QUANTITATIVE NURSING RESEARCH ARTICLE CRITIQUE

Quantitative Nursing Research Article Critique

Quantitative Nursing Research Article Critique

Introduction

The article states that Patients' oral care is a key constituent of nursing care. Oral care is often suggested mostly an intervention for patients' solace, a ascribe that may decline its major anxiety and thus its frequency. Information about the frequency and kind of oral care provided to critically ill patients will direct the development of nursing interventions that may accelerate deductions in these patients. (Fowler, 2001)

 

Quantitative Nursing Research Article Critique

The article states that Oropharyngeal colonization is affiliated with some systemic diseases, including cardiovascular contamination, chronic obstructive pulmonary contamination, and in the intensive care unit (ICU), ventilator-associated pneumonia (VAP). In the United States, nosocomial pneumonia ranks second in morbidity and first in death amidst nosocomial infections. (Fowler, 2001)The remedy of nosocomial pneumonia adds 5 to 7 days to the clinic stay of enduring patients and billions of dollars to healthcare costs. VAP occurs in 9% to 24% of patients with varied pulmonary disorders. The recounted death rate of VAP varies between 54% and 71%, and death is particularly high in pneumonia attributed to Pseudomonas or Acinetobacter.

This article states that Risk constituents for VAP encompass the incident of an endotracheal tube and relentless ventilatory support. It is well established that incident of an endo-tracheal tube allows the direct submission of pathogens into the pulmonary tract, dwindles the hack reflex, slows down down the undertaking of the mucociliary escalator, and boosts unwarranted secretion of mucus. Continuous ventilatory support maximizes the risk for nosocomial pneumonia. Additional risk constituents encompass enteral nutrition remedy, require of elevation of the head of the bed and the patient's location, and dental plaque. (Scannapieco, 1998)

The scribe states that one of the most critical risk constituents for the development of nosocomial pneumonia in patients who are getting relentless ventilatory support (i.e., VAP) is colonization of the oropharynx. Several constituents increase bacterial colonization of the oropharynx in critically ill patients getting mechanical ventilation. Within 48 hours of clinic admission, the composition of the oropharyngeal flora of critically ill patients undergoes a change to predominantly gram-negative organisms, constituting a more virulent flora that embraces pledge VAP pathogens. Microorganisms are intensified in dental plaque. Dental plaque may aid as a reservoir for pathogens in patients with poor oral hygiene, and dental plaque of patients in the ICU is colonized by pledge respiratory pathogens for demonstration methicillin-resistant Staphylococcus aureus and Pseudomonas aeruginosa. This procedure of oral colonization usually precedes pulmonary colonization, which directs to VAP. Reducing the number of microorganisms in the mouth declines the pool of organisms accessible for translocation to and colonization of the lung. Previous research18 displays that vigorous oral hygiene is absolutely crucial to decline oral colonization. Tooth scrubbing is creative in declining the number of oral microorganisms, but tooth scrubbing, even though it is an unaligned nursing undertaking, is not frequently offered in critically ill patients. (Scannapieco, 1998)

The article states that regrettably, while the implication of oral care in the ICU has been recounted, little has been ...