32855-An overview on Patients with Indwelling Urinary Catheters with PICOT statement (1).pdf

Running head: POPULATION HEALTH RESEARCH AND PICOT STATEMENT 1
PICOT: An Overview on Adult Patient Population with Indwelling Urinary Catheters

POPULATION HEALTH RESEARCH AND PICOT STATEMENT 2
PICOT: An Overview on Adult Patient Population with Indwelling Urinary Catheters
Nurses as providers have a responsibility of ensuring safety and quality of health services
for patients. Curbing and decreasing the incidence of hospital-acquired conditions is useful in
enhancing improved patient outcomes and satisfaction. The paper discusses the population
management on adults with urinary catheters and the PICOT statement of whether the nursing
catheter care bundle are more efficient in reducing catheter associated urinary tract infections
(CAUTIs) rates compared to not using the nursing catheter care bundle among adult patients
with indwelling urinary catheters within six months in acute settings.
Population Demographics and Health Concerns
Based on “ United States market analysis report ” (2017) on the use of urinary catheters,
there is a rise in use of urinary catheters because of the rising occurrence of diseases like
incontinence, bladder obstruction, retentiveness, benign prostate hyperplasia (BPH), and bladder
cancers. Not only that neurological disorders, cause bladder dysfunction also requires these
urinary catheters for urine drainage and therefore the growing elderly population being more
susceptible to such conditions and due to the inability to perform self-care activities is
additionally contributing to the increased use of urinary catheters. Selected population includes
adults greater than 18 years of age with any neuro or medical surgical pathology requiring a
minimum of one full day admission to the unit, and an indwelling urinary catheter for a
minimum of two days. The catheters are usually inserted in critically ill clients aged between
eighteen and seventy years and most of the catheters are inserted in the critical care units
(CCUs). Besides, catheters are mostly inserted in men compared to females (Shackley et al.,
2017). The reason is that men have a long urethra and are at risk of prostate infection and with
high chances of urine retention after the operation. Such patients are at a higher threat of urinary

POPULATION HEALTH RESEARCH AND PICOT STATEMENT 3
tract infections (UTIs). Besides, the clients with urinary catheters are predisposed to kidney
stones, hypersensitivity reactions to materials of the catheter such as latex and urethra injury,
which may lead to blood in the urine. Complications can occur when catheters are left unchanged
for long periods. Therefore, there is a need for providers to regularly monitor and change the
catheters and maintain aseptic techniques during procedures.