Assessment- Critical Analysis – Essay Length :1100 Due date: 13 th July 1800. ASSESSMENT ITEM 2: DESCRIPTION Clostridum difficile infections (CDIs) are costly to many healthcare settings. Rates of...

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Assessment- Critical Analysis – Essay


Length :1100


Due date: 13th
July 1800.



ASSESSMENT ITEM 2: DESCRIPTION


Clostridum difficile infections (CDIs) are costly to many healthcare settings. Rates of CDIs are on the rise worldwide (Bentivegna et al., 2021). In the past six months your hospital executives have implemented a hospital acquired infection surveillance program for clostridum difficile as per the Australian Commission on Safety and Quality in Health Care (2020) guidelines, in conjunction with relevant State/Terrority hospital associated infection guidelines.


You are a novice practice developer and have observed some poor practices in relation to hand hygiene, contact precautions, and environmental cleaning to prevent the spread of CDIs. You approach your clinical manager to raise your concerns about the identified gaps in practices and are worried about the impact of these poor practices on patients. You state to your manager that you are currently undertaking a practice development (PD) subject at university and think a practice development project could improve patient outcomes and person- centred care. Your manager is interested to hear more about your ideas and how these might transform practice and decrease CDI infections.


Before developing this practice development project though, your manager first wants to confirm that you understand some of the key processes and concepts involved in PD. As such, your manager has asked you to write a critical analysis which demonstrates your understanding of PD and how some of the key PD concepts may transform practice in your ward (or specific work area). He/she has outlined a list of key PD concepts in Table 1 to prioritise for your critical analysis and wants you to focus on the critical analysis of these specific PD concepts (not developing the project itself).



















Person-centred care Evidence based practice Knowledge translation




Evidence based practice



Knowledge translation



Shared values and beliefs



Table 1: Practice development key Concept






Task


For this critical analysis you need to:



  • Introduce your workplace context and plausible background information in relation to CDI practices, focusing on the who, what, where, and why of the problem. You may use specific, appropriate information outlined in the assessment description to explain the background information. Do not repeat all of the assessment description in your background. Ensure that your workplace is de-identified.
    –( I work in aged care facility, so please address wrok place as aged care facility. Critical analysis means breakdown parts of the problem or issue as it described in scenario and provide analysis of these parts)





  • Critically analyse the importance and relevance of each of the PD key concept in table 1 to improve patient outcomes and minimise the spread of CDIs in relation to your specific workplace context. Ensure your analysis clearly focuses on the practice development concepts and their importance in projects aiming to transform practice. – (to discuss what happening in practice in your work place, identify the gaps in what we say and what we do, so to ensure you analysis clearly focuses on practice development concerns and the importance in projects to transform practice to provide improved patient centred care
    )







  • Discuss two potential barriers to incorporating the PD key concepts in table 1 to improve patient outcomes in relation to your specific workplace context.




  • Briefly recommend a strategy for each barrier identified which will positively influence patient outcomes and justify their suitability to implement in your workplace context.




































Criteria




HD



Workplace context


Weight 15%



Highly succinct and comprehensive summary of the problem, demonstrating understanding of how PD influences patient outcomes.



Key concepts and processes


Weight 40%



All four key processes and concepts comprehensively analysed in workplace context to demonstrate their validity in improving patient outcomes and reducing CDI infection rates.



Potential barriers


Weight 15%



Comprehensive discussion of the 2 barriers of the PD key concepts relevant to the workplace context and improving patient outcomes.



Strategies


Weight 15%



Highly effective strategies recommended that align closely to each barrier to improve patient outcomes and to minimise the spread of CDIs.



Evidence


Weight 10%



An extensive range of relevant literature from scholarly sources has been used discerningly to support the discussion and strategies. APA 7th edition referencing conventions in both in-text referencing and reference list have always been applied accurately and consistently. (No errors



Academic language


(grammar, punctuation, academic structure (layout)


Weight 5%



Demonstrates advanced written communication skills, with evidence of: Sophisticated language, including use of accurate terminology. Highly effective sequencing and structure of paragraphs in body. Very well constructed sentences and correct punctuation and spelling. (No errors)




You are expected to draw on contemporary literature to support the ideas presented in your analysis. You must use APA (7th edition) referencing conventions throughout the essay. As this is an academic essay, you are expected to construct the paper using correct academic writing and format (no dot points, use third person and include an introduction, conclusion and reference list).


For guidance on standards for assessment preparation, including referencing, please see Assessment Preparation Guidelines


References:


Australian Commission on Safety and Quality in Health Care (2020, July).
Implementing guide for the surveillance of clostridiodies difficile infection.
https://www.safetyandquality.gov.au/sites/default/files/2021- 03/surveillance_guide_cdi_july_2020_indesign_final_version.pdf


Bentivegna, E., Alessio, G., Spuntarelli, V., Luciani, M., Santino, I., Simmaco, M., & Martelletti, P. (2021). Impact of COVID-19 prevention measures on risk of health care-associated Clostridium difficile infection.
American Journal of Infection Control,
49(5), 640–642. https://doi.org/10.1016/j.ajic.2020.09.010



Answered 1 days AfterJul 11, 2021

Answer To: Assessment- Critical Analysis – Essay Length :1100 Due date: 13 th July 1800. ASSESSMENT ITEM 2:...

Azra S answered on Jul 13 2021
142 Votes
CDI’s and preventive measures in Aged-care facilities
Introduction
Clostridium difficile infections are bacterial infections that can result in infections (CDIs) symptomatic of diarrhea and cramping in the stomach. CDI’s can prove costly to many healthcare settings, especially since the rates of C
DIs in hospitals have been on the rise, worldwide (Bentivegna et al., 2021). As a practitioner in an aged care facility, I have noticed a few areas of concern that can be modified in order to ensure better prevention of CDI’s in this setting. In this paper, I would like to discuss these areas of concern along with data from my research regarding the best preventive measures for CDI’s in aged care facilities.
Clostridium difficile Infections
Clostridium difficile are a type of gut bacteria that exist in the guts and along with other microorganisms perform a range of functions including stimulating growth of intestinal lining, inhibiting the growth of disease-causing bacteria and assisting in food digestion. If the balance between the bacteria in the gut is disrupted, bad bacteria can overgrow and cause infections. If Clostridium difficile grows in number, it can result in diarrhoea and even colitis (Stuart et al, 2015).
Outside the colon, Clostridium difficile is present only in vegetative states in the form of spores. However, they have a high ability to survive dryness, temperatures and no nourishment. When the spores are ingested, they start growing and producing toxins leading to disease (Stuart et al, 2015).
Clostridium difficile infection are mainly transmitted through the faecal-oral route. This happens usually due to poor or absent cleaning after being in contact or handling faeces. These infections also occur due to disruption in balance of bowel bacteria through use of broad-spectrum antibiotics (Stuart et al, 2015).
Aged Care facilities as high risk
Aged care facilities are areas of high risk for the spread of Clostridium difficile infections. Studies show that the people in aged care settings suffering from CDI’s ranges from about 4 to 20 percent (Jump & Donskey, 2015). There are several reasons for this. Many older adults are prescribed broad spectrum antibiotics for some or the other treatment. In addition, older adults have weakened immune systems and this makes them at greater risk of acquiring the infection. Some aged patients also have nasogastric tube or gastrostomy feeding tube which can increase risk of CDI. Certain medications that reduce the production of acid in the stomach can also put a patient at increased risk. Finally, staff in aged care facilities have to come into close contact with aged patients who often suffer incontinence and around who, foregoing hygienic practices can often go unnoticed (Jump & Donskey, 2015).
Poor practices in relation to hand hygiene, contact precautions, and environmental cleaning has been noted in the current aged-care facility. It is clear from the above observation that it is extremely...
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