This project is for literature review on PICO question:
This project is for literature review on PICO question: For the healthcare personnel in the operating room, what
is the effect of wearing facility-laundered scrubs compared to home-laundered scrubs in reducing patients’ surgical site infection (SSI)? I have already gone to my school library and scholar/google to search for 5 relevant research journals (I have filled them out on the table attached) but I don’t know what Hierachy of evidence level they are and I need to know the type of study, design and frame work as well. please help. (you can see my table is not filled out).
Literature Review Summary TableNURS 5052/NURS 6052Name: Facility-laundered Scrubs vs Home-laundered ScrubsCecilia Kwong-MurphyCitationType of StudyDesign TypeFramework/TheorySettingKeyConcepts/VariablesFindingsHierarchyofEvidence LevelBelkin, N. (2001). Homelaundered of soiledsurgical scrubs:Surgical site infectionsand the homeenvironment.American Journal ofInfection Control,29(1), 58-64.Type of Study:Design Type:Framework/Theory:PubMed andCochranedatabaseswereresearchedto findrelationshipof homelaunderedscrubs toSSIsConcepts:Independent Variable:Dependent Variable:Controlled Variable:OR scrubs that were laundered athome did not increase in theincidence of surgical siteinfections (SSI). However, AORNopposed the practice and theCenters for Disease Control andPrevention stayed mutual on thesubject.Nordstrom J., ReynoldsA. & Gerba, C. (2011).Comparison of bacteriaon new, disposable,laundered, andunlaundered hospitalscrubs.AmericanJournal of InfectionControl, 40(6). 539-543Type of Study:Design Type:Framework/Theory:A literaturereviewincludingqualitativecomparisonof thefindingsfrom sixstudies.Concepts:Independent Variable:Dependent Variable:Controlled Variable:29 unwashed scrubs swatchedanalyzed, 23 (79%) were positivefor some type of gram-positivecocci, with 3 (10%) of thoseclassified as staphylococcusaureus, and 20(69%) werepositive for coliform bacteria, 3 ofwhich were E. Coli. Homelaundered scrubs had asignificantly higher total bacteriacount than hospital-launderedscrubs (p=0.016)© 2016 Laureate Education Inc.1
Literature Review Summary TableNURS 6052CitationStudyDesign TypeFramework/TheorySettingKeyConcepts/VariablesFindingsHierarchyofEvidence LevelJorkovich, P. (2004).Home-Versus hospital-laundered scrubs: A pilotstudy.MCN, AmericanJournal of MaternalChild Nursing, 29(2).106-110Type of Study:Design Type:Framework/Theory:Pilot studythatdetermine thepresence ofpathogens onscrub attirethat had beenlaundered athome or inthe hospital.The leftshoulder ofhome-launderedscrubs(n=30)and hospital-launderedscrubs(n=20)were culturedduring first 2hours ofsingleworkday.Concepts:Independent Variable:home-launderedscrubsDependent Variable:Hospital launderedscrubsControlled Variable:pathogensThe results suggested that scrubslaundered both at home and inthe hospital were free ofpathogens. And that differinghome washing procedures madeno difference.Wilson, J., Loveday H.,Hoffman P. & Pratt R.(2007). Uniform: Anevidence review of themicrobiologicalsignificance ofuniforms and uniformpolicy in theprevention and controlof healthcare-associated infections.Report to theType of Study:Design Type:Framework/Theory:N/ASystematicsearch andqualityassessmentof publishedliterature wasconducted toestablishcurrentknowledgeon the role ofhealthcareConcepts:Independent Variable:N/ADependent Variable:N/AControlled Variable:N/AThe hypothesis thatuniforms/clothing could be avehicle for the transmission ofinfections is not supported byexisting evidence. There is noevidence of a difference inefficacy of decontamination ofuniforms/clothing betweenindustrial and domestic laundryprocesses, or that the homelaundering of uniforms providesinadequate decontamination.
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