solved

Respond to study #1 and study #2 briefly analyze their articles, commenting on areas where you agree or differ on the findings and why.
Study #1
My PICO question explores nurse burnout throughout the profession and whether interventions that are aimed at improving burnout are effective. Over the past several years, the pandemic has highlighted the need to implement practices to reduce and prevent burnout. While researching interventions that may be appropriate, one common intervention that continually came up was meditation and yoga. One article that made several key points relating to this was “Holistic Nursing in Practice: Mindfulness-Based Yoga as an Intervention to Manage Stress and Burnout” by Kelly Hilcove, et al. In this study, participants were divided into two groups. One group was a control group who received no interventions, whereas the second group was enrolled in a once weekly yoga program, along with independent yoga practice. This was a randomized single blinded control trial utilizing both nurses and other health care professionals. Prior to and upon completion of this study, participants in both groups also completed a pre- and post-intervention questionnaire. Some of the included study information included the use of the Perceived Stress Scale, Maslach Burnout Inventory, Vitality Subscale of the Medical Outcomes Study Short Form-36, Global Sleep Quality Item, Mindfulness Awareness Survey, and subscale of the Brief Serenity Scale. They also utilized diurnal salivary cortisol and blood pressure readings pre and post study. Diurnal salivary cortisol was used because it is the least invasive, most cost effective, and quickest. This, along with the blood pressure, is considered a biomarker that can effectively measure stress in the human body. Unfortunately. with diurnal cortisol, the normal levels of a healthy adult compared to the levels of an adult with excessive stress are excessively different; therefore, the best way to measure this biomarker is either evaluate overall levels of cortisol or examine it under a curve. (Hilcove et al., 2020)
The study revealed marked improvements regarding self reported factors in the mindfulness yoga group as compared to the control group for the following: stress, burnout, vitality, sleep, serenity, and mindfulness. Conversely, cortisol levels and blood pressure were two markers that were not significantly improved. These findings can be applied to the everyday workings of the hospital in order to reduce the amount of burnout for healthcare professionals. Implementing weekly group yoga classes, offering a cash reimbursement for gym memberships, and providing instruction that can be used at home are all ways this research can be implemented in meaningful ways. The at home option especially provides nurses the option to practice at times most convenient to them, and offers an alleviation for stress and burnout. There was no risk of harm during this study, and privacy of participants was maintained. This study was carried out with best practices maintained.
Reference
Hilcove, K., Marceau, C., Thekdi, P., Larkey, L., Brewer, M. A., & Jones, K. (2020). Holistic nursing in practice: Mindfulness-based yoga as an intervention to manage stress and Burnout. Journal of Holistic Nursing, 39(1), 29-42. https://doi.org/10.1177/0898010120921587
Study #2
The article I researched for my PICO question regarding whether EBP helps prevent CLABSI infections in the immunosuppressed presented the idea that chlorhexidine gluconate baths daily to site central lines sites would reduce bloodstream infections in this population. Chlorhexidine gluconate (CHG) has a broad-spectrum antimicrobial property that has proven to be effective in prolonging skin antisepsis and decreasing pathogens often seen in oncology units. This article in particular addressed whether immunosuppressed patients with central lines on an acute hematology-oncology unit with increasing adherence to CHG baths bring the CLABSI rate from 5.28 per 1,000 central line days to 1 per 1,000 central line days within a 10-week period (Jusino-Leon et al., 2019).
The project lasted three months in a 24 bed unit which is an appropriate sample size for an immunocompromised unit. Two days were chosen every week to review the number of CHG baths with wipes that were offered to eligible patients. The institution used electronic health records to document baths, with a free-text area to include any additional information needed. During the first month, the hospital’s reported two preventable CLABSIs, one nonpreventable MBI, and zero MRSA events, with a CLABSI rate of 6.07 per 1,000 central line days (Jusino-Leon et al., 2019). The two preventable CLABSIs were tracked back to two patients for refused the use of CHG wipes.
Following the implementation of the project, the report obtained from the hospital for the second and third month showed the development of zero CLABSI events on the unit, zero MRSA events, and only three MBI events. The final CLABSI rate for the unit reported by the BSI hospital committee was 5.86 per 1,000 central line days, which reflects the three nonpreventable infections developed in the third month (Jusino-Leon et al., 2019). While I think the study needed a longer trial period I believe in that short time, an improvement in infection rate is evident. It is clear that patients who refused CHG baths daily increased their chances of infection while those who were compliant and received the baths fared better. Due to a decrease in CLABSI infections, the use of CHG wipes and evidence-based research, was proven to be extremely helpful in this population. I also feel best practices of ethics were clearly exemplified within the study due to its non-maleficent nature.
Reference
Jusino-Leon, G. N., Matheson, L., & Forsythe, L. (2019). Chlorhexidine Gluconate Baths: Supporting daily use to reduce central line-associated bloodstream infections affecting immunocompromised patients. Clinical Journal of Oncology Nursing, 23(2), E32-E38. https://doi-org.ezproxy.snhu.edu/10.1188/19.CJON.E32-E38

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."