Evidence Based Nursing Research on Central Line Associated Blood Stream Infections

Running head: EVIDENCE BASED NURSING RESEARCH
Evidence based nursing research
Name of the student:
Name of the university:
Author note:

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EVIDENCE BASED NURSING RESEARCH
Table of Contents
Introduction and statement of the issue:.....................................................................................3
Summary table:..........................................................................................................................4
Critique of the evidence using CASP:.......................................................................................7
Data findings:.............................................................................................................................9
References:...............................................................................................................................10

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EVIDENCE BASED NURSING RESEARCH
Introduction and statement of the issue:
One of the greatest challenges to safe hospice stay and optimal care services provided
to the patients during their stay in the health care facility is health care associated infections
(Cruz et al. 2018). On a more elaborative note, the central line associated blood stream
infections or CLABSI have been identified as the most frequently reported conditions
affecting the patient populations. As mentioned by Patel et al. (2018), central line associated
blood stream infection is the primary contributor to thousands of deaths all across the globe.
Similarly, these infections also enhances the number of hospice stays in a day and also leads
to considerable challenges associated with the health care complications that the patient had
been suffering from. Undoubtedly this one of the most important and consequential issue that
impacts not just the patients, but also the acre providers that are associated with the care
program.
The central line is the central venous catheter, which is generally placed by the doctor
in a large vein near the neck, chest, or groin, in order to give the medication to the patients. It
has to be mentioned in this context that this invasive catheterization enhances the chance of
the pathogenic microbes inhabiting the health care environment to access the bloodstream of
the patient directly (Carpenter, McTigue and Roberts 2016). Hence, the central line
associated blood stream infections are very serious infections that can is facilitated by the
pathogen that blocks the catheter opening enter the blood stream of the patient and is spread
throughout the body immediately causing severe and even possible fatal consequences for the
patient. Even though the health care providers maintain a thorough infection control protocol,
the prevalence of the CLABSI in the health care sector is alarming (Dees et al. 2017). Hence,
I have chosen this grave issue for the this paper where I have chosen three different genre of
research studies, a quantitative study, a qualitative study, and a systematic review study to
review the findings and critically appraise the information provided by the research article.

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EVIDENCE BASED NURSING RESEARCH
The primary aim to acquire and explore knowledge and idea regarding the CLABSI and how
it impacts the health care scenario with respect to available literature evidence. This paper
will use these three articles to construct a tabular summary of the three chosen articles,
criticism of the article using a critical appraisal tool, and illustration of the key findings
provided by the chosen literature evidences on the selected issue.
Summary table:
Author/s (year)
Country
Aims
or
Purpose
Sample/ setting
or
Key stake-
holders and
their roles
Design/
methods
or
Type of paper
Main findings
or
Primary
argument
Strengths and
limitations of
the paper
Article 1 Rosenthal, V.
D., Udwadia, F.
E., Kumar, S.,
Poojary, A.,
Sankar, R.,
Orellano, P. W.,
... & Patil, P.
2015
The primary
aim of this
randomized
clinical trial is
to compare the
rates of central
line associated
bloodstream
infection
between the
patients that
used the split
spectrum with
single use
prefilled
flushing device
and the
patients that
used a three
way stopcock
device
Sample
Participants for
this study
included 1096
patients with
547 patients and
3619 central line
(CL)-days for the
SS + SUF group,
and 549 patients
and 4061 CL-
days for the
3WSC group.
Setting for the
research study
had been 5 adult
intensive care
units.
Design for this
research study
had been a
Quantitative
randomized
control clinical
trial.
The collected
data had been
analysed with
respect to three
parameters,
clinical analysis,
microbiological
analysis and
cost
effectiveness
analysis.
The main data
findings of the
research article
indicated that
during the trial
period the use
of single slit
along with
single use
peripheral
devices was
associated with
significantly
lower rate of
Central Line
associated
bloodstream
infection then
that of the
patients using
three way
stopcock
devices. Along
with that the
patient with
split septums
with single use
the strengths
and limitations
of this resource
study are not
clearly
identified and
illustrated in the
article by the
authors.
However with
respect to our
review, the
strength of the
article include
the sufficient
sampling,
thorough and
rigorous data
analysis and
interpretation of
the data, along
with
continuation
with the
previous
research
findings.