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1Running head: EVIDENCE-BASED PRACTICE TASK 2Evidence Based Practice and Applied Nursing ResearchNikita P. HeislerWednesday, July 17, 2019Western Governors University
2Running head: EVIDENCE-BASED PRACTICE TASK 2Task 2: PICO Question PaperQuestion: For patients with Foley catheters, does the use of nurse driven protocols reduce theincidence of CAUTI, compared to standard foley protocols?Modern healthcare is forever changing and evolving. Every year there is new evidence that shows best practices that should and will be used in healthcare in the near future. One healthcare problem that needed to be addressed is concerning urinary catheterization and the high incidence of catheter associated urinary tract infections, also known as CAUTIs. Currently it is highly prioritized in healthcare organizations, due to it causing patients harm. That is exactlywhy it is significant enough for changes to be made around the protocols used with urinary catheters. Most healthcare professionals take an oath to do no harm, however, there is an increasing number of CAUTI incidences in health systems across the country. Those CAUTI incidences are preventable, as long as healthcare professionals use the correct protocols and best judgement. Healthcare personnel as a whole should be able to prevent CAUTIs as they can causeother issues and more harm, such as sepsis if left untreated, and also delirium in specific patient populations.Currently, there are urinary catheterization protocols created by each health system, or viaphysician orders or order sets. With that, it leaves the nursing staff with almost no room to use their nursing skills and knowledge. Nurses are at the forefront of patient care, they spend the most time with patients, yet they are vastly left out of decision making in patient care. As stated previously, these protocols and order sets are placing patients in danger of obtaining a CAUTI. This issue doesn’t necessarily pertain to specific patient’s cultural background, so that
3Running head: EVIDENCE-BASED PRACTICE TASK 2information was not disclosed. This issue pertains to everyone, regardless of race, sex, orientation, or age. Two research articles and two non-research articles were used to gather a more comprehensive overview of this issue. Both research articles are included in the evidence matrix,explained later. The first of the research articles is a systematic review called “Nurse-driven protocols and the prevention of catheter-associated urinary tract infections: A systematic review,”written by Danielle J. Durant, MBA, MS and published in the American Journal of Infection Control. Since this article is a systematic review, it creates a more comprehensive overview of previous studies done on this same issue. 29 studies were found to be fit for this review.