Nurse burnout is a common occurrence. This can exacerbate an ongoing problem that is seen in hospitals, nosocomial infections. Nosocomial infections remain prevalent for patients with extended hospital stays like those in intensive care units. An infection that starts roughly 48 hours after admission, those in intensive care units (ICUs) experience a continued rate of infection leading to increase length of stay, mortality, and morbidity. The number of patients that develop a nosocomial infection are from 7 to 10% internationally (Dasgupta, Das, Hazra, & Chawan, 2015). As such, hospitals have decided to classify nosocomial infection sites based on clinical and biological criteria.
Research has led to the discovery of several bacterial strains that involve the formation of nosocomial or hospital acquired infections. "The agents that are usually involved in hospital-acquired infections include Streptococcus spp., Acinetobacter spp., enterococci, Pseudomonas aeruginosa, coagulase-negative staphylococci, Staphylococcus aureus, Bacillus cereus, Legionella and Enterobacteriaceae family members, namely, Proteus mirablis, Klebsiella pneumonia, Escherichia coli, Serratia marcescen" (Khan, Ahmad, & Mehboob, 2015, p. 509). These pathogens can be transmitted via infection individuals, contaminated food and water, person to person, environment, contaminated healthcare personnel's skin, and contact from shared surfaces/items. The kinds of multi-drug resistant pathogens are: "methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, Pseudomonas aeruginosa and Klebsiella pneumonia, whereas Clostridium difficile shows natural resistance" (Khan, Ahmad, & Mehboob, 2015, p. 509).
With 90% of the infections stemming from bacteria, the potential mistakes made by burned out or overworked nurses regarding hygiene could further progress the problem. Those in ICUs often stay there for an average of one week or more and may experience infection via several ways. Two of which are catheter and length of stay. The most frequent nosocomial infection experienced in ICUS is pneumonia. "Pneumonia was the most frequently detected infection (62.07%), followed by urinary tract infections and central venous catheter associated bloodstream infections. Prior antimicrobial therapy, urinary catheterization and length of ICU stay were found statistically...
Applying the Theory of Planned Behaviors to Nosocomial Infections Identify a public health theory you will use to support the implementation of your prevention and health promotion activities. Provide evidence that supports the use of this theory within the program you designed According to the tenets of the theory of planned behavior, individuals first think about a behavior (e.g., the intent to act) and only then proceed to act (Chambers & Benibo,
hygiene techniques with traditional soaps may or may not be more effective than using alcohol-based solutions concerning reduction in nosocomial infection rates in acute hospitals. With recent usage of alcohol-based solutions, use of traditional antibacterial soaps may be outdated and take longer. Nosocomial infections present as a major issue for acute care hospitals and require research in identifying the most effective way to sterilize hands to avoid increasing infection
Potential topics 1. Patient positioning 2. Nosocomial infections 3. Infrequent monitoring Picot Question In mechanically ventilated patients on a pulmonary Med Surg floor, does positioning the patient in a semi fowlers position result in a decrease incidence of nosocomial pneumonia when compared to the supine or side lying positions? Positioning can play a crucial role in developing nosocomial infections. Those under mechanical ventilation may experience a higher rate of nosocomial pneumonia (Gunay et al., 2018). Positioning
Nosocomial Infections Synthesis The evidence-based approach utilized and advocated by all the authors cited in this essay can be viewed through the lens of a PDSA process as described by Hadaway (2006). For example, Pronovost and colleagues were interested in reducing the incidence of preventable CR-BSIs in the ICU setting in Michigan. They first identified an evidence base supporting an intervention and then planned how to implement the intervention to cause a
NICU Nosocomial Infections Preventing NICU Nosocomial Infections Rhine (2006) writes an editorial to appeal to clinicians staffing neonatal intensive care units (NICUs) to increase their awareness of patient safety measures because a large number of studies have shown that educating and training clinicians on how to prevent nosocomial infections (NI) can have a significant positive impact on patient outcomes. The author was motivated to write this editorial because of the findings from
Problem From the onset, it is important to note that nosocomial or healthcare-acquired infections (HAIs) happen to be rather common in our healthcare settings. In basic terms, nosocomial infections could be defined as the all those infections that are acquired or contracted within the healthcare environment. To be more specific, the World Health Organization – WHO (2020) defines the said infections as all those infections that “affect patients in a hospital
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