for mortality, morbidity, and increase in medical cost. When central lines are placed at bedside or in interventional radiology, the inserter is required to document the steps and sterile procedure that took place in the electronic health record. Furthermore, with weekly and as needed dressing changes, nurses are required to use central line bundles and document what was used (ex: Chloraprep, biopatch, tegaderm, etc.) to track how the dressing was done. From these documented records, staff can gather data and measure the compliance of sterile procedure. Additionally, if a patient with a central line develops a fever without an unknown cause physician will order blood culture from the central line if catheter-related infection is suspected. If the test comes back positive, the team will initiate antibiotics immediately. By integrating electronic health records it can assist in CLABSI prevention strategies, raise the standard for best practices, and essentially reduce central line infections. With the quarterly results of CLABSI in our unit, CVC committee have re-educated the staff on appropriate dressing changes using sterile technique, transitioned to a different end
1. By August 1, 20l6, I will have presented two newly published journal articles in the critical care field during two journal club meetings by using a clearly defined presentation template for critiquing research articles. So nurses
The articles found during the search four were chosen for use in this report. The articles chosen were critically appraised to establish the validity and relevancy of the reports. The articles were selected based on the outline given in Richardson-Tench, Taylor, Kermode & Roberts (2014, pg 53-54) which aims to assess the question and the topic, the abstract, the methodology, the findings or conclusions and an overall evaluation. It was essential that all articles chosen were peer reviewed. This is a process maintains high standards in research and involves the review of articles by subject matter expert’s (Richardson-Tench, Taylor, Kermode & Roberts 2014, pg 53). The authors of the papers were also assessed for credibility. All articles were found to be of authority in the field, authors included nurses with Phd and fellowships, and associations to institutions in high regard. Each abstract of each article was evaluated Richardson-Tench, Taylor, Kermode & Roberts (2014, pg 67) state the abstract should be a clear and brief overview of the report and should include information on the “problems, methods, design, results, conclusions and implications” Richardson-Tench, Taylor, Kermode & Roberts (2014, pg 67). All chosen reports provide an acceptable abstract, for example Mathers
A urinary tract infection is a very common infection that can happen to anybody. A urinary tract infection usually occurs when bacteria enters the urethra and multiples in the urinary system. The Urinary tract includes the kidneys, the thin tubes that carry urine from the kidneys to the bladder (ureters), and the main tube that carries the urine from the bladder (urethra). Women, men, and children are all immune to this infection. Women have the highest chances of getting it. In the Urinary tract, the main links of the ureters help get rid of any bacteria that tries to enter the urine, and the bladder helps prevent urine from backing up into the kidneys.
One day, this writer happened to see another nurse changing a Peripherally Inserted Central Catheter Line dressing. As a nurse leader, this writer asked the nurse why she is changing the dressing. The caregiver explained dressing changes can prevent infection to the site and there are lot of patients readmitted because of central line infections and subsequent complications. This nurse demonstrated good kn...