Part 1. PICOT Question

Using one of the PICOT Questions Templates provided, present the PICOT question. Please use the attached template and then copy and paste it into your response. Do not attach the actual document.

NUR4166 Templates and Definitions for PICOT Questions_KU.docx Part 2. Clinical Significance Statement

Briefly provide Clinical Significance supported by the literature. Clinical significance means that the literature provides evidence to support the practice as important to patient care, patient outcomes, and as such is the best choice for patient care.

Heavey, E. (2015). Differentiating statistical significance and clinical significance. AmericanNurseToday, 10(5), 26-28.

Heavey 2015.pdf Example – please note this is an older previous students work and so some references are older than 5 years. Be sure to provide the PICOT question to begin this post.

PICOT Question:

P=Patient Population

I=Intervention

C=Comparison

O=Outcome

T=Time (duration):

In patients in the hospital, (P)

how does frequently provided patient hand washing (I)

compared with patient initiated hand washing (C)

affect hospital acquired infection (O)

within the hospital stay (T)

Clinical Significance

Hand hygiene is one of the most advocated strategies in the hospital setting to reduce hospital acquired infection (HAI). According to Strigley, Furness, and Gardam (2014), patients were given real time location systems (RTLS) to count the number of times patients accessed a hand hygiene station (p 1336). There are four moments when hand hygiene may be indicated to reduce their risk of acquiring HAI, using the bathroom, before eating, and when entering and leaving their rooms (Strigley, Furness, Gardam, 2014, p 1336). The hospital floor consists of hand a sanitizer dispenser and soap dispensers with transponders that counted how many times the patients used the hand washing station. Organisms such as Clostridium difficile, or Norovirus may be transmitted from their own soiled hands (Strigley, Furness, Gardam, 2014, p 1336). Hand washing can reduce the number of organisms, which in turn can reduce infections. Although it might be hard to measure and gather more data on hand hygiene, the RTLS is one way to measure if hand hygiene is performed. Closely observing patients and reminding them can also increase the number of times patients wash their hands.

Strigley, J., Furness, C., Gardam, M. (2014). Measurement of patient hand hygiene in multiorgan transplant units using a novel technology: An observation study. Infection Control & Hospital Epidemiology, 35 (11), 1336-1341. DOI: http://dx.doi.org/10.1086/678419

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