Nursing Research « Nurse CE,Continuing Medical Education, LPN Courses,Online Nursing School

By: Nurses Network  09-12-2011
Keywords: health care, Nursing School

Nursing Research « Nurse CE,Continuing Medical Education, LPN Courses,Online Nursing School

A clinical problem I would like to research (or at least have the results available) involves hospital acquired infections (HAI). CMS will no longer reimburse providers for HAIs. One area in particular I would like to research involves hand hygiene as it applies to the patient. This study would be easy to carry out and is feasible.
I always offer hand sanitizer to the patient after assisting with toileting and am dismayed when the patient replies, “You are the only one who has done this.” Since the patient’s hands may be contaminated as they may handle their lines, etc I wonder what impact this has on infection rates. I would like to compare the infection rates in a unit who implements a strict patient hand hygiene program with a unit who observes the standard practice. The factors affecting feasibility include:
1. (Time and Timing) This should be minimal. Basically staff on the selected unit would offer hand sanitizer to the patient after toileting if the patient is not able to wash their hands. Feasible.
2. (Availability of study participants) This practice would be standard on the research unit with a “control” unit who does not alter their current practice. Feasible.
3. (Cooperation of others) This would require the cooperation of the staff and family, anyone who assists the patient with toileting. Feasible.
4. (Facilities and Equipment) The only equipment required is hand sanitizer or soap and water. Feasible.
5. (Money) This project would increase the amount spent on hand sanitizer but should be feasible.
6. (Researcher experience) All health care workers are educated in hand hygiene as well as the patient and family upon admission at my facility. Staff with clerical/research experience could help train staff in the selected unit on data collection and monitoring. Feasible.
7. (Ethical considerations) Since the comparison is with current behavior and does not encourage withholding hand hygiene, no special safeguards are required. Staff will not and can not force hand hygiene on patients and should document if patient refuses for comparison. Feasible
8. Availability of study participants: Participants would consist of any patient admitted to the selected unit.
9. Researcher interest: This may appeal to hospital administration as this simple intervention may prove to save the hospital significant sums spent on HAIs annually.

Polit, D. F., & Beck, C. T. (2008). Nursing research: generating and assessing evidence for nursing practice (8th Ed.). Philadelphia: Wolters Kluwer, Lippincott Williams & Wilkins.

Keywords: health care, Nursing School

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