Clinical Problem Identification Discussion Paper
Identify a clinical problem in your area of clinical interest. Discuss a gap in the current research literature that you can identify specific to your clinical problem (Chapter 3 & 5). Think about variables you will need to investigate to fill the gap in knowledge share with your group.
For example (this is just an example), increased CAUTI in critical care is a clinical problem you are familiar with. You hypothesize that silver tip catheters decrease the incidence of CAUTIs in critical care. You as the researcher would like to investigate if this reduction in CAUTI can be attributed to silver tip catheters, but you are unable to find this in the literature. You develop a research problem stating this gap in the literature; Does the use of silver tip catheters in critical care units decrease the incidence of CAUTIS? The target population would be patients in critical care units with catheters. .The variables include CAUTI and silver tip catheters. The setting is critical care. Clinical Problem Identification Discussion Paper
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Chapters 3 and 5 are referring to our required textbook for this course which is the following:
Gray, J.& Grove, S.(2021).Burn’s and Grove’sThe practice of nursing research:
Appraisal, synthesis, and generation of evidence (9th ed.). St. Louis, MO: Elsevier.
ISBN 978- 0-323-67317-4
GUIDELINES
To receive full credit, your original post should include all elements requested in the prompt (prompt may have multiple parts and/or require an article to be attached). Responses to the prompt should be made directly in the discussion forum (not as an attachment). All posts (original and replies) should be substantive and contribute to the understanding of the topic. Your response can support the view of the other person, lend a different viewpoint, or provide additional information. In addition, a peer response can be a question which, if answered, would improve upon the other student’s original idea. Provide rationale for your views and cite the work of others if needed. No credit will be given for peer responses such as “good job” or “I agree.” Clinical Problem Identification Discussion Paper
Central Line Associated Blood Stream Infections (CLABSIs) are laboratory-confirmed and preventable hospital-acquired bloodstream infections occurring when germs get into the bloodstream through the central line during dialysis. According to Jose et al. (2022), CLABSIs contribute to approximately 72% of the total hospital-acquired infections. The clinical problem is a major patient safety issue and a measure of poor-quality healthcare services. In addition, CLABSIs prolong a patient’s length of hospital stay, increases hospital expenditure, and is associated with increased mortality rates (Jose et al., 2022). This discussion identifies a gap in research literature related to the identified clinical problem and the variables to be investigated.
Despite the extensive literature on the general incidence of CLABSIs in hemodialysis and the prevention strategies across different healthcare settings, there is a notable gap in the effectiveness of institutional catheter insertion and removal protocols in preventing CLABSIs in hemodialysis. Therefore, I hypothesize that adherence to catheter insertion, care and removal of institutional protocols decrease the rate of CLABSIs in haemodialysis. The research question I will use in the study is as follows: Among haemodialysis patients, does clinician adherence to institutional catheter insertion, care, and removal protocols contribute to the reduction of CLABSI rates in the institution?
Addressing a research literature gap and better understanding the problem requires the researcher to identify the variables for investigations (Gray &Grove, 2021)Clinical Problem Identification Discussion Paper. The target population is adult patients receiving haemodialysis in the institution. The setting is a dialysis unit. The variables are compliance with institutional catheter insertion, care and removal protocols, the availability of infection control protocols, and CLABSI incident rates.
Investigating these variables will help identify whether available protocols are effective in reducing CLABSI rates in the dialysis setting. Additionally, the research could lead to recommendations to improve or customize the protocols and improve their compliance, hence reducing CLABSI rates, improving patient outcomes, and enhancing overall care quality for patients undergoing haemodialysis Clinical Problem Identification Discussion Paper
References
Gray, J.& Grove, S. (2021). Burn’s and Grove’s The practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.). St. Louis, MO: Elsevier. ISBN 978- 0-323-67317-4
Jose, N., John, K., Prasad, R., & Jayakumar, M. (2022). CLABSI in hemodialysis–New face to an old foe; A Look at current trends and a review of literature. The Open Urology & Nephrology Journal, 15(1). http://dx.doi.org/10.2174/1874303X-v15-e2208180 Clinical Problem Identification Discussion Paper
