Evidence Based Nursing And Research Report

Running Head: Evidence Based Nursing Research
Assessment
Evidence Based Nursing Research
Student Name:
Part 1
PICOT: Is the alcohol based solution in handwashing, more effective than soap and water based
handwash in reducing the nosocomial infections in nephrology unit of a hospital?
1. How your population matches the populations in your research articles.
The population I have chosen for my research is the Nurses and other Health Care Workers
employed at nephrology unit of the Hospital. The population used in three research articles also

Evidence based Nursing Research
2
involves Nurses. However, one of the research articles by Boyce et al, (2017) involved the Nurses
from hospital to identify the epidemiology in general, Piras et al(2017) included the nurses from ICU
and Critical Care Units, while the Karaoglu & Akin (2018) involved the nurses working at
hematology, oncology, chemotherapy, surgical intensive care and transplant units.
2. The Intervention you would implement
The intervention would be tested on two groups of nurses each consisting of 5-6 nurses working in
two different shifts in same ward. One group would be subjected to traditional soap water hand-wash
approach and the other group to alcohol based hand-wash. The swabs would be collected from both
hands of each nurse in two groups before and after hand-wash, using sterile cotton tipped swabs.
MacConkey’s Medium and Blood Agar would be used to culture the swabs for examining the
bacterial growth. Counted colonies would be compared in two groups using paired t-test.
3. Define baseline data collection sources (EMR, datasets, etc), method, and measures:
1. The study would be conducted for 2 months (Feb 2020 to March 2020)
2. Ethical permission from the hospital ethics committee would be taken before conducting
intervention. Informed consent from the nurses would also be necessary.
3. Two Swabs would be collected every week from the nurses in both groups before and after
hand-wash from soap water and alcohol sanitizer respectively. The plates carrying swabs
would be incubated at 370 degree and assessed for the number of colony forming
microorganisms.
4. Expected outcome (include specific plan how you will measure/evaluate your change in
practice: Specifically who, what, when, where, and how:
 Expected outcome is Alcohol based hand wash is more effective than soap and water based
hand-wash in preventing harmful bacterial contaminants.
 Who? The nurses at Nephrology Unit accepted the use of alcohol based hand-wash to be
more effective in eliminating nosocomial infections.