Research Paper Sample on Bloodstream Infections

Introduction

A central line bloodstream infection is a condition that occurs when bacteria or other germs get into the patient's bloodstream through their central line. These kinds of infections might get serious but are often treated successfully. An example of the clinical issue of interest under this category is Pressure Ulcers. This disease is defined as a localized injury to the skin or tissues lying under the skin, usually over a bony prominence due to pressure or a combination of pressure and shear. Significantly, PUs has a disadvantage to an individual's well-being, i.e., it limits the number of aspects, including the general well-being and general health and physical, social, financial, and psychological health. Statistics show that approximately 1 million people develop pressure ulcers every year in the United States, while approximately 60,000 dies from acute complications of this condition (Allman et al., Goode et al., Patrick et al., Burst, et al. and Bartolucci, et al.,1995).

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Articles Chosen

The peer-reviewed articles chosen for this research are detailed and have deeper and precise information about the related clinical issue selected from above share a similar goal on the treatment of the clinical issue Pressure ulcers. The four articles helped me identify four main issues in Pressure Ulcer: confidentiality, informed consent methodological uncertainties, and the ethical dilemma of the conflict between our accountability and responsibilities to the patients.

Design

It is a design that works with the non-probability sampling method. The internal review board sanctioned the study of the school. Each participant was called upon to sign and express their willingness before taking part in the study

Setting and Sample

Nurses who give care to patients were recruited from a few medical wards. These care units were established to be having elevated numbers of pressure ulcer patients. Nurses were selected, and the list was obtained and cross-checked for further information and additional information to exclude nurses who left during the data collection period.

Procedure of Studying

Nurses available on the selected wards were requested to complete an organized questionnaire immediately after being recruited by the board. Reference materials and internet access were not allowed in the wards; this ensured that none sought help from the external side. Out of 87 questionnaires distributed, 56 of them were filled and put in the data variations process. Study assistants who had not previously interacted with any of the nurses were deployed to observe nurses in each ward. The nurses, too, did not know that they were being monitored. These measures were taken to help reduce the chances that the staff might have thought of making on their normal routine.

Questionnaire

All the questionnaires which were administered were written in the English language and mainly consisted of close-ended questions. English was used in communication during the data collection period because it is the national language so that there are no language barriers between the nurses and the patients in question. The questionnaire touched on the following four areas, socio-demographic characteristics', pressure ulcer knowledge, risk factors, current practices to prevent and manage pressure ulcers, and barriers to providing the best care to patients.

Observation

The observational checklist consisted of the following; the number of patients with a first degree of pressure ulcers, the availability of pressure ulcer reduction devices on the wards, and care providers for patients with pressure ulcers. Study instruments were collected before actual data collection and adjusted accordingly. The questionnaire, together with the observation method, took a total of 30minutes each to complete.

The nurses who took part in the study did not know how pressure ulcers came about. They also lacked current knowledge on how they can stage pressure ulcers. The nurses who were in practice and participated in the study had no idea about how pressure ulcers advanced. They also did not know how to stage pressure ulcers currently; they did have any prognosis of preventing and managing pressure ulcers. This often led to bone destruction and even worsen to permanent disability. They did not have enough understanding of the importance of disciplinary management. Findings similar to these were likewise reported in the United States. According to Louis (2007), knowing that pressure ulcers develop in stages was important in predicting, preventing, and managing to determine patient care outcomes.

Conclusion

Generally, prevention and management of pressure ulcers is a matter that should be considered as it is of great importance to patients with this particular issue. However, different medical practitioners in different hospitals have given it low priority starting from lack of adequate knowledge to nurses having a tight schedule of heavy workloads and patients. The nursing schools and medical training colleges need to examine their curricula and how they are going to address this issue.

References

Allman, R. M., Goode, P. S., Patrick, M. M., Burst, N., & Bartolucci, A. A. (1995). Pressure ulcer risk factors among hospitalized patients with activity limitation. Jama, 273(11), 865-870. DOI 10.1007/s00134-002-1487-z

Bliss, M., & Simini, B. (1999). When are the seeds of postoperative pressure sores sown?: Often during surgery. http://www.o-wm.com/content/closing-evidence-based-gap-skin-care.

Sen, C. K., Gordillo, G. M., Roy, S., Kirsner, R., Lambert, L., Hunt, T. K., ... & Longaker, M. T. (2009). Human skin wounds: a major and snowballing threat to public health and the economy. Wound repair and regeneration, 17(6), 763-771. doi: 10.1111/j.1524-475X.2009.00543.x.