Infection or Colonization with Resistant Microorganisms: Identification of Predictors
The pioneers of this article are Maria de Moraes, Cohrs, Batista and Grinbaum. Central to this article’s selection is its utilization of the prospective cohort study design. According to Polit, and Beck,(2012), a cohort study design entails follow-up of both exposed and unexposed groups to an agent under study for determination of the development of a disease.
Problem Statement
Due to the ever-increasing numbers and nature of severity of the healthcare-related infections caused by multidrug-resistant organisms, there is need for identification of predictors for such infections and resistant microorganism colonization(Moraes, Cohrs, Batista, &Grinbaum, 2013).
Statement of Purpose
The research aimed at establishing the predictors of infection or colonization with resistant microorganisms(Moraes, Cohrs, Batista, &Grinbaum, 2013).
Research Questions/Hypothesis
At the heart of this study was a research question (What are the predictors of infection or colonization with resistant microorganisms?)
Study Methods
Primarily, a cohort study design in a tertiary public school hospital with a bed-capacity of 979was significant in the data collection and analysis. The sample size included all patients that had multidrug-resistant organisms. Lastly, the researchers utilized both descriptive and discriminant methods for the analysis of the collected data(Moraes, Cohrs, Batista, &Grinbaum, 2013).
Key Findings
The study arrived on the conclusion that hospitals transfers and admission to critical care unitswere the main predictors for the occurrence of multidrug resistant infections. The two predictors were mainly contributory to infections caused by methicillin resistant Staphylococcusaureus, carbapenems-resistant Acinetobacterand Klebsiellapneumoniae. However, the studied variables were non-discriminant for vancomycin-resistant Enterococcus spp. and carbapenem-resistant Pseudomonasaeruginosas (Moraes, Cohrs, Batista, &Grinbaum, 2013).
Citation
Moraes, G. M. D., Cohrs, F. M., Batista, R. E. A., &Grinbaum, R. S. (2013). Infection or colonization with resistant microorganisms: identification of predictors. ActaPaulista de Enfermagem, 26(2), 185-191.
Nurses’ Decision-Making in Pressure Area Management in the Last 48 Hours of Life
In essence, this article by Searle, andMcInerney,(2008)is an example of a qualitative research, more specifically, an interpretative description study design. With the interpretative description approach, researchers are able to develop themes through going beyond the basic description with interpretation of the various studied phenomena (Polit, & Beck, 2012).
Problem Statement
Despite the benefits of pressure area management, making a decision of carrying on with the practice for persons in their last 48 hours of life is not that straightforward. Moreover, paucity in studies targeting factors and pressure area management for persons in their last 48hours of life was another driving force for this study(Searle, &McInerney, 2008).
Statement of Purpose
The researchers aimed at reporting on a study that focused on finding out nurses’ clinical decision-making in pressure area management of persons in their last 48 hours of life(Searle, &McInerney, 2008).
Research Questions/Hypothesis
Central to this study aretwo research questions (Which factors inform a nurse’s decision to turn or not to turn a patient who is receiving pressure area management in the last 48 hours of life? How does the nurse determine the level of frequency of turning the patient as part of pressure area management during the last 48 hours of life?)
Study Methods
The study used an interpretative description approach for data collection and analysis because the study was of a small-scale magnitude and the researchers knew little about the phenomena under focus. The researchers relied on semi-structured interviews and constant-comparative data analysis for data collection and analyzing the collected data respectively(Searle, &McInerney, 2008).
Key Findings
Going by the experiences of the nurses in providing pressure care management for patients in their last 48 hours of life, the researchers settled on various findings that are worth mention. A case in point the study concluded that nurses faced difficulties when deciding the frequency of turning patients in their last phase of life. The study further ascertained that factors such as the patient’s clinical assessment, ensuring patient comfort, utilization of pressure relieving aids, patient and family desires as well as the professional colleagues’ influence were among the crucial in the prioritization of the patient turning in the last 48hours (Searle, &McInerney, 2008).
Citation
Searle, C., &McInerney, F. (2008). Nurses’ decision-making in pressure area management in the last 48 hours of life. International journal of palliative nursing, 14(9).
References
Moraes, G. M. D., Cohrs, F. M., Batista, R. E. A., &Grinbaum, R. S. (2013). Infection or colonization with resistant microorganisms: identification of predictors. ActaPaulista de Enfermagem, 26(2), 185-191.
Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice.Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Searle, C., &McInerney, F. (2008). Nurses’ decision-making in pressure area management in the last 48 hours of life. International journal of palliative nursing, 14(9).
