Note too, that a teaching / training program was the constituent of the two multi-faceted programs, whilst the study of the independent training program, in reality, also incorporated the other 2 programs in that participants were induced to practice instructions. On the other hand, some of the questions involving the study of the training program was that since it was a self-module it depended on voluntary motivation of individuals to complete modulus and one cannot know how many of them actually did or with what degree of concentration. The fact that their baseline and post-test examinations showed differences in results cannot be conclusively traced to effect of training program.
That all studies were nested can also be indicated in the two multi-faceted interventions were that of Pronovost et al. (2006) was nested in that of Berenholtz, et al. (2004). Whilst Pronovost et al. (2006) tested 5 evidence-based...
(2004).
In this way, I prefer Berenholtz et al. (2004) study to that of the others since I see all of the other studies inclusive in that of Berenholtz, et al. (2004). They have an educational program; they implement the 5 evidence-based reducing variables; and they use CHG.
References
Berenholtz, SM et al. (2004) Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med Vol. 32, No. 10, 2014-2020
Bleasdale, SB et al. (2007) Effectiveness of Chlorhexidine Bathing to Reduce Catheter-Associated Bloodstream Infections in Medical Intensive Care Unit Patients Arch Intern Med.;167(19):2073-2079
Coopersmith CM et al. (2002). Effect of an education program on decreasing catheter-related bloodstream infections in the…
