Evidence based practice task 2 5 change with foley

EVIDENCE BASED PRACTICE TASK 2 5
change with Foley utilization was setting the stage to use evidence-based practice and
incorporate this evidence into our standard daily work.” The article also stated how it took time
to the change to be accepted and by the end of the study the nurses were reporting on the urinary
catheters without prompting and planning ahead for when it could be removed during
interdisciplinary rounds. Education, reinforcement, and support helped tremendously in the
implementation of this change. (Maxwell, Murphy and McGettigan, 2018)
C. PICO Question
In hospitalized adult patients, does education on compliance with Foley catheter
protocols, compared to no education, prevent catheter-associated urinary tract infections?
Patient/Population Hospitalized adults
Intervention/Indicator Education on compliance with urinary Foley catheter protocols
Comparison/Control No education on compliance with urinary Foley catheter protocols
Outcome Decreased incidence of catheter associated urinary tract infections
D. Evidence Matrix
Authors
Journal
Name
Year
of
Publ
icati
on
Research
Design
Samp
le
Size
Outcome
Variables
Measured
Quali
ty (A,
B, C)
Results/Auth
or’s
Suggested
Conclusions
Menegueti, M.
Ciol, M.
Bellissimo-
Rodrigues, F.
Auxiliadora-
Martins, M.
Gaspar, G.
Canini, S.
Basile-Filho,
A.
Laus, A.
Medicin
e
2019
Quantitat
ive
9-bed
gener
al
ICU
over
12
years
Impact of
educational
programs
and daily
checklists
B
Providing
education and
assessing for
competency.
Durant, D.
America
2017
Systemati
c Review
29
Effect of
nurse
A
Positive effect
on nurse

EVIDENCE BASED PRACTICE TASK 2 6
n Journal
of
Infection
Control
driven
protocols
driven
protocols and
how they
impact the
prevention of
CAUTIs
Peter, S.
Devi, E.
Nayak, S.
Journal
of
Krishna
Institute
of
Medical
Sciences
Universit
y
2018
Quantitat
ive
70
Insertion
and
maintenanc
e practice;
observation
check list;
effectivene
ss of
clinical
practice
guidelines
A
Observing
and recording
of infection
control;
providing
education and
assessing for
competency
Galiczewski,
J.
Intensive
and
Critical
Care
Nursing
2016
Systemati
c Review
14
Current
data on
preventativ
e policies
and
procedures
A
Having
protocols in
place along
with
committees to
oversee their
effectiveness
Dehghanrad,
F.
Nobakht-e-
Ghalati, Z
Zand, F.
Gholamzadeh,
S.
Ghorbani, M.
Rosenthal, V.
Electroni
c Journal
of
General
Medicin
e
2019
Quantitat
ive
330
Identificati
on of
outcome of
education
and
application
of
preventativ
e UTI
bundles
B
Keeping
current
preventive
bundles in
place
E. Recommended Practice Change
Change is necessary and a recommendation for a new practice could be the placement,
implementation, and education of nurse driven protocols. These protocols would ensure
compliance with Foley catheter management and care. Providing education and having protocols
in place was a common theme seen in the articles provided on the Evidence Matrix above. One

EVIDENCE BASED PRACTICE TASK 2 7
must also be aware of infection control policies and procedures to ensure a clean Foley catheter
stays clean. Dehghanrad et al. (2019) determined that “The incidence of CAUTI decreased from