The Clinical Issue And Research Questions Developed U 485897

The Clinical Issue And Research Questions Developed Using Pico

Begin by selecting a topic in nursing or medicine that is of interest to you. Next, use PICOT to format possible research questions about that topic. Provide 3 possible PICOT research questions. Include the following: Title page Provide a brief description of the topic and background information. Explain the significance of the topic to nursing practice.

Provide 3 clearly stated PICOT questions. Your paper should: Be 2–3 pages (not including the title page and reference page) Use current APA format to style your paper and to cite your sources.

Paper For Above instruction

Selecting a relevant and compelling topic is an essential first step in nursing research, as it directly influences the relevance and potential impact of the study. For the purpose of this assignment, I have chosen the topic of "the effect of hand hygiene interventions on reducing healthcare-associated infections (HAIs) in hospital settings." The significance of this topic to nursing practice is profound, given that HAIs pose a major threat to patient safety, increase healthcare costs, and are often preventable through proper hand hygiene practices. Nurses play a pivotal role in infection control, and understanding effective interventions can lead to substantial improvements in patient outcomes, making this a critically relevant area for research and practice improvement.

Background information indicates that healthcare-associated infections are infections patients acquire while receiving treatment for other conditions within healthcare settings. According to the CDC (2021), HAIs are among the top causes of morbidity and mortality globally, with hand hygiene identified as the most effective strategy to prevent their spread. Despite extensive evidence supporting hand hygiene, compliance rates among healthcare workers remain suboptimal, often due to factors such as workload, organizational culture, and lack of education. Therefore, identifying the most effective hand hygiene interventions—whether through education, reminders, or technological solutions—could significantly enhance compliance and reduce the incidence of HAIs. This background underscores the importance of evaluating specific interventions and their effectiveness over time, making it a suitable area for research using the PICOT framework.

Using the PICOT model, three possible research questions are formulated as follows:

PICOT Question 1

In hospital nurses (P), how does implementing a multimodal hand hygiene compliance program (I) compared to standard education (C) influence the rate of healthcare-associated infections (O) over six months (T)?

PICOT Question 2

In pediatric intensive care units (P), how does the use of electronic hand hygiene monitoring systems (I) compared to traditional direct observation (C) affect compliance rates (O) over a three-month period (T)?

PICOT Question 3

Among adult surgical patients (P), how does a nurse-led educational intervention (I) compared to no intervention (C) impact the rate of postoperative infections (O) over a four-week period (T)?

The first research question aims to evaluate the effectiveness of a comprehensive hand hygiene program in reducing HAIs, which is critical given the serious consequences associated with infection transmission. The second question explores technological solutions to improve compliance, which could modernize and streamline infection control measures. The third question focuses on patient education, acknowledging the role patients can play in infection prevention, especially in postoperative care. These questions are designed to address different aspects of hand hygiene practices and their impact on patient safety, aligning with nursing's pivotal role in infection control and healthcare quality improvement.

References

• Centers for Disease Control and Prevention (CDC). (2021). Healthcare-associated Infections (HAIs). https://www.cdc.gov/hai/index.html
• World Health Organization (WHO). (2009). WHO guidelines on hand hygiene in health care. https://www.who.int/publications/i/item/9789241597906
• Jahangiri, M., et al. (2020). The impact of hand hygiene compliance on healthcare-associated infections: A systematic review. Journal of Infection Prevention, 21(4), 183-189.
• Evans, C., et al. (2019). Effectiveness of electronic hand hygiene monitoring systems in reducing infection rates. Infection Control & Hospital Epidemiology, 40(9), 1024-1029.
• Allegranzi, B., et al. (2014). The impact of multimodal strategies on improving hand hygiene compliance in healthcare: A systematic review. Journal of Hospital Infection, 86(2), 71-78.
• Gould, D. J., et al. (2017). Interventions to improve hand hygiene compliance in patient care. Cochrane Database of Systematic Reviews, (9), CD005186.
• World Health Organization (WHO). (2011). Improving Patient Safety Through Hand Hygiene: A Global Perspective. http://www.who.int/patientsafety/events/11/hand_hygiene/WHO_Guidelines/en/
• Tarzi, S., et al. (2016). Influence of education and reminders on hand hygiene in healthcare workers. Journal of Clinical Nursing, 25(13-14), 2061-2069.
• Levy, M. M., et al. (2018). Strategies to enhance hand hygiene compliance in healthcare. Journal of Hospital Infection, 98(4), 406-412.
• Pittet, D., et al. (2019). Effectiveness of a comprehensive hand hygiene program in healthcare settings. Infection Control & Hospital Epidemiology, 40(6), 658-663.