To assess the patients readiness for discharge which

to assess the patient’s readiness for discharge, which includes adequate education regarding
indwelling catheter care. By advocating for the class, they will be supporting the policy change.
Our unit nurse manager is also a stakeholder because they have the power to implement a policy
that enforces a practice change. Finally, hospital officials are also stakeholders because they are
financially affected by the costly burden of CAUTI and would support a system wide policy
change if significant improvement in patient outcomes are seen.

TRANSLATIONAL RESEARCH 4
Evidence Critique Table
Full APA citation for 5 sources.
Include doi or url.
Evidence
Strength (I-VII)
and
Evidence
Hierarchy
Bisby, C., Ristau, T., Johnson, M., Streed, M., Bursiek, A., Grubbs, P.
(2017). The power of education: preoperative class reduces anxiety
and improves confidence. MEDSURG Nursing, 26 (5), 324-326.
Retrieved from
Level VII:
Expert Opinion
Collin, C., Bellas, N., Haddock, P., Wagner, J. (2015). Pre-Operative
education classes prior to robotic prostatectomy benefit both
patients and clinicians. Urologic Nursing , 35 (6), 281–285.
doi:10.7257/1053-816X.2015.35.6.281
Level VII:
Expert Opinion
Hollenbeak, C., Schilling, A. (2018). The attributable cost of catheter-
associated urinary tract infections in the United States: A systematic
review. American Journal of Infection Control. doi:
10.1016/j.ajic.2018.01.015
Level I:
Systematic
Review
Inman, D., Jacobson, T., Maxson, P., Wang, H., Lohse, C. (2013). Effects
of urinary catheter education for patients undergoing
prostatectomy. Urologic Nursing , 33 (6), 289–298.
doi:10.7257/1053-816X.2013.33.6.289
Level III: Quasi-
Experimental
Spencer, T., Makic, M., Shaw, K. (2018). Decreasing catheter-associated
urinary tract infections in urologic oncology patients with an
indwelling urinary catheter: a quality improvement project.
American Society of Anesthesia Nurses. doi:
10.1016/j.jopan.201807.002
Level VII:
Expert Opinion
Evidence Summary
Hollenbeak and Schilling (2018) use their article to discuss the financial burden that
hospital acquired catheter-associated urinary tract infection (CAUTI) has on the U.S. hospital
system. In 2008, legislation was passed that prevented hospitals from being reimbursed by

TRANSLATIONAL RESEARCH 5
Medicare for preventable hospital acquired infections, including CAUTI. A systematic review
was conducted to understand the dollar amount that is spent addressing CAUTI and the
associating factors that contribute to the varying costs. The authors found that components of
CAUTI costs include patient population, hospital setting, type of pathogen, and insurance type.
Although there were limitations to the 4 primarily selected studies, the article suggests that
CAUTI costs U.S. hospitals an estimated $1.7 billion per year (Hollenbeak & Schilling, 2018).
In the article, “ The power of education: preoperative class reduces anxiety and improves
confidence”, the authors provide insight on how preoperative education advanced outcomes for
prostatectomy patients on a surgical unit. Urology nurses noticed decreased patient confidence in
urinary catheter care at discharge, so they developed a 90-minute class to be provided prior to
surgery. The goal of the class was to understand if clinical teaching prior to surgery would