Literature review templet.
| Citation | Research Question | Study Design | Sample Size and Method | Independent Variables and Measures | Dependent Variables and Measures | Results | General Strengths | General Weaknesses | Overall Quality of Study | Summary Statements for Practice | Column12 | Column13 |
| Powers, J., Peed, J., Burns, L., & Ziemba-Davis, M. (2012). Chlorhexidinebathing and microbial contamination in patients’ bath basins. American Journal of Critical Care, 21(5), 338-343. http://dx.doi.org/10.4037/ajcc2012242 | What is the load of bacterial contaminants in wash basins when chlorhexidine gluconate solution is used in place of standard sap and water to wash patients? | Quantitative – Quasi-experimental | 90 wash basins from a medical/surgical ICU – convenience sampling | Patient Demographics; Basin variables (# of days basins were in use, # of days since pt’s last bath); Device variables (presence of central catheters, arterial catheters, PICC, ETT, trach, vent, Foley, fecal bags); Infection variables (infection, antibiotics, isolation – all yes/no) | Bacterial growth in basins compared to growth in basins with soap and water from another study | 4.4% growth in chlorhexidine basins vs. 97.8% growth in soap and water basins; Growth in chlorhexidine basins occurred in female patients | Bathing practices and basin storage/handling were standardized in chlorhexidine group | Case-control study (RCT would be stronger evidence); can’t compare bathing practices and basin care and storage techniques because case-control design was used | Very good | Soap and water should not be used to bathe patients in ICU setting | ||
| Larson, E.L., Ciliberti, T., Chantler, C., Abraham, J., Lazaro, E.M., Venturanza, M., & Pancholi, P. (2004). Comparison of traditional and disposable bed baths in critically ill patients. American Journal of Critical Care, 13(3), 235-241. | In critically ill adult patients, how effective are prepackaged disposable bed baths, versus traditional basin bed baths, in terms of time/quality of bath, microbial counts on skin, nurse satisfaction, and cost (O)? | 40 patients in cardiothoracic ICU, medical ICU, and general surgical ICU – convenience sampling | Each study bath was observed and timed using a bath observation tool (included # of washcloths, pairs of gloves, # of bathers, products, duration of bath, quality aspects); Interrater reliability by observing several baths simulatneously was confirmed by study team members | Microbiological sampling done before and after bath from patient skin; Nurse satisfaction and quality of bath were obtained through 6-question interview with nurses; cost was estimated through cost of product and nurses’ time | Time/quality – no difference; microbial counts – no difference in total count, but significatnly higher gram-neg bacteria after traditional bath (p=.04); Nurse satisfaction – significant overall preference for disposable bath, no difference for quality, time significantly shorter to gather supplies for disposable bath (4.05 vs 1.90 minutes, p<.001); Overall cost higher for traditional bath (nurses' time included in cost) | Inter-rater reliability obtained for data collection; different types of patients sampled | Patient satisfaction not assessed | very good | Disposable baths are a desireable form of bathing for patients in ICU settings | |||
| You will need 5 primary research articles in total. | ||||||||||||
| PICOT: How effective is bathing with chlorhexidine or disposable products (I), versus traditional basin bathing (C), in reducing contamination (O) in critically ill patients (P)? | ||||||||||||
| Databases: CINAHL (should have 2-3 academic databases) | ||||||||||||
| Key Words: (nursing, bathing patients) – You will probably have a few more key words that you used when searching the literature |
| Citation | Research Question | Study Design | Sample Size and Method | Independent Variables and Measures | Dependent Variables and Measures | Results | General Strengths | General Weaknesses | Overall Quality of Study | Summary Statements for Practice | Column12 | Column13 |
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Review the rubric so you are aware of the expectations for this assignment. Articles 0-1 primary research articles are identified 0points 2-3 primary research articles are identified 10points 4 primary research articles are identified 15points 5 primary research articles are identified 25points Articles appropriate to PICOT 0-1 primary research articles are appropriate to PICOT 0points 2-3 primary research articles are appropriate to PICOT 10points 4 primary research articles are appropriate to PICOT 15points 5 primary research articles are appropriate to PICOT 25points Articles uploaded to Moodle 0-1 primary research articles are included with table 0points 2-3 primary research articles are included with table 10points 4 primary research articles are included with table 15points 5 primary research articles are included with table 25points Literature Review Table There are major errors in the table 0points There are several errors and/or incomplete data 10points There are some missing data and/or errors 15points The table is completed appropriately 25points |
