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EVIDENCE BASED PRACTICE TASK 2 5change 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 QuestionIn hospitalized adult patients, does education on compliance with Foley catheter protocols, compared to no education, prevent catheter-associated urinary tract infections?Patient/PopulationHospitalized adultsIntervention/IndicatorEducation on compliance with urinary Foley catheter protocolsComparison/ControlNo education on compliance with urinary Foley catheter protocolsOutcomeDecreased incidence of catheter associated urinary tract infectionsD. Evidence MatrixAuthorsJournalNameYearofPublicationResearchDesignSampleSizeOutcomeVariablesMeasuredQuality (A,B, C)Results/Author’sSuggestedConclusionsMenegueti, M.Ciol, M.Bellissimo-Rodrigues, F.Auxiliadora-Martins, M.Gaspar, G.Canini, S.Basile-Filho,A.Laus, A.Medicine2019Quantitative9-bedgeneralICUover12yearsImpact ofeducationalprogramsand dailychecklistsBProvidingeducation andassessing forcompetency.Durant, D.America2017Systematic Review29Effect ofnurseAPositive effecton nurse
EVIDENCE BASED PRACTICE TASK 2 6n JournalofInfectionControldrivenprotocolsdrivenprotocols andhow theyimpact theprevention ofCAUTIsPeter, S.Devi, E.Nayak, S.JournalofKrishnaInstituteofMedicalSciencesUniversity2018Quantitative70Insertionandmaintenance practice;observationcheck list;effectiveness ofclinicalpracticeguidelinesAObservingand recordingof infectioncontrol;providingeducation andassessing forcompetencyGaliczewski,J.IntensiveandCriticalCareNursing2016Systematic Review14Currentdata onpreventative policiesandproceduresAHavingprotocols inplace alongwithcommittees tooversee theireffectivenessDehghanrad,F.Nobakht-e-Ghalati, ZZand, F.Gholamzadeh,S.Ghorbani, M.Rosenthal, V.Electronic JournalofGeneralMedicine2019Quantitative330Identification ofoutcome ofeducationandapplicationofpreventative UTIbundlesBKeepingcurrentpreventivebundles inplaceE. Recommended Practice ChangeChange 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 protocolsin place was a common theme seen in the articles provided on the Evidence Matrix above. One
EVIDENCE BASED PRACTICE TASK 2 7must 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