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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 4Evidence Critique TableFull APA citation for 5 sources. Include doi or url.EvidenceStrength (I-VII)andEvidenceHierarchyBisby, 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 OpinionCollin, 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.2015.35.6.281Level VII: Expert OpinionHollenbeak, C., Schilling, A. (2018). The attributable cost of catheter-associated urinary tract infections in the United States: A systematicreview. American Journal of Infection Control.doi: 10.1016/j.ajic.2018.01.015Level I: Systematic ReviewInman, 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.2013.33.6.289Level 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.201807.002Level VII: Expert Opinion Evidence SummaryHollenbeak 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 5Medicare 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 inurinary 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