Identify a theory that can be used to support your proposed solution. My solution : Catheters- Associated Blood stream Infection

Identify a theory that can be used to support your proposed solution.
My solution : Catheters- Associated Blood stream Infection

P – Hemodialysis patients with central line catheter

I – Proper hand washing and following good infection control practices

C – Proper hand washing prevents hospital acquired infections for healthcare workers and patients compared to not properly hand washing before and after patient contact and acquiring an infection or not following good infection control practices

O – Reduce infections by continuous education and surveillance

Write a summary (250-500 words) in which you:
1.Describe the theory and your rationale for selecting the theory.
2.Discuss how the theory works to support your proposed solution.
3.Explain how you will incorporate the theory into your project.

Refer to the “Topic 2: Checklist.”
Review of Literature
• Analyze and appraise each of the 15 articles identified in module 1. (15 articles).
• Analysis organized using the sample provided in “Sample Format for Review of Literature.”

Incorporating Theory • Identified a theory that can be used to support proposed solution.
• Main components of theory described.
• Rationale for selecting theory provided.

• Discussed how theory works to support proposed solution.
• Explained how theory will be incorporated into project.
Here are the 15 articles
Literature Research

Lincoln, M. (2011). Preventing catheter-associated bloodstream infections in haemodialysis centres descriptive research: The facility perspective. Nephrology Nursing Journal, 38(5), 411-415.

The article provides an overview of the bloodstream infections associated with hemodialysis treatment, how the infections may occur, and the possible reduction or prevention measures. These infections are related with high rates of morbidity and mortality. Hospitalization rate for bacteria/septicemia increased 47% from 1993 to 2008. The article looks at the practical experience of the author’s facility in preventing bloodstream infections such as participating in the Centers for Disease Control and Prevention’s bloodstream infection prevention collaborative. The review provides lessons learned including that systematic surveillance provides the framework on how to build prevention efforts, best practices should be reinforced and regularly assessed, and collaboration with other facilities provides opportunity to utilize other resources and gain learnings.
Lok, C. & Mokrzycki, M. (2011). Prevention and management of catheter-related infection in hemodialysis patients. Kidney International, 80, 587-598.

The authors provided a review on the prevention and management of catheter-related infection in hemodialysis patients, particularly the pathogenesis of CRB and microorganisms’ catheter colonization and biofilm production. Biofilm production prevents the antibiotic from entering the patient’s system, and to take action and further increase microorganisms. There are different prophylactic antimicrobial locking systems and some have shown the ability to prevent or eradicate biofilm formation.
Centers for Disease Control and Prevention. (2011, March 04). Vital signs: central line-associated blood stream infections quantitative research–United States, 2001, 2008, and 2009. MMWR: Morbidity and Mortality Weekly Report, 60(8), 243-248.

The report provides the estimates of the number of central line-associated bloodstream infections (CLABSIs) in the US among patients in intensive-care units (ICU), inpatient wards, and outpatient hemodialysis facilities in 2008 and 2009 compared with 2001 data. The estimate number of CLABSIs decreased to 18,000 in 2009 from 43,000 in 2001 in ICUs. An estimated 23,000 CLABSIs in 2009 occurred in inpatient wards, while 37,000 occurred among hemodialysis outpatients in 2008. The decrease in ICU CLABSIs can be credited to state and federal efforts implementation, while the continuous occurrence in inpatient wards and outpatient facilities suggests the areas where these efforts need to be expanded.

Explanation & Answer

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