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removing the catheter by day seven had a positive effect on the incidence of CAUTIs (Galiczewski, 2016). The third article evaluated the effectiveness of nurse driven protocols for catheter removal and found it successful in decreasing the number of days a urinary catheter remained in place therefore reducing the number of CAUTIs.(Durant, 2017) The forth research study surveyed hospitals in Thailand and found that there is a problem with infection prevention intervention noncompliance and recommended a bundled approach to help combat this.(Apisarnthanarak et al., 2017) The fifth and final research study implemented and evaluated a nurse-led, bundled care intervention that would help nurses to evaluate the initial indication for a urinary catheter and reevaluate the continued need for a urinary catheter. (Giles et al.,2015) This method was also successful in decreasing overall CAUTIs.(Giles et al.,2015) Key StakeholdersIn order to implement a CAUTI reduction and prevention program into an acute care facility, I would include nursing staff, nurse managers, and clinical educators. Clinical educators would be responsible for educating the nursing staff and nurse managers about the new CAUTI reduction and prevention program and the interventions involved. Nursing staff would be responsible for participating in the program by performing and documenting all interventions involved in the CAUTI prevention program. Finally, the nurse managers will be responsible for ensuring that thenursing staff are fully and appropriately completing and documenting all interventions included in the previously mentioned program.5
EVIDENT BASED PRACTICEBarriersThe biggest barrier to this CAUTI prevention and reduction program is staff noncompliance. Since the success of the program relies entirely on interventions preformed, be it assessments or hands-on care, it would be imperative that nursing stuff comply and conduct the interventions to their very best ability. Any amount of noncompliance would result in a negative outcome on the prevention and reduction of CAUTIs. Another barrier to the implementation and success of this program would be effectively creating a new leaf to add to the current charting system that would address and assess the interventions involved in the CAUTI reduction and prevention program. Without the new area for intervention documentation, the program interventions could not accurately be assessed for effectiveness. Strategies for BarriersIn regards to the barrier of non-compliance, I believe that incentives for 100% compliance should be offered as well as reprimands for repeated noncompliance. The information technologies department as well as the clinical educator and nurse manager would be assets in the creation of a new charting leaf that would address all areas of the CAUTI reduction and prevention program. The clinical educator could identify the areas that needed to be emphasized