CAUTI Prevention Evidence Based Practice

The purpose of this paper is to assess and consolidate evidence on the use of external collection devices versus internal catheters in the prevention of CAUTI. The PICOT question guiding the research was; In acute care contexts for different individuals, how vital is the use of external urinary collection devices compared to the application of indwelling urinary catheters to decrease the risk of CAUTI occurrence in six months. The collected evidence fails to comprehensively address the research question due to the lack of high-level information on the effectiveness of external catheter devices on the reduction of CAUTI compared to indwelling catheter devices. The research, however, provides evidence-based support for nursing interventions such as patient and provider education and effective catheter care as being critical to the prevention of CAUTI for patient with either indwelling or external catheter devices.

The research studies were not conclusive on the effectiveness of external collection devices compared to the use of indwelling catheters in (CAUTI) prevention. Kelechi, (2017), identifies that effective catheter care and removal of the catheters as per need and promptly has a higher propensity in the prevention of CAUTI compared to the choice of the type of the catheter used in the patient. Meddings, Rogers, Krein, Fakih, Olmsted & Saint, (2014), highlighted that over 75% of patients do not receive adequate information on catheter use which impacts negatively on the choice of use of the catheters as well as impacts negatively the catheter care. Patient involvement is a critical aspect of nursing care which plays a significant role in promoting patient participation in their own care and can be of significance in improving patient outcomes.

Effective catheter care to include patient education impacts the patient in three ways. Patient education promotes their participation in catheter care, improves communication with the nursing staff and leads to the reduction of unnecessary use of indwelling catheters hence mitigates risks of CAUTI (AL-Hazmi, 2015). Social media such as staff what sup groups will be explored to ensure wider coverage of the dissemination and to ensure access for younger nurses in practice. The importance of the intervention will be communicating through providing the statistical prevalence of CAUTI in practice against the prevalence following interventions using the identified evidence-based practices. Influencers such as ward and hospital in charges will be used to emphasize the important significance of the interventions to staff in practice.

Translation into practice will utilize The ACE Star Model of evidence translation (Institute on Evidence-Based Practice Innovation for Quality & Safety, n. d. References AL-Hazmi, H. Role of duration of catheterization and length of hospital stay on the rate of catheter-related hospital-acquired urinary tract infections. Research And Reports In Urology, 41. doi: 10. 2147/rru. gov. Available at: https://www. cdc. gov/hai/ca_uti/uti. html [Accessed 31 Oct. 0000000000000220 Grigoryan, L. , Abers, M. S. , Kizilbash, Q. F. 1016/j. ajic. 028 Fakih, M. , Krein, S. , Edson, B. Retrieved from http://nursing. uthscsa. edu/onrs/starmodel/institute/su08/starmodel. html Kelechi, T. J. pub6 Meddings, J. , Rogers, M. A. M. , Krein, S. waldenulibrary. org/10. 1136/bmjqs-2012-001774 Polit, D. F. , & Beck , C. D. , Ossenkop, K. , & Lipsky, B. A. Condom Versus Indwelling Urinary Catheters: A Randomized Trial.