Clinical Health Issue “Antimicrobial Resistance”.
Clinical Health Issue “Antimicrobial Resistance”.
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles. Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research. Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected. Clinical Health Issue “Antimicrobial
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Part 1: Identifying Research Methodologies After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following: The full citation of each peer-reviewed article in APA format. A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article. Clinical Health Issue “Antimicrobial Resistance”.A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.
Clinical Health Issue “Antimicrobial Resistance”
| Article 1 | Article 2 | Article 3 | Article 4 | |
| APA Citation | Caselli, E. (2017). Hygiene: microbial strategies to reduce pathogens and drug resistance in clinical settings. Microbial biotechnology, 10(5), 1079-1083. | Deepak, S. S. F., Kumar, S., Mehrishi, P., Solanki, S., Sharma, A., & Verma, S. (2020). Hand hygiene knowledge, attitude, practice, and hand microflora analysis of staff nurses in a rural tertiary care hospital. Journal of Family Medicine and Primary Care, 9(9), 4969. | Mody, L., Washer, L. L., Kaye, K. S., Gibson, K., Saint, S., Reyes, K., … & Perri, M. (2019). Multidrug-resistant organisms in hospitals: what is on patient hands and in their rooms?. Clinical Infectious Diseases, 69(11), 1837-1844. | Squeri, R., Genovese, C., Palamara, M. A., Trimarchi, G., & La Fauci, V. (2016). Clean care
is safer care”: correct hand washing in the prevention of healthcare-associated Infections. Ann Ig, 28(6), 409-415. |
| Why the article was chosen | The above article was chosen because it focuses on the prevalence of microbial resistance in clinical settings and research-based sanitation mythologies and practices to reduce the same. | The essence of this article is that it illustrates a gap in the knowledge of nurses when it comes to the importance of handwashing in combating microbial resistance in hospitals. Furthermore, the article qualitatively illustrates that said gap in knowledge results in increased microbial resistance in said settings. | Aside from nurses and medical practitioners, this article illustrates that patients also play a role in enhancing microbial resistance. The paper shows the importance of educating patients on this role and the importance of handwashing and other strategies to eliminate said resistance. | While many people know the importance of handwashing, fewer people are aware of the correct way to achieve the desired result. This article was chosen as it sheds light on the right way to hand wash for all people in clinical settings to ensure microbial resistance is reduced. |
| Aims of the research | The article aims to discern the most effective and efficient sanitation practices for eliminating microbes on hospital surfaces to reduce microbial resistance. | The article aims to discern the effect of knowledge acquisition on hygienic practices in clinical settings and how they affect microbial resistance. | This study aimed to investigate the extent to which hospital surfaces are infected with multi-drug resistant organisms (MDRO) and suggest a means of reducing transmission of pathogens and healthcare-associated infections. | The study aimed to evaluate healthcare workers’ adherence to World Health Organization guidelines to hand hygiene and how it could impact the reduction of HCAI.
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| Research methodology | This study was performed using a quantitative design. The study implemented microbiological surveillance on healthcare structures of Bacillus for four years analyzing for the presence of these microbes in samples from hospitalized patients. | This study also takes a mixed-methods approach involving quantifying the number of bacteria present on the subjects and determining the level of knowledge and their attitudes towards hand washing. | This qualitative study involves determining whether the microbes present in patient samples are the same as those on high-touch environmental surfaces. | This study was qualitative. It involved identifying areas with the highest HCAI risk and using direct observation studies to determine how different healthcare workers’ categories behave. |
| Strengths (Reliability and Validity) | This study is highly reliable as its results agree with the principle of competitive antagonism between harmful and good bacteria as a means of reducing and stably low the level of dangerous pathogens in clinical settings. | This study is highly reliable. This is because it replicates the WHO and other studies’ conclusions that suggest that HCW and patient education on hygiene are critical in eliminating microbial resistance in clinical settings. | The above study is highly reliable. This is because its conclusions were in line with the theorized idea that patients and HCW carry resistant microbes such as methicillin-resistant Staphylococcus aureus (MRSA) from poorly cleaned high-touch environmental surfaces. | The study is reliable as it confirms the international data, suggesting low compliance with hand hygiene
practices by different levels of HCWs |
