Critical analysis of a qualitative study
Critical Analysis
Grand Canyon University
NRS-433v
7/30/15
Critical Analysis
Problem Statement
In “Bundles to Prevent Ventilator-Associated Pneumonia: How valuable are they?,” Charity Wip and Lena Napolitano present the results of a qualitative study to determine the value of different care bundles in preventing the occurrence of ventilator-associated pneumonia (VAP). In fact, the authors concede that VAP is often resultant of the ventilator care plan, and that the ventilator bundle would be critical in reducing the occurrence of VAPs among the intensive care unit (ICU) patients. Of important is the fact that a range of care bundles are present, each differing in its specific care process that focuses on VAP prevention and even mortality when VAP occurs. Using the information submitted in the research article, ICU medical personnel can refine their care plans for increased effectiveness in the reduction of VAP rates in the ICU. In addition, such an understanding would ensure better overall medical care outcomes in the ICU (Wip & Napolitano, 2009). Therefore, the problem addressed by the article is the determination of the best care bundles for reducing the occurrence of VAP among ICU patients.
It is clear that the articles intent is on identifying the best ventilator care bundle for reducing the incidence of ICU. In line with this problem statement, the authors acknowledge that there is a range of care plans being applied, each differentiated by the pharmacological, positional and physical strategies adopted. They assert that while VAP is preventable, it is still common owing to the fact that a range of differing guidelines are available to address it. The same is also true for the bundles, acknowledging for principally used bundles that include head elevation to between 30o and 45o, sedation vacation and evaluation of readiness to extubate on a daily basis, prophylaxis for peptic ulcer disease, and prophylaxis for deep venous thrombosis. These
Grand Canyon University
NRS-433v
7/30/15
Critical Analysis
Problem Statement
In “Bundles to Prevent Ventilator-Associated Pneumonia: How valuable are they?,” Charity Wip and Lena Napolitano present the results of a qualitative study to determine the value of different care bundles in preventing the occurrence of ventilator-associated pneumonia (VAP). In fact, the authors concede that VAP is often resultant of the ventilator care plan, and that the ventilator bundle would be critical in reducing the occurrence of VAPs among the intensive care unit (ICU) patients. Of important is the fact that a range of care bundles are present, each differing in its specific care process that focuses on VAP prevention and even mortality when VAP occurs. Using the information submitted in the research article, ICU medical personnel can refine their care plans for increased effectiveness in the reduction of VAP rates in the ICU. In addition, such an understanding would ensure better overall medical care outcomes in the ICU (Wip & Napolitano, 2009). Therefore, the problem addressed by the article is the determination of the best care bundles for reducing the occurrence of VAP among ICU patients.
It is clear that the articles intent is on identifying the best ventilator care bundle for reducing the incidence of ICU. In line with this problem statement, the authors acknowledge that there is a range of care plans being applied, each differentiated by the pharmacological, positional and physical strategies adopted. They assert that while VAP is preventable, it is still common owing to the fact that a range of differing guidelines are available to address it. The same is also true for the bundles, acknowledging for principally used bundles that include head elevation to between 30o and 45o, sedation vacation and evaluation of readiness to extubate on a daily basis, prophylaxis for peptic ulcer disease, and prophylaxis for deep venous thrombosis. These