NRS 430 Development of Responses
NRS 430 Development of Responses
Response to peers. In order to support references must be provided.
Ques 1 – Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change.
Shannon bolin –
1 – For my practice change project, I have identified a need to evaluate the current stroke dysphagia screening assessment for stroke patients in the emergency and acute care settings for the hospital system where I am completing my capstone project and to implement an improved standard screening tool and education program for the nursing staff. It has been evident in practice that the current screening tool is not thorough enough to identify many of the subtle signs of aspiration or dysphagia after a stroke. I have found the following articles to support the importance of the dysphagia screen after a stroke in the early prevention of aspiration pneumonia and the need for a standard screening tool that the nursing staff understands and can perform at the bedside when a licensed speech therapist is unavailable for a formal evaluation.
- DyspNRS 430 Development of Responseshagia screening tools for acute stroke patients available for nurses: A systematic review: This article assess the three of the current dysphagia screening tools in the identification of dysphagia following a stroke. This article shows that as many as 80% of patients suffering a stroke will have some level of dysphagia and that not all standard screening tools are sufficient for the identification of dysphagia (de Jesus Oliveira et al., 2019). This article will strongly support the change project by highlighting the need for a standard dysphagia screen as well as showing the negative impacts of a screening tool that is not sufficient in the identification of dysphagia (de Jesus Oliveira et al., 2019). The weakness to the project by including the article is that the study limited to search review of relevant studies to only three separate databases and that the limitations may have created some bias in the results that were generated (de Jesus Oliveira et al., 2019).NRS 430 Development of Responses
- Diagnostic Accuracy of a Bedside Screening Tool for Dysphagia (BSTD) in Acute Stroke Patients: This study discusses the difficulties of identifying dysphagia in stroke patients and the complications that can happen without a proper assessment and identification (Immovilli et al., 2021). This study strongly supports the change project by discussing the mechanism of action that is affect after a stroke, the warning signs that can be missed, the effects of undiagnosed dysphagia and the importance of a standard bedside swallow evaluation. However, the weakness of including the study is that their recommendation for the use of the bedside swallow evaluation was not tested against the gold standard diagnostic imaging test but that the bedside nursing assessment were compared to those of the licensed speech language pathologist, which can vary based of clinician interpretation (Immovilli et al., 2021)..NRS 430 Development of Responses
- The Gugging Swallowing Screen in dysphagia screening for patients with stroke: A systematic review:This article discusses one of the more widely used swallow studies to assess for dysphagia follow a stroke. With a 95% confidence rating the Gugging Swallowing eval has been proven to be effective (Park et al., 2020). This study will strongly support the change project for use as a comparison against the standards of other dysphagia screening tools. The weakness of including this study is the varied consistency of outcomes based off of the severity of the stroke (Park et al., 2020).NRS 430 Development of Responses
- The use of an emergency department dysphagia screen is associated with decreased pneumonia in acute strokes: This article shows that the use of the dysphagia screening reduces the risk of hospital acquired pneumonia (HAP) with the use of a standard screen prior to the stroke patient taking anything by mouth (Schrock et al., 2018). This study discussed the standards set by the Joint Commission and the American Heart Association of the expectations that a bedside swallow study is to be done until a formal speech and language evaluation can be completed (Schrock et al., 2018). This study strongly supports the change project by providing support for the need of a standardized evaluation tool, by showing reduction in HAP and improved health outcomes (Schrock et al., 2018). The weakness of including this study is that the use of the screening tool has only been utilized in the emergency room setting and was not test on the acute care floor, which may produce varied outcomes (Schrock et al., 2018).
- Predictive value of a novel pragmatic tool for post‐stroke aspiration risk: The Functional Bedside Aspiration Screen: This article discussed the strengths and weaknesses of the Functional Bedside Aspiration Screen (FBAS) in comparison to the Yale Swallow Protocol (YSP), which has been shown to have be one of the more reliable standard screening tools (Virvidaki et al., 2019). The study shows the implementation of proven standardized screen tool decreases the need for costly and invasive diagnostic testing (Virvidaki et al., 2019). This study goes on to discuss the need for a standardized nursing education program in conjunction with the implementation of the screening tool in order for the nursing to be able to pick up the subtle signs of aspiration (Virvidaki et al., 2019). This article strongly supports the change project in a comparison study of screening tools available as well as addressing the negative risk factors for patient outcomes when an appropriate screening tool is not utilized (Virvidaki et al., 2019). A weakness of including this article is that the FBAS outcomes can be affected by the clinician interpretation and may need to be tested further for reliability (Virvidaki et al., 2019).NRS 430 Development of Responses
- Validation of the Yale Swallow Protocol in Post-Acute Care: A Prospective, Double-Blind, Multirater Study: This article illustrates that in the acute care setting, diagnostic equipment is not necessary in the assessment and identification of dysphagia and identifies the Yale Swallow Protocol (YSP) as a reliable and consistent screening tool that can be done for the stroke patient with a 95.4% sensitively rating (Ward et al., 2020). This study discussed the effects that stroke with have on swallowing and the difficulties the nurse may have in identifying pharyngeal dysphagia or aspiration which can lead to a variety of complications (Ward et al., 2020). This article will strongly supports the change project by further evaluation and comparison of the YSP to other standard screening tools. The weakness in this article is that this screening tool is not a stroke specific protocol and is used in a variety of other patient populations (Ward et al., 2020).NRS 430 Development of Responses
de Jesus Oliveira, I., da Mota, L. A. N., Freitas, S. V., & Ferreira, P. L., (2019). Dysphagia screening tools for acute stroke patients available for nurses: A systematic review. Nursing Practice Today, 6(3), 103–115.
Immovilli, P., Rota, E., Morelli, N., Marchesi, E., Terracciano, C., Zaino, D., Ferrari, G.,Antenucci, R., & Guidetti, D., (2021). Diagnostic Accuracy of a Bedside Screening Tool for Dysphagia (BSTD) in Acute Stroke Patients. Journal of Stroke and Cerebrovascular Diseases, 30(2). https://doi-org.lopes.idm.oclc.org/10.1016/j.jstrokecerebrovasdis.
Park, K. D., Kim, T. H., & Lee, S. H., (2020). The Gugging Swallowing Screen in dysphagia screening for patients with stroke: A systematic review. International Journal of Nursing Studies, 107. https://doi-org.lopes.idm.oclc.org/10.1016/j.ijnur…
Schrock, J. W., Lou, L., Ball, B. A. W., & Van Etten, J., (2018). The use of an emergency department dysphagia screen is associated with decreased pneumonia in acute strokes. American Journal of Emergency Medicine, 36(12), 2152–2154. https://doi-org.lopes.idm.oclc.org/10.1016/j.ajem….
Virvidaki, I., Giannopoulos, S., Nasios, G., Dimakopoulos, G., Michou, E., & Milionis, H.,(2019). Predictive value of a novel pragmatic tool for post‐stroke aspiration risk: The Functional Bedside Aspiration Screen. Neurogastroenterology & Motility, 31(10), N.PAG. https://doi-org.lopes.idm.oclc.org/10.1111/nmo.136…
Ward, M., Skelley-Ashford, M., Brown, K., Ashford, J., & Suiter, D., (2020). Validation of the Yale Swallow Protocol in Post-Acute Care: A Prospective, Double-Blind, Multirater Study. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY, 29(4), 1937–1943. https://doi-org.lopes.idm.oclc.org/10.1044/2020_AJ…
2 – The clinical health environment that I chose for my capstone project is in a community health clinic. I have identified with my preceptor that Florida’s main community issue is the lack of care access. The pandemic has made it worse for some to receive appropriate care. The topic for my capstone project change proposal is to increase access to care through telehealth. According to the American Telemedicine Association, this solution provides nursing care across a distance, empowers the care providers with the ability to monitor, educate, follow-up, collect data, and provide multidisciplinary care including remote interventions, pain management, and family support in an innovative fashion (Bashir & Bastola, 2018).NRS 430 Development of Responses
Telenursing: Bioinformation Cornerstone in Healthcare for the 21st Century
This article talks about the evolution of healthcare happening through telenursing. The article indicates that telenursing can significantly help through difficulties by redesigning healthcare practices and improving quality care delivery. It goes on to talk about in detail how telenursing will redesign the nursing field by making it more effective and safer. Lastly, it highlights throughout the article there are many benefits of telenursing, including increasing access to care, patient adherence, monitoring patient safety, technological advancements, and allowing healthcare providers to network with one another (Balenton & Chiappelli, 2017). One strength is the support of permanently offering telehealth services to Americans and explains how it will impact nursing practice and their role in the patient’s care. One weakness is that it did not address barriers opposing and proposed solutions. Overall, this article provides sufficient evidence to talk about how it will impact nursing practice and the community.NRS 430 Development of Responses
Balenton, N., & Chiappelli, F. (2017). Telenursing: Bioinformation Cornerstone in Healthcare for the 21st Century. Telenursing: Bioinformation Cornerstone in Healthcare for the 21st Century, 13(12), 412–414. https://doi.org/10.6026/97320630013412
Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study
This article measures telehealth nursing’s effectiveness through its delivery, management, and coordination of nursing care services provided via telecommunications technology. They used a survey named telehealth nursing service quality (TNSQ). This survey collected data that highlighted how the telehealth process offers daily patient health monitoring, leading to increased positive patient outcomes. This, by far, was the best article that supported the integration of telehealth and supported the birth of telenursing. Telenursing is a new field of opportunities to advance the delivery of care. This would be considered a strength in supporting the integration of telehealth in my clinic. A weakness is that it does not include all the barriers that would need to be addressed. Overall, this article would provide sufficient evidence for practice change (Bashir & Bastola, 2018).NRS 430 Development of Responses
Bashir, A., & Bastola, D. R. (2018). Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study. JMIR Medical Informatics, 6(2), e35. https://doi.org/10.2196/medinform.9080
Providing Outpatient Telehealth in the United States
This article highlights the benefits of telehealth during the COVID-19 pandemic. But is a warning that without proper legislation, telehealth use will decline after the public health emergency. To meet Americans’ health needs during the pandemic, the government and insurers have removed barriers, thus allowing health care providers to care at a distance. It also goes into detail about how Medicare and Medicaid regulation was before and during the pandemic. One strength of this article is the support it brings towards implementing telehealth in more healthcare settings. One weakness is that it does not account for the benefits of health care workers. This article provides sufficient evidence for practice change towards the community (Brotman & Kotloff, 2020).NRS 430 Development of Responses
Brotman, J. J., & Kotloff, R. M. (2020). Providing Outpatient Telehealth in the United States. Chest, 0. https://doi.org/10.1016/j.chest.2020.11.020
Telehealth and the COVID-19 Pandemic
This article was about telehealth and its definition, release, barriers, and future in healthcare. It highlights the importance of telehealth during the early phases of the pandemic and how it allowed for closing some service delivery gaps, and how it has been a financial lifeboat for health care practices. Overall, it talks about how this technology has served as a great tool in a time of crisis. One strength was how we could see a timeline of how healthcare professionals and patients are using this tool. One weakness wasn’t specific towards a state. To examine how it impacts a community, you would have to dig deeper. Overall, this article provides sufficient evidence for my practice change as it gives great information and evidence to support telehealth implementation in clinics (Byrne, 2020).
Byrne, M. D. (2020). Telehealth and the COVID-19 Pandemic. Journal of PeriAnesthesia Nursing, 35(5), 548–551. https://doi.org/10.1016/j.jopan.2020.06.023
Telehealth: Emerging evidence on efficiency
This article was about the cost effectiveness of telehealth. in other words, whether or not telehealth was going to reduce cost of health care. the conclusion was that it can make a difference in lowering health care cost. Medicare policy plays an important role in how these services can be delivered. One strength is the statistics it provides to support the long-term implementation of telehealth. one weakness is that the study only includes those covered under Medicare. Overall, this article provides supporting evidence for implementing telehealth into the clinic (Chakrabarti, 2019).NRS 430 Development of Responses
Chakrabarti, O. (2019). Telehealth: Emerging evidence on efficiency. International Review of Economics & Finance, 60, 257–264. https://doi.org/10.1016/j.iref.2018.10.021
Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic
This article describes the nurse’s experience of providing nursing care in the pandemic and the significant short- and long-term consequences for individual nurses, society, and the nursing profession. The data comes from thirteen qualitative studies coming from the experiences of 348 nurses generated a total of 116 findings, which formed seven categories based on the similarity of meaning. The article suggests a need for Governments, policymakers, nursing groups, and healthcare organizations support nurses during and following a pandemic or epidemic actively. This article’s strength is that it acknowledges the need for new changes to create a better work environment. The weakness is that it does not propose telehealth as an intervention to help make it a safer environment (Fernandez et al., 2020). Overall, this article provides sufficient evidence for my practice change as it gives great information and evidence to support telehealth implementation in clinics.NRS 430 Development of Responses
Fernandez, R., Lord, H., Halcomb, E., Moxham, L., Middleton, R., Alananzeh, I., & Ellwood, L. (2020). Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. International Journal of Nursing Studies, 111, 103637. https://doi.org/10.1016/j.ijnurstu.2020.103637
3 – Diabetes is a leading cause of morbidity in the world. About 422 million people worldwide have diabetes and in the US 29.1 M have diabetes Poorly mangaged diabetes leads to long term complications, morbidity, rising healthcare cost, and increase mortality. Type II diabetes is prevented by teaching children at an early age the importance of nutririon, reading labels, the benefits of exercise. As for adults living with diabetes, quality control is essential to preventing long-term complication. Education is very important for self management.
Chan, J. M., Rimm, E. B., Colditz, G. A. et al. (1994). Obesity, fat distribution, and weight gaining as risk factors for clinical diabetes in men. Diabetes Care. 17: 961-969
* Diabetes Mellitus is a metabolic disorder characterized ny hyperglycemia with disorders of carbohydrates, fat, and protein metabolism which causes microvascular and macrovascular diseases such as myocardial infraction, stroke, renal failure, retinopathy, and foot ulcer. A randomized study, conducted in internal medicine practices, general medical practices, assesses the efficiacy of three diabetes management intervention. The intervention included chronic care model, a provider only intervention, and usual care practice. The weakness is that it fail to elaborate on other studies such as using counseling, healthcare educators, and others.NRS 430 Development of Responses
Centers for Disease Control and Prevention (2013). National Diabetes Fact Sheet: National Estimates and General Information on Diabetes and Prediabetes in the United States. Centers for Disease Control and Prevention. Retrieved from cdc.gov/diabetes/pubs/factsheet11.htm
Colditz, G. A., Willett, W., C., Rotnitzky, A. et al. (1995). Weight gaining as a risk factor for clinical diabetes mellitus in women. Ann Intern Med. 122: 481-486.
*In continued efforts to promote better diabetes control, internet-based self-management programs have been explored. Randomized controlled trials of computer-based self-management interventions revealed only a small positive effect on blood glucose. The mobile interventions appear to have a larger effect. The weakness is that patients can manipulate the data and they can become non-compliant.
Ogden, C. L., Carroll, M. D. (2013). Prevalence of overweight, obesity, and extreme obesity among adults: United States, trends 1960-1962 through 2007-2008. Center for Disease Control and Prevention. Retrieved from cdc.gov/NCHS/data/hestat/obesity_adult_07_08/obesity_adult_07_08.pdf
The local department of health uses two major methods such as increasing community outreach to patients and providers and improving internal operations related to the delivery of diabetes self management education services. They were able to gather data on patients needs, preferences, and implement projects specific to their community. This improved the delivery of their diabetes self-management education services. The weakness is that it was tailored to the patients culture. They fail to understand that incorperating a patients’s culture can lead to success in the way they manage their care.
Holdman, R.R., Paul, S. K., Bethel, M., A. et al. (2008). 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 359: 1577-1589.NRS 430 Development of Responses
They followed a group of people for 10 between the ages of 40-60 and equally represent male and female. They collect data from people all over the world, questionaires were provided and they answer questions on how they manage their diabetes, stress. They provided their weekly blood glucose levels. The weakness they lost many participants over the years, those datas were tossed.
Nathan, D. M., Davidson, M. B., DeFronzo, R., A. et al. (2007). American Diabetes Association. Impaired fasting glucose and impaired glucose tolerenace: implication for care. Diabetes Care. 30: 753-759
14 studies were identified that reviewed glycemic control where some patients came in the facility to have their glucose measured everyday vs. others who did it at home and gave the data over the phone, email. Those who came had better results than those who gave their results over the phone because they walked into the facility. Both groups were encourage to control their diet and exercise. The weakness is that many participants lost interest in continuing with the studies.
Patel, A., MacMahon, S., Chalmers, J. et al. (2008). Intensive blood glucose and vascular outcomes in patients with diabetes. N Engl J Med. 358:2560-2572.
A study was done with 300 patient, MRI was done monthly for 5 years to see the effect diabetes would have on the mircovasculr and macrovascular. they saw the breakdown of Diabetes on the system. The weakness is that in those 5 years, many participants died and this study was costly.
Pan, X. R., Li, G. H., Hu Y. H. et al. (1997). Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: The Da Qing IGT and diabetes study. Diabetes Care. 20: 537-544
Participants were divided into one category where they did teaching, counseling, and intervention with one group. while the other group they encourage them to check their glucose twice a day. The group with the intervention on average had lower blood glucose than the other group. The weakness is that the trial lasted a few months.
1.Chan, J. M., Rimm, E. B., Colditz, G. A. et al. (1994). Obesity, fat distribution, and weight gaining as risk factors for clinical diabetes in men. Diabetes Care. 17: 961-969
2.Centers for Disease Control and Prevention (2013). National Diabetes Fact Sheet: National Estimates and General Information on Diabetes and Prediabetes in the United States. Centers for Disease Control and Prevention. Retrieved from cdc.gov/diabetes/pubs/factsheet11.htm
3.Colditz, G. A., Willett, W., C., Rotnitzky, A. et al. (1995). Weight gaining as a risk factor for clinical diabetes mellitus in women. Ann Intern Med. 122: 481-486.
4.Ogden, C. L., Carroll, M. D. (2013). Prevalence of overweight, obesity, and extreme obesity among adults: United States, trends 1960-1962 through 2007-2008. Center for Disease Control and Prevention. Retrieved from cdc.gov/NCHS/data/hestat/obesity_adult_07_08/obesity_adult_07_08.pdf
5.Holdman, R.R., Paul, S. K., Bethel, M., A. et al. (2008). 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 359: 1577-1589.
6.Nathan, D. M., Davidson, M. B., DeFronzo, R., A. et al. (2007). American Diabetes Association. Impaired fasting glucose and impaired glucose tolerenace: implication for care. Diabetes Care. 30: 753-759
7.Patel, A., MacMahon, S., Chalmers, J. et al. (2008). Intensive blood glucose and vascular outcomes in patients with diabetes. N Engl J Med. 358:2560-2572.
8.Pan, X. R., Li, G. H., Hu Y. H. et al. (1997). Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: The Da Qing IGT and diabetes study. Diabetes Care. 20: 537-544
4- The first article was regarding a study of an exercise study in a controlled group of type II diabetes patients has any effect in better management of type II diabetes. The positive strength that would have an impact is the effect of exercise and better management outcomes with diabetes care. The weakness is that the control group was limited to a specific age target and culture which limits overall effectiveness of the data when applied more globally. The next article was regarding Glycated hemoglobin A1c (HbA1c) testing and impact on better point of care management of diabetes. The weakness with this study is the delay in testing, and follow up to patient care needs, and the strength would be that good glycemic control has a better effect on diabetes care and management. The following article was a study of Latino adults with type 2 diabetes and poor glycemic control, where the group was contacted for follow up of self-management of glycemic control. The strength was the actual target audience with good social integration to care needs for diabetes and the weakness was the lack of sustained compliance after 18 months of intervention and poor carryover. The next article was about the use of technology, and specifically the smart phone to better manage diabetes in a group of patient participants. The strength is the utilization of the smart phone for self-care and management of diabetes, and the weakness is the accountability of the smart phone application which could provide challenges with care needs. The next article was about a group that was able to better manage diabetes with lifestyle changes. This article particularly focuses on self-care and lifestyle change with respect to weight management, exercise, and overall care and the weakness is the individual participation and readiness for patients to make change happen in their lives. The last article was a study of the impact of utilizing artificial intelligence to have a significant positive impact on managing diabetes. The use and collaboration of artificial intelligence is a growing focus and positive impact on care of diabetes, however although growing it faces challenges with access and ability to scale across different cultures.
Contreras, I., & Vehi, J. (2018). Artificial Intelligence for Diabetes Management and Decision Support: Literature Review. Journal of medical Internet research, 20(5), e10775. https://doi.org/10.2196/10775
Doupis, J., Festas, G., Tsilivigos, C., Efthymiou, V., & Kokkinos, A. (2020). Smartphone-Based Technology in Diabetes Management. Diabetes therapy: research, treatment and education of diabetes and related disorders, 11(3), 607–619. https://doi.org/10.1007/s13300-020-00768-3
Greenwood, D. A., Gee, P. M., Fatkin, K. J., & Peeples, M. (2017). A Systematic Review of Reviews Evaluating Technology-Enabled Diabetes Self-Management Education and Support. Journal of diabetes science and technology, 11(5), 1015–1027. https://doi.org/10.1177/1932296817713506
Hale, L., Stokes, T., Scarth, B., Mani, R., Sullivan, T., Doolan-Noble, F., Jayakaran, P., Gray, A. R., Mann, J., & Higgs, C. (2019). Protocol for a randomised controlled trial to evaluate the effectiveness of the diabetes community exercise and education programme (DCEP) for long-term management of diabetes. BMJ open, 9(2), e025578. https://doi.org/10.1136/bmjopen-2018-025578
Koenigsberg, M. R., & Corliss, J. (2017). Diabetes Self-Management: Facilitating Lifestyle Change. American family physician, 96(6), 362–370.
Markle-Reid, M., Ploeg, J., Fraser, K. D., Fisher, K. A., Bartholomew, A., Griffith, L. E., Miklavcic, J., Gafni, A., Thabane, L., & Upshur, R. (2018). Community Program Improves Quality of Life and Self-Management in Older Adults with Diabetes Mellitus and Comorbidity. Journal of the American Geriatrics Society, 66(2), 263–273. https://doi.org/10.1111/jgs.15173
Open Access Government. (OAG). (2018). Diabetes: A Global Health Challenge. Retrieved from https://www.openaccessgovernment.org/diabetes-a-global-health-challenge/46992/#:~:text=Diabetes%20is%20a%20leading%20global,leading%20causes%20of%20death%20globally.
Spencer, M. S., Kieffer, E. C., Sinco, B., Piatt, G., Palmisano, G., Hawkins, J., Lebron, A., Espitia, N., Tang, T., Funnell, M., & Heisler, M. (2018). Outcomes at 18 Months From a Community Health Worker and Peer Leader Diabetes Self-Management Program for Latino Adults. Diabetes care, 41(7), 1414–1422. https://doi.org/10.2337/dc17-0978
5 – Reduction of Healthcare-Associated Infections by Exceeding High Compliance with Hand Hygiene Practices.
Improving hand hygiene from high to very high compliance has not been documented to decrease healthcare-associated infections. We conducted longitudinal analyses during 2013-2015 in an 853-bed hospital and observed a significantly increased hand hygiene compliance rate and a significantly decreased healthcare-associated infection rate. A strength of this article is that it supports my PICOT, and one weakness is that is in a hospital setting and not in a clinical setting. Also, the journal was published in 2016 but the study completed in 2015 so I am right on the edge for the requirement, but I am very happy with this article, so I am going to utilize it.
Sickbert-Bennett, E. E., DiBiase, L. M., Willis, T. M. S., Wolak, E. S., Weber, D. J., & Rutala, W. A. (2016). Reduction of Healthcare-Associated Infections by Exceeding High Compliance with Hand Hygiene Practices. Emerging Infectious Diseases, 22(9), 1628–1630. https://doi-org.lopes.idm.oclc.org/10.3201/eid2209…
Impact of mhealth messages and environmental cues on hand hygiene practice among healthcare workers in the greater Kampala metropolitan area, Uganda: study protocol for a cluster randomized trial.
(HH) among healthcare workers (HCWs) is critical for infection prevention and control (IPC) in healthcare facilities (HCFs). Nonetheless, it remains a challenge in HCFs, largely due to lack of high-impact and efficacious interventions. Environmental cues and mobile phone health messaging (mhealth) have the potential to improve HH compliance among HCWs, however, these remain under-studied. Our study will determine the impact of mhealth hygiene messages and environmental cues on HH practice among HCWs in the Greater Kampala Metropolitan Area (GKMA). A strength of this article is that it shows the results of a randomized hand hygiene within a health care setting. The weakness is that the study used an mhealth mobile phone messaging, and I am not familiar with that.
Mugambe, R. K., Mselle, J. S., Ssekamatte, T., Ntanda, M., Isunju, J. B., Wafula, S. T., Kansiime, W. K., Isubikalu, P., Ssemwanga, D., Yakubu, H., & Moe, C. L. (2021). Impact of mhealth messages and environmental cues on hand hygiene practice among healthcare workers in the greater Kampala metropolitan area, Uganda: study protocol for a cluster randomized trial. BMC Health Services Research, 21(1), 88. https://doi-org.lopes.idm.oclc.org/10.1186/s12913-…
Electronic monitoring in combination with direct observation as a means to significantly improve hand hygiene compliance
Monitoring hand hygiene compliance among health care personnel (HCP) is an essential element of hand hygiene promotion programs. Observation by trained auditors is considered the gold standard method for establishing hand hygiene compliance rates. Advantages of observational surveys include the unique ability to establish compliance with all of the World Health Organization “My 5 Moments for Hand Hygiene” initiative Moments and to provide just-in-time coaching. Weakness for this article would be not a big enough sample size. Strength it supports my capstone project.
Boyce, J. M. (2017). Electronic monitoring in combination with direct observation as a means to significantly improve hand hygiene compliance. American Journal of Infection Control, 45(5), 528–535. https://doi-org.lopes.idm.oclc.org/10.1016/j.ajic….
Multimodal intervention program to improve hand hygiene compliance: effectiveness and challenges
Compliance with recommendations is usually low and effective improvement strategies are needed. We aimed to assess the effectiveness of an intervention targeting hand hygiene promotion among healthcare workers (HCWs). Methods We conducted a pre-post interventional study design in the university hospital Sahloul, Sousse, Tunisia, from January 2015 to December 2016. A weakness is that that this study was conducted at a hospital and I am doing mine at a clinic. A positive is that it looks at compliance.
Sihem Ben Fredj, Asma Ben Cheikh, Sana Bhiri, Hela Ghali, Salwa Khefacha, Lamine Dhidah, Latifa Merzougui, Mohamed Ben Rejeb, & Houyem Said Latiri. (2020). Multimodal intervention program to improve hand hygiene compliance: effectiveness and challenges. Journal of the Egyptian Public Health Association, 95(1), 1–8. https://doi-org.lopes.idm.oclc.org/10.1186/s42506-…
Scenario-based simulation training for the WHO hand hygiene self-assessment framework
The WHO SAVE LIVES: Clean Your Hands global hand hygiene campaign, launched in 2009 and celebrated annually on the 5th of May, features specific calls to action seeking to increase engagement from stakeholders’ collaborations in hand hygiene improvement. WHO calls on everyone to be inspired by the global movement towards universal health coverage (UHC). Infection prevention and control (IPC), including hand hygiene, is critical to achieve UHC as it has a direct impact on quality of care and patient safety across all levels of the health services. This is a campaign so it might be hard to incorporate into my study but it also could be a strength when trying to implement hand hygiene in my clinic.
Tartari, E., Fankhauser, C., Peters, A., Sithole, B. L., Timurkaynak, F., Masson-Roy, S., Allegranzi, B., Pires, D., & Pittet, D. (2019). Scenario-based simulation training for the WHO hand hygiene self-assessment framework. Antimicrobial Resistance and Infection Control, 8(1). https://doi-org.lopes.idm.oclc.org/10.1186/s13756-…
Higienication of the hands of nursing professionals that act in surgical center: integrative review
Two articles were selected that answered the guiding question and met the inclusion criteria. The results pointed to the low adherence and frequency of hand hygiene. The weakness is that it is comparing two articles good positive aspect is that it is giving ideas to implement handwashing and showing barriers. Also it looks like the study was completed in a Spanish speaking area and I am not Spanish speaking so it might have some issues when reviewing so I might end up using another article.
Aline Aires de Oliveira, Isabelle Campos de Azevedo, Rita de Cássia Lira da Silva, & Marcos Antônio Ferreira Júnior. (2019). Higienication of the hands of nursing professionals that act in surgical center: integrative review. Cultura de Los Cuidados, 52, 205–212. https://doi-org.lopes.idm.oclc.org/10.14198/cuid.2…
Que – 2 – Name two different methods for evaluating evidence. Compare and contrast these two methods.
Shannon bolin –
6 – It is important in research to understand how to evaluate articles, studies and research for credibility and reliability. Larger databases such as PubMed or the Cochrane Library offer peer review articles that the research can use with a level of certainty of credibility, however it is important to understand how to identify criteria in these articles and studies that show a higher level of valid data. In the Grand Canyon writing center there is a section that discusses evidence- based practice and how to critically evaluate articles (GCU, N.D.). One element of assessment is the use of independent and dependent variables in the research articles and whether the information they are influencing is relevant to outcome of the research question (GCU, N.D.). Another element of evaluating research evidence is the research design (GCU, N.D.). This element is essential is evaluating the criteria used in choosing how to include the population being studied and whether is chosen randomly or purposely selective (GCU, N.D.). The evaluation of research design also included identifying the sample size of these studies, which can influence the outcome, it also includes how to plan and control errors, as well as if the study calls for a control group and an experimental group which allows evaluation of effectiveness of the implemented intervention (GCU, N.D.). Identifying the variables in the study for appropriateness is useful in the evaluation of a research papers, however understanding the research design will help the researcher to understand the level of evidence submitted by establishing whether there could be bias or outside influences that could affect the outcomes and if the outcomes are generated from the variables and results of the study are presented in a way that answers the research question. Understanding how to evaluate the level of research design is critical to identifying relevant and credible research material to include in supporting a research question or project.
Grand Canyon University [GCU], (N.D.). Keys to assess a research study (Panel). Evidence Based Practice. Retrieved from https://lc.gcumedia.com/hlt540/ebp/v2.1/#/topics/k…