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NURS2006 - Chronic Illness and Nursing Care

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Clinical Practice Improvement Project Report (NURS2006)

   

Added on  2020-04-21

NURS2006 - Chronic Illness and Nursing Care

   

Clinical Practice Improvement Project Report (NURS2006)

   Added on 2020-04-21

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Running head: CRITICAL APPRAISALCRITICAL APPRAISAL ON HEALTH CARE ASSOCIATED INFECTIONName of the StudentName of the universityAuthor’s note
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1CRITICAL APPRAISALIntroductionMedical advances have given life saving care to the patients, yet one of the main risksassociated to health care safety is the risk of infections. The unanticipated risks of infections maydevelop during the course of a surgical treatment a may deteriorate the condition of the patient.According to the consensus a large number of deaths are caused daily due to the HAI (Moore etal.2012). HAI may bring about unwanted mortality and may increase the time of the hospital stay.The HAI necessitates additional costs and can increase the overall cost of the hospital stay.Preventing HAIs is critical to patient. The risk of infection lies with any patient. Risk of infectiondepends upon the immune capacity of a particular person, presence of invasive medical devicessuch as catheter tubes and use of antibiotics. Proper preventive measures can help in mitigatingthe chance of the HAI (Weber et al.2013)Patients admitted in the health settings are subjected to risks of infections. From exposureto microorganisms that are transmitted between the clinical staffs and the patients. Overuse of antibiotics has increased the problems of HAI by giving rise to the antibioticresistant microorganisms. This paper aims to critically analyze three papers; a qualitative study, aquantitative study and literature review related to the health care associated infections and theirnursing interventions (Polin et al.2012). The NSQSH standard 3, refers to the prevention of the health care associated infections,and has presented with guidelines to prevent the nosocomial infections in the inpatients (Mooreet al.2013).
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2CRITICAL APPRAISALAccording to the guideline, prevention strategies like proper surveillance, application of properdisinfection and sterilization techniques, antimicrobial steward ship and proper communicationbetween the patients and the carers can mitigate the possibilities of the health care associatedinfections. Critical appraisalThe CASP tool has been chosen for the critical appraisal of the three papers. CASP toolsare appropriate to help the individuals to make sense of research evidence and help them apply toevidence based practice. CASP tools are normally used to appraise a paper critically and thushelp to solve the vagueness of any article. A critical research makes sure that all the ethicalconsiderations of the study have been met or whether the research has any beneficialimplications over mankind. The Paper by Jackson et al (2012) is an interpretative qualitative study that will discussabout the hospital acquired infections and the insufficient compliance of the guidelines by thehealth care workers. This study uses vignettes to enquire the nurses about their initiative toprevent the Health care associated infections. In this study twenty semi structured interviewswere being undertaken using vignettes and a topic guide. One of the limitations of this paper isthat it is a self practiced study, as most of the participants were keen to develop a goodimpression and present themselves as responsible registered nurses. Therefore it can beacknowledged that the practice of self report is biased. This strength of this study is due to theuse of the vignettes which can lessen the socially desirable responses. By allowing the nurses totalk about their practice and the vignette character, some of the disparities between the subjectiveand the objective data can be removed. For this study the formulation of the research questions,
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