Running Head: EVIDENCE BASED PRACTICEEvidence Based Practice and Applied Nursing ResearchTask 2 – XAP1-0219Amber M.September 20, 2019Western Governors University
EVIDENT BASED PRACTICEEvidence Based Practice and Applied Nursing ResearchHealthcare problemCatheter associated urinary tract infections (CAUTIs) are one of the most prevalent hospital acquired infections today (Dehghanrad et al., 2019). Considering the commonality of CAUTIs inthe acute care setting, medical institutions world wide are creating and implementing new systems to reduce and prevent CAUTIs. These CAUTI reduction and prevention programs include things such as nurse driven protocols, CAUTI prevention bundle interventions, and an emphasis on CAUTI prevention nursing education. (Durant, 2017)( Giles et al.,2015) Significance of the problemCatheter associated urinary tract infections (CAUTIs) account for the majority of hospital acquired infections and wreak havoc on the patient infected as well as the healthcare system as a whole.( Scanlon et al., 2017) Complications that can mount from CAUTIs include multi drug resistant bacteria, prolonged hospital stays, urosepsis, and even death. Aside from harm caused tothe patient, CAUTIs are taxing on the healthcare system, costing hospitals over a thousand dollars per case. If the hospital resides within the United States and the CAUTI is considered hospital acquired that facility is not reimbursed for the cost of that patient’s hospitalization (Galiczewski, 2016).Current practice related to the problemCurrent practice surrounding urinary catheters has emphasized aseptic technique when placing a catheter and routine perineal or catheter care. Unfortunately, all too often aseptic technique is notfollowed and routine catheter care is not preformed therefore, greatly increasing the patient’s risk2
EVIDENT BASED PRACTICEfor CAUTI. Currently, catheter indication is also an issue.(Giles et al.,2015) Urinary catheters arecommonly being placed for inappropriate reasons and once placed, catheter indication is rarely being reevaluated.( Durant, 2017)This lack of reevaluation leads to a greater number of CAUTIsbecause the patient’s risk for developing a CAUTI increases with every day that the urinary catheter remains in.(Giles et al.,2015)Impact of the problem and/or patient’s cultural backgroundUrinary catheters are placed for many reasons including immobility, accurate urine production measurement in critically ill patients, urinary retention, and bladder irrigation (Giles et al.,2015).
You've reached the end of your free preview.
Want to read all 9 pages?
- Spring '16
- urinary tract infection, Urinary catheterization, urinary catheter