NUR-550 Literature Review – Resubmission
NUR-550 Literature Review – Resubmission
Submit your literature review from NUR-550 for your NUR-590 instructor to review. If your NUR-550 instructor indicated areas for revision be sure to incorporate these improvements prior to submitting your paper for this assignment.
You will use the revised literature review for your final written paper in Topic, 8 detailing your evidence-based practice project proposal.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
In order to ensure patient safety, nurses and other healthcare professionals must implement interventions to improve the quality of care and reduce adverse events, such as hospital acquired infections (HAIs). In order to prevent and mitigate the spread of hospital-acquired illnesses, nurses must apply and leverage existing evidence-based practice interventions, such as hand hygiene procedures and measures such as handwashing with soap and water and sanitizers (HAIs). Mortality and morbidity, as well as poor patient outcomes and a higher economic burden of treatment, result from infections acquired in the hospital. It is the goal of this study to examine the published studies that support the PICOT statement on the use of soap and water hand sanitizer in combination with hand washing in order to prevent hospital acquired infections among healthcare workers during a six-month period of time. Based on PICOT’s inquiry, relevant publications are synthesised, compared and recommendations are made for future study on approaches to reduce hospital-acquired infections are made in this document.
Among healthcare workers in different settings (P), how does hand hygiene practices like handwashing with soap and water alongside using hand sanitizer (I), compared to handwashing with soap and water alone (C), reduce hospital acquired infections (O), within six months (T)?
Effective search for articles entails using appropriate approaches and terms. In this case, I used the university library to get to the databases of journals and their published peer reviewed articles. Using terms like peer review and scholarly works on hospital acquired infections (HAIs), I got the articles that I will be analyzing in this paper. I ensured that these articles have been published in the last five years and were relevant to nursing use and content. I also ensure that they were on the aspects in my PICOT question and statement and supported my EBP project.
The first article by Ni et al. (2020) explores an intervention project on hand hygiene improvement in a large healthcare facility in China. The objective of the article is to investigate the importance of implementing a hand hygiene initiative among healthcare workers to reduce and prevent hospital acquired infections. Using a qualitative design, the authors provide a summary of the effectiveness of the implementation of the hand hygiene measures in a 2500-bed teaching hospital. The findings from the study emphasizes the significance of implementing evidence-based practice interventions to prevent infections and enhance patient safety. The article recommends having handwashing measures that will reduce infections by healthcare workers. The article supports the PICOT as it explores the benefits of using translational research to implement hand hygiene measures. The article also supports the project by providing insightful information about the effectiveness of hand hygiene measures by healthcare workers in different settings.
The second article is by Setty et al. (2019) on adapting translational research methods in water, sanitation and hygiene. The goal if the study was to delineate existing translational research principles from different professions that include healthcare workers on the importance of applying the interventions in care practice. The authors use a narrative review approach to suggest interventions that can improve hand hygiene. The findings from the article demonstrate the need for increased hand hygiene measures in hospitals and other health settings to reduce infections and enhance patient safety. The article supports the PICOT by illustrating the importance of using translational research approaches in improving hand hygiene measures in healthcare. The article will also support the project by enhancing effective understanding of different approaches to hand hygiene in multiple settings.
The article by Zhao et al. (2017) discusses the need to make hand hygiene interventions more attractive to nurses. Using a discrete choice experiment, the authors’ aim is to improve understanding about the kind of interventions that can make nurses embrace effective hand hygiene measures. Conducted in three tertiary settings where 200 nurses participated, the study shows that healthcare providers can develop effective interventions that attract these professionals to embrace handwashing. Outlining five different interventions, the authors show that with better training and awareness, nurses can make better decisions and take effective actions to prevent hospital acquired infections. The article supports the PICOT by giving more information on different approaches that nurses can use to prevent hospital acquired infections within a certain period.
The by Staniford et al. (2020) is a systematic review of hand hygiene and environmental-disinfection interventions to improve hygiene in children’s settings. The authors identify interventions like behavioral change as essential in enhancing hand hygiene measures in these settings. The findings show that these interventions are effective and supported by research. The article supports the PICOT as it demonstrates the need to integrate research-supported interventions in hand hygiene. The article also supports the need to use different approaches focused on health populations like nurses.
The fifth article is by Moura et al. (2017) who explore the use of translational research in attaining hand hygiene compliance. The authors discuss interventions that support hand hygiene measures, especially in healthcare setting in low-income areas and regions. The findings from the study show that most of the interventions reviewed are effective in supporting hand hygiene measures and preventing hospital acquired infections. The article supports the EBP project by illustrating the significance of hand hygiene compliance among healthcare workers. The article supports the PICOT by offering more insightful view of interventions like handwashing with soap and water alongside sanitizer. The article shows that compared to no interventions, these strategies have the potential to improve care delivery.
The article by Hillier (2020) is about effective use of hand hygiene practices to prevent and control infections. The aim of the study was to demonstrate to nurses and other healthcare workers correct procedure required for effective hand hygiene. The author also emphasizes the importance of nurses having current knowledge on evidence-based guidelines like increased use of sanitizers alongside washing hands with soap and water. The findings show that the use of hand hygiene measures and guideline is critical for healthcare workers to control and stop the spread of emerging diseases like the Coronavirus disease of 2019 (COVID-19). The study supports the PICOT since it shows that evidence-based interventions can increase compliance to hand hygiene measures among nurses and other healthcare workers.
The seventh article by Akanji et al. (2017) is about the effectiveness of instituting formal hand hygiene education and feedback on compliance to hand hygiene standards by nurses to reduce and prevent hospital acquired infections. The aim of the study was to synthesize evidence to show the effective use of formal hand hygiene. In their findings, the authors assert the need for increased engagement of nurses to provide feedback on the most appropriate interventions to enhance hand hygiene measures and reduce and prevent HAIs. The article is important since it offers more insight on some of the protocols and measures that healthcare workers can use like using sanitizers alongside soap and water in handwashing.
In their study, Azar et al. (2017) explore the use of agile implementation model in reducing central line-associated bloodstream infections (CLABIs) which are some the leading types of HAIs. The objective of the study is show how healthcare providers can use agile methodology to reduce and prevent CLABIs. Their finding indicate that healthcare workers can use agile model to reduce HAIs. The article supports the PICOT as illustrates the various interventions that healthcare workers can execute to prevent and reduce possible catheter-line infections which are common among the HAIs. The article allows for the development of translational approaches to improve quality care delivery.
Comparison of the Articles
The articles all have one thing in common: approaches to reducing and preventing the occurrence of HAIs. The articles are also similar in that they aim to improve patient safety and care quality. The articles also emphasize the importance of healthcare workers using evidence-based interventions to reduce hospital acquired infections. The majority of the articles use systematic reviews to demonstrate the various evidence-based interventions that can improve quality of care and reduce the likelihood of adverse medical events. A systematic review enables researchers to evaluate evidence from multiple sources in order to ensure the validity and reliability of their findings. The articles are also similar in that they conduct an effective review of the literature to demonstrate that HAIs are a public health concern, but that healthcare workers, particularly nurses, can develop EBP measures to improve hand hygiene practices and embrace effective interventions. The articles all have one thing in common: hand hygiene and other related components that can lead to a reduction in HAIs.
The article’s main themes are hygiene, handwashing, the importance of patient safety, and the use of translational research and evidence-based project interventions to improve patient care and quality. The articles employ various methods, with some being systematic reviews and others being primary studies on their respective subjects. The articles all reach the same conclusion: stakeholders should develop more interventions to reduce and prevent HAIs, particularly those based on evidence-based practice. Each article has its own set of constraints. However, the majority of respondents believe that more resources are needed in the future to conduct better research studies on how to prevent HAIs. There are no controversies in the article because the researchers followed established guidelines to improve the validity and reliability of their findings.
Future Research Suggestion
Based on the review and analysis of the literature, it is clear that more research should be conducted to assess the efficacy of hand hygiene measures such as handwashing with soap and water alone or with sanitizer. Gaps in effective research demonstrating the relationship between enhanced hand hygiene measures and poor patient information are critical in demonstrating the need for all stakeholders, not just healthcare workers, to adhere to hand hygiene measures.
Hospital acquired infections (HAIs) remain a patient safety concern that impacts quality care and safety, especially for inpatient patients in different health care settings. While nurses play a critical role in care delivery, they should not be the only professionals required to improve their hand hygiene measures to reduce and prevent HAIs. The findings show that nurse practitioners and other healthcare workers can prevent and reduce HAIs through effective use of EBP interventions on hand hygiene. The articles demonstrate the need for improved care quality for better patient outcomes.
Akanji, J., Walker, J. &Christian, R. (2017). Effectiveness of formal hand hygiene education and
feedback on healthcare workers’ hand hygiene compliance and hospital-associated. JBI Database System Review and Implementation Repository, 15(5): 1272-1279. doi: 10.11124/JBISRIR-2016-003019.
Azar, J., Kelley, K., Dunscomb, J., Perkins, A., Wang, Y., Beeler, C., … & Boustani, M. (2017).
Using the agile implementation model to reduce central line-associated bloodstream infections. American journal of infection control, 47(1), 33-37. doi: 10.1016/j.ajic.2018.07.008.
Hillier, M. D. (2020). Using effective hand hygiene practice to prevent and control infection.
Nursing Standard. doi: 10.7748/ns.2020.e11552
Moura, M. L., Fenley, J., Baraldi, M. & Boszozowski, I. (2017). Translational Research in Hand
Hygiene. Current Treatment Options in Infectious Diseases, 7(1). DOI:10.1007/s40506-015-0041-9
Ni, L., Wang, Q., Wang, F., Ni, Z., Zhang, S., Zhong, Z., & Chen, Z. (2020). An interventional
implementation project: hand hygiene improvement. Annals of Translational Medicine, 8(18). doi: 10.21037/atm-20-5480
Setty, K., Cronk, R., George, S., Anderson, D., O’Flaherty, G., & Bartram, J. (2019). Adapting
translational research methods to water, sanitation, and hygiene. International journal of environmental research and public health, 16(20), 4049. https://doi.org/10.3390/ijerph16204049
Staniford, L. J. & Schmidtke, K. A. (2020). A systematic review of hand-hygiene and
environmental-disinfection interventions in settings with children. BMC Public Health, 20(195). https://doi.org/10.1186/s12889-020-8301-0
Zhao, Q., Yang, M. M., Huang, Y. Y. & Chen, W. (2017). How to make hand hygiene
interventions more attractive to nurses: A discrete choice experiment. PLoS ONE 13(8): e0202014. https://doi.org/10.1371/journal.pone.0202014
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Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty.
Science teaches us to explore and question. In medicine, it the same. There is always something to explore in medicine, whether its to improve upon interventions or to learn complex diseases. Throughout my career as a nurse and nursing student, it was always expressed to me that in order for me to become a successful nurse I would need to engage in continuing education for the life of my career. In life, we should always strive for continuing education for personal development and growth. The future of nursing will require nurses to question, explore and take initiative making decisions on patient care, interventions, in leadership and public health. “Explain the importance of a spirit of inquiry in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty” (National League of Nursing, 2014, para. 1). The COVID-19 pandemic was a wake up call in that we as a nation need to focus on improving our nursing practice. Nurses will need to be encourage and pushed into leadership roles, executive positions and in the areas a research and development. Many nurses took the lead in saving their patients and hospitals as the pandemic ravaged hospitals throughout the country. There was also a spike in people researching how to get into the field of medicine (particularly in nursing and nursing research). There became a fascination into epidemiology, public health and medical research as people and nurses became curious about vaccine development and how outbreaks of disease and virus happen. As a advanced registered I would encourage evidence based culture by being an example of someone who uses EBP and work in collaboration with other staffers to implement EBP research into the real world. During the heigh of the pandemic, EBP research was used to help patients as other interventions and methods failed.
In the field of advanced nursing practice, there are various ways advanced nurses implement EBPs. Nurse practitioners implement and EBP “when she/he prescribes a treatment for a patient that is substantiated by scientific research; Often, nurse practitioners look for an experimental study that compares the efficacy of a treatment with an untreated control group” (Nurse Practitioner Schools, 2021).
For nursing midwives, EBP is are used to enhance the lives of the mother, child and community. Mothers are the backbone of communities and the health and safety of woman determines the health and safety of their respective communities. Areas of challenges are identified and EBP are used to improve the lives of women in order to safely carry, deliver and raise children.
National League of Nursing. (2014). Practical/Vocational Nursing Program Outcome: Spirit of Inquiry. https://www.nln.org/docs/default-source/default-document-library/spirit-of-inquiry-final.pdf?sfvrsn=0
Nurse Practitioner Schools. (2021). Guide to Evidence-Based Nursing Practice for NPs. Retrieved from https://www.nursepractitionerschools.com/resources/guide-to-evidence-based-nursing-practice/