Registerd Nurse

Topics: Bacteremia, Infectious disease, Medicine Pages: 5 (1082 words) Published: May 26, 2014


Research Critique, Part 2

Research Critique, Part 2
Protection of Human Participants
There are of course benefits and risks to any medical procedure, although the participants who were included in this study needed the central line placed due to a medical reason not just to participate in this study so the risks and benefits were explained to each and every patient at the time of the procedure unless the central line was put in during an emergent situation (Boyce, Nadeau, Dumigan, Miller, Dubowsky, Reilly, & Hannon, 2013). The participants who were in this study were informed and asked for permission if they could be used for data collection and if their cases could be followed up on for the extent of the time the central line is in place (Boyce et al., 2013). If the patients did not want to participate in the study their cases would not be utilized and no data collected form these individuals (Boyce et al., 2013). I do not believe there were any benefits or risks that were not covered by the authors, as I mentioned earlier all the people who were included in the study needed the central line for medical purposes and not for the solo purpose of this study. And the collection of this data did not put the patients at any more risk for anything than they already have from the central line. It was not mentioned about the researchers having permission from the institutions review board prior to conducting the study but for such a large amount of participants and data to be included in the study one would assume permission was requested and granted prior to the beginning of the study. Data Collection

The major variables were not directly identified, but for the purpose of this research article the independent variable would be the fact that all participants have a central catheter placed for some period of time to treat a medical condition. The dependent variables would be the places which the catheter was placed and cared for as well as the length of time the catheter was in place, how frequently cleaned, and if any chemicals such as chlorhexidine gluconate (CHG) were used during the cleaning or care of the catheter. The data utilized in this study was collected during a one-year descriptive review (Quach, Milstone, Perpête, Bonenfant, Moore, & Perreault, 2014). The study took place in a single tertiary center with a 1,200-bed hospital and 209 adult ICU beds (Tedja, Gordon, Fatica, & Fraser, 2014). The participants in the study were hospitalized patients identified as having a central line associated blood stream infection (CLABSI) event attributed to a non-ICU setting(Tedja et al., 2014). The cohort was identified from a prospective infection prevention database, charts and administrative data sets were reviewed to further characterize the patients and device utilization ratios (DURs) and CLABSI rates were calculated using National Health and Safety Network (NHSN) CLABSI definitions (Tedja et al., 2014). There was no rational for as to why the data was collected this way but one may assume it was the most cost effective and least time consuming way to collect and review this data. Data Management and Analysis

The data management and analysis used in this study was very simple, a computer was utilized to hold manually entered data collected from charts and administrative data sets that were reviewed to further characterize the patients and device utilization ratios (DURs) and CLABSI rates were calculated using National Health and Safety Network (NHSN) CLABSI definitions (Tedja et al., 2014). The author did not discuss how the rigor of the process was assured, as it was just data collected from patient charts that had a central line placed for a medical reason. The author mentioned that Microsoft excel was utilized to compile data (Tedja et al., 2014). The data was reviewed by an entire team consisting of administrators, medical doctors, and nurses and presented to the hospitals administrative...

References: Boyce, J. M., Nadeau, J., Dumigan, D., Miller, D., Dubowsky, C., Reilly, L., & Hannon, C. V. (2013). Obtaining Blood Cultures by Venipuncture versus from Central Lines: Impact on Blood Culture Contamination Rates and Potential Effect on Central Line—Associated Bloodstream Infection Reporting. Infection Control & Hospital Epidemiology, 34(10), 1042-1047. doi:10.1086/673142
Quach, C., Milstone, A. M., Perpête, C., Bonenfant, M., Moore, D. L., & Perreault, T. (2014). Chlorhexidine Bathing in a Tertiary Care Neonatal Intensive Care Unit: Impact on Central Line--Associated Bloodstream Infections. Infection Control & Hospital Epidemiology, 35(2), 158-163. doi:10.1086/674862
Tedja, R., Gordon, S. M., Fatica, C., & Fraser, T. G. (2014). The Descriptive Epidemiology of Central Line--Associated Bloodstream Infection among Patients in Non-Intensive Care Unit Settings. Infection Control & Hospital Epidemiology, 35(2), 164-168. doi:10.1086/674856
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