Evidence application review and obstacle factors analysis for prevention and control of multidrug-resistant organism infections in adult ICU
SHI Xiaoliu
SHAO Lili
SHEN Hongwu
SHI Jinmei
ZHANG Yan
GU Xiaoying
ZHANG Qian
GU Yu
HUANG Juan
Abstract：Objective:To carry out evidence-based nursing practices for the prevention and control of multidrug-resistant organism infections in patients admitted in adult intensive care unit(ICU),to formulate nursing quality review indicators,analyze obstacles and promoting factors in evidence-based nursing practice,develop action strategies,and provide reference for clinical practice.Methods:Based on the knowledge to action framework as the theoretical guidance,identified clinical nursing issues,an evidence-based team was formed,and evidence was systematically searched,evaluated,and summarized.From November 1 to December 31,2023,a baseline review was conducted based on the review indicators.Based on the results of the review,obstacles and promoting factors in evidence-based nursing practice were analyzed,and action strategies were developed.Results:This study included 36 pieces of evidence on the prevention and control of multidrug-resistant organism infections suitable for clinical application in adult ICU,and developed 9 review criteria and 44 review indicators.The clinical compliance rate of the 44 review criteria was from 0 to 100%,among which the lowest compliance rate of 8 review indicators in review criteria 1,3,4,6,7 was 0,requiring the department to carry out relevant prevention and control measures.The lowest compliance rates for review criteria 2,5,8,and 9 were 55%,61%,50%,and 20%,respectively,indicating room for improvement.Conclusion:This study is based on evidence and combined with the judgment of clinical professionals,the quality review indicators developed are scientific,operable,and practical.There is still a certain gap between the evidence of prevention and control of multidrug-resistant organism infections in adult ICU and clinical practice.Improvement strategies developed based on the analysis of obstacle factors and promoting factors can provide guarantees for the standardized practice of multidrug-resistant organism infection prevention and control in ICU,and promote the effective application of evidence in clinical practice.
Keywords：multidrug-resistant organismintensive care unitevidence-based nursingquality auditreview index
Publication Date：2025-02-14
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：9( 432-440 )