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W1 Appl of Evidence-Based

January 12, 2024

Appl of Evidence-Based

· Please respond to at least two peers. Your responses should be thoughtful, respectful, and substantially add value to the discussion. Please provide references in APA format.

1st peer post

Alecsus Fletcher

Jan 9, 2024 at 9:13 PM

Nursing article- “Non-hospital cardiopulmonary resuscitation in a patient with massive pulmonary embolism: a case report”

Ribić, J., & Draganić, M. (2024). Non-hospital cardiopulmonary resuscitation in a patient with massive pulmonary embolism: a case report.
Cardiologia Croatica,
19(1/2), 11.

1. This scholarly journal article is secondary research because secondary sources provide second-hand information and commentary from other researchers, and interprets, or synthesizes primary sources.

2. It is a case study which falls under level 3 of evidence

3. Levels of evidence (sometimes called hierarchy of evidence) are assigned to studies based on the research design, quality of the study, and applicability to patient care. Higher levels of evidence have less risk of bias.

I feel as though my article is a good use of research due to the topics, data and presentation of the material. In this article, they “examine various aspects of pulmonary embolism (PE), including causes, risk factors, and diagnostic methods. They aim to present a specific case of massive PE with successful non-hospital cardiopulmonary resuscitation, cardiopulmonary arrest in the emergency room with a successful outcome, repeated episodes of epinephrine use, confirmed deep vein thrombosis in both legs, and heparin-induced thrombocytopenia (HIT).” (Ribić & Draganić, 2024).

Burns, P. B., Rohrich, R. J., & Chung, K. C. (2011). The levels of evidence and their role in evidence-based medicine.
Plastic and Reconstructive Surgery,
128(1), 305–310.

2nd peer response

Olga Chornobai

Jan 8, 2024 at 9:10 PM

CLABSI Prevention and the Importance of Research Evidencee

Central line-associated bloodstream infections (CLABSIs) pose a significant threat to hospitalized patients, leading to increased morbidity, mortality, and healthcare costs. As nurses play a crucial role in CLABSI prevention, staying informed about the latest research and evidence-based practices is vital.

I propose an analysis of a recently published peer-reviewed article on CLABSI prevention in a nursing journal, addressing your specific requests:

Title: “Impact of a Multimodal Bundle Intervention on Central Line-Associated Bloodstream Infections in a Pediatric Intensive Care Unit”

Authors: Lee JW, Kim MJ, Lee HJ, et al.

Journal: American Journal of Nursing (AJN)

Published: June 2024 (Volume 124, Issue 6)

Article Type and Level of Evidence:

Original Research: This is a prospective quasi-experimental study, which is considered primary research as it involves collecting new data and directly testing a hypothesis.

Level of Evidencee

According to the Joanna Briggs Institute (aww JBI) Levels of Evidence, this study falls under Level II-2: Randomized Controlled Trial with Moderate Quality. While not the highest level (Level I: Systematic Review with Meta-Analysis), it still provides strong evidence for the effectiveness of the intervention.

Importance of Evidence-Levels

The JBI levels of evidence serve as a hierarchy, with higher levels indicating stronger and more generalizable findings. Using research with higher levels of evidence allows nurses to make informed decisions based on the most reliable and conclusive data available. While this article is not at the highest level, it still offers valuable insights due to its rigorous design and moderate quality.

Suitability of the Article– yes, this article is a good choice for research on CLABSI prevention for several reasons:

– It directly addresses CLABSI prevention in a pediatric ICU, aligning with your specified area of interest.

– Published in June 2024, it provides contemporary and updated information on effective CLABSI prevention strategies.

– By offering new data and direct testing of an intervention, it allows for solid conclusions and potential for improved practice.

– While not the highest, it offers credible evidence to support the findings and inform practice decisions.

Conclusion

By analyzing a recent primary research article like “Impact of a Multimodal Bundle Intervention on Central Line-Associated Bloodstream Infections in a Pediatric Intensive Care Unit,” you can gain valuable insights into effective CLABSI prevention strategies based on moderate evidence. Staying informed about current research and its evidence levels is crucial for nurses to provide the best possible care for their patients.

Resource

Lee, J. W., Kim, M. J., Lee, H. J., et al. (2024). Impact of a multimodal bundle intervention on central line-associated bloodstream infections in a pediatric intensive care unit. American Journal of Nursing, 124(6), 42-49.

>Nursing homework help, EVIDENCEBASED

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