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C361 Performance Assessment 1 .docx C361 C361 - MLM1 €“ Performance Assessment 1 College of Health Professions, Western Governors University C361: Evidence-Based Practice and Applied Nursing Research C361 - MLM1 €“ Performance Assessment 1 A. Impact of the Problem on the Patient Ho...
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C361
C361 - MLM1 – Performance Assessment 1
College of Health Professions, Western Governors University
C361: Evidence-Based Practice and Applied Nursing Research
C361 - MLM1 – Performance Assessment 1
A. Impact of the Problem on the Patient
Hospital-acquired infections, such as multidrug–resistant (MDR) organisms, have been
associated with increased mortality, morbidity, and subsequent conditions resulting in lengthy
hospital stays, increased healthcare costs, and potentially unfavorable patient outcomes.
A. Impact of the Problem on the Organization
The impact hospital-acquired infections have on the organization is decreased patient
satisfaction, increased healthcare costs resulting from lengthier hospital stays, readmissions
resulting from subsequent conditions, and the potential for further complications.
A1. Identify the PICO components.
P - Patients in the hospital
I - Chlorhexidine
C - Lack of chlorhexidine
O - Reduction of hospital-acquired infections
A2. Evidence-Based Practice Question
Among patients in a hospital setting, does the use of chlorhexidine reduce hospital-
acquired infections versus the lack of use of chlorhexidine?
Research Article
B1. Background Introduction
, The purpose of the study was to evaluate the effects of using chlorhexidine as a new
prophylactic intervention for universal decolonization on the type and incidence of hospital-
acquired infections.
B2. Methodology
The method used for this study was observational and was performed within a mixed 16-
bed intensive care unit over one year. The patients were studied in three groups: the pre-
intervention group using soap and water method during bathing, the intervention group using
chlorhexidine for bathing, and the post-intervention group using soap and water for bathing. Two
hundred seventy-two patients were included in the study, and the bathing was performed daily by
nurses. All patients treated in the ICU were included in the study. The study compared the
incidence of hospital-acquired infections within the ICU between the three groups.
B3. Level of Evidence
According to the John Hopkins Nursing Evidence–BasedEvidence–Based Practice
(JHNEBP) model, this research study is a level 3.
B4. Data Analysis
The data was analyzed using the Kruskal-Wallis ANOVA test, x2, and contingency tables.
B5. Ethical Considerations
No informed consent was required for this study due to its observational nature. The
Bioethics Committee approved the study.
B6. Quality Rating
According to the John Hopkins Nursing Evidence-Based Practice (JHNEBP) model, this
research study's quality rating is A – High.
B7. Analysis of the Results / Conclusions
The research article's conclusion states that universal decolonization using chlorhexidine
baths reduced the number of hospital-acquired infections by 32%. This article supports my
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