Nursing Research Literature Evaluation Table

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In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student\’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project Nursing Research Literature Evaluation Table.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the \”Literature Evaluation Table\” resource to complete this assignment.

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While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion Nursing Research Literature Evaluation Table.

You are not required to submit this assignment to Turnitin

Change Topic (2-3 sentences): The program intends to reduce the incidence of central line infection within nursing practice. This will be achieved by answering the question: among patients who receive medication through central lines, does matching nursing practice for central line nursing management with evidence drawn from nursing research, versus central line management without considering evidence from research have an effect on the incidence of blood stream infections associated with central line use measured over a two-month trial period?

Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article

Aloush & Alsaraireh,
Saudi Medical Journal,

https://europepmc.org/articles/PMC5893917;jsessionid=2BDDD0B7C9C65AD5DE7B19F56C07CB73

Page et al.,
Journal of Oncology Practice,

http://ascopubs.org/doi/full/10.1200/jop.2015.005751

Marschall et al.,
Infection Control and Hospital Epidemiology,

https://www.jstor.org/stable/10.1086/676533

Esposito, Guillari & Angelillo,
PLoS ONE,

http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0180473

Article Title and Year Published

Nurses’ compliance with central line associated blood stream infection prevention guidelines,
2018

Reducing oncology unit central line–associated bloodstream infections: initial results of a simulation-based educational intervention,
2016

Strategies to prevent central line–associated bloodstream infections in acute care hospitals: 2014 update,
2014

Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: a cross-sectional study in an area of southern Italy,
2017

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

Do nurses comply with central line infection guidelines?
To assess nurses’ compliance with central line associated bloodstream infection (CLABSI) prevention guidelines related to maintenance of the central line and the predictors of compliance.

Can incidence of central line-associated bloodstream infection be reduced for oncology inpatients through educational intervention?
To address oncology patients’ vulnerability to central line-associated bloodstream infection.

What are the strategies for preventing central line-associated bloodstream infections?
To highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their central line–associated bloodstream infection prevention efforts.

What are the knowledge, attitudes, and behavior among nurses regarding the prevention of central line-associated bloodstream infections?
To delineate the knowledge, attitudes, and behavior among nurses regarding the prevention of central line-associated bloodstream infections and to identify their predisposing factors

Design (Type of Quantitative, or Type of Qualitative)

Observational study using a descriptive cross-sectional design. Simulated care model, and pre-test and post-test analysis Literature review Cross-sectional study
Setting/Sample

171 intensive care unit nurses from 15 hospitals located in 5 cities in Jordan. Nursing staff from January 2012 to June 2012 Uses “Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals” published in 2008 as the basis 335 nurses from oncology and outpatient chemotherapy units in 16 teaching and non-teaching public and private hospitals in the Campania region of Italy.
Methods: Intervention/Instruments

Sample was observed and compliance recorded on a structured observational sheet over 5 months from March to July 2017. Nursing staff was subjected to a pretest, an educational blitz, and a post-test. Expert opinion collected to update the guidelines. Sample was subjected to questionnaires that collected information.
Analysis

Descriptive statistics and modeling Descriptive analysis to include counts and rates. Recurrent themes and consensus opinion Descriptive analysis
Key Findings

Model χ2(4)=133.773, p=0.00 presented to show that lower nurse:patient ratio allowed for superior compliance when compared to low nurse-patient ratio. Nurse competence improved by 16.9%. Infection rate reduced from 5.86 per 1,000 patient line-days to 3.43 per 1,000 patient line days. A list was generated to guide medical practice while reducing incidence of infection. Gaps exist in nurses knowledge and practice concerning infection prevention
Recommendations

Nurse:patient ratio should be lowered to improve compliance and care outcomes. Targeted educational intervention should be used to improve nurses’ competence. Medical personnel should observe the guidelines. Apply educational intervention to improve knowledge and practice while encouraging evidence-based prevention intervention.
Explanation of How the Article Supports EBP/Capstone Project

The article is useful in information how to reduce incidence of central line infection by lowering nurse:patient ratio. The article is useful in highlighting the importance of using targeted education to improve nurses’ competence in central line management. The article presents useful strategies for actively preventing infection incidence. The article is useful in showing how education can be used to reduce infection rates.

Criteria Article 5 Article 6 Article 7 Article 8
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article

Conley,
Clinical Journal of Oncology Nursing,

https://cjon.ons.org/file/24791/download

Perin et al.,
Revista Latino-Americana De Enfermagen,

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016007/

Hina & McDowell,
Journal of Clinical Nursing,

doi: 10.1111/jocn.13824

Al Qadire, Tawalbeh & Suliman,
International Journal of Advanced Nursing Studies,

https://www.sciencepubco.com/index.php/IJANS/article/download/7295/2635

Article Title and Year Published

Central line–associated bloodstream infection
prevention: standardizing practice focused

on evidence-based guidelines,

2016

Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review,
2016

Minimising central line‐associated bloodstream infection rate in inserting central venous catheters in the adult intensive care units,
2017

Student nurses’ knowledge of guidelines for preventing central venous catheter-associated infections,
2017

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

What are the best practice guidelines for nurse administration of central lines?
To identify evidence-based practice strategies implemented at a comprehensive

ambulatory cancer center to standardize best nursing practice for central lines.

What are the best strategies for preventing central line infection in the ICU?
To identify evidence-based care to prevent central line infection among adult patients hospitalized in ICUs

What procedural features can be applied to minimize risk of central line infection?
To investigate the procedural aspects in inserting central venous catheters that minimise central line‐associated bloodstream infection rates in adult intensive care units through a structured literature review.

What are nursing students’ knowledge levels concerning preventions of central line infection?
To evaluate student nurses’ knowledge of the guidelines for preventing central line-associated infection.

Design (Type of Quantitative, or Type of Qualitative)

Literature review Systematic review Systematic review Descriptive cross-sectional survey
Setting/Sample

Publications relevant to the research topic 34 publications from PubMed, Scopus, Cinahl, Web of Science, Lilacs, Bdenf and Cochrane Studies databases addressing care and maintenance of central venous catheters, published from January 2011 to July 2014 were searched. 10 articles from Ovid and CINAHL databases. 267 second, third and fourth year student nurses from 4 government universities.
Methods: Intervention/Instruments

Review emerging themes Review emerging themes Review emerging themes Survey
Analysis

Recurring ideas based on evidence Recurring ideas based on evidence Recurring ideas based on evidence Descriptive analysis
Key Findings

Standardizing care and adherence reduces incidence of central line infection. Applying education and care bundles reduced central line infection rates. Choosing subclavian site and preparing site using alcoholic disinfectant reduces incidence of infection Mean knowledge level score was 1.6 out of 10 with the minimum score being 0 and maximum score being 7.
Students taught about preventing central line infection had better knowledge levels that their students who were not taught on the subject.

Recommendations

Port access and dressing should be standardized while implementing evidence-based policies to realize improved care outcomes. Care bundles should be coupled with education and commitment from medical personnel to reduce infection incidence. Optimal sites should be selected for catheter insertion then disinfected to reduce incidence of infection. Nursing education institutions should offer theoretical and practical lessons on prevention of central line infection.
Explanation of How the Article Supports EBP/Capstone

The article is useful in preventing strategies for preventing central line infection Nursing Research Literature Evaluation Table. The article is useful in presenting strategies that nursing personnel can apply to reduce incidence of central line infection The article is useful since it presents evidence to show that site selection and disinfection is important. The article is useful since it identifies that knowledge levels of students is lacking and should be improved.
References

Al Qadire, M., Tawalbeh, L. & Suliman, M. (2017). Student nurses’ knowledge of guidelines for preventing central venous catheter-associated infections. International Journal of Advanced Nursing Studies, 6(1), doi: 10.14419/ijans.v6i1.7295. Retrieved from https://www.sciencepubco.com/index.php/IJANS/article/download/7295/2635

Aloush, S. & Alsaraireh, F. (2018). Nurses’ compliance with central line associated blood stream infection prevention guidelines. Saudi Medical Journal, 39(3), 273-279. doi: 10.15537/smj.2018.3.21497. Retrieved from https://europepmc.org/articles/PMC5893917;jsessionid=2BDDD0B7C9C65AD5DE7B19F56C07CB73

Conley, S. (2016). Central line–associated bloodstream infection prevention: standardizing practice focused on evidence-based guidelines. Clinical Journal of Oncology Nursing, 20(1), 23-26. doi: 10.1188/16.CJON.23-26. Retrieved from https://cjon.ons.org/file/24791/download

Esposito, M., Guillari, A. & Angelillo, I. (2017) Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care: A cross-sectional study in an area of southern Italy. PLoS ONE, 12(6), e0180473. doi: 10.1371/journal.pone.0180473. Retrieved from http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0180473

Hina, H. & McDowell, J. (2017). Minimising central line‐associated bloodstream infection rate in inserting central venous catheters in the adult intensive care units. Journal of Clinical Nursing, 26(23-24), 3962-3973. doi: 10.1111/jocn.13824

Marschall, J., Mermel, L., Fakih, M., Hadaway, L., Kallen, A., O’Grady, N. … & Yokoe, D. (2014). Strategies to prevent central line–associated bloodstream infections in acute care hospitals: 2014 update. Infection Control and Hospital Epidemiology, 3(7), 753-771. doi: 10.1086/676533. Retrieved from https://www.jstor.org/stable/10.1086/676533

Page, J., Tremblay, M., Nicholas, C. & James, T. (2015). Reducing oncology unit central line–associated bloodstream infections: initial results of a simulation-based educational intervention. Journal of Oncology Practice, 12(1), e83-e87. doi: 10.1200/JOP.2015.005751. Retrieved from http://ascopubs.org/doi/full/10.1200/jop.2015.005751

Perin, D., Erdmann, A., Higashi, G. & Sasso, G. (2016). Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review. Revista Latino-Americana De Enfermagen, 24, e2787. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016007/

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