Module 4 Discussion: Article Synthesis
Central Line-Associated Bloodstream Infections (CLABSIs) remain a pressing concern in healthcare, especially among high-risk populations like hemodialysis patients. Three primary research quantitative articles were identified focusing on nurses’ adherence to catheter care protocols and reducing CLABSI rates among hemodialysis patients. This discussion explores the differences and similarities among the three articles while synthesizing the findings and conclusions. Module 4 Discussion: Article Synthesis
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The articles highlight the significance of improving adherence to infection prevention protocols in reducing CLABSIs among hemodialysis patients. Salih and Allo (2024) conclude that non-adherence to infection control protocols, such as inadequate training and poor cleaning practices, increases CLABSI risks. Gomaa et al. (2024) emphasize the effectiveness of educational interventions in reducing CLABSIs through improved infection control practices. Latif et al. (2024) demonstrate that multifaceted interventions can sustain long-term reductions in CLABSI rates, even in resource-limited settings, by focusing on adherence to care protocols. Across all studies, adherence to evidence-based guidelines and catheter care protocols is crucial in reducing CLABSIs in hemodialysis settings.
The three quantitative articles have various similarities and differences. The major similarity is that all studies focus on populations at a high risk of CLABSIs. For instance, Gomaa et al. (2024) and Salih and Allo (2022) focus on patients in hemodialysis patients. However, Latif et al. (2024) extend their sample to ICU settings, which still involve patients using central line catheters, similar to hemodialysis patients. The primary difference in the three articles is the sample sizes and settings. Gomaa et al. (2024) used 100 patients at a University Hospital. In contrast, Salih and Allo (2022) studied 60 nurses across dialysis units, and Latif et al. (2024) used a convenience sample of five ICUs in Pakistan over nine years. Module 4 Discussion: Article Synthesis
Additionally, all the studies utilized quantitative interventional and observational designs to assess the effect of adherence to infection control protocols on CLABSI rates. However, Salih and Allo (2022) used a descriptive cross-sectional design to observe adherence to infection control measures. Additionally, Latif et al. (2024) conducted a long-term prospective cohort study, while Gomaa et al. (2024) and Salih and Allo (2022) used short-term approaches (cross-sectional and interventional) in localized settings. All studies conclude that improved adherence to infection prevention protocols significantly reduces CLABSI rates (Gomaa et al., 2024; Latif et al., 2024; Salih & Allo., 2022). Despite the similarity in the overall goal of reducing CLABSI rates among hemodialysis patients, Gomaa et al. (2024) focus on the effectiveness of educational interventions in reducing CLABSI rates, while Latif et al. (2024) demonstrate the long-term approach showing that multifaceted interventions can achieve sustained reductions in CLABSI rates, even in resource-limited settings, by enhancing adherence to best practices. In contrast, Salih and Allo (2022) emphasize the need for more widespread training and awareness due to many nurses not adhering to catheter care protocols.
Despite the articles generally aligning in their conclusions about the importance of adherence to infection control protocols in reducing CLABSIs among hemodialysis patients (Gomaa et al., 2024; Latif et al., 2024; Salih & Allo., 2022), there may be conflicting findings in the emphasis regarding the effectiveness of interventions. While Gomaa et al. (2024) highlight educational interventions as the key solution, Latif et al. (2024) suggest that a broader multifaceted approach is more effective in sustaining long-term CLABSI rate reductions, while Salih and Allo (2022) point out gaps in training and adherence to catheter care protocols but do not propose specific interventions. Despite these variations in approach, all studies agree on the importance of improving adherence to infection control measures to reduce CLABSIs. Module 4 Discussion: Article Synthesis
All the studies explored above underscore the critical role of strict adherence to infection prevention protocols in reducing CLABSI rates. They emphasize that no single intervention is universally effective; instead, a combination of education, multifaceted strategies, and consistent adherence to catheter care protocols can yield the best CLABSI rate reduction outcomes. Therefore, care providers need to adhere to catheter care protocols.
References
Gomaa, A. A., Zeid, A. M., & Nagy, I. M. (2024). Study of hemodialysis catheter infections in Menofia University Hospital. The Egyptian Journal of Internal Medicine. https://doi.org/10.21203/rs.3.rs-4915242/v1
Latif, A., Ali, W., Haleem, S., Mahmood, F., Munir, T., Virani, N., Khan, H., Qadir, M., Roshan, R., Hooda, K., Khan., N., Zafar, A. & Pronovost, P. (2024). Implementation and long-term efficacy of a multifaceted intervention to reduce central line-associated bloodstream infections in intensive care units of a low-middle-income country. American Journal of Infection Control. https://doi.org/10.1016/j.ajic.2024.02.001
Salih, A. N., & Allo, R. R. (2022). Evaluation of nursing intervention measures in infection control at dialysis units in Mosul City Hospitals. Medical Journal of Babylon, 21(2), 245-250. DOI: 10.4103/MJBL.MJBL_360_22 Module 4 Discussion: Article Synthesis
