“The intensive care unit (ICU) often is called the epicenter of infections, due to its extremely vulnerable population (reduced host defences deregulating the immune responses) and increased risk of becoming infected through multiple procedures and use of invasive devices distorting the anatomical integrity-protective barriers of patients (intubation, mechanical ventilation, vascular access, etc.)” (Brusselaers,Vogelaers, & Blot, 2011). The purpose of this paper is to develop a research question regarding the prevention of spreading bacteria in ICU and to identify databases and search words to collect data by using the continuum of data, information, knowledge, and wisdom . Also, I will describe how informatics can be used to gain wisdom.
Clinical Research Question and Metastructures: Data, Information, Knowledge, and Wisdom
The key to conducting successful clinical research involves five steps. These steps are: “asking answerable clinical questions, searching for the evidence, critically appraising the evidence for its validity and relevance, making a decision by integrating the evidence with your clinical expertise and the patient’s values, and evaluating your performance” (Heneghan, & Badenoch, 2006, p.2). To develop my research question I used the evidence- based model PICO. PICO stands for: P ( Problem: high infection rate by the spread of bacteria in ICU), I (Intervention: hand washing with soap and water or the use of hand sanitizer), C (Comparison: the use of gloves, gown, mask), O (Outcome: reduction of infection due to the spread of bacteria). With these elements as refrence I formulated the question: Is the use of soap and water or alcohol-based rubs more effective than the use of protective gear (gloves, mask, ...
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...and most current nursing and allied health literature. Retrieved from: http://www.ebscohost.com/nursing/products/cinahl-databases/cinahl- complete
Heneghan,C., Badenoch, D., (2006). Evidence-Based Medicine Toolkit. 2nd ed. Oxford: BMJ Books.
Brusselaers, N., Vogelaers, D., Blot, S. (2011). The rising problem of antimicrobial resistance in the intensive care unit.Annals of Intensive Care, (1)47. Doi:10.1186/2110-5820-1-47
McGonigle, D., Garver, K., (2012). Nursing Informatics and the Foundation of Knowledge. Burlington, MA: Laureate Education Inc.
National Center for Biotechnology Information (US). (2005).PubMed Help: NCBI Help Manual. Retrieved from:http://www.ncbi.nlm.nih.gov/books/NBK3830/
The Cochrane Library. (2013). About Cochrane Systematic Reviews and Protocols. Retrieved from http://www.thecochranelibrary.com/view/0/AboutCochraneSystematicReviews.html
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