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My question is this High, good or low quality in the quality ratings for level 1 research article per the John Hopkins Nursing Evidence-Based Practice Model The article strengths and limitations of the study is: One of the strengths of our study is that VAT and VAP were diagnosed both clinically and microbiologically. Second and another strength is a randomized, single-blinded, placebo group design. However, the present study certain limitations. First, it was conducted within two ICU’s in a single hospital, so its generalizability is limited. Future research should involve a prospective, multicenter, larger population study. Second, we assessed the 0.12% chlorhexidine on early-onset VAP development. We suggest that nurses should assess the effect of 0.12% Chlorhexidine on late-onset VAP development in the future. To me it seems that it is a good quality because of the limitations. Not sure

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