Essentials of Evidence-Based Practice
Article 1.
Murni, I., Duke, T., Kinney, S., Daley, A., & Soenarto, Y. (2015). Reducing hospital-acquired infections and improving the rational use of antibiotics in a developing country: an effectiveness study. Archives of Diseases in Childhood, 100(5), 454-459. https://doi.org/10.1136/archdischild-2014-307297
The article explores strategies that can be applied to reduce hospital acquired infection (HAI) incidences. It adopts a novel approach by shifting away from hygiene towards health care delivery by making arguments for the rational use of antibiotics. Besides that, the article focuses on an often overlooked population (children).Essentials of Evidence-Based Practice. The article is related to the clinical issue of interest since it focuses on HAI while exploring unique intervention approaches and targeting an often overlooked patient population. Ethical approval for the study was sought from the institutional review board with consent not required from the patients except for the parents being informed about the study.Essentials of Evidence-Based Practice.
The study sought to explore the possibility of applying rational use of antibiotics of control HAI incidences among children. Towards this end, the study sought to implement a multifaceted infection control and antibiotic stewardship program. The program would then be evaluated for effectiveness in controlling antibiotics use and HAI incidences.Essentials of Evidence-Based Practice.
The study applies a pre- and post-intervention study design. It evaluated antibiotics use and HAI incidences before the program and compared the results to performance after the program had been implemented for 27 months in order to determine how the program affected performance.Essentials of Evidence-Based Practice.
The pre- and post-intervention study methodology presented a unique strength in showing the performance of the program. It ensures that all other variables are controlled with the program being introduced as a variable so that any changes in performance are attributed to the program.Essentials of Evidence-Based Practice.
Article 2.
Caselli, E., Brusaferro, S., Coccagna, M., Arnoldo, L., Berloco, F., Antonioli, P., … & Mazzacane, S. (2018). Reducing healthcare-associated infections incidence by a probiotic-based sanitation system: A multicentre, prospective, intervention study. PLoS ONE, 13(7), e0199616. https://doi.org/10.1371/journal.pone.0199616
The article presents the results of a primary research study on how a probiotic-based sanitation system can be applied to reduce HAI incidences. It notes that HAIs are a global concern that is heightened by drug resistant pathogens. The article focuses on HAI thus making it of interest to the clinical issue of concern. Ethical approval for the study protocol was sought from the institutional review board.Essentials of Evidence-Based Practice.
The study’s aim was to address the shortcomings of conventional cleaning. It noted that conventional cleaning was ineffective for hospital surfaces that are persistently contaminated thereby adding to the HAI incidences. A probiotic-based sanitation system was expected to be more effective in clearing contamination from hospital surfaces.Essentials of Evidence-Based Practice.
The study applied a multicenter, pre-post intervention design over a period of 18 months in six Italian public hospitals. The intervention was the probiotic-based sanitation system that was compared with conventional cleaning approaches. The study evaluated the contamination levels for the hospital surfaces before and after the intervention. Any differences in HAI incidences and surface contamination levels were attributed to the intervention.Essentials of Evidence-Based Practice.
The study applied a pre-post intervention design. This design was useful in presenting a ‘true’ awareness of the intervention under review. That is because all the variables were held constant except for the intervention that changed in the two periods.
Article 3.
Haverstick, S., Goodrich, C., Freeman, R., James, S., Kullar, R., & Ahrens, M. (2017). Patients’ Hand Washing and Reducing Hospital-Acquired Infection. Critical Care Nurse, 37(3), e1-e8. https://doi.org/10.4037/ccn2017694 Essentials of Evidence-Based Practice.
The article presents the results of a primary research study conducted to evaluate the implication of hand washing on HAI incidences. It acknowledges that handwashing among medical personnel has been
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