WK10_Assgn+Randolph+N_6052-2.docx

WK10_Assgn+Randolph+N_6052-2.docx - 1 Course Project Nema...

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1 Course Project Nema Randolph Walden University NURS 6052 Section 28: Essentials of Evidence-Based Practice Dr Smith May 01, 2019
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2 A critical step in the research process can identify questions that need evaluation and evidence-based support. To provide a real understanding of a research problem, “the first critical step is to identify the problem. Problems can be identified from observations of the clinical setting or a review of the literature” (Buelow, 2006). Once the research question has been identified, the next step would be to do a literature review on previous studies to apply it as an evidence-based practice (EBP) during the study. The purpose of this assignment is to reinstate the PICOT question for this research problem with the five relevant questions, how significant it is to nursing practice and how to apply the EBP to the nursing practice. CAUTI CAUTI is an issue in hospitals. CAUTI stands for Catheter-associated Urinary Tract Infection. CAUTI is one of the most common infections a person can contract in the hospital. Foley catheters or Indwelling catheter are the cause of this infection in hospitalized patients. Unfortunately, nurses lack knowledge about the use and importance of a nurse-driven urinary catheter removal protocol. “More than 30 million indwelling urinary catheters (IUCs) are inserted annually in the United States, with many reports showing inappropriate and unjustifiable uses of these catheters” (Purvis, Gion, Kennedy, et al., 2014) and according to the Center for Disease and Prevention (2017), 75% of hospital-acquired urinary tract infections are associated with a urinary catheter. CAUTI can cause prolonged hospital stay and increased cost and mortality. (American Association of Critical- Care Nurses, 2016), if the Foley catheter is not removed when a patient does not need it any longer. To reduce CAUTI rate at a facility, it is
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3 recommended to have a nurse-driven protocol for the removal of a urinary catheter using evidence-based criteria, enabling catheter removal without a physician’s order. Significant to Nursing Practice As stated above, the CAUTI rate is significantly high in the hospital setting. There is a lack of knowledge of CAUTI prevention and lack of rationale for Foley catheter insertion. According to Majid, Foo, Luyt et al. (2011), EBP provides nurses with a method to use critically appraised and scientifically proven evidence for delivering quality health care of a specific population (p.229). EBP is the golden standard of care, and it is essential to guide out the practice by these guidelines (Majid, Foo, Luyt et al., 2011). There are a few areas to evidence- based clinical care to reduce the rate of CAUTI such as the prevention of inappropriate catheter use, the nurse-driven protocol to remove catheters and how to care for a catheter. Nurses are at the frontline of catheter use; therefore, it is vital for nurses to screen and assess patients who are at risk of catheter infection and use EBP to prevent it. It is essential for the hospital to utilize EBP approved guidelines to reduce the rate. PICOT question is significant in nursing practice,
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  • Fall '16
  • Urinary catheterization, Foley catheter, urinary catheter

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