EVIDENCE BASED PRACTICE TASK 2 5 change with Foley utilization was setting the

Evidence based practice task 2 5 change with foley

This preview shows page 5 - 8 out of 11 pages.

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
Image of page 5
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
Image of page 6
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
Image of page 7
Image of page 8

You've reached the end of your free preview.

Want to read all 11 pages?

  • Fall '16
  • urinary tract infection, Urinary catheterization, Foley catheter , Ebp

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture