NR 449 Week 7 RUA Presentation

NR 449 Week 7 RUA Presentation

Student Name

Chamberlain University

NR-449 Evidence-Based Practice

Prof. Name:

Date

AHRQ Quality Indicators

Presented by:
Aissatou Diallo, Alyssa Harrison, Ashley James, Safina Ortiz, and Maame Seiwaa

Problem Identification

Healthcare-associated infections (HAIs) pose significant challenges to patient safety and healthcare delivery. Primary factors contributing to HAIs include:

• Handwashing Practices: Suboptimal adherence to hand hygiene protocols increases the risk of infection transmission.
• Proper PPE Use: Incorrect donning and doffing of personal protective equipment (PPE) compromises infection control efforts.
• Development of Infections: HAIs such as surgical site infections (SSIs), pneumonia, and bloodstream infections remain prevalent.

Impact on Nursing Practice

The implications of HAIs on nursing practice are profound, as they directly influence patient outcomes and healthcare resource allocation:

• High Mortality and Morbidity: HAIs contribute significantly to patient morbidity and mortality rates.
• Increased Healthcare Costs: Management and treatment of HAIs escalate healthcare expenditures.
• Prevention Strategies: Nurses play a pivotal role in mitigating HAIs through evidence-based practices and infection control interventions.

The Research Process

Databases Utilized

The research was conducted using comprehensive databases to ensure robust evidence gathering:

• Chamberlain Online Library
• Centers for Disease Control and Prevention (CDC) & World Health Organization (WHO)
• Agency for Healthcare Research and Quality (AHRQ)
• CINAHL (Cumulative Index to Nursing and Allied Health Literature)
• PubMed

Terms Searched

Key terms utilized during the research process included:

• Evidence-Based Practice Research
• Quality Indicators
• Hand Hygiene and PPE
• Infection Control

Research Findings

Study Types and Interventions:
The research incorporated a mix of study designs and methodologies, including:

Validity of Evidence

Qualitative Evidence

A survey involving 183 U.S. hospitals with over 11,000 patients revealed that:

• Infection Rates: 4% of patients developed at least one HAI.
• Common Microorganisms: Clostridium difficile was frequently identified.
• Types of Infections: SSIs, pneumonia, and gastrointestinal infections were most prevalent.

Quantitative Evidence

Research on historical practices, such as Dr. Ignaz Semmelweis’ work on chlorinated lime handwashing, highlighted the significance of stringent hand hygiene in reducing maternal mortality and transmission of infections.

Practice Changes

To address HAIs, healthcare providers and patients can adopt the following measures:

• For Patients:

  • Wear masks and maintain hand hygiene.
  • Adhere to prescribed antibiotics and report infection symptoms promptly.
  • Get vaccinated against preventable diseases.

• For Healthcare Providers:

  • Participate in face-to-face and module-based PPE training.
  • Ensure proper environmental cleaning and PPE usage.

Recommendations for Implementation

Conclusion

Effective handwashing and proper PPE use are vital strategies in preventing HAIs. These practices, coupled with rigorous training and adherence to evidence-based guidelines, can significantly improve patient outcomes and reduce healthcare costs.

References

Alrubaiee, G. G., Baharom, A., Faisal, I., Kadir, D. S. H., & Basaleem, H. O. (2021). Implementation of an educational module on nosocomial infection control measures: A randomized hospital-based trial. BMC Nursing, 20(1), 1-10. https://doi.org/10.xxxxxx

Arianpoor, A., Zarifian, A., & Askari, E. (2020). Infection prevention and control idea challenge contest: A fresh view on medical education and problem solving. Antimicrobial Resistance & Infection Control. https://doi.org/10.xxxxxx

Haque, M., Sartelli, M., McKimm, J., & Abu Bakar, M. (2018). Health care-associated infections—An overview. Infection and Drug Resistance, 11, 2321–2333. https://doi.org/10.xxxxxx

NR 449 Week 7 RUA Presentation

Neuwirth, M. M., Mattner, F., & Otchwenah, R. (2020). Adherence to personal protective equipment use among healthcare workers. Antimicrobial Resistance & Infection Control. https://doi.org/10.xxxxxx

Reddy, S. C., Valderrama, A. L., & Kuhar, D. T. (2019). Improving the use of personal protective equipment: Lessons learned. Clinical Infectious Diseases, 69(S3), S165-S170. https://doi.org/10.xxxxxx

Shang, J., Needleman, J., Liu, J., Larson, E., & Stone, P. W. (2019). Nurse staffing and healthcare-associated infection. The Journal of Nursing Administration, 49(5), 260–265. https://doi.org/10.xxxxxx

Dequeker, S. (2019). Quality Indicators for Infection Prevention and Control in Belgian Acute Care Hospitals. NSIH Symposium. Retrieved from https://www.wiv-isp.be