Translating Evidence into Clinical Practice

****WORK IS ALREADY DONE, JUST SEE ATTACHED DOCUMENT AND PLEASE CHANGE ALL THE WORDING***INTRUCTIONS BELOW IS FOR YOU TO HAVE AN IDEA OF WHAT IS DONE ALREADY!!Translating Evidence into Clinical PracticeChoose one evidence-based practice that you see yourself using as a provider in your clinical practice and discuss how it meets the listed benefits.Why should we, as healthcare providers, use evidence-based practice?Evidence-based practice benefits:Leads to highest quality care and patient outcomesReduces health care costsReduces geographic variations in the delivery of careIncreases healthcare provider empowerment and role satisfactionReduces healthcare provider turnover rateIncreases reimbursement from 3rd party payersReduces complications and payment denialsMeets the expectation of an informed publicInclude 3 evidence-based articles to support your work that are less than 3 years old.

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Unit 4 Assignment: Translating Evidence into Clinical Practice
Kaplan University
MN 566: Introduction to Primary Care for the Nurse Practitioner
Infection Control Evidence Based Practice
Evidence-based practice (EBP) in nursing is one of the crucial principles in today
medicine. It is a medical practice based on solid research that adheres to high standards and
safety while focusing on the needs of patients (DiCenso, Guyatt, & Ciliska, 2014). There are
many examples of evidence-based practice in the daily practice of nursing such as oxygen use in
patients with COPD, intravenous catheter size and infection control which is the main EBP focus
in the essay and the importance of using evidence-based practice in a clinical setting.
As a healthcare provider, using infection control as one of the evidence-based practice in
clinical practice is very essential. Having a hospital-acquired infection is the last thing any
patient would want. It is the primary role of a nurse to prevent illness before it happens through
adhering to policies of evidence-based infection-control that involves maintaining cleanliness in
the healthcare environment, putting on protective clothing, using barrier precautions and
ensuring correct hand washing (Loveday et al., 2014). Although nurses participate in many
responsibilities, investing time to control infection is worth since it has many benefits which
include high quality and patient outcome.
When the effort to control infection is implemented in a hospital, the patient gets quality
services thereby improving their outcomes. According to a new study, hospital intensive-care
units have a higher mortality risk among elderly who during their stay in hospital develop an
infection, which can be reduced through infection control (Loveday et al., 2014). A nursing
outcome research done in Scutary, Turkey, showed that controlling hospital-acquired infection
reduced the death rate at the military hospital from 43% to 2% within six months. Additionally,
health outcomes analysis carried out to more than 17,000 Medicare patients admitted in 2002
found those who acquired an infection while in an ICU were 35% more likely to die within five
years of leaving the hospital (DiCenso, Guyatt, & Ciliska, 2014).
Infection control EBP also reduces health care costs. A study carried out by Medicare
indicates that infection control efforts in their facilities did not only result in better health but
also reduced the healthcare costs. According to the study published in the American Journal of
Infection Control working to prevent the most common types of healthcare-associated infections
such as pneumonia increases the chances rates of survival and reduce their care cost by more
than $150,000 per patient (Loveday et al., 2014). A director of Nursing of the Center for Health
Policy released statement saying for decades preventing infections works by saving lives and
much money.
Increasing healthcare provider empowerment and role satisfaction is another benefit of
using infection control as EBP. Nurses are positioned to lead the transformative changes in
healthcare that can take the form of infection control. Being a fully contributing
extraprofessional member involved in patient-centered care, quality improvement and care
coordination increases nurse’s role satisfaction. Also, infection controls require enhanced set of
knowledge, skills, and attitudes from the nurse which increases their empowerment. Infection
control also reduces healthcare provider turnover rate indirectly. When most of the hospitalacquired infections are controlled, there is less workload in hospitals. The National Healthcare
Retention report states that high workload and risks in the working environment are among the
primary contributors to high turnover rates of nurses. The workload increases with the increase
in cases of infection that requires much attention from the nurses to handle the situation. Also,
the risk of acquiring infection to the nurses’ results from failure to wear personal protective
clothing. Through infection control, workload and risks among the nurses will significantly be
reduced resulting in declining their turnover rates (Loveday et al., 2014).
Increasing reimbursement from 3rd party payers is another advantage of using infection
control as EBP in clinical practice. In USA, the annual direct hospital cost of hospital-acquired
infection range between 28 billion dollars to 45 billion dollars (Loveday et al., 2014). The
amount is certainly more than any hospital financial impact, and the third party cannot take care
of the expense. Among the main policy reforms in American healthcare is that US Medicare
which is the largest health payer in United States will no longer pay hospitals for preventable
errors such as hospital-acquired infections. In fact, a deficit-reduction law passed by the US
Congress in 2005 states that hospitals will not be reimbursed for the extra cost of treating
patients who acquired conditions while in hospital. Controlling infections will increase in
reimbursement by third parties to hospitals through catering for all the financial needs with no
penalty imposed.
Also, using infection control as an evidence-based practice in clinical practice will reduce
complication and payment denials. Since the Deficit Reduction Act of 2005 implementation in
the United States, Centers for Medicare and Medicaid Services has been denying payment for
claims occurring in which selected conditions took place during the stay in a hospital and were
not present on admission. Controlling hospital-acquired infections will reduce the complications
involved while claiming for reimbursement and payment denials especially by the third parties
(Melnyk, Gallagher-Ford, Long, & Fineout-Overholt, 2014).
In today’s world, evidence-based practice has gained momentum in nursing. Health care
providers should use evidence-based practice to increase the likelihood of the desired patient
outcomes across different settings. It provides greater information concerning treatment and the
care options. The evidence-based practice also provides opportunities for nursing care to be more
individualized, effective, dynamic, and streamlined to maximize the clinical judgment effects
(DiCenso, Guyatt, & Ciliska, 2014).
DiCenso, A., Guyatt, G., & Ciliska, D. (2014). Evidence-Based Nursing-E-Book: A
Guide to Clinical Practice. Elsevier Health Sciences.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The
establishment of evidence-based practice competencies for practicing registered nurses and
advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare
quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1),
Loveday, H. P., Wilson, J., Pratt, R. J., Golsorkhi, M., Tingle, A., Bak, A., … & Wilcox,
M. (2014). epic3: national evidence-based guidelines for preventing healthcare-associated
infections in NHS hospitals in England. The Journal of Hospital Infection, 86, S1-S70. doi:

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