Homework A

HOMEWORK A

HomeworkA

Nameinstitution

Unit

Evidence Based Practice :

Grey Literature

(Thesis/dissertations, government documents, advocacy groups, educational organizations and professional organizations web resources) No journal articles!!

Answer these questions based on the evidence item provided to you

1. Reference

  • List the reference for the assigned evidence in correct APA format

Jones, D.J. (2007). Risk Reduction: Oral Care, Bacteremia and Critical Care (Doctoral Dissertation). Retrieved from ProQuest Nursing &amp Allied Health database. (Order No. 109849833).

2. Author and Sponsor (15%)

  • What are the author’s credentials? What else has the author(s) has published that appears in the reference list? Is/are the author(s) expert in the field: explain why you believe so or not? Is there a sponsoring agency, organization or institution. If so analyze and explain whether they express any bias.

The author of the resource is a doctoral student undertaking a doctorate of philosophy. Again, the author holds a Master of Science in Nursing Administration. In the reference list, the author has provided one publication that she has already contributed and three others that are yet to be published. Based on this, it can be seen that the author holds significant knowledge having studied nursing for several years but remains largely a novice as a professional as she is yet to be widely published.

The author has been sponsored by the National Institute for Nursing Research (NINR). As a government agency that aims to promote and improve the health and healthcare in the country, there is little likelihood that the agency is biased. Alternatively, as a political creation whose autonomy cannot be guaranteed, the agency is exposed to political pressures from political regimes that may have an influence on the author’s work.

3. Sources (15%)

  • Analyze and explain whether the information presented in the document is supported by references to other accurate and scholarly sources, and whether the information seems valid and current.

The information presented in the dissertation is well researched and supported by 69 credible sources listed in the reference list.

There is balanced use of resources used which include government reports, scholarly articles and summaries. All these have been sourced from credible sources such as peer reviewed journals.

The sources used have been well documented for verification and follow-up study purposes.

In terms of currency, the author relied on the latest source then but the information may be outdated as they are almost ten years old at the moment.

4. Summary Appraisal (20%)

  • Analyze and explain whether any important information seems to be missing whether is valid and the four most important points related to your assigned topic you learned from this evidence: be specific!

The document is well researched and presented in a coherent and simple manner. Key relevant information on the topic is presented which is well supported. However, there is over emphasis on teeth brushing that leaves little room to address other areas of oral healthcare. Some of the key issues addressed in the document include:

  • Nosocomial infection is a major cause of mortality in hospitalized patients whereby 15% of these infections are caused by bacteremia.

  • There is no clear relationship of transient bacteremia to clinical outcomes in adult patients using ventilators

  • Manipulation of the oral mucosa such as through tooth brushing produces transient bacteremia

  • Tooth brushing does not lead to increased risk of Transient bacteremia in critically ill mechanically ventilated adults

Answer these questions based on the additional evidence item you located

5a. Evidence Search 1 (20%)

  • Locate and provide another piece of similar evidence on the course topic from a professional organization, educational organization or advocacy group web resource (no journal articles: web documents only!)

    • List the reference for the located evidence in correct APA format in the box to the right

    • In addition to the reference, either (1) List the complete web link (URL) in the bottom box to the right or (2) attach the document in the dropbox with your Homework and type “Attached” in the bottom box to the right

Citation:

Dickinson, S. &amp Zalewski, C. (2008). Oral care during mechanical ventilation. Society of Critical Care Medicine. Retrieved from http://www.sccm.org/Communications/Critical-Connections/Archives/Pages/Oral-Care-During-Mechanical-Ventilation—Critical-for-VAP-Prevention.aspx

URL:

http://www.sccm.org/Communications/Critical-Connections/Archives/Pages/Oral-Care-During-Mechanical-Ventilation—Critical-for-VAP-Prevention.aspx

5b. Summary 1 (5%)

  • Summarize the content of the document you found in 2-3 sentences.

The primary focus of this resource was to provide a summation of the current practices in oral care to prevent VAP in critically ill patients. The document acknowledges that there are no standardized guidelines on oral care in ICU’s. Therefore, the document provides a brief summary of current evidence-based practices employed by various healthcare professionals as indicated by research, surveys and recognized agencies such as the Center for Disease Control (CDC).

6a. Evidence Search 2 (20%)

  • Locate and provide one other piece of similar evidence on the course topic that is from a government document or thesis dissertation.

    • List the reference for the located evidence in correct APA format in the top box to the right

    • In addition to the reference, either (1) List the complete web link (URL) in the bottom box to the right or (2) attach the document in the dropbox with your Homework and type “Attached” in the bottom box to the right

Citation: Drapal, S.C. (2015). Oral Care Practice Guidelines for the Care-Dependent Hospitalized Adult Outside of the Intensive Care Unit Setting, [Doctoral dissertation, Walden University].

URL: http://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=1408&ampcontext=dissertations

6b. Summary 2 (5%)

  • Summarize the content of the document you found in 2-3 sentences.

The aim of the resource was addressing a potential gap in nursing practice associated with a lack of standardization of oral care outside of the ICU through engaging an interdisciplinary group so as to come up with a policy as well as evidence-based guidelines for oral care by using a validated oral assessment tool. The resource indicates that nurses have an important responsibility in offering oral care for care-dependent adults.

Scholarly Writing

  • Complete sentences, grammatically correct &amp free of spelling errors. This is an expectation points up to the total value of the assignment may be deducted for work that does not meet scholarly writing standards.

Note!For evidence you locate you must either attach the document in pdfformat or list a web link to the document. If listing a web link thelink MUST be direct (no additional navigation to subsequent pagesneeded) and not require a login/password. A DOI number is NOTadequate! You may drag the midline of any form to the left to makemore space for typing your answers.