Translating Evidence Into Practice
In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.
This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.
To prepare:
Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?
With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
Explore possible consequences of failing to adopt the evidence-based practice that you identified.
Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?
To complete:
Restate your PICOT question and its significance to nursing practice.
Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.
Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.
Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?
It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.
Note: In addition, include a 1-page summary of your project.
Part 3—Translating Evidence into Practice
Institution
Date
Introduction
The spread of Bacteria especially those that do not respond to antimicrobial interventions are very common in health facilities. Many types of bacteria today resist the use of Oxacillin; Methicillin and mafcillin. The infections caused by healthcare are widespread mostly in the critical care facilities. It seems that in almost all the intensive care units, the bacterial infections arise in a much higher percentage. This leads to increased expenses in healthcares due to prolonged stay and the mortality rate also increases.
It is important to note that these infections can be prevented. However, when one is infected, it may be extremely difficult to cure. Methods like execution of contact precautions in a healthcare and prompt identification have been introduced to lower the increasing spread of the bacterial infections. Chlorhexidine bathing is a more convenient method that has been introduced specifically for patients who are seriously ill (Bleasdale, Trick, Gonzalez, Lyles, Hayden, & Weinstein, 2007). It is believe to be the most suitable in reducing the speed of the infection causing pathogens. Due to its widespread effectiveness in antiseptic activity, many healthcares have been using it for a long time. Nevertheless, others have always used the other way which includes making use of a standard soap and water.
PICOT Question and Its Significance to Nursing Practice
Does the Chlorhexidine Gluconate (CHG) bathing versus the traditional bath basins for bathing patients reduce infections in critical care patients? According to some researchers, Chlorhexidine Gluconate is the most efficient method in reducing the number of bacteria compared to bathing in soap and water. It also saves on the cost in health care units as well as reducing the working period of the staff members (Bleasdale, et.al). In reference to investigations made by certain authors, the use of Chlorhexidine gluconate in washing clothes lessens healthcare infections faster compared to those used without its involvement.
An investigation that was done by a group of researchers to evaluate the efficiency of CHG concluded that it is of great importance in lowering the bacterial infection. The use of soap can be dangerous since it dries the skin and can affect the epidermis and water can be infected with skin flora. A study that was conducted on patients in the ICU using CHG to evaluate its effectiveness after 12 months revealed that this invention was effective .After the study, it was concluded that the number of patients who got infected with bacteria were less as compared to the past months when CHG was not used. It is important to note that CHG is also very useful in providing better health outcomes in post operative moments (Climo, Sepkowit, Uccotti, Fraser, Warren, Perl, & Wong, 2009).
Justification of Response
According to the most recent study about Chlorhexidine gluconate, which is being preferred to the standard soap and water for bathing, it has been affirmed that it decreases the risk of patients being infected while in hospital. When CHG is used regularly in bathing, it leads to a decrease in environmental and skin infections, blood contamination and bloodstream infections. It is also used by patients in the ICU to prevent infections (Climo, et.al). In reference to the research from a certain hospital, where CHG was used regularly during bathing in place of soap and water, it was realized that the danger for infections acquired in the hospital had reduced significantly.
It was discovered that this method is very efficient in preventing the spread of a wide range of bacteria like gram-negative and gram-positive bacteria (Evans, Dellit, Chan, Nathens, Maier, & Cuschieri, 2010). When CHG is less concentrated due to dilution, it effectively works on the skin to reduce microbes. When CHG is used in bathing, many advantages are realized. A certain study points out that it reduces the acquisition of vancomycin resistant Enterococcus by patients in the ICU (Evans, Dellit, Chan, Nathens, Maier, & Cuschieri, 2010).It also reduces skin infection termed as MRSA when patients are being treated. After undergoing surgery, CHG is the most efficient method used to clean the skin. It has reduced in a huge percentage the patients who suffer from blood contamination. The use of CHG has some side effects like adjustment of taste opinion. Other effects related to the usage of this chemical are local allergy and oral irritation (Evans, 2014).
There are also some negative effects for failing to use CHG. Patients in the hospital are at a high risk of getting infected with bacterial if they don’t use it. One may also get skin diseases and blood infections very easily. By failing to use CHG one exposes his or herself to the danger of contracting a wide range of bacteria. If one decides to use soap for bathing instead of CHG, he might develop skin complications as well as epidermis (Graling, & Vasaly, 2013). The use of soap and water saves on cost as compared to the use of CHG which requires an extra expense and ca...