In patients with central lines, what is the effectiveness of daily chlorhexidine bath compared to weekly or as needed dressing changes to reduce infection within the first three months of insertion?

Referenes has to be:

Furuya, Y., Dick, A., Perencevich, E., Pogorzelska, M., Goldman, D., & Stone, P. (2011). Central line bundle implementation in US intensive care units and impact on bloodstream infections. PLoS ONE, 6(1), 1-6.  

Graling, P., & Vasaly, F. (2013). The effectiveness of 2% CHG Cloth Bathing for Reducing Surgical Site Infections. AORN Journal, 97(5): 547-551.

Kim, J., Holtom, P., & Vigen, C. (2011). Reduction of catheter-related bloodstream infections through the use of a central venous line bundle: Epidemiologic and economic consequences. American Journal of Infection Control, 39(8), 640-646. 

Klinworth, G., Stafford, J., O’Connor, M., Leong, T., Hamley, L., Watson, K., Kennon, J., Bass, P., Cheng, A. C., & Worth, L. (2014). Implementation of a successful hospital-wide initiative to reduce central line–associated bloodstream infections. American Journal of Infection Control, 42(6), 685-687.

McAlearney, A., Hefner, J., Robbins, J., Harrison, M., & Garman, A. (2013). Preventing central line-associated bloodstream infections: A Qualitative Study of Management Practices. Infection Control & Hospital Epidemiology, 36(5), 557-563. 

Power, J., Peed, J., Burns, L., & Davis, M. (2012). Chlorhexidine bathing and microbial contamination in patients’ basin. American Journal of Critical Care, 21(5), 338-342.

Quach, C., Milstone, A, Perpe, C., Bonenfant, M., Moore, D., & Perreault, T. (2014). Chlorhexidine Bathing in a tertiary care neonatal intensive care unit: Impact on central line–associated bloodstream infections. Infection Control & Hospital Epidemiology, 35(2), 158-163.

 Richardson, J., & Tjoelker, R. (2012). Beyond the central line-associated bloodstream infection bundle: the value of the clinical nurse specialist in continuing evidence-based practice changes. The Journal of Advanced Nursing Practice, 26(4), 205-211. 

 Scheithauer, S., Lewalter, K., Schroder, J., Koch, A., Hafner, H., Krizanovic, V., Nowicki, K., Hilgers, R.-D., & Lemmen, S. (2014). Reduction of central venous line-associated bloodstream infection rates by using a chlorhexidine-containing dressing. Infection, 42(1), 155-159.

 

U.S. Department of Health and Human Services. (2011). Health-care-associated infection (HAI). Retrieved 10/21/2016 from http://www.hhs.gov/ash/initiatives/hai/index.html

This criterion is linked to a Learning Outcome Abstract: Brief summary of the direction of the project.

This criterion is linked to a Learning Outcome Introduction to problem or issue in practical setting. Overview, purpose, plan for paper.

This criterion is linked to a Learning Outcome Literature Review: 12 single, original research articles (NO systematic reviews, meta- analyses, or meta-syntheses). Discuss purpose, question, methodology, analysis, and results. Tabular format must be added as Appendix A.

This criterion is linked to a Learning Outcome Analysis: Systematically analyze and evaluate relevance and validity of articles.

This criterion is linked to a Learning Outcome Gaps in research identified during the literature search.

This criterion is linked to a Learning Outcome Research Question(s): Flow(s) directly from the review of literature and posed for pilot study.

This criterion is linked to a Learning Outcome Summary: Explain how this paper met the purpose stated in the introduction.

This criterion is linked to a Learning Outcome Standard English for spelling, grammar, punctuation, paragraph formation, and paper formation used

This criterion is linked to a Learning Outcome References (within past 5 years): current and relevant to topic-Utilize at least 12 appropriate scholarly research sources beyond textbooks.

This criterion is linked to a Learning Outcome Follows appropriate APA format.

 

Now that you have completed your in-person or digital mock interview, please provide a minimum of a one-page, single-spaced document that reflects the following items:

1. How you prepared yourself for the interview.
2. What you learned from the exercise.
3. If the experience was what you expected or not.
4. What you will do the same and/or differently in your next interview.

The American Cancer Society (ACS) is a nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem. Together with its supporters, ACS is committed to helping people stay well and get well by finding cures and by fighting back.Critical Thinking Questions:

1. Imagine that a family friend or colleague has just been diagnosed with cancer. Explain how the American Cancer Society might provide education and support. What ACS services would you recommend and why?
2. According to statistics published by the American Cancer Society, there will be an estimated 1.5 million new cancer cases diagnosed each year over the next decade. What factors contribute to the yearly incidence and mortality rates of various cancers in Americans? What changes in policy and practice are most likely to affect these figures over time
3. Select a research program from among those funded by the American Cancer Society. Describe the program and discuss what impact the research will have on the prevention or treatment of cancer.

 The nurse is ready to conduct a patient interview and understands that the health history is a conversation with a purpose and that the process of interviewing is both an art and a skill.

Discuss the challenges that a nurse may encounter when interviewing the
following patient types:
The silent patient.

  

Please, answer the following question in 2-3 paragraphs, the answer requires two references:  1). from peer-reviewed Nursing Journal not older than 5 years, and 2). from the following text book:  

Title: Nursing Health Assessment – A Best Practice Approach.

Author(s): Jensen, S (2015)

Publisher, Edition:Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. 2nd Ed.

ISBN 13: 978-1451192865;

APA format is required.

What are your thought??

As the healthcare industry continually evolves and adapts to meet humanity’s needs, technology has begun to play an ever more important role in assisting healthcare workers in assisting their patients. Seldom in the United States will a patient find a hospital that has no reliance upon technology whatsoever. While many people have tried to resist the technological revolution that is occurring, Technology has become ubiquitous in all businesses and communities, and healthcare settings are no exception to that rule.