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preventable infections during hospitalization (Saint et al., 2013, p. 874). CAUTIs occur at a rate of 3%–10% per day of catheterization and the CAUTI rates rise to 25% after 7 days and nearly 100% after 30 catheterized hospital days.(Gesmundo, 2016, p. 32).A3. Current PracticeThe current practice related to indwelling catheter urinary tract infection is an issue that is newly becoming known and the significant detrimental implications to patients is being evaluated. Many hospitals do not monitor catheter insertion and do not monitor duration of catheter use. Indwelling urinary catheters are being inserted for patients with inappropriate indications for use and remaining in place for longer than necessary as their use is not being reassessed to determine if the patient situation is appropriate for removal of the catheter. In
4EBP and Applied Nursing Research: Task 2 – Bundles for CAUTI Prevention addition, the lack of use of sterile procedure and precautions with insertion and errors or carelessness with catheter care are contributing factors to the poor current practice concerning catheter care. In many hospitals there is no protocols or interventions related to catheters to follow. A4. Impact on BackgroundThere is an impact on the culture of the workplace with the use of indwelling urinary catheters. In the past catheters were used frequently and it was a standard practice for almost all patients to have a catheter. There is a level of convenience with a catheter in place and removal of a catheter requires increased monitoring of the patient by the nurse, incontinence care and other modalities to monitor urine output. But based on the nursing code of ethics and oath to “do no harm” it should be a welcomed change of culture to improved patient outcomes.The option of the catheter placement has an impact on the patients’ cultural or religious background. Many patients choose to refuse catheter placement which is difficult for the nurse.The nurse knows the necessity of the placement of the catheter and they should educate the patient as able but accept their choices. The nurse’s gender also has an impact on the patient inregards to catheters. Although patients do not report a preference in the gender of the nurse for catheter care or removal, there is report that patients prefer female nurses to insert catheters. (Gesmundo, 2016).B.
5EBP and Applied Nursing Research: Task 2 – Bundles for CAUTI Prevention PICO TableExample:P (patient/problem)Patients with indwelling urinary cathetersI (intervention/indicator)Initiating CAUTI bundle interventions/protocolC (comparison)Current hospital practiceO (outcome)Reduction in infectionsB1. PICO QuestionAmong patients with indwelling urinary catheters does initiating CAUTI bundle interventions or protocols versus the current hospital practice have an effect on the reduction ofinfection rates.