Solutions to Increased Rates of Urinary Tract

The hospital made reports that six catheter-associated urinary tract infections were increasing numbers. The rate is 6% worse compared to the nationwide values. Infections to the urinary tract continue to remain amongst the most challenging issues in healthcare settings. It happens to patients who have indwelling urinary catheters. The period of catheterization is a critical risk factor for the development of catheter-associated urinary tract infection (CAUTI). This problem clearly needs to be addressed judging from the fact that CAUTIs have significant economic and clinical repercussions. The bacterium associated with catheters are also connected to excessive death rates, even after the underlying factors have been controlled. The underlying factors in this case include but are not limited to comorbidities, the severity of the illness, and the hospital-onset bloodstream (Fletcher et al.

Each CAUTI episode has an approximate value of $600 to be addressed while the infection in the bloodstream costs around $2,800. Cumulatively, these costs add up to $131 million in excess for the direct medical costs, for both the city and the nation (Knudson, 2014). A stakeholder is one who is affected or involved in a course of action. The main stakeholders are the patients who pay for the healthcare services and is mainly the end-user. A patient is subjected to a lot of debate on the policies and legislation of healthcare and are cited as a factor since their interests have to be met. Our patients have valuable knowledge from their experiences but they are offered with minimal chances of contributing to the decision and policy making of the healthcare system.

The second stakeholder is the government which is tasked with creating policies, programs and legislation which would help us in administering the healthcare services to the patients. C. Evidence Critique Table Full APA citation for at least five Sources Evidence Strength (1-7) Evidence Hierarchy Bell, M. M. , Alaestante, G. , & Finch, C. BMC health services research, 17(1), 314. Moderately strong. level iii and control intervention design and control design Fletcher, K. E. , Tyszka, J. W. , Chang, C. M. , Tsai, C. H. The team also sort to eliminate current practices in the hospital that was responsible for CAUTI. For example, unnecessary urinary catheter use in the hospital system. The result of the intervention was characterized by a fluctuating rate on the number of CAUTI in the first four months but later dropped to the rate of 25% reported cases.

The second research piece of evidence highlights the UTI accounts for 36 percent of all associated healthcare infection (Parker et al. The research aimed at reducing indwelling urinary catheter IDC rates by minimizing inappropriate urinary catheterization and period of catheterization. The evidence revealed that older patients with greater care needs had higher chances of becoming a victim of the early inappropriate use of urinary catheters. The fifth piece of evidence aimed at reducing the high rate of UTI in an acute setting (Knudson, 2014). The research revealed that CAUTIs result in more than thirteen million deaths annually. To decrease the high mortality rate, health providers were to adopt the best clinical evidence-based practices. E. The influence of EBP on the outcome of patients and healthcare practices is clear.

Many healthcare settings have used competency-based programs which have helped in the redesigning of care delivery. This has had an effect of increasing the efficiency and effectiveness of the interventions while minimizing the safety and costs risks. For a sustainable and successful EBP integration, there must be a culture of EBP preparedness in existence. This has to be fostered through the ongoing leadership support, availability of EBP resources and adopting an implementation framework of EBP (Dang & Dearholt, 2017). G. Possible Barriers The possible barriers to the implementation of change include the lack of leadership support. The leadership system in the hospital is not the best and there is actually no coordination. This could be a major challenge as we require the approval of the board to proceed with this change.

Revealing this information to the public would be conflicting with the positions of the hospital and possible reactions, negatively, from the patients. Increasing effectiveness and closing the chasm between the existing and optimal patient care needs leaders to abandon adherence to old models of management. These are the possible hurdles which I anticipate in the process of implementing the changes and they must be addressed. H. Ethical Issues One of the ethical implication includes accountability on the part of health providers. Health providers are expected to take responsibility when providing care, for example, adhering appropriate urinary catheter insertion procedures. To minimize CAUTI, the healthcare provider should develop and maintain skills and knowledge that will ensure they provide quality service to their patients.

Health care providers are also expected to consider patients circumstances since what is considered appropriate for one patient might not be good to another. Another ethical implication that health providers should keep in mind is the principle of non-Maleficence. It is regarded as the best know ethical principle in health care. This principle implies health providers should do no harm to the patients (Newham, 2014). , & Finch, C. A Multidisciplinary Intervention to Prevent Catheter-Associated Urinary Tract Infections Using Education, Continuum of Care, and Systemwide Buy-In. The Ochsner Journal, 16(1), 96-100. Dang, D. , & Dearholt, S. & Stark, M. A protocol for developing, disseminating, and implementing a core outcome set for pre-eclampsia. Pregnancy Hypertension: An International Journal of Women's Cardiovascular Health, 6(4), 274-278. Fletcher, K. E. Howard, D.