Fluent Essays

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the Research Critique Guidelines – Part II document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. final_picot_question.docx Unformatted Attachment Preview Picot Question Student’s Name Institutional Affiliation Date Picot Question Hip and knee replacement are considered some of the most commonly performed procedures in America. Combinedly, the total number of knee and hip replacements in the United States exceeds 1 million annually. Even worse is the fact that there are approximately 20,000 surgical site infections annually that develop after both knee and hip surgeries, eventually increasing the cost of healthcare. Infection control is one of the most vital parts of the healthcare infrastructure. It addresses factors associated with the spread of infections within the healthcare setting, including patient- to patient, staff to patients, patients to staff, and staff to staff. Infection prevention also considers issues such as hand hygiene, disinfection, vaccination, and surveillance that would prevent the spread of diseases from one person to another in the healthcare setting. Mainly, infection control is necessary during and after surgical operations since a lack of proper wound care would result in prolonged hospital stays and a slow rate of recovery. Treatment for hip replacement infections often involves antibiotics and other preventive therapies used to treat the bacteria that gain access to the implants. Nevertheless, patients who get infections associated with hip replacement often require surgery to cure the infection. Although individuals with joint replacement may suffer infections from a lack of proper wound care, factors like smoking, arthritis, obesity, and diabetes could also increase the risk factors of hip surgery infection. PICOT QUESTION Does hand washing among caregivers reduce hospital-acquired infections after hip surgery within the first month? Literature evaluation table Index Citations/author (s) Purpose of study Methods Evaluation Conclusion Limitation 1 Horng, L. M., Unicomb, L., Alam, M. U., Halder, A. K., Shoab, A. K., Ghosh, P. K., ... & Luby, S. P. (2016). Healthcare worker and family caregiver hand hygiene in Bangladeshi healthcare facilities: results from the Bangladesh National Hygiene Baseline Survey. Journal of Hospital Infection, 94(3), 286-294 The study sought to determine the relevance of hand hygiene among caregivers to evaluate its impact on hospital readmission rates associated with surgical site infections Questionnaires The results revealed that hand hygiene among caregivers helps to reduce infections and eventually to reduce the rate of hospital readmission Hand hygiene is important for caregivers both at home and in the healthcare setting as this reduces the rate of hospital readmission The study utilized a small sample that may not be a representative of the entire population 2 Graves, N., Halton, K., & Lairson, D. (2007). Economics and preventing hospital-acquired infection: broadening the perspective. Infection Control & Hospital Epidemiology, 28(2), 178184. The research explored the impact of hand hygiene in reducing the hospital- acquired infections Experiment The results revealed that hand hygiene in the hospital setting helps to reduce the rate of infections after prosthetic operation procedures and this reduces the overall cost of healthcare Hand hygiene is one of the most crucial mechanisms of infection control in the healthcare setting, and this reduces the rate of hospital readmission eventually lowering the cost of care The research utilized a very large sample that may reduce the effectiveness of the research 3 Arduino, J. M., Kaye, K. S., Reed, S. D., Peter, S. A., Sexton, D. J., Chen, L. F., ... & Anderson, D. J. (2015). Staphylococcus aureus infections following knee and hip prosthesis insertion procedures. Antimicrobial resistance and infection control, 4(1), 13. The research sought to determine the prevalence of infections following knee and hip surgeries in the healthcare setting Questionnaires The results revealed that Staphylococcus aureus infections are the most common bacteria affecting patients after knee and hip surgeries Hand hygiene is necessary in the healthcare setting since it reduces the probability of the development of the Staphylococcus aureus bacteria after knee and hip replacement surgeries The researchers did not seek permission form the relevant authorities and this reduces the validity of the data 4 McLaws, M. L. (2015). The relationship between hand hygiene and health care-associated infection: it’s complicated. Infection and drug resistance, 8, 7. The researcher explored the manner in which hand hygiene impacts healthcare through a reduction in the hospital acquired infections after surgery Multicentered study The results revealed that hand hygiene is an essential aspect of the healthcare infrastructure since it reduces the development of surgical site infections after surgeries Caregivers in the healthcare setting should focus on hand hygiene as one of the most vital infection control procedures in the reduction of surgical site infections after surgery The research sues theoretical experimentation that does not provide adequate information on the topic of infection control 5 Zawadzki, N., Wang, Y., Shao, H., Liu, E., Song, C., Schoonmaker, M., & Shi, L. (2017). Readmission due to infection following total hip and total knee procedures: A retrospective study. Medicine, 96(38). The research sought to determine the impact of hand hygiene in the reduction of hospital readmission rates following total hip and knee replacement surgeries Inpatient databases review The research revealed that 33.39\% of the patients were re-admitted due to surgical site infections in Florida, while 35.2\% of the re-admissions in California were associated with infections following total hip replacement surgeries. Hand hygiene plays a crucial role in the prevention of bacteria that causes infections on wounds after total knee and hip replacement surgeries The researchers do not have enough information on each of the databases 6 Pollock, F. H., Bethea, A., Samanta, D., Modak, A., Maurer, J. P., & Chumbe, J. T. (2015). Readmission within 30 days of discharge after hip fracture care. Orthopedics, 38(1), e7-e13 The researcher sought to determine the factors increasing the probability of hospital readmission within the first month of hospital discharge following hip fracture care Questionnaires The results revealed that patients who were re-admitted to the hospital had medical complications, orthopedic surgical failures, and infections Infections play a crucial role in increasing the rate of hospital re-admission rate within the first month of discharge for patients requiring hip fracture care The researchers used a broad perspective of the factors influencing hospital readmission rates instead of focusing on infections Literature search Article 1 (Qualitative research): Horng, L. M., Unicomb, L., Alam, M. U., Halder, A. K., Shoab, A. K., Ghosh, P. K., ... & Luby, S. P. (2016). Healthcare worker and family caregiver hand hygiene in Bangladeshi healthcare facilities: results from the Bangladesh National Hygiene Baseline Survey. Journal of Hospital Infection, 94(3), 286-294. Retrieved from https://www.sciencedirect.com/science/article/pii/S0195670116303632 Article 2 (Qualitative research): Graves, N., Halton, K., & Lairson, D. (2007). Economics and preventing hospital-acquired infection: broadening the perspective. Infection Control & Hospital Epidemiology, 28(2), 178-184. Retrieved from https://wwwnc.cdc.gov/eid/article/10/4/pdfs/02-0754-combined.pdf Article 3 (Quantitative research): Arduino, J. M., Kaye, K. S., Reed, S. D., Peter, S. A., Sexton, D. J., Chen, L. F., ... & Anderson, D. J. (2015). Staphylococcus aureus infections following knee and hip prosthesis insertion procedures. Antimicrobial resistance and infection control, 4(1), 13. Retrieved from https://aricjournal.biomedcentral.com/articles/10.1186/s13756-015-0057-4 Article 4 (Quantitative research): McLaws, M. L. (2015). The relationship between hand hygiene and health care-associated infection: it’s complicated. Infection and drug resistance, 8, 7. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4319644/ Article 5 (quantitative research): Zawadzki, N., Wang, Y., Shao, H., Liu, E., Song, C., Schoonmaker, M., & Shi, L. (2017). Readmission due to infection following total hip and total knee procedures: A retrospective study. Medicine, 96(38). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5617700/ Article 6 (Qualitative research): Pollock, F. H., Bethea, A., Samanta, D., Modak, A., Maurer, J. P., & Chumbe, J. T. (2015). Readmission within 30 days of discharge after hip fracture care. Orthopedics, 38(1), e7-e13. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4465259/ References Arduino, J. M., Kaye, K. S., Reed, S. D., Peter, S. A., Sexton, D. J., Chen, L. F., ... & Anderson, D. J. (2015). Staphylococcus aureus infections following knee and hip prosthesis insertion procedures. Antimicrobial resistance and infection control, 4(1), 13. Retrieved from https://aricjournal.biomedcentral.com/articles/10.1186/s13756-015-00574 Horng, L. M., Unicomb, L., Alam, M. U., Halder, A. K., Shoab, A. K., Ghosh, P. K., ... & Luby, S. P. (2016). Healthcare worker and family caregiver hand hygiene in Bangladeshi healthcare facilities: results from the Bangladesh National Hygiene Baseline Survey. Journal of Hospital Infection, 94(3), 286-294. Retrieved from https://www.sciencedirect.com/science/article/pii/S0195670116303632 Graves, N., Halton, K., & Lairson, D. (2007). Economics and preventing hospitalacquired infection: broadening the perspective. Infection Control & Hospital Epidemiology, 28(2), 178-184. Retrieved from https://wwwnc.cdc.gov/eid/article/10/4/pdfs/02-0754-combined.pdf McLaws, M. L. (2015). The relationship between hand hygiene and health careassociated infection: it’s complicated. Infection and drug resistance, 8, 7. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4319644/ Pollock, F. H., Bethea, A., Samanta, D., Modak, A., Maurer, J. P., & Chumbe, J. T. (2015). Readmission within 30 days of discharge after hip fracture care. Orthopedics, 38(1), e7-e13. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4465259/ Zawadzki, N., Wang, Y., Shao, H., Liu, E., Song, C., Schoonmaker, M., & Shi, L. (2017). Readmission due to infection following total hip and total knee procedures: A retrospective study. Medicine, 96(38). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5617700/ ... Purchase answer to see full attachment