Description
https://doi.org/10.12659/MSM.927052 https://doi.org/10.1186/s13018-020-01601-0
Discuss the impact of the problem on the patient and organization
Surgical site infections (SSI) have been a serious problem that hinders the recovery process of surgical patients. It can involve the skin, soft tissues, or implanted materials in the body. Many different techniques have been utilized to reduce infections to postoperative patients. One method that has been discussed is the use of nasal Staphylococcus aureus screening and decolonization prior to surgery. To decolonize the nasal passages, povidone-iodine nasal swabs have been researched and used for potentially decreasing harmful bacteria including antibiotic resistant strains of bacteria. For the patients that are suffering from an SSI, this could potentially increase their hospital stay due to incisional complications. As for the healthcare system, surgical patients with an SSI could need a higher level of care and monitoring. This could result in more money spent on each individual patient and a financial loss to the healthcare institution. SSI is a complex issue that can potentially be avoided if proper measures are done preoperatively such as instituted it as core surgical site infection prevention strategy.
Identify the PICO components
P Surgical patients
I The use of Povidone-iodine nasal swab decolonization preoperatively
C Patients not using Povidone-iodine nasal swabs prior to surgery
O Decrease in surgical site infections
Evidence-Based Practice Question
For surgical patients having surgery, does perioperative decolonization with nasal povidone-iodine swabs reduce surgical site infections?
Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.
1. Identify each of the following PICO components of the clinical practice problem:
- P: patient, population, or problem
- I: intervention
- C: comparison
- O: outcome
2. Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.
Note: Refer to the Appendix B: Question Development Tool web link for information on the creation of an EBP question.
(START HERE)
C.Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.
Note: The article you select should not be more than five years old.
1. Discuss the background or introduction (i.e., the purpose) of the research-based article.
2. Describe the research methodology used in the research-based article.
3. Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.
Note: Refer to the Appendix E: Research Evidence Appraisal Tool web link for information on how to level a research-based article.
4. Summarize how the researcher analyzed the data in the research-based article.
5. Summarize the ethical considerations of the research-based article. If none are present, explain why.
6. Identify the quality rating of the research-based article according to the JHNEBP model.
Note: Refer to the Appendix E: Research Evidence Appraisal Tool web link for information on how to establish the quality rating.
7. Analyze the results or conclusions of the research-based article.
a. Explain how the article helps answer your EBP question.
D. Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.
Note: The article you select should not be more than five years old.
1. Discuss the background or introduction (i.e., the purpose) of the non-research-based article.
2. Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.
3. Identify the level of evidence in the non-research-based article using the JHNEBP model.
Note: Refer to the Appendix F: Non-Research Evidence Appraisal Tool web link for information on how to level the non-research-based article.
4. Identify the quality rating of the non-research-based article according to the JHNEBP model.
5. Discuss how the authors recommendations in the non-research-based article help answer your EBP question.
E. Recommend a practice change that addresses your EBP question using both the research-based and non-research-based articles you selected for part C and part D.
1. Explain how you would involve three key stakeholders in supporting the practice change recommendation.
2. Discuss one specific barrier you may encounter when implementing the practice change recommendation.
3. Identify one strategy that could be used to overcome the barrier discussed in part E2.
4. Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change.
F. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
G. Demonstrate professional communication in the content and prese
References
Martin, V. T., Abdullahi Abdi, M., Li, J., Li, D., Wang, Z., Zhang, X., Elodie, W. H., & Yu, B. (2020). Preoperative Intranasal Decolonization with Topical Povidone-Iodine Antiseptic and the Incidence of Surgical Site Infection: A Review. Medical Science Monitor?: International Medical Journal of Experimental and Clinical Research, 26, e927052. https://doi.org/10.12659/MSM.927052
Zhu, X., Sun, X., Zeng, Y., Feng, W., Li, J., Zeng, J., & Zeng, Y. (2020). Can nasal Staphylococcus aureus screening and decolonization prior to elective total joint arthroplasty reduce surgical site and prosthesis-related infections? A systematic review and meta-analysis. Journal of Orthopaedic Surgery & Research, 15(1), 111. https://doi.org/10.1186/s13018-020-01601-0
