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Statement of Purpose Essay

Research comes in all forms: on a large scale in institutions as well as at the bedside to improve quality of care for patients. For this essay, focus on the problem you will use for your Evidence-Based Policy and Practice Essay in Module 8. In your clinical experience as a student or practicing nurse, consider some aspect of your work that is enigmatic, perplexing or troubling. Can you conceive of any procedure, practice, or information that would improve the quality of your work in that area or improve the care you provide? Ask yourself a series of similar questions until a general approach to solving the problem or contributing to the solution emerges. Narrow the problem area until you have a workable statement of purpose for a study with a problem statement. The essay is to be no more than three pages in length.:

General Problem
Describe the problem. What makes it enigmatic, perplexing or troubling?

Statement of Purpose
What do you hope to accomplish in developing an Evidence-Based Policy and Practice?

How would solving the problem increase the quality of care for patients or clients?

use My Statement below with instruction above:
“In hemodialysis patient with ESRD what is the effect of clean technique used now in comparison to Sterile technique on risk of infection for central venous catheter patients.”



Patients whose kidney fails permanently due to blood pressure and diabetes have option to live with dialysis. The objective of dialysis is to get rid of extra fluid to cover for failing kidneys. The process of hemodialysis is regarded as one highest effective way to get read of blood waste. Doctors use central venous catheter to administer administers fluid and medication to conduct the blood test. However, CVC have proved to introduce pathogens into bloodstream of hemodialysis options raising question whether to employ clean technique or sterile technique when administering CVC.

Studies indicate that CVC contributes highly to high risk CLABSI especially when doctors use central line catheter. The catheter is deeply inserted in a vein to reach the heart to initiate chemotherapy. Cases of infection arises when doctors uses catheters that are not coated with antimicrobial. Therefore, this study aims at justifying why evidence-based policy and practices would be ideal to address the infection menace contributed by CVC.

Statement of Purpose

Developing an evidenced practice and policy would help identifying effect clean technique over sterile technique in preventing infections related to central venous catheter patients.

To begin with, evidence-based policy is an essential public policy in medical field. The techniques utilize randomized controlled trials aiming at establishing efficient practices and programs for improving policy results. Occasionally, the technique incorporates some aspect of impact that would be replicated by third party. Therefore, by administering evidence-based policy in this subject matter, a researcher would be in a comfortable position to identify controls and uncertainties of whether effect of sterile technique or clean technique would be the best practice to reduce infection to hemodialysis patients.

Hygiene technique over Sterile Technique

Medical practitioners indicate that hand hygiene is an essential practice in preventing CLABSI. Research further reveals that the proceeds of decontaminating hands with alcohol contribute significantly to reduction of cases of CLABSI rates. Many cases of CLABSI risk are contributed by unhygienic practice inserting CVC into patient’s bodies. Hygienic involve educational programs and written protocols that are replacing sterile when inserting catheter.

The program includes manipulation of taps catheter replacement modalities, line repair, and dressing frequencies. The technique involves effective training programs to members of staff in such away that they would adopt hygienic clinical practices. These practices address consequences of filing to comply with catheter insertion protocols. The program is effective in the sense that it stipulates that member staff should take ultimate responsibility of replacing catheters when conditions of patients stabilize. It is worth mentioning that hygienic technique has already made a significant impact. Catheter manufacturers are coated with antiseptic agents (Niel-Weise et al, 2007).

There are those instances where medical practitioners employ sterile technique in reducing infection risks relate to catheter insertion. Staff employing the technique wears heap caps, sterile gloves, sterile body gown, facemask, and full-size drapes. In essence, the technique is highly effective in reducing complications related to catheter utilization. However, there have been serious cases where clinical staffs have failed to comply with the sterile practices (Hu et al, 2004).


Sterile technique therefore propelled two possible outcome, death, or life of hemodialysis patients. There has been numerous cases connection non-compliance leading to death of patients. Research further indicated that the probability of death increases several when clinical staff. Using colonized catheters is the major contributing factor to local infection implying that sterile technique is less effective compared to sterile technique. In conclusion, evidence-based policy has been instrumental in identifying clean technique polices that clinical staff should consider over sterile technique.

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