Nosocomial Infections

Synthesis

The evidence-based approach utilized and advocated by all the authors cited in this essay can be viewed through the lens of a PDSA process as described by Hadaway (2006). For example, Pronovost and colleagues were interested in reducing the incidence of preventable CR-BSIs in the ICU setting in Michigan. They first identified an evidence base supporting an intervention and then planned how to implement the intervention to cause a small-scale change. This evidence base, as well, is nothing more than the sum of several research groups engaging in the PDSA process. The intervention(s) is then implemented to test its efficacy, the results studied, and significant positive or negative outcomes are acted upon. The research reviews by Kampf et al. (2009) and Hadaway (2006) represent a synthesis of the findings from several studies, which they used to support their theses regarding hand hygiene and CR-BSIs, respectively. Rhine's (2006)...
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