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what is the effectiveness of daily chlorhexidine bath compared to weekly or as needed dressing changes to reduce infection within the first three months of insertion?

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In patients with central lines, what is the effectiveness of daily chlorhexidine bath compared to weekly or as needed dressing changes to reduce infection within the first three months of insertion?

Referenes has to be:

Furuya, Y., Dick, A., Perencevich, E., Pogorzelska, M., Goldman, D., & Stone, P. (2011). Central line bundle implementation in US intensive care units and impact on bloodstream infections. PLoS ONE, 6(1), 1-6.

Graling, P., & Vasaly, F. (2013). The effectiveness of 2% CHG Cloth Bathing for Reducing Surgical Site Infections. AORN Journal, 97(5): 547-551.

Kim, J., Holtom, P., & Vigen, C. (2011). Reduction of catheter-related bloodstream infections through the use of a central venous line bundle: Epidemiologic and economic consequences. American Journal of Infection Control, 39(8), 640-646.

Klinworth, G., Stafford, J., O’Connor, M., Leong, T., Hamley, L., Watson, K., Kennon, J., Bass, P., Cheng, A. C., & Worth, L. (2014). Implementation of a successful hospital-wide initiative to reduce central line–associated bloodstream infections. American Journal of Infection Control, 42(6), 685-687.

McAlearney, A., Hefner, J., Robbins, J., Harrison, M., & Garman, A. (2013). Preventing central line-associated bloodstream infections: A Qualitative Study of Management Practices. Infection Control & Hospital Epidemiology, 36(5), 557-563.

Power, J., Peed, J., Burns, L., & Davis, M. (2012). Chlorhexidine bathing and microbial contamination in patients’ basin. American Journal of Critical Care, 21(5), 338-342.

Quach, C., Milstone, A, Perpe, C., Bonenfant, M., Moore, D., & Perreault, T. (2014). Chlorhexidine Bathing in a tertiary care neonatal intensive care unit: Impact on central line–associated bloodstream infections. Infection Control & Hospital Epidemiology, 35(2), 158-163.

Richardson, J., & Tjoelker, R. (2012). Beyond the central line-associated bloodstream infection bundle: the value of the clinical nurse specialist in continuing evidence-based practice changes. The Journal of Advanced Nursing Practice, 26(4), 205-211.

Scheithauer, S., Lewalter, K., Schroder, J., Koch, A., Hafner, H., Krizanovic, V., Nowicki, K., Hilgers, R.-D., & Lemmen, S. (2014). Reduction of central venous line-associated bloodstream infection rates by using a chlorhexidine-containing dressing. Infection, 42(1), 155-159.

 

U.S. Department of Health and Human Services. (2011). Health-care-associated infection (HAI). Retrieved 10/21/2016 from http://www.hhs.gov/ash/initiatives/hai/index.html

This criterion is linked to a Learning Outcome Abstract: Brief summary of the direction of the project.

This criterion is linked to a Learning Outcome Introduction to problem or issue in practical setting. Overview, purpose, plan for paper.

This criterion is linked to a Learning Outcome Literature Review: 12 single, original research articles (NO systematic reviews, meta- analyses, or meta-syntheses). Discuss purpose, question, methodology, analysis, and results. Tabular format must be added as Appendix A.

This criterion is linked to a Learning Outcome Analysis: Systematically analyze and evaluate relevance and validity of articles.

This criterion is linked to a Learning Outcome Gaps in research identified during the literature search.

This criterion is linked to a Learning Outcome Research Question(s): Flow(s) directly from the review of literature and posed for pilot study.

This criterion is linked to a Learning Outcome Summary: Explain how this paper met the purpose stated in the introduction.

This criterion is linked to a Learning Outcome Standard English for spelling, grammar, punctuation, paragraph formation, and paper formation used

This criterion is linked to a Learning Outcome References (within past 5 years): current and relevant to topic-Utilize at least 12 appropriate scholarly research sources beyond textbooks.

This criterion is linked to a Learning Outcome Follows appropriate APA format.

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    M4TabularSummary1.odt

develop a plan of care based on the “Health Planning Model” using your windshield survey and family health assessment

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Florida National University

Nursing Department – BSN Program

NUR 4636 – Community Health Nursing

Prof. Eddie Cruz, RN MSN

Community Health Planning, Implementation and Evaluation

Please read chapter 7 of the class textbook (page 106 to 112) and review the attached PowerPoint presentation. Once done developed a plan of care based on the “Health Planning Model” using your windshield survey and family health assessment. When developing the plan please put emphasis on Table 7-1 and 7-2. A minimum of 3 health assessment are required and it must be posted in the discussion tab of the blackboard for your peers to review and discuss and in Turnitin for grading.

If you have any question, please contact me via FNU email.

Respectfully;

Prof. Cruz

Propose a solution to a public health problem (such as obesity prevention and control, environmental health issues, or infectious diseases) at the local or national level.

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the goal of public health is to prevent disease or injury for the entire population—that is, the city, state, or country. A public health approach to cancer may involve a state-wide awareness campaign about the risk factors for cancer (such as related to smoking or sun exposure). However, it is very important to consider the legal and economic factors that will come into play in developing such a campaign for it to become successful.

Using the readings for the week, the South University online library, and the Internet, create a PowerPoint presentation with a maximum of 10-12 slides.

Cover the following:

  • Propose a solution to a public health problem (such as obesity prevention and control, environmental health issues, or infectious diseases) at the local or national level.
  • Address the legal considerations and economic impact of the problem.
  • Be sure to cover concepts you have learned throughout the course in your presentation, such as:
    • Direct versus indirect costs
    • Cost-effectiveness
    • Technical assistance
    • Evaluation

You presentation should include the following:

  • Title and reference slides (in addition to the 10–12 slides of content)
  • Headings for each section
  • Speaker notes

Submission Details:

  • Support your responses with examples.
  • Cite any sources in APA format.
  • Submit your document to the Submissions Area by the due date assigned.

Attachments

Submissions

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What does belonging to a professional nursing organization have to do with advancing nursing?

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I need a paper, please address all questions based on instruction.  this is instruction:

Now that you’ve nearly completed the course, let’s re-visit the week 1 discussion topic. You were asked to formulate a position on nursing as discipline, profession and science. Describe your position now; has it changed? Are all RNs responsible for advancing the nursing discipline, profession, and science? What are our responsibilities as a collective discipline and profession and as individuals? One way to contribute as a Baccalaureate-prepared nurse is to use a nursing conceptual framework to guide clinical practice. At the institutional-level, some clinical agencies have adopted nursing conceptual frameworks to guide nurses’ practice. Another way to contribute is by being active and/or belonging to professional nursing organization(s). What else can you do to advance the nursing discipline, profession, and science? Include your reference(s) in both your initial post and your reply posts. You should include the following:Re-visit the week 1 discussion. Have your positions on or understanding of the nursing discipline, profession, and science changed? If so, how? Identify and discuss the responsibilities of RNs in terms of contributing to and advancing the nursing discipline, profession, and science.One way to contribute to and advance nursing is to apply a nursing conceptual framework to clinical practice situations. Identify a nursing conceptual framework that appeals to you or makes sense to you. Briefly describe a clinical practice situation you have encountered and how you would apply the nursing conceptual framework. Explain how this advances the nursing discipline.Identify any professional nursing organizations you are active in and/or maintain membership in. If you currently have no memberships, what are some that interest you? What does belonging to a professional nursing organization have to do with advancing nursing?Are there any other ways you can advance the nursing discipline, profession, and science?

FYI: i put the first week discussion to know what was in first week discussion:

Nurse scholars have claimed that nursing is both a discipline and a profession. In order to understand these claims, we must first know what it means for nursing to have a “unique body of knowledge.” If we assume that nursing does, indeed, possess a unique body of knowledge, we can claim that nursing is a “basic science,” rather than an “applied science.” Despite these claims, debate continues about nursing as discipline, profession, and science. Is nursing a discipline? A profession? Is nursing a basic science and/or applied science? In your initial post, state what you think about nursing as discipline, profession, and science. Explore the literature beyond that assigned to you for this week’s readings to help you formulate your position. Include your reference(s) in both your initial post and your reply posts. You should include the following:What is a discipline? What is a profession? What’s the difference? What are examples of each?Does nursing fit the criteria for a “discipline” and “profession”?What is a “basic science”? What is an “applied science”? What’s the difference?Is nursing a “basic” or “applied” science? Support your statements with scholarly references. You may use those from the assigned readings on the course Blackboard site, but you must also select and use (via your literature search) a minimum of 1 reference outside of assigned readings.
Present your posts and replies in a professional, scholarly manner. Use the APA publication manual to format citations and references

Also i am member of ANA( American Nursing Association)

The answer for first week discussion:

 

Nursing

To answer the question of whether nursing is a discipline or a profession or whether it is a basic science or an applied science, it is important to first understand these terms and their difference.

Nursing as a discipline vs. a profession 

The difference between a discipline and a profession can clearly be seen from their definitions. On one hand, a discipline is an area that is involved in the generation of knowledge and the procedures used in attaining this knowledge is mainly standardized. On the other hand, a profession is defined as the unit where the knowledge is applied and it is a field which has a lot of regulation in the manner in which the knowledge is applied. The main area of difference between these two is in the role and purpose. The discipline serves the purpose of generating knowledge which is then applied in the profession. The truth about these two is that they are interdependent. A profession without discipline is ineffective ad a discipline with profession does not any value (DeNisco & Barker, 2016).

For this reason, nursing is both a discipline and also a profession. This means that in nursing there are activities that involve the generation of knowledge which falls under the discipline area and those that involve the application of this knowledge that is the profession. Nursing being a discipline and a profession is so much so prevalent in today’s world of healthcare which emphasizes on the use of evidence-based practices in nursing. The nursing field today is therefore proactively involved in generating evidence through research and in this sense nursing is a discipline. Further, the evidence acquired is embedded in nursing procedures and methods and the application of the knowledge from research makes nursing a profession as well. In the context of nursing, the essence of the discipline is knowledge expansion and the essence of the profession is to provide services to individuals using knowledge from the discipline to enhance quality and outcome of care (DeNisco & Barker, 2016).

Nursing as a basic science vs. an applied science

On one hand, basic science is defined as a branch of science that is concerned with understanding the manner in which things work. Basic science helps to come up with theories and discoveries in science. Applied science, on the other hand, is a field in science that is involved with the application of the theories and discoveries of science developed for example from basic science to help solve problems in the field of healthcare practically (DeNisco & Barker, 2016). Similar to the case of the discipline and the profession basic science and applied science differ in the purpose they serve as basic science helps in the development of new information on how things work while applied science applies this information and knowledge in a practical setting and they are both dependent on one another.

As the aspect of preventive care and evidence-based practice is greatly being incorporated into the field of nursing, the field has incorporated both basic and applied science practices. Nursing is considered as a basic science when nurses are involved in the development of new knowledge about how things work and this has become common as they try to understand the prevalence of diseases among the populations that they serve. Nursing is also an applied science and has long been considered so because nurses are engaged in the application of scientific knowledge to help enhance the health status of individuals at the hospital and the community level. Nursing as a basic science is a new phenomenon that falls in place following the involvement of nurses in scientific research.

In general, there is a link on whether nursing is a discipline or a profession and whether it is a basic or an applied science. The link is that is nursing is that it cannot be a discipline by being involved in scientific research without falling under basic sciences and it cannot be a profession without falling as an applied science.