Finding the Research Evidence Essay
This is the evidence based problem Question:
Among patients who have undergone CABG surgery, does the use of skin cleansing products such as chlorhexidine gluonate (CHG) compared to other commonly used methods reduce surgical site infections?
For the evidence-based problem that you identified in Week 1 for your project, locate two different articles/sources representing two different types of evidence from the following categories: (a) systematic review, (b) national clinical guidelines and/or (c) peer-reviewed quantitative / qualitative studies.
For each article/source of evidence:
Summarize the article/source in your own words without the use of direct quotes.
Using the Peterson et al., (2014) article located in Week 2 Resources address the level of evidence (hierarchy). Then discuss the usefulness of the evidence from the article/source in addressing the identified practice problem. Be sure to site evidence in-text and in a final reference page.
Describe where your two sources fit into the hierarchy of evidence and explain why.
Describe the value of these two sources in better understanding and addressing your evidence-based problem. Finding the Research Evidence Essay
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Finding the Research Evidence
According to the article by Al Salmi et al (2019), the infection of the surgical site is a very serious complication that occurs after coronary artery bypass grafting (CABG). Chlorhexidine gluconate (CHG) was used for patients undergoing CABG while in the control group, CHG was not used. The findings indicated that the rate of surgical site infection reduced when CHG was used in patients undergoing CABG (Al Salmi et al., 2019).
Musuuza et al (2019) provide that when CHG is used to bath admitted patients, the risk of acquiring hospital-acquired infection (HAI) may reduce. Evidence was searched from EMBASE, Cochrane’s CENTRAL registry, Medline, Scopus, and CINAHL. The retrieved evidence indicated that bathing patients using CHG significantly reduced the rate of HAIs such as bloodstream infections (Musuuza et al., 2019). Finding the Research Evidence Essay
The study by Al Salmi et al (2019) fits in Level III of the hierarchy of evidence. This is because the study is prospective, nonrandomized research. Evidence obtained from controlled trials without randomization is categorized in Level III of the hierarchy of evidence (Peterson et al., 2014). The article by Musuuza et al (2019) fits in level I of the evidence hierarchy. Level I evidence includes evidence from meta-analysis/systematic review of all RCTs or evidence-based clinical guidelines (Peterson et al., 2014).
Both studies support the evidence-based problem by providing evidence regarding the efficacy of CHG in preventing and reducing the rate of some HAIs. The study by Al Salmi et al (2019) indicated that CHG was effective in reducing the rate of SSI in patients undergoing CABG, while the systematic review by Musuuza et al (2019) indicated that CHG reduces the rate of bloodstream infections. Therefore, bathing or cleaning the surgical site of patients undergoing CABG surgery can reduce the rate of SSIs.
References
Al Salmi, H., Elmahrouk, A., Arafat, A. A., Edrees, A., Alshehri, M., Wali, G., Zabani, I., Mahdi, N. A., & Jamjoom, A. (2019). Implementation of evidence-based practice to decrease surgical site infection after coronary artery bypass grafting. The Journal of international medical research, 47(8), 3491–3501. https://doi.org/10.1177/0300060519836511
Musuuza, J. S., Guru, P. K., O’Horo, J. C., Bongiorno, C. M., Korobkin, M. A., Gangnon, R. E., & Safdar, N. (2019). The impact of chlorhexidine bathing on hospital-acquired bloodstream infections: a systematic review and meta-analysis. BMC infectious diseases, 19(1), 1-10.
Peterson, M. H., Barnason, S., Donnelly, B., Hill, K., Miley, H., Riggs, L., & Whiteman, K. (2014). Choosing the best evidence to guide clinical practice: application of AACN levels of evidence. Critical care nurse, 34(2), 58-68.
