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Running head: EVIDENCE BASED PRACTICE TASK 2 1Evidence Based Practice and Applied Nursing ResearchXAP1—Task 2Blanca C. LopezWestern Governors University
EVIDENCE BASED PRACTICE TASK 2 2Evidence Based Practice and Applied Nursing ResearchXAP1—Task 2A1. Healthcare ProblemCatheter-Associated Urinary Tract Infections, CAUTIs, are increasingly being reported athospitals nationwide, even worldwide. “Today, healthcare-associated infections are considered a major public health problem by the World Health Organization (WHO),” (Menegueti et al., 2019). “Approximately 70% of the urinary tract infections (UTIs) associated with medical care are thought to be related to urinary catheters and this value rises to 95% in intensive care units,” (Dehghanrad et al., 2019).A2. Significance of ProblemA hospitalized adult doesn’t usually want to be at the hospital for longer than necessary. He/she especially doesn’t want to stay because of something that was placed to help them during their course of treatment. This is something that needs to be kept in the forefront of nurses when they have patients with Foley catheters. CAUTIs can increase the length of stay for individuals, keeping them away from their home environment where they can continue to health from whatever led them to be hospitalized in the first place. “Each day a catheter is left in place, the patient risk for a CAUTI increases by 5%,” (Maxwell, Murphy, and McGettigan, 2018). “Annually, an estimated 13,000 deaths are attributed to CAUTIs. In addition, they are the leadingcause of secondary bloodstream infections,” (Ferguson, 2018).A3. Current PracticeCurrent practice includes insertion of indwelling urinary Foley catheters for patients who are critically ill and whose urine output needs to be monitored closely. In some instances, patients who require immobility or have wounds that would be affected by urinary incontinence
EVIDENCE BASED PRACTICE TASK 2 3also have indwelling Foley catheter placed. Included in current practice would be how nurse driven protocols are being used for insertion and maintenance of Foley catheters.A4. Impact on BackgroundNon-compliance with Foley catheter protocols can affect the workplace culture as it can cause an increase on pressure from infection control staff towards staff nurses. “Catheter associated urinary tract infections (CAUTIs) put an unnecessary burden on patients and… cause an increased financial burden on health care facilities,” (Galiczewski, 2016). In some cases, nurses feel they cannot remove Foley catheters without first discussing it with the physician evenwhen nurse driven protocols are in place and support a nurse when removing an unneeded Foley catheter. According to Durant (2017), “the American Medical Association has expressed opposition to expanding the scope of practice of medical professionals other than physicians.