Hello, this is to respond to my peer discussion below.
The chosen clinical issue of interest regards the frequency with which hospital acquired infections or illnesses (HAI) occur and whether there is a potential prevention strategy that will curb the issue. Initially, the PICOT question was going to rely solely on addressing reasons for HAIs to be such a significant issue. Bicicor et al, (2017), for example, stated HAIs were responsible for more than thirty percent of all hospital readmissions and were suspected of causing nearly two million avoidable infections throughout 2015 along. This issue has only grown worse with Nekkab et al, (2017) asserting in 2016 HAIs were responsible for nearly 100,00 avoidable deaths and roughly $500 billion in annual fees the healthcare system cannot necessarily afford. However, upon performing more research it became clear the PICOT question should focus more on why HAIs occur, as well as how they can be mitigated or prevented. For example, Freiderich (2019) revealed findings indicative of a lack of cleanliness, as well as education at the primary causes of HAIs. Essentially, it was only recently discovered certain germs and viruses are resistant to most typical sanitizing solutions even used in hospitals, and that it is actually the firm, repetitive friction coupled with antimicrobial cleaning solutions that expunge an environment of potential HAIs, as stated by Boev and Kiss (2016), and this discovery has only decreased the rate of HAIs thanks to appropriate cleaning methods and education. It was decided based on findings provided by Barrasa-Villar et al, (2017) that the PICOT focus would be on patient education:
Does appropriate hand washing education (I) in patients (P) reduce prevalence or completely prevent developing a hospital acquired infection (O) in comparison to a lack of education (C) over time (T)?
Though many studies take duration of stay into account there is little information available to surmise a length of time from such a preliminary study. The strategies used could have been more useful if the topic search were narrowed. For example, after discovering education or a lack thereof was often suspected to be the cause of HAIs, key words and phrases should have changed to align with this development. More emphasis could have also been placed on the type of education necessary, or what forms of education have not worked in the past.
References
Barrasa-Villar, J., Aibar-Remon, C., Prieto-Andres, P., Mareca-Donate, R., & Moliner-Lahoz, J. (2017). Impact on Morbidity, Mortality, and Length of Stay of Hospital-Acquired Infections by Resistant Microorganisms. Clinical Infectious Diseases, 644-652.
Bicicor, I., Dascalu, M., Gaczowska, A., Hostuic, S., Moldoveanu, A., Molina, A., . . . Racovita, V. (2017). Wireless Sensor Network based System for the Prevention of Hospital Acquired Infections. ENASE.
Boev, C., & Kiss, E. (2016). Hospital-Acquired Infections: Current Trends and Prevention. Critical Care Nursing Clinics. doi:doi.org/10.1016/j.cnc.2016.09.012
Freiderich, A. (2019). Control of hospital acquired infections and antimicrobial resistance in Europe: the way to go [English Version]. Weiner Medizinische Wochenschrift, 25-30.
Nekkab, N., Astragneau, P., Temime, L., & Crepey, P. (2017). Spread of hospital-acquired infections: A comparison of healthcare networks. Computational Biology. doi:doi.org/10.1371/journal.pcbi.1005666.
ospital Acquired Infections
The chosen clinical issue of interest regards the frequency with which hospital acquired infections or illnesses (HAI) occur and whether there is a potential prevention strategy that will curb the issue. Initially, the PICOT question was going to rely solely on addressing reasons for HAIs to be such a significant issue. Bicicor et al, (2017), for example, stated HAIs were responsible for more than thirty percent of all hospital readmissions and were suspected of causing nearly two million avoidable infections throughout 2015 along. This issue has only grown worse with Nekkab et al, (2017) asserting in 2016 HAIs were responsible for nearly 100,00 avoidable deaths and roughly $500 billion in annual fees the healthcare system cannot necessarily afford. However, upon performing more research it became clear the PICOT question should focus more on why HAIs occur, as well as how they can be mitigated or prevented. For example, Freiderich (2019) revealed findings indicative of a lack of cleanliness, as well as education at the primary causes of HAIs. Essentially, it was only recently discovered certain germs and viruses are resistant to most typical sanitizing solutions even used in hospitals, and that it is actually the firm, repetitive friction coupled with antimicrobial cleaning solutions that expunge an environment of potential HAIs, as stated by Boev and Kiss (2016), and this discovery has only decreased the rate of HAIs thanks to appropriate cleaning methods and education. It was decided based on findings provided by Barrasa-Villar et al, (2017) that the PICOT focus would be on patient education:
Does appropriate hand washing education (I) in patients (P) reduce prevalence or completely prevent developing a hospital acquired infection (O) in comparison to a lack of education (C) over time (T)?
Though many studies take duration of stay into account there is little information available to surmise a length of time from such a preliminary study. The strategies used could have been more useful if the topic search were narrowed. For example, after discovering education or a lack thereof was often suspected to be the cause of HAIs, key words and phrases should have changed to align with this development. More emphasis could have also been placed on the type of education necessary, or what forms of education have not worked in the past.
References
Barrasa-Villar, J., Aibar-Remon, C., Prieto-Andres, P., Mareca-Donate, R., & Moliner-Lahoz, J. (2017). Impact on Morbidity, Mortality, and Length of Stay of Hospital-Acquired Infections by Resistant Microorganisms. Clinical Infectious Diseases, 644-652.
Bicicor, I., Dascalu, M., Gaczowska, A., Hostuic, S., Moldoveanu, A., Molina, A., . . . Racovita, V. (2017). Wireless Sensor Network based System for the Prevention of Hospital Acquired Infections. ENASE.
Boev, C., & Kiss, E. (2016). Hospital-Acquired Infections: Current Trends and Prevention. Critical Care Nursing Clinics. doi:doi.org/10.1016/j.cnc.2016.09.012
Freiderich, A. (2019). Control of hospital acquired infections and antimicrobial resistance in Europe: the way to go [English Version]. Weiner Medizinische Wochenschrift, 25-30.
Nekkab, N., Astragneau, P., Temime, L., & Crepey, P. (2017). Spread of hospital-acquired infections: A comparison of healthcare networks. Computational Biology. doi:doi.org/10.1371/journal.pcbi.1005666.
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