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Especially staff that have been in the field for many years. Habits are developed and challenging to change. To implement change that is beneficial for our patients, we must strategize and work together. Two simple ways to overcome these barriers for change is education and staff support. Provide education about appropriate techniques and constantly refresh this information so that it will be strictly adhered to. Another strategy is to provide interactive demonstrations on appropriate use of techniques, appropriate follow up catheter care, and also education about appropriate catheter criterion so that catheters are not placed for convenience use. Constant monitoring for adherence to guidelines and policies is a way to measure the outcome of the recommendation. Another indicator that guidelines are being followed is to observe staff techniques during placement of a urinary catheter to ensure that appropriate techniques are being utilized. Probably the most accurate way to measure if the recommended interventions are being appropriately utilized would be to keep track of hospital reported nosocomial infection rates, specifically CAUTI rates. A comparison of data before and after implementation will be the strongest indicator that the change is impactful. C361 Task 2
11 References￭Healthcare-associated Infections. (2017, July 19). Retrieved from ￭Powers, J. (2016). Original article: Impact of an aseptic procedure for breaking the integrity of the urinary drainage system on the development of catheter-associated urinary tract infections in the intensive care unit. Intensive & Critical Care Nursing, 3782-85. doi:10.1016/j.iccn.2016.06.003 ￭Underwood, L. (2015). The Effect of Implementing a Comprehensive Unit-Based Safety Program on Urinary Catheter Use. Urologic Nursing, 35(6), 271-279. doi:10.7257/1053-816X.2015.35.6.271 ￭Al-Hameed, F. M., Ahmed, G. R., AlSaedi, A. A., Bhutta, M. J., Al-Hameed, F. F., & AlShamrani, M. M. (2018). Applying preventive measures leading to significant reduction of catheter-associated urinary tract infections in adult intensive care unit. Saudi Medical Journal, 39(1), 97-102. doi:10.15537/smj.2018.1.20999 ￭Fasugba, O., Koerner, J., Mitchell, B. G., & Gardner, A. (2017). Systematic review and meta-analysis of the effectiveness of antiseptic agents for meatal cleaning in the prevention of catheter-associated urinary tract infections. The Journal Of Hospital Infection, 95(3), 233-242. doi:10.1016/j.jhin.2016.10.025 ￭Gould, D., Gaze, S., Drey, N., & Cooper, T. (2017). Implementing clinical guidelines to prevent catheter-associated urinary tract infections and improve catheter care in nursing C361 Task 2
12 homes: Systematic review. American Journal Of Infection Control, 45(5), 471-476. doi:10.1016/j.ajic.2016.09.015 ￭Gupta, S. S., Irukulla, P. K., Shenoy, M. A., Nyemba, V., Yacoub, D., & Kupfer, Y. (2017). Successful strategy to decrease indwelling catheter utilization rates in an academic medical intensive care unit. American Journal Of Infection Control, 45(12), 1349-1355. doi:10.1016/j.ajic.2017.06.020 ￭Fink, R., Gilmartin, H., Richard, A., Capezuti, E., Boltz, M., & Wald, H. (2013). Major article: Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in Nurses Improving Care for Healthsystem Elders hospitals. AJIC: American Journal Of Infection Control, 40715-720. doi:10.1016/j.ajic.2011.09.017 ￭Wald, H. L., Bandle, B., Richard, A. A., Min, S., & Capezuti, E. (2014). Original article: A trial of electronic surveillance feedback for quality improvement at Nurses Improving Care for Healthsystem Elders (NICHE) hospitals. AJIC: American Journal Of Infection Control, 42(Supplement), S250-S256. doi:10.1016/j.ajic.2014.04.018 ￭Dy, S. (2016). A Nurse-Driven Protocol for Removal of Indwelling Urinary Catheters across a Multi-Hospital Academic Healthcare System. Urologic Nursing, 36(5), 243-249. doi:10.7257/1053-816X.2016.36.5.243 ￭Palmer, J. A., Lee, G. M., Maya Dutta-Linn, M., Wroe, P., & Hartmann, C. W. (2013). Including Catheter-Associated Urinary Tract Infections in the 2008 CMS Payment Policy: A Qualitative Analysis. Urologic Nursing, 33(1), 15-23. doi:10.7257/1053-816X.2013.33.1.15 C361 Task 2