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Clinical Practice Assignment PDF

   

Added on  2021-05-30

13 Pages3249 Words37 Views
Healthcare and Research
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Running head: CLINICAL PRACTICEClinical PracticeName of the studentUniversity nameAuthor’s note
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1CLINICAL PRACTICETable of ContentsAssessment 3:.........................................................................................................................2Introduction................................................................................................................................2Specific area of care practice.....................................................................................................2PICO question............................................................................................................................3Summaries of evidences chosen.................................................................................................4Compare and contrast of different literature sources.................................................................6Barriers to the implementation of evidence based practices......................................................7Conclusion..................................................................................................................................8References................................................................................................................................10
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2CLINICAL PRACTICEAssessment 3:Introduction The current assignment focuses upon specific clinical care practices and the variousmethods adopted within an acute care setup. The focus is upon use of evidence basedpractices which helps in improving the overall quality of care. However, a number of barriersare faced in the implementation of evidence based practices. Some of these could beattributed to the lack of sufficient knowledge and skills within the healthcare staffs.Additionally, difference of opinions between different members of a healthcare team oftenmakes implementation of the evidence based practices difficult. For the current assignment, apost operative set up of care has been taken into consideration with an emphasis uponmaintaining effective hand hygiene. The effective guidelines or standards of hand hygieneare often not effectively followed up within a post –operative setup, which further increasesthe chances of infection post surgery. The assignment tries to uncover the detailed methodsand procedures which could be implemented to ensure safe practices within an intensive careunit, as most of the times the basic guidelines are not 100% effective.Specific area of care practice In the current practice, a post operative care setup has been taken into consideration.A patient admitted within an intensive care unit or discharged from the same after surgicalprocess often undergoes a number of clinical complications. As mentioned by Grileet al.(2016), some of the post –operative complications arises due to failure in keeping up with thesafety measures. With regards to hand hygiene one of the most important clinical criteria,which could be discussed over here is healthcare associated infections. One of this isStaphylococcus aureus bacteraemia (SAB) which causes an infection of the bloodstream. It
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3CLINICAL PRACTICEresults in longer hospital stay and could often lead to fatal consequences. The bacteria arecommonly found in the skin or in the nose are spread from person to person. As reported byLabrecqueet al. (2016), the transmission mostly occurs through the hand of the healthcareworkers. The bacteria can gain direct entry into the bloodstream through the patient’s wound.The chances of coming in contact with the pathogen is high while giving intravenous fluidsor taking blood samples. The patients who are at greater risk of infection are the ones withopen wounds, invasive devices such as catherers, weakened immune systems etc (White etal. 2016). Sometimes the SAB could results in surgical site infections resulting in longerhospital stays and longer tome of recovery.Therefore, in order to ensure safe clinical practice sufficient amount of importanceneeds to be given on implementing and practising effective hand hygiene methods. Asreported by Ranjanet al. (2017), between 15-40% people admitted in critical care could bethought to be affected by healthcare associated infections. One in every 136 patients is proneto be infected by pathogens in critical care. The fatality rate is between 4-56% and requireshigh degree of care and attention. The hand hygiene is pivotal to implement safe andeffective clinical care practices and could be implemented through a number of steps suchas- using alcohol based hand rubs at the point of patient care, education of healthcareworkers on correct hand hygiene techniques, display of hand hygiene reminders (Pop-Vicaset al. 2017).PICO question A PICO question could be developed over here with regards to practising effectivehand hygiene standards in clinical care. Here, PICO refers to Population, Intervention,Comparison and Outcome. The question could be represented below as:
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