Hospital-Acquired Infections as a Nursing Practice Issue

Practice Issue

The topic

Hospital-acquired Infections.

The nursing practice issue

My project will focus on hospital-acquired infections (HAIs); in particular, it will be necessary to identify the methods that can effectively address this problem.

The scope of the practice issue

The scope of this practice issue will be restricted to several aspects. Firstly, the project will examine only the infections caused by central lines and acquired in surgical settings. Furthermore, it is necessary to examine the effects of implementing hospital guidelines. One should determine if this strategy can minimize the prevalence of HAIs caused by central lines.

The practice area

The practice area is clinical.

How the practice issue was identified

  • Safety/risk management concerns
  • Unsatisfactory patient outcomes
  • Significant financial concerns
  • Clinical practice issue is a concern

There are several reasons why I identified this issue. Firstly, HAI is one of the key safety risks to which many patients are exposed. It can pose a threat to the health and life of an individual. This argument applies to the infections caused by central lines. It is also important to mention that HAIs result in readmissions and various health complications. Due to this reason, the costs of healthcare can increase substantially. Therefore, medical workers should find the most effective solutions to this problem.

What evidence must be gathered?

  • Literature search
  • Guidelines

While gathering evidence, one should focus on literature search and guidelines based on evidence. Much attention should be paid to randomized controlled trials, meta-analyses, and systematic reviews describing the protocols and interventions that can best protect patients from the threat of infections.

Evidence Summary

The practice problem

The practice problem can be formulated as a PICO question:

  • Does adherence to hospital guidelines minimize the number of HAIs caused by central lines in adult patients?

To evaluate the efficiency of the intervention, one should focus on the incidence of these infections in the healthcare organization.

The objectives of the systematic review article

In their study, Webster and Osborne (2015) want to determine if pre-operative showering and bathing with chlorhexidine can reduce the risk of surgical site infections (SSIs).

The questions being addressed in the work and in relation to the practice issue

Can bathing and pre-operative showering with chlorhexidine diminish the incidence of surgical site infections in medical institutions?

To some degree, this question is related to my practice issue. The authors want to determine if certain interventions can help medical workers address the problem of SSIs. I intend to answer a similar question. The only difference is that my project is focused on a specific type of HAIs, namely the ones that are caused by central lines.

The interventions the author(s) of the systematic review article suggest to improve patient outcomes

The analysis of randomized controlled trials does not provide convincing evidence in support of bathing with skin antiseptics (Webster & Osborne, 2015). The authors admit that one study confirmed the positive impacts of this intervention. Nevertheless, it is not sufficient for arguing that this technique is more effective than other approaches.

The main findings by the authors of the systematic review

The scholars note that the use of chlorhexidine for bathing and pre-operative showering is not more effective than other wash products (Webster & Osborne, 2015). The main outcome examined by the authors was the incidence of SSIs. There is little evidence indicating that this outcome can be significantly improved by the proposed interventions. This source will help me implement my project because it will prevent me from discussing ineffective infection prevention techniques.

It is also possible to consider the article written by Allegranzi et al. (2016) who discuss and evaluate various methods of minimizing the risk of SSIs. This article will assist me in identifying various interventions that can adequately safeguard patients from the threat of HAIs.

The evidence-based solutions to consider for the project

  1. Hair removal;
  2. The applications of antiseptic solutions containing alcohol;
  3. Application of nasal ointment (Allegranzi et al., 2016).

Limitations to the studies

Webster and Osborne (2015) acknowledge that their research has certain limitations; in particular, they mention such issues as the inconsistency of some findings as well as deficiencies in the design of the studies. In their turn, Allegranzi et al. (2016) note that their study does not fully analyze the financial aspects of different interventions.


Allegranzi, B., Bischoff, P., de Jonge, S., Kubilay, N., Zayed, B., Gomes, S.,… WHO Guidelines Development Group. (2016). New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. The Lancet, 16(12), 276-287.

Webster, J., & Osborne, S. (2015). Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. The Cochrane Database of Systematic Reviews, 20(2), 1-39.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with My Homework Geeks
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp