¶ … suffered from its quasi-experimental approach, as several participants left the study since they left the facility or otherwise were not permitted to participate -- for example, those patients who recovered sufficiently to conduct their own oral care no longer engaged in the experimental protocol and condition. The results were positive and significant, however, the severity of the patients' conditions and the small sample size challenged the researchers, as discussed below.
The title of the article, Oral Intensity: Reducing Non-Ventilator-Associated Hospital-Acquired Pneumonia In Care-Dependent, Neurologically Impaired Patients, is absolutely clear, unambiguous, and accurate. The abstract offers a clear overview of the study, particularly as it is divided into sections that enable readers to quickly learn about the methodology, results, discussion, and implications of the study. The purpose of the research study is clearly defined: The purpose of the study is to determine if an enhanced oral care protocol would decrease the incidence of non-ventilator-associated, hospital-acquired pneumonia in a neurosurgical population outside of the critical care environment.
The literature review is logically organized that first addresses the nature of the hospital-acquired pneumonia condition, then discusses the critical care literature, the neuroscience literature, the oral hygiene literature, and oral care intervention literature....
The literature offers a balanced critical analysis of the literature, although there were a number of references to "one study," which did not substantially strengthen the basis for the research. The majority of the literature is of recent origin, with several references to seminal studies, and mainly from primary sources of an empirical nature.
A theoretical framework has been articulated and it appears to have a sound basis and be adequately described. The two major guidelines (the Association of Medical Microbiology and Infectious Disease Canada -- AMMI -- and the Canadian Thoracic Society's joint document Clinical Practice Guidelines for Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia in Adults) recommend prevention oral care protocols for all in-patients whether or not they are ventilated. The theoretical framework and hypothesis of the Robertson & Carter (2013) research are derived from the definition, diagnosis, and prevention studies in these guidelines.
The aims, objectives, research question, and hypothesis of the research have been identified and are clearly identified. What's more, they reflect the information presented in the literature.
The target population was clearly identified, and both prospective and retrospective members of the sample consisted of neurosurgical patients subject to the inclusion criteria consistent with the research question. The members of the…
Ventilator-Associated Pneumonia The problem statement within the article by Berenholtz et al. (2011) concerns one of the most significant and common causes of patient morbidity and mortality, referring to ventilator-associated pneumonia (VAP). The study focuses on the impact of what they refer to as "multifaceted intervention" on reducing the incidences of this condition in the Intensive Care Unit. The gap identified exists between the translation of intervention guidelines to clinical practice
Ventilator Associated Pneumonia reflects the most common healthcare related infection in the process of providing intensive care within the context of the hospital. The condition enhances the morbidity, mortality, length of stay, and costs increments. Ventilator Associated Pneumonia possesses significant threat to the development of human beings because of the costs and complexion of the condition. The condition occurs under the watch of the nurses who have the responsibility
Compliance to Ventilator Care Bundles on Reducing Ventilator-Associated Pneumonia Ventilator-Associated Pneumonia (VAP) is a common infection that is acquired by patients who have used mechanical ventilation in health care facilities. This infection has generated numerous concerns in public health because of its negative impacts on health care. Some of these negative health effects include extended hospital stays, increased costs of health care services, and deaths. Consequently, there have been numerous initiatives
A study conducted by Ledgerwood et al. (2013) on the effects of tracheotomy tubes that have suction above the cuff established that the tubes have the capability to reduce VAP incidents. The amount of time spent in ICU and on the ventilator was also reduced. This does demonstrate that the patient was accorded the best treatment available to drain pleural effusion. The development of haemothorax/pneumothorax is anticipated in most patients
Chlorhexidine Gluconate Use in Ventilator Assisted Patients Prevent Ventilator Associated Pneumonia Chlorahexidine Gluconate Ventilator associated pneumonia is a common and fatal complicated issue for patients in ventilator care within the intensive care unit. Ventilated and incubated patients are a challenging threat for registered nurses to deliver high quality of care. It has been observed that incubation impedes the natural defense of the body against respiratory infections. The placement of an endotracheal
PICOT In critically ill adults (p), how does the daily use of chlorohexidine (I) compared to sterile water reduce VAP (ventilator-associated pneumonia) (O) during hospitalized stay (T). Part 2 Identifying a Problem Of the infections acquired by patients who've used mechanical ventilation in hospitals, ventilator-associated pneumonia is the most common. It causes several deaths, prolongs hospital stay and adds to the cost of medical care. Ventilator-associated pneumonia is commonly developed when pathogenic bacteria