Essay NUR590 Evidence-Based Practice Project Proposal Presentation

NUR590 Evidence-Based Practice Project Proposal Presentation

Evidence-based Practice Project

Objectives

By the end of the presentation, you should be able to understand
The problem statement and literature about the project
The purpose of the project
The level of organizational readiness
The change model used in the project
The implementation plan
The evaluation plan

Introduction

Clinical problem: Central-line Associated Blood Stream Infections (CLABSI).
In the ICU patients with reversible life-threatening conditions are stabilized before management in the general ward.
The invasive procedures such as central line catheters are used for medication and supporting patients are a risk for introduction of infections.
CLABSI are common causes of mortality, morbidity, increased hospital stay, poor outcomes.
Chlorohexidine has been used to reduce the rates of CLABSI. Healthcare workers play a major role in reducing infection rates.
PICOT-: In patients admitted in ICU with a central line catheter (P), how does the use of chlorhexidine (I) compared with flushing central line using normal saline (C) lead to the reduced central line-associated bloodstream infection (O) over six months (T)?

Problem Statement

CLABSI negatively affect patient outcome leading to mortality and morbidity.

The recent increase in resistance to antibiotics caused by MRSA requires prevention strategies by healthcare workers.

Most healthcare providers understand the preventive measures, however, most of them fail to implement the guidelines into practice.

Preventive measures include the use of aseptic techniques, surveillance, and early management.

This project is aimed at improving knowledge among healthcare workers to adhere to the daily bathing of ICU patients with chlorohexidine to reduce the rate of CLABSI.

Prevalence of CLABSI

Cases of CLABSI are still on the rise with up to 41,0000
The global incidence is 3.73 per 1000 central lines (Frost et al., 2018).
The increasing rate is due to poor handling of patients by healthcare workers and nonadherence to protocols.
All healthcare workers must effectively carry out their roles to reduce the rate of CLABSI by 50%

Literature Review

CLABSIs are high in ICU patients who are immunocompromised and the elderly.
Causative agents include MRSA, gram-negative bacteria (33.9%), and Candida species (27.6%) (Haddadin et al., 2021).
CLABSI is defined as infection arising after 48hrs post insertion of central lines.
The common sign is sudden onset fever of unknown origin.
CLABSI increases hospital stay, increases the cost of care, increases mortality and morbidity, and leads to poor patient outcomes.
Cost of care per patient with CLABSI is up to $46,000 while others may exceed $ 80,000 (Haddadin et al., 2021).
Mortality from CLABSI ranges between 12-25%. Most common cause of HAI
However, centers that use preventive measures has lower mortality and reduced cost of care.

NUR590 Evidence-Based Practice Project Proposal Presentation References

Arunga, S., Mbarak, T., E