WK5Proj+Randolph+N_6052-4.docx

WK5Proj+Randolph+N_6052-4.docx - Running head LITERATURE...

This preview shows page 1 - 4 out of 13 pages.

Running head: LITERATURE REVIEW 1 Literature Review Nema Randolph Walden University NURS 6052N-28, Essential of Evidence-Based Practice March 28, 2019
Image of page 1

Subscribe to view the full document.

Running head: LITERATURE REVIEW 2 A careful review of literature is the first step a researcher takes after defining a research problem (Polit & Beck, 2017). A literature review can be as simple as a summary of a source, but it also synthesizes existing research into the summary. A literature review gives a new interpretation of old material, or it combines the latest information gathered with the old interpretation. The purpose of this paper is to conduct a Literature review that will synthesize current evidence-based practice, identify any inconsistencies and contradictions in the literature and form a preliminary conclusion whether the evidence provides strong support for the selected questions. PICOT Question In the previous research project, this author came up with a PICOT question: In the admitted hospital patient does the implementation of a nursing urinary catheter protocol on admission compared to no set protocol affect CAUTI rates during the short-term hospitalization? PICOT stands for population, intervention, comparison, outcome, and timeline. To formulate a PICOT question, information should be gathered to form clinical or background questions. “A well-constructed PICOT question helps find the best evidence available to influence practice” (Echevarria, 2014) and helps researchers answer clinical questions by identifying searchable keywords to streamline their investigation (Davis, 2011). Catheter-associated Urinary tract infection (CAUTI) is one of the most common infections a person can contract in the hospital. Despite, all the evidence-based literature available today on how to prevent CAUTI, nurses still 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
Image of page 2
Running head: LITERATURE REVIEW 3 United States, with many reports showing inappropriate and unjustifiable uses of these catheters” (Purvis, Gion, Kennedy, et al., 2014). Literature Review The highest level of evidence includes filtered resources such as systematic reviews, critically-appraised topics and critically-appraised individual articles in descending order (Walden University, 2012). Randomized controlled trials (RCT) are the next highest level of evidence, considered by many to be from rigorous research, followed by non-randomized controlled trials or quasi-experimental trials (Polit & Beck, 2017). The lower levels are cohort studies, single descriptive or qualitative studies, case report, and expert opinions, and all of them need to be carefully reviewed for validity and reliability (Polit & Beck, 2017). A literature review was done using CINAHL, Google Scholar, Medline, EBSCO and Cochrane Review from the time of 2013 to present. The following keywords and Boolean search phrases used: CAUTI, hospitals infection, hospital-acquired infections, indwelling catheter, infection rate, Foley catheter, and infection rate. Five research articles were obtained that were relevant to the PICOT
Image of page 3

Subscribe to view the full document.

Image of page 4
  • Fall '16
  • Evidence-based medicine, urinary tract infection, Catheter, Urinary catheterization, Foley catheter

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern