Topic: Reducing infection rates of central lines with more handwashing (nurses and patients)
Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
- Evidence-Based Solution
- Nursing Intervention
- Patient Care
- Health Care Agency
- Nursing Practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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 required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
FYI from the class that will help with assignment:
Research Purpose
The research purpose is the statement of why the study is being undertaken. The purpose statement may be explicit or implicit but should be stated objectively. The research purpose is more specific than the research problem and is generated by way of deductive reasoning. The research purpose communicates the aim or goal of the study. In addition, the major variables to be studied, along with the population and setting, are identified in the research purpose (Cooper & Schindler, 2003).
As the research purpose becomes clearer, the researcher must determine the feasibility of the study by examining the commitment required in time and money, as well as expertise required, subject availability, and any ethical considerations. An example of a clinical research purpose that might be deemed feasible is to determine if a relationship exists between the extent of participation in selected behaviors that may be detrimental to health and the propensity to take risks.
Review of Literature
The purpose for the review of literature is to gain a broad understanding of the available information related to the research problem. Relevant literature is examined, and provides credibility to the study being pursued. There are three steps to the review of literature process: locating relevant sources, critiquing the sources, and generating the written report of the resulting knowledge. Literature can be located through electronic literature searches of electronic databases, such as CINAHL, MEDLINE, Science Direct, and HealthSTAR, and print resources such as those found in libraries.
The literature review section should be written in an organized manner, beginning with the introduction, leading to the presentation of empirical and theoretical sources, and ending with the summary of relevant ideas. The information gained through the review of literature is logically organized and presented in the review-of-literature section of the report (Cooper & Schindler, 2003).
Research Question
Once the problem has been identified, the literature review completed, and the conceptual framework chosen, the research question needs to be formulated. The question may either be in the form of a statement, a question, or a hypothesis. The research question must be succinct, clear, and it must answer the question being studied.
Formulating the research question may be one of the most difficult steps of the research process. Usually, the initial dilemma is very broad, and must be narrowed to be reasonably studied. A research question should be based on facts, which will lead to the formulation of investigative questions. The question should be theoretical, practical, and feasible (Cooper & Schindler, 2003).
Hypothesis
The hypothesis is a prediction of the researcher’s expected findings of the research study. The hypothesis includes the variables to be studied and their relationships, the population to be studied, and the type of research to be conducted. The hypothesis also directs the measurement of variables, the selection of the design, and the interpretation of the findings. The findings of the study either indicate acceptance or non-acceptance of the hypothesis (Cooper & Schindler, 2003).
Research Purpose
The research purpose is the statement of why the study is being undertaken. The purpose statement may be explicit or implicit but should be stated objectively. The research purpose is more specific than the research problem and is generated by way of deductive reasoning. The research purpose communicates the aim or goal of the study. In addition, the major variables to be studied, along with the population and setting, are identified in the research purpose (Cooper & Schindler, 2003).
As the research purpose becomes clearer, the researcher must determine the feasibility of the study by examining the commitment required in time and money, as well as expertise required, subject availability, and any ethical considerations. An example of a clinical research purpose that might be deemed feasible is to determine if a relationship exists between the extent of participation in selected behaviors that may be detrimental to health and the propensity to take risks.
Review of Literature
The purpose for the review of literature is to gain a broad understanding of the available information related to the research problem. Relevant literature is examined, and provides credibility to the study being pursued. There are three steps to the review of literature process: locating relevant sources, critiquing the sources, and generating the written report of the resulting knowledge. Literature can be located through electronic literature searches of electronic databases, such as CINAHL, MEDLINE, Science Direct, and HealthSTAR, and print resources such as those found in libraries.
The literature review section should be written in an organized manner, beginning with the introduction, leading to the presentation of empirical and theoretical sources, and ending with the summary of relevant ideas. The information gained through the review of literature is logically organized and presented in the review-of-literature section of the report (Cooper & Schindler, 2003).
Research Question
Once the problem has been identified, the literature review completed, and the conceptual framework chosen, the research question needs to be formulated. The question may either be in the form of a statement, a question, or a hypothesis. The research question must be succinct, clear, and it must answer the question being studied.
Formulating the research question may be one of the most difficult steps of the research process. Usually, the initial dilemma is very broad, and must be narrowed to be reasonably studied. A research question should be based on facts, which will lead to the formulation of investigative questions. The question should be theoretical, practical, and feasible (Cooper & Schindler, 2003).
Hypothesis
The hypothesis is a prediction of the researcher’s expected findings of the research study. The hypothesis includes the variables to be studied and their relationships, the population to be studied, and the type of research to be conducted. The hypothesis also directs the measurement of variables, the selection of the design, and the interpretation of the findings. The findings of the study either indicate acceptance or non-acceptance of the hypothesis (Cooper & Schindler, 2003).
****Also attached are documents that will help you create a PICOT statement
Expert Solution Preview
Introduction:
This assignment requires the creation of a PICOT statement for a medical research project aimed at reducing infection rates of central lines through increased handwashing. The PICOT should identify a patient population and clinical problem, an independent nursing intervention, comparison to a non-intervention group, and implementation timeframe. In this answer, we will address the clinical problem, the evidence-based solution, the nursing intervention, patient care, health care agency, and nursing practice.
Answer:
Clinical Problem: Central line-associated bloodstream infections (CLABSIs) are a significant problem in medical facilities that can lead to increased patient morbidity, mortality, and treatment costs. A leading cause of CLABSIs is poor hand hygiene compliance among healthcare workers (HCWs). Proper hand hygiene is critical in preventing the transmission of organisms that cause CLABSIs.
Evidence-based Solution: According to the Centers for Disease Control and Prevention (CDC), the most effective way to prevent CLABSIs is by following proper hand hygiene protocols. The CDC recommends using an alcohol-based hand rub or washing hands with soap and water for at least 20 seconds before and after touching the patient, before inserting or changing any central line components, and after touching any surfaces near the patient. Increasing hand hygiene compliance among HCWs can lead to a significant reduction in CLABSIs.
Nursing Intervention: One nursing intervention that can increase hand hygiene compliance is implementing an educational program to teach HCWs about the importance of proper hand hygiene and the correct techniques for handwashing. This program should include regular reminders and feedback on HCW’s hand hygiene practices to identify areas needing improvement. Furthermore, providing essential resources for HCWs, such as hand-hygiene stations and personal protective equipment, can help to increase compliance with hand hygiene standards.
Patient Care: Patients will benefit from this nursing intervention by reducing their risk of developing CLABSIs caused by poor hand hygiene practices. This will lead to better patient outcomes, decreased morbidity/mortality, as well as reduced healthcare costs and increased patient satisfaction with the quality of care.
Health Care Agency: Implementation of this nursing intervention will require the support and commitment of the health care organization. It will be necessary to provide adequate resources to ensure that HCWs have access to hand hygiene stations and personal protective equipment. Furthermore, regular feedback and reminders will mandate regular quality improvement efforts to reinforce the importance of hand hygiene practices throughout the health care agency.
Nursing Practice: Nursing practice will benefit from this research study and nursing intervention by providing nursing staff with evidence-based education/hands-on training for proper hand hygiene techniques, feedback/reminders of compliance needs, and access to essential resources for hand hygiene. Overall, the nursing staff will be better prepared to provide quality care that is grounded in the best practices for preventing CLABSIs.
