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Though urinary catheters are very useful when used in the appropriate setting, they can also be detrimental to patients. As previously mentioned, the use of urinary catheters increases the patient’s risk of developing a CAUTI. If untreated or undetected this CAUTI can lead to sepsis and even death. (Durant, 2017) When patients develop a CAUTI, the patient’s hospitalization canbe significantly prolonged therefore causing the patient and their families physical, emotional, and financial hardship. (Dehghanrad et al., 2019)Research and Non-Research EvidenceWhen researching literature for my analysis of the effectiveness of CAUTI reduction and prevention programs, I utilized the WGU online library and searched key terms CAUTI reduction and CAUTI prevention. During my search I located two non-research articles. One article identified a CAUTI reduction program and evaluated its effectiveness in reducing the number of CAUTIs and decreasing CAUTI associated hospital costs.(Scanlon et al., 2017) The second non-research article I selected focused on the cost-effective use of emphasizing CAUTI prevention by improving nursing education regarding effective CAUTI prevention methods.3
EVIDENT BASED PRACTICE(Ferguson et al., 2018) I then switched my focus to research-based literature. One research articleI considered for this study identified nurse driven protocols as an effective method of decreasing the number of CAUTIs. (Durant, 2017)The protocol evaluated helped nurses determine when urinary catheters were no longer indicated therefore, allowing for faster discontinuation of the urinary catheter and decreasing the patients risk for CAUTIs.( Durant, 2017) Another research article I reviewed evaluated the effectiveness of education and implementation of a urinary tract infection prevention bundle on the number of CAUTIs in the intensive care unit (ICU) (Dehghanrad et al., 2019). The study proved that a urinary tract infection bundle could have a positive effect on the incidence of CAUTIs. (Dehghanrad et al., 2019)PICO QuestionIn an acute care setting, will the implementation of a CAUTI reduction and prevention program compared to no CAUTI reduction and prevention program decrease the number of catheter associated urinary tract infections?Evidence Matrix - See attachmentIntervention for Recommended Practice ChangeThe literature reviewed all suggests that implementing CAUTI reduction and prevention programs have had a positive effect on the number of CAUTIs both directly and indirectly.The first article noted a decrease in the number of CAUTIs after they implemented a urinary tractinfection prevention bundle in an ICU setting.( Dehghanrad et al., 2019) The second research article I reviewed examined the interventions and protocols commonly used in ICU settings and 4
EVIDENT BASED PRACTICEtheir effect on CAUTI rates via integrative review.( Galiczewski, 2016) This study revealed that analyzing the initial indication for a urinary catheter, reassessing the indication daily, and