Introduction
For today’s discussion, a study by Patel et al. (2019) was analyzed. The purpose of the quantitative research was to test the effectiveness of the STRIVE initiative for decreasing the rates of central line–associated bloodstream infection (CLABSI). It is a multimodal intervention consisting of recommendations and tools for prioritizing and implementing evidence-based infection prevention strategies, on-demand educational videos, webinars led by content experts, and access to content experts.
Variables
The researchers utilized the CLABSI rate per 1000 catheter days as the dependent variable. The researchers also viewed catheter use ratio per 100 patient-days as a dependent variable. The independent variable was implementation of a STRIVE initiative. The researchers assessed how implementation of the STRIVE initiative affected the CLABSI rate and device utilization ratio.
Research Design and Data Collection
The researchers utilized experimental design and measured the variables before and after the intervention. The data was collected from the electronic health records of acute care, long-term acute care, and critical access hospitals, including intensive care units and medical/surgical wards. Hospitals had a cumulative attributable difference above the first tertile of performance for Clostridioides difficile infection and another health care–associated infection (such as CLABSI) were selected for the study.
Results
The study concluded that, even though the CLABSI ratio and the device use ratio decreased, the changes were statistically insignificant. Thus, the experiment did not confirm that the STRIVE intervention had a positive impact on CLABSI prevention.
Conclusions
I would recommend a quality change based on the study, as the results were statistically insignificant. Thus, the intervention described in the study did not address the problem of CLABSI prevention, as its effect was insignificant. Therefore, the research demonstrates that the nursing practice should not be changed to include the multimodal intervention as described in the study.
References
Patel, P. K., Greene, M. T., Jones, K., Rolle, A. J., Ratz, D., Snyder, A.,… & Chopra, V. (2019). Quantitative results of a national intervention to prevent central line–associated bloodstream infection: A pre–post observational study. Annals of internal medicine, 171(7_Supplement), S23-S29.