Preview

Nursing research Utilization section C

Better Essays
Open Document
Open Document
975 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Nursing research Utilization section C
Nursing Research Utilization Project: Section C
Jamie C. Lynch,
NUR/598
May 5, 2014
Pamela Springer, PhD, RN

Nursing Research Utilization Project: Section C
Section C Research Support Several articles have been reviewed as a research base for this project. Identification of appropriate research is critical to the successful implementation of nurse-led evidence-based practice protocols. Each article was carefully selected for what it could contribute to the quality of the project. Using the evidence in this research will help with the development of an implementation plan.
Article #1 Adams, D., Bucior, H., & Day, G. (2012, January). HOUDINI: make that urinary catheter disappear-nurse-led protocol. Journal of Infection Prevention, 13, 44-48. This article discusses the use of 7 criteria that must exist in order to keep an indwelling urinary catheter in place. According to Adams (2012), the average daily risk of developing a bacteremia with an indwelling urinary catheter increases by 3%-7% for every additional day the catheter remains indwelling. The study uses the acronym HOUDINI to demonstrate the criteria. The acronym stands for Hematuria, Obstruction, Urologic surgery, Decubitus ulcer, Input and output measurement, Nursing end of life care, and Immobility. In the absence of these aforementioned indications, according to the study, the catheter should be removed to decrease the risk of catheter-associated bacteremia.
Article #2
Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A Review of Strategies to Decrease the Duration of Indwelling Urethral Catheters and Potentially Reduce the Incidence of Catheter- Associated Urinary Tract Infections. Urologic Nursing, 32(1), 29-37. This article discussed different strategies to decrease the incidence of indwelling urinary catheter times. It was a retrospective study that analyzed data obtained from hospital databases. The study supports



References: Adams, D., Bucior, H., & Day, G. (2012, January). HOUDINI: make that urinary catheter disappear-nurse-led protocol. Journal of Infection Prevention, 13, 44-48. Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A Review of Strategies to Decrease the Duration of Indwelling Urethral Catheters and Potentially Reduce the Incidence of Catheter- Associated Urinary Tract Infections. Urologic Nursing, 32(1), 29-37. Clarke, K., Tong, D., Pan, Y., Easley, K., Norrick, B., Ko, C., & ... Stein, J. (2013). Reduction in catheter-associated urinary tract infections by bundling interventions. International Journal For Quality In Health Care: Journal Of The International Society For Quality In Health Care / Isqua,25(1), 43-49. doi:10.1093/intqhc/mzs077 Levers, H. (2014). Switching to an antimicrobial solution for skin cleansing before urinary catheterisation. British Journal Of Community Nursing, 19(2), 66-71. Meddings, J. A., Reichert, H., Rogers, M. M., Saint, S., Stephansky, J., & McMahon Jr., L. F. (2012). Effect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract Infection. Annals Of Internal Medicine, 157(5), 305-312.

You May Also Find These Documents Helpful

  • Better Essays

    This is critique of a randomized controlled trial study in relation to catheter-related bacteremia as the most frequent complication of the central venous catheter (CVC). The purpose of the study is to decide whether the use of 0.5% tincture of chlorhexidine or 10% povidone-iodine solution, is the most beneficial for preventing CVC exit site colonization, significant catheter tip colonization and catheter-related bacteremia in ICU patients.…

    • 1013 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Nr224 Final Exam Blue Print

    • 6692 Words
    • 27 Pages

    An indwelling urinary catheter obstructs the normal flushing action of urine flow. The presence of a catheter in the urethra breaches the natural defenses of the body. Reflux of microorganisms up the catheter lumen from the drainage bag or backflow of urine in the tubing increases the risk of infection.…

    • 6692 Words
    • 27 Pages
    Powerful Essays
  • Good Essays

    The research problem that is being explored is how to prevent infections in people who use long term indwelling urinary catheters. As patients get injured or as they age; there is a growing need to have assistance with releasing urine from the bladder. A major problem with urinary catheters is that whilst they drain the bladder, they often block the urethra and the urinary mucosa becomes inflamed, and may become damaged because of the catheter (Traunter & Darouiche, 2004). Catheter associated infections are a prevailing issue because it is best practice to reduce the costs of infections, while implementing quality and safe practices.…

    • 709 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Research Critique 2

    • 697 Words
    • 2 Pages

    Clean intermittent self-catheterisation provides a safe and effective alternative for patients who require bladder draining or in the management of urethral strictures. The insertion of a catheter into the bladder can be performed by the patient or a care and its considered the gold standard treatment for people who have a number of reasons while they are unable to avoid or empty the bladder completely (Pomfret and Winder 2007).Evidence suggests that this method of bladder emptying is viewed as the safest method of managing patients with these problems Winder (2008).…

    • 697 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Kot Task 3.4

    • 2014 Words
    • 9 Pages

    Urinary tract infections (UTI’s) are the most common type of nosocomial infections (Holland, 2012) however UTI’s are also one of the infections that is preventable. As a health care provider we are responsible for preventing infections by hand washing and or sanitizing and the other is by following current evidenced based protocols. Due to the facility not following the current evidenced based protocols for catheter care Mrs. Zwick’s had to endure a longer stay at the hospital. The negative implications that may have affected Mrs. Zwick’s could be increased anxiety for having to be hospitalized for an extend stay. Having an IV antibiotics may have caused her to stay in bed longer than needed. Unfortunately Mrs. Zwick’s will be responsible for the cost related to the hospital acquired infection. At 77 years old Mrs. Zwick’s is possibly on a fixed income having to pay the extra expense may lead to possibly her not being able to pay for her medications or not being able to pay for food. It’s important that health care facilities practice their infection control policies and continue to use evidence based protocols overall it will help the hospitals by reducing their infection rates but most of all it will help the…

    • 2014 Words
    • 9 Pages
    Better Essays
  • Good Essays

    Hospital acquired infections are a major cause of mortality and morbidity and is a challenge to all health care professionals. To prevent these infections effective hand hygiene, identifying patients at risk for infections and following standard precautions to prevent transmission must be done (Mehta et al., 2014, p. 149). Among these hospitals acquired infections(HAI) the topic that I have chosen for the class is CAUTI which means catheter associated urinary tract infection. UTIs are the most common type of healthcare-associated infection reported to the National Healthcare Safety Network. “Among UTIs acquired in the hospital, approximately 75% are associated with a urinary catheter, which is a tube inserted into the bladder through the urethra to drain urine. Between 15-25% of hospitalized patients receive urinary catheters during…

    • 1191 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Most of the articles I reviewed addressed the causes of CAUTIs, the risks of indwelling urinary catheters, as well as the successful evidence-based interventions implemented for the reduction of CAUTIs. Strouse (2015), reports that UTIs account for approximately 35% to 40% of hospital-acquired infection (HAIs) and about 80% of the UTIs are associated with presence of indwelling foley catheter. The CAUTIs not only affect the increased hospital cost, but also increases the risk of morbidity and mortality. Both the Centers for Medicare and Medicaid Services consider CAUTIs as preventable complications hence no reimbursement is provided to the health care institutions for CAUTI treatment-related costs (Strouse, 2015).…

    • 372 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Citations: Carmis BC, MD, MSCR,. Richmond M, RN, MHS, CIC,. Dyer KL, MPH. Zimmerman HN, MPH,. Coyne DW, MD. Rothstein M, MD. Fraser VJ, MD. ; Infection Control and Hospital Epidemiology, Vol. 31, No 11 (November 2010), pp. 1118-1123.…

    • 3895 Words
    • 16 Pages
    Powerful Essays
  • Good Essays

    Zero Infection Analysis

    • 583 Words
    • 3 Pages

    Data for this paper is presented by the examination of five hospitals with the goal to achieve a consistent rate of zero infections per 1000 catheter days. The analysis of Hospital 1, Hospital 2, Hospital 3, Hospital 4, and Hospital 5 wants to improve patient safety by implementing ways to reduce CAUTIs. The data was presented by using the strengths that include the support for evidence-based practice and skill level of the staff. The opportunities will include a fiscal increase, patient, and staff satisfaction, prevent infections, improve patient outcome and patient safety. The potential weakness is the lack of staffing available and not implementing a policy for early removal of Foley catheter. Research shows that timely removal of indwelling…

    • 583 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Cauti Prevention Essay

    • 430 Words
    • 2 Pages

    Catheter-associated urinary tract infection (CAUTI) has been documented at approximately 54,500 occurrences in 2012 due to the increase use of urinary catheters in hospitals. Urinary catheter use without a suitable clinical indication is the leading culpability for the push towards improving practices and implementing preventions for CAUTI. To improve these health care-associated infection (HAI) rates, the medical field relies on an evidence-based approach in the efforts to prevent and help control CAUTI. The following recommend guidelines provided by the CDC, supports the evidence-based strategies of CAUTI prevention: appropriate catheter use, proper techniques for urinary catheter insertion, proper techniques for maintenance, quality improvement programs, administrative infrastructure, and surveillance.…

    • 430 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    CAUTI In Healthcare

    • 1514 Words
    • 7 Pages

    CAUTI is a serious infection that can be avoided. It is a healthcare associated infection that is obtained while a patient is receiving care and treatment in a hospital. The patient is being treated for another illness, however will start needing treatment for an unnecessary urinary tract infection due to foley catheter use. CAUTI is one of the top 10 leading causes of death that can be absolutely prevented. This type of infection is one of the most common in the acute care setting. Many people in the United States are diagnosed with a community acquired urinary tract infection, (CAUTI) while they are in the hospital. This acute illness affects people in so many ways; the various symptoms someone can experience are: the constant blood tests…

    • 1514 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Catheter-Associated Urinary Tract Infections (CAUTIs) are one of the most costly occurring nosocomial infections seen today. The Center for Disease Control (CDC) (2015) stated that the risk of developing CAUTIs is 3%-7% in the acute care setting, and CAUTIs comprise 40% of all institutionally acquired infections with an 8% prevalence rate seen in the home care setting. The CDC (2015) further implied that more than 1 million patients who either resides in an acute-care hospital or extended-care facilities will acquire a CAUTIs with the risk of 5% seen with short-term daily catheterization insertion. As indicated by these findings, CAUTIs are ranked second as being the most common cause of nosocomial bloodstream infection. The CDC…

    • 1016 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Nursing Observation Paper

    • 371 Words
    • 2 Pages

    Cleaning the meatal surface with antiseptic solutions while a catheter is in place is ineffective for preventing CAUTI and currently not recommended.…

    • 371 Words
    • 2 Pages
    Good Essays
  • Best Essays

    Peripheral Ivs and Phlebitis

    • 3353 Words
    • 14 Pages

    Powell, J., Tarnow, K. G., Perucca, R. (2008). The relationship between peripheral intravenous catheter indwell time and the incidence of phlebitis. Journal of Infusion Nursing, 31, 39-45.…

    • 3353 Words
    • 14 Pages
    Best Essays
  • Powerful Essays

    Stanton,S.L. and Dwyer, P.L. 2000 in Bardsley, A. Urinary tract infections: prevention and treatment of a common problem Nurse Prescriber 1(13) pp113-117…

    • 6153 Words
    • 25 Pages
    Powerful Essays