Nurses in the ICU Unit
ICU nurses are often confronted with critical events from the caring of patients who are exposed to infection because the central line dressing was not changed on the required day or it was found soiled or loose and the nurse does not change it. CLABSIs are preventable, yet they result in thousands of deaths every year with billions of dollars dedicated to addressing these adverse events. In many facilities throughout the country, the number of ClABSIs have increased in recent years, despite efforts to lower its incidence (Ista et al., 2016).
The practice issue is that none maintenance was found in my current practice because the central line dressing was not changed on the required day or it was found soiled or loose and the nurse does not change it. In the future, I’d like to conduct a search by identifying the major elements of my PICOT question and find subject descriptors, MeSH terms, or descriptors that identify the elements of my research. I want to start with a broad search and move to a narrower search with terms for the comparison, outcome, and time factors of my study. By using database filters, I will be able to make the evidence more specific and target the studies I am looking for.
References
Ista, E., van der Hoven, B., Kornelisse, R. F., van der Starre, C., Vos, M. C., Boersma, E., & Helder, O. K. (2016). Effectiveness of insertion and maintenance bundles to prevent central-line-associated bloodstream infections in critically ill patients of all ages: a systematic review and meta-analysis. The Lancet. Infectious Diseases, 16(6), 724-734. doi:10.1016/S1473-3099(15)00409-0. Retrieved from: http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=26907734&site=eds-live&scope=site
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