NRS493 Literature Evaluation Table Paper

NRS493 Literature Evaluation Table Paper

Literature Evaluation Table

Criteria	Article 1	Article 2	Article 3	Article 4
Author, Journal	Schwartz, S., Frankel, A.,	Cho, S. Y., Chung, D.	Bundy, D. G.,	Zavotsky, K.
(Peer-	Rehder, K., Leonard, M.,	R., Ryu, J. G., Choi, J.	Gaur, A. H.,	E.,
Reviewed), and	Frankel, T., Watson, S.,	R., Ahn, N., Kim, S.	Billett, A. L., He,	Malast, T.,
Permalink or	and Sexton, J.	and Song, J. H.	B., Colantuoni, E.	Festus, O. and
Working Link	https://journals.lww.com/c	https://www.ncbi.nlm.	A., and Miller, M.	Riskie, V.
to Access	cmjournal/Citation/2016/1	nih.gov/pubmed/2833	R.	https://www.nc
Article	2001/1255      CENTRAL	3762	https://www.ncbi.n	bi.nlm.nih.gov/
	_LINE_ASSOCIATED_B		lm.nih.gov/pubme	pubmed/26583
	LOODSTREAM.1214.asp		d/25404721	628
	x
Article Title and Year Published	Central Line-Associated Bloodstream Infection Rates Associated with ICU Teamwork Climate. Critical Care Medicine.   2016	Impact on Targeted Interventions on Trends in Central Line-Associated Bloodstream Infection: A Single- Centre Experience from the Republic of Korea. Critical Care Medicine.	Preventing CLABSIs among pediatric hematology/oncol ogy inpatients: national collaborative results. Pediatrics.  2014	Reducing Central Line Associated Bloodstream Infections on Oncology.Units using peer review.   2015
		2017
Research	Qualitative study. The	Qualitative study. The	Quantitative and	Qualitative
Questions	study was conducted to	study was conducted	qualitative study.	study. This
(Qualitative)/H	establish the relationship	to assess the effects of	The objective of	study was
ypothesis	between patients’	the targeted	the study was to	conducted to
(Quantitative),	outcomes and healthcare	interventions on	assess the	describe
and	climate. This involved	CLABSIs trends.	feasibility of	peer-to-peer
Purposes/Aim	evaluating the functional		multicenter efforts	programs and
of Study	ability of the team to		of standardizing	outcomes of
	evaluate, coordinate and		CL care and	interventions
	adapt changing team		CLABSI tracking.	to reduce
	dynamics with an aim of		Again, the study	incidences of
	minimizing CLABSIs		aimed at	CLABSIs in
	upon catheter insertion		quantifying the	patients in
	and maintenance using		impact of	transplantation,
	evidence-based		standardizing	bone marrow,
	techniques.		processes on	surgical
			CLABSI rates	oncology, and
			among the	medical units.
			pediatric

			hematology/oncology inpatients.
Design (Type of Quantitative, or Type of Qualitative)	The retrospective multi- center observational study utilizing teamwork climate data from 29 adultICUs.	A before-and-after study between 2013January and 2014 September.	Multicenter quality improvement collaborative starting November2009	Qualitative design.
Setting/Sample	Michigan Hospital Association Keystone Centre for Patient Safety and Quality.	Tertiary hospital in the Republic of Korea.All patients having central-line catheters hospitals	Pediatric hematology/oncol ogy inpatients	Magnet- designated academic medical center using Medical and Surgicaloncology units.
Methods:	Teamwork climate was	Interventions targeting	Multidisciplinary	The peer-to-
Intervention/Ins	assessed through	central line insertions	teams in the	peer process,
truments	validation of scores,	were implemented in	participating sites	team approach,
	safety culture survey. This	2014, September in 10	implemented	staff education,
	was administered through	ICUs. The impacts of	standardized	and the
	Safe and Reliable	targeted interventions	bundles of CL care	application of
	Healthcare from 2015,	on CLABSIs was	practices and	checklist.
	April 1 to 2015, May 30.	evaluated using	adopting a
		segmented	common approach
		autoregression	to CLABSIs
		analysis on the	surveillance.
		interrupted time series.
Analysis	The linear regression	The mean hospital-	The average pre-	Peer-to-peer
	model was employed to	wide CLABSIs	collaborative	process and
	predict teamwork climate	infection in the	CLABSI rate of	team approach
	scores. The model	intervention and	2.85 CLABSIs per	help reduce
	predicted 10.6% variance	baseline periods were	1000 CL-days was	rates of
	of CLABSIs. CLABSIs	1.56 and 1.84 per	reported by	CLABSIs in
	were found to be more	1000 catheter days	32 units that	the setting of
	common when ICUs	respectively. Baseline	participated in the	oncology. Staff
	workers reported	period recorded	collaborative	education is
	difficulties with speaking	increase of CLABSIs	study. A reduction	important in
	up, asking questions to	rate of 1.12 per 1000	rate of 28% of	introducing
	clarify ambiguities,	catheter days while the	CLABSIs was	new techniques
	communicating	intervention period	recorded.	of reducing
	breakdowns, working with	recorded a decrease of		CLABSIs. The
	difficult groups and	CLABSIs rate of 1.64		checklist
	resolving conflicts.	per 1000 catheter		provides
		days.		stepwise
				processes of
				ensuring safety
				in caring for

				patients withcentral lines.
Key Findings	CLABSIs’ variation is	After the sequential-	Multicenter quality	The peer-to-
	explained significantly by	targeted interventions,	improvement	peer process,
	teamwork climates as	CLABSIs rate	collaborative	checklist and
	assessed by frontline ICUs	decreased by 0.16 per	located significant	team approach
	workers. Clear link the	1000 catheter days.	reductions in	lower the
	between the rates of	This implies that	observed rates of	incidences of
	CLABSIs and teamwork	targeted interventions	CLABSI in the	CLABSIs
	climate suggests that	are associated with	pediatric	remarkably.
	patients’ outcome can be	notable changes in the	hematology/oncol	Precisely,
	improved by focusing on	trends in occurrence	ogy inpatients.	patients’
	the improvement of	rates of CLABSIs in	Again, additional	outcome is
	teamwork climate.	the ICUs and entire	interventions are	improved as
		hospitals.	required to bring	staff
			and sustain	satisfaction is
			CLABSIs rates	increased.
			closer to zero for
			the high-risk
			population.
Recommendatio	I recommend this to ICUs	I recommended this to	I recommend this	I recommend
ns	workers because ICU	ICUs and all hospitals	to pediatric	this to Medical
	workers are encouraged	because it provides	hematology/oncol	and Surgical
	how to report difficulties	sufficient evidence	ogy centers	oncology units
	through speaking up,	regarding the	because it presents	because its
	asking questions to clarify	importance of targeted	itself with	interventions,
	ambiguities,	interventions in	interventions that	peer-to-peer
	communicating	reducing CLABSIs	would reduce	process,
	breakdowns, working with	rates.	CLABSIs closer to	checklist and
	difficult groups and		zero.	team approach,
	resolving conflicts.			are capable of
				lowering the
				incidences of
				CLABSIs
		NRS493 Literature Evaluation Table Paper		remarkably.
Explanation of	This article supports the	This article supports	The article	This article
How the Article	capstone project because	the capstone because	supports the	supports the
Supports	the clear link between the	of it is a source of	capstone project	capstone
EBP/Capstone	rates of CLABSIs and	sufficient evidence	because it utilizes	project because
Project	teamwork climate	regarding team’s effort	the multicenter	it utilizes the
	suggests that patients’	on targeted	quality	same
	outcome can be improved	interventions.	improvement	intervention,
	by focusing on improving		collaborative	team approach,
	teamwork climate.		techniques to	that the
			reduce rates of	CLABSIs
			CLABSI.	project uses in

its quest of lowering CLABSIsrates.

 

Criteria	Article 5	Article 6	Article 7	Article 8
Author, Journal (Peer-Reviewed), andPermalink or Working Link to Access Article	Sacks, G. D.,Diggs, B. S., Hadjizacharia, P., Green, D., Salim, A., & Malinoski,

D. J. https://www.ncbi.nl m.nih.gov/pubmed/ 24576582Latif, A., Kelly, B., Edrees,H., Kent, P.S.,

Weaver,

S.J., Jovanovic, B., Attallah, H., de Grouchy, K.

K., Al-Obaidli,

A., Goeschel, C.A. and Berenholtz, M.Scheck, M. A, Hefner, J. L, Robbins,J., Harrison, M. I. and Garman A.

 

https://www.ncbi.n lm.nih.gov/pubme d/25703102Furuya, E. Y., Dick,A. W., Herzig, C. T., Pogorzelska- Maziarz,

M., Larson, E. L and Stone, P. W.

 

https://www.ncbi.nl m.nih.gov/pubmed/2 7052993

https://www.ncbi.n lm.nih.gov/pubme d/25871927

Article Title and Year PublishedReducing the rate of catheter- associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. TheAmerican Journal of Surgery. NRS493 Literature Evaluation Table PaperImplementing a multifaceted intervention to decrease central line-associated bloodstream infections in SEHA (Abu Dhabi Health Services Company) intensive care units: the Abu Dhabi experience.Preventing central line-associated bloodstream infections: A qualitative study of management practices. 

2015Central Line- Associated Bloodstream Infections and Bundle Compliance in ICUs: A National Study. 

2016

2015


2014.


ResearchQualitativeQualitativeQualitativeDescriptiveQuestionsresearch.research. Theresearch. Theresearch.(Qualitative)/HypoThe study aimed atstudy aimed atstudy aimed atThe study aimed atthesisdeterminingdeterminingidentifying factorsdetermining the(Quantitative), andwhether thewhetherthat explainrelationship betweenPurposes/Aim ofimplementation ofimplementation ofhospital-levelCLABSIs rates andStudyIHI (Institute formultifaceteddifferences inbundle compliance.

 

	Healthcare Improvement) CL bundle would reduce the incidences ofCLABSIs.	interventions would reduce incidences of CLABSIssignificantly.	programs’ outcome to prevent CLABSIs.
Design (Type of Quantitative, or Type of Qualitative)	Qualitative study.	Prospective cohort collaborative	Extensive qualitative case study. NRS493 Literature Evaluation Table Paper	Cross-sectional study
Setting/Sample	Surgical ICUs.	Abu Dhabi Health Services Company hospitals’ ICU in the Emirate of Abu Dhabi.	Eight United States hospitals that had participated in federally funded on the CUSP-StopBSI initiative.	US adults in the ICUs.
Methods:	The rate of	Bundled	In-depth	Surveillance of the
Intervention/Instru	CLABSIs per	interventions	interviews	hospitals to
ments	1,000 catheter days	consisting of three	transcribing	determine
	and patient	components were	verbatim. Again,	compliance with
	demographics were	implemented as	and analyzing	catheter line
	compared between	part of the	emergent themes	insertion bundle
	the preintervention	programs. The	differentiated	element in ICUs.
	groups and	bundled	higher performing
	postintervention	interventions	hospitals from
	groups.	composed	lower performing
		multifaceted	hospitals.
		approach targeting
		clinicians using
		evidence-based
		infections
		prevention
		recommendations.
Analysis	Implementation of	An overall	Getting to zero	Of the 984 adult
	IHI Central Line	CLABSIs	CLABSIs	ICUs that the
	Bundles reduced	reduction rate of	infection provided	research was
	the rates of	18% was achieved	the difference	conducted, 69%
	CLABSIs in the	by the eighteen	between higher	reported excellent
	surgical ICU by	ICUs from seven	performing	compliance with at
	68% thus, saving	hospitals in Abu	hospitals from	least one element.
	$198,600 annually.	Dhabi that	lower performing	Better-resourced
		implemented the	hospitals. Higher	infections
		program.	performing	prevention
			hospitals state its	departments are

			goal explicitly and aggressively while lower performing hospitals stated their goals with aspiration. Higher performing hospitals adopted five additional management practices, that is, top-level commitment, recognition and reward, meaningful use of data, systematic education and physician-nursealignment.	associated with lower limited rates of CLABSIs.
Key Findings	Baseline demographics between preintervention groups and postintervention groups was found to be similar.However, rates of CLABSIs per catheter days reduced to 3/1,870 from 19/3,784 to after the implementation of IHI Bundle.	Using multifaceted intervention in desperate settings results in significant reduction of mortality and morbidity associated with CLABSIs.	Specific management practices provide critical guidance to hospital leaders, clinical managers, and physicians in preventing healthcare- associated infections. NRS493 Literature Evaluation Table Paper	Compliance with the entire bundle is effective, though lower CLABSIs is associated with excellent compliance with the bundle with one element. At the national level, variability in compliance across the ICUs provides a room for improvement in the reduction ofCLABSIs.
Recommendations	I recommend this to surgical ICUs because measuring contemporaneous infection rates in surgical ICU reduced the infection by 68%.	I recommend this to hospitals because with multifaceted intervention a significant reduction in morbidity and mortality is	I recommend this to hospital leaders, clinical managers, and physicians because it provides them with management practices that reduce rates of	I recommend this to ICUs dealing with adults with CLABSIs because absolute compliance with insertion bundle provides a room for improvement.

 

 

		achieved.	CLABSIs.
Explanation of How the Article Supports EBP/Capstone	This article supports the capstone project by providing a ground how measuring contemporaneous infection rates in surgical ICU, and hospitals in general, reduce incidences of CLABSIs.	The aim of the capstone project is applying relevant interventions to reduce the prevalence of CLABSIs. Multifaceted intervention discussed in this article is among the appropriate interventions thus, making this article relevant.	This article supports the capstone project because it is a source of leadership and management practices providing hospital leaders, clinical managers, and physicians with knowledge of reducing CLABSISs rates.	This article supports the capstone project by advising on how to comply with insertion bundle. Upon complying, there is a likelihood that rates of CLABSIs will reduce.

Also Read: NRS493 Benchmark Capstone Change Project Objectives Paper