B. Literature Review and Evidence SourcesI found a total of seven articles for this task using the Western Governors library catalog as outlined by the Library Video within the Course Tips. First, I searched for five research articles by using the key words “bundles for CAUTI prevention” with the criteria of Full Text and Peer Reviewed. I scanned each article to specifically identify the key terms “literary review, integrative review, or peer review” to make sure I had a secondary research article to use. One of the five research evidence sources I used is “Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review” which is a secondary research article that summarizes interventions for urinary catheter use.
4Secondly, another research article I chose is “Nurse-driven protocols and the prevention of catheter-associated urinary tract infections: A systematic review” which is a secondary research article that reviewed different studies for CAUTI prevention. Two non-research articles I chose are “Implementing a CAUTI Prevention Program in an Acute Care Hospital Setting” which discusses a quality improvement project to enhance nurses’ knowledge on urinary catheter care to prevent CAUTIs. Secondly, I chose “Changing ICU culture to reduce catheter-associated urinary tract infections” which is another quality improvement project aiming to decrease patient harm of CAUTI incidences by focusing on changing the cultural perception of healthcare providers to having indwelling urinary catheters stay within patients for a prolonged time. C. PICO QuestionP – patient, population, problem: Patients at risk for urinary tract infectionsI – intervention: implementing a removal reminder C – Comparison: no removal reminderO – Outcome: Reduce CAUTIsIn patients at risk for urinary tract infections, will implementing a urinary catheter removal reminder post insertion as compared to having no urinary catheter removal reminder post insertion reduce catheter-acquired urinary tract infections?D. Attached Evidence MatrixSee attached Evidence Matrix E. Practice Change
5CAUTIs are shown to be a significant health risk that requires aggressive focused care from healthcare providers to prevent further complications to a patient’s treatment. Creating a practice change in order to decrease the risk of CAUTIs in the healthcare field is vital and requires a multidisciplinary focus for prevention and treatment. According to Strouse (2015), “every day an indwelling catheter remains in place, the risk for infection increases 3%-5%, and each CAUTI even can extend a patient’s length of stay an additional 0.5 to 1.0 hospital days” (p. 11). While it may be tempting for some nurses to keep urinary catheters in place for ease of access, prolonged catheter use is shown to increase the risk of a CAUTI event. As stated by Gyesi-Appiah, Brown, & Clifton (2020), “the longer a catheter remains in situ, the higher the