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Catheter associated urinary tract infection: a quantitative literature review research article
Catheter associated urinary tract infection: a quantitative literature review research article
Catheter associated urinary tract infection: a quantitative literature review research article
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In this essay the quantitative research article by Blanck, Donahue, Dixon, Brentlinger, and Stinger, (2014), “A Quasi-Experimental Study to Test a Prevention Bundle for Catheter-Associated Urinary Tract Infections (CAUTI)” will be explored. Therefore, the purpose of the quasi-experimental design was to decrease the amount of CAUTI’s in the adult intensive care (ICU) in patients with indwelling urinary catheters, by investigating the utilization of the bundle method in nursing catheter care practices, over a three-month duration. Likewise, the study made a comparison between the pre- intervention and post- intervention group. Moreover, the study was conducted in a 20 bed ICU, participants were >18 years old, indwelling catheter. What is the outcome of the patient’s in the ICU with indwelling urinary catheters who received the prevention bundle care, in relation to the patients who did not receive the preventive bundle catheter care? Also, bundles can help provide the consistency needed in nursing care practices for the patients who have indwelling urinary catheter in the prevention of CAUTI’s.
Problem
According to Blanck (2014), in the United States 23% of the patients in
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Also, the hospital acquired infection (HAIT) CAUTI is a challenge to the healthcare team and compromises patient’s health. However, to decrease the risk of CAUTI’s in ICU patients, it is imperative to provide a multifaceted approach, utilizing bundles. Blanck describes the setting as a 20 bed ICU intervention group and the pre-and post-indwelling catheter care is performed by utilizing the prevention bundle and bedside checklist. Also, survey record is utilized for the control group and comparison of data is then completed. Moreover, the development of a nursing practice protocol and implementation of protocol will be
BioPatch, and alternatives like Tegaderm CHG, are an important first step in helping prevent catheter-related bloodstream infections (CBIs). As CBIs rank among the most frequent and potentially lethal nosocomial infections, the need for a device to cut down infections at the insertion site has increased. The growing numbers of infections has driven companies to consider a three-tiered approach: a maximal aseptic barrier at insertion, proper site maintenance, and hub protection. With BioPatch and alternative products catheter sites receive that maximal aseptic barrier to prevent bacteria growth.
Yacopetti, N., Davidson, P., Blacka, J., & Spencer, T. (2013). Preventing contamination at the time of central venous catheter insertion: a literature review and recommendations for clinical practice. Journal Of Clinical Nursing, 22(5/6), 611-620. doi:10.1111/j.1365-2702.2012.04340.x
As an ICU nurse I constantly watch how patients develop pressure ulcers, a pressure ulcer is an area of skin that breaks down due to having constant friction and pressure, also from having limited movement and being in the same position over a prolonged period of time. Pressure Ulcers commonly occur in the buttocks, elbows, knees, back, shoulders, hips, heels, back of head, ankles and any other area with bony prominences. According to Cox, J. (2011) “Pressure ulcers are one of the most underrated conditions in critically ill patients. Despite the introduction of clinical practice guidelines and advances in medical technology, the prevalence of pressure ulcers in hospitalized patients continues to escalate” (p. 364). Patients with critical conditions have many factors that affect their mobility and therefore predispose them to developing pressure ulcers. This issue is significant to the nursing practice because nurses are the main care givers of these patients and are the ones responsible for the prevention of pressure ulcers in patients. Nurses should be aware of the tools and resources available and know the different techniques in providing care for the prevention of such. The purpose of this paper is to identify possible research questions that relate to the development of pressure ulcers in ICU patients and in the end generate a research question using the PICO model. “The PICO framework and its variations were developed to answer health related questions” (Davies, K., 2011).
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
The topic that I chose is interventions used to reduce catheter associated urinary tract infections(CAUTI). This type of infection is acquired from the use of urinary catheter while in the hospital. According to the Institute for Healthcare Improvement, urinary tract infections are responsible for 40 percent of all hospital-acquired infections annually, with 80% of these hospital acquired infection caused by use of indwelling urinary catheters. When any type of tubes or catheters are introduced in the body it serves as a medium for infection. Urinary catheters are used during surgery to prevent injury to the bladder. It is also used for urinary retention or bladder obstruction. The implementation of evidenced based practice when providing care
Central lines (CL) are used frequently in hospitals throughout the world. They are placed by trained health care providers, many times nurses, using sterile technique but nosocomial central line catheter associated blood stream infections (CLABSI) have been a dangerous issue. This is a problem that nurses need to pay particular attention to, and is a quality assurance issue, because CLABSI’s “are associated with increased morbidity, mortality, and health care costs” (The Joint Commission, 2012). There have been numerous studies conducted, with the objective to determine steps to take to decrease CLABSI infection rate, and research continues to be ongoing today. The problem is prevalent on many nursing units, with some patients at great risk than others, but some studies have shown if health care providers follow the current literature, or evidence based guidelines, CLABSIs can be prevented (The Joint Commission, 2012). The purpose of this paper is to summarize current findings related to this topic, and establish a quality assurance (QA) change plan nurses can implement for CL placement and maintenance, leading to decreased risk of nosocomial CLABSIs.
Pressure ulcers are a significant problem in those with complex illnesses or injuries which require admission into the Intensive Care Unit (ICU). Many ICU patients suffer from pressure ulcers. According to Shahin, Dassen and Halfrens (2009) “patients in the ICU have a 50% higher chance of developing a pressure ulcer as compared to patients on any other unit in a facility” (p. 370). ICU registered nurses (R.N.s) blame the frequency of pressure ulcers on not having enough time to provide adequate care and the presence of machines and monitoring devices attached to patients, which restricts movement.
A urinary tract infection (UTI) is an infection of the urinary tract. The urinary tract is the body's drainage system for removing wastes and extra water. Urinary tract infections can have different names, depending on what part of the urinary tract is infected. The infection can include the bladder, kidneys, ureters, or the urethra. If the infection is in the bladder it is called “cystitis” or a bladder infection. If the infection is in the kidneys is it called “pyelonephritis” or a kidney infection? If the infection is in the urethra it is called “urethritis”. Most urinary tract infections are bladder infections. Infections in the ureters are very rare. Everyone is at risk of getting a UTI allowing bacteria to grow in the urine that stays
There have been an incidents of prolonged hospital stay due to central line infections putting patients at risk for mortality, morbidity, and increase in medical cost. When central lines are placed at bedside or in interventional radiology, the inserter is required to document the steps and sterile procedure that took place in the electronic health record. Furthermore, with weekly and as needed dressing changes, nurses are required to use central line bundles and document what was used (ex: Chloraprep, biopatch, tegaderm, etc.) to track how the dressing was done. From these documented records, staff can gather data and measure the compliance of sterile procedure. Additionally, if a patient with a central line develops a fever without an unknown cause physician will order blood culture from the central line if catheter-related infection is suspected. If the test comes back positive, the team will initiate antibiotics immediately. By integrating electronic health records it can assist in CLABSI prevention strategies, raise the standard for best practices, and essentially reduce central line infections. With the quarterly results of CLABSI in our unit, CVC committee have re-educated the staff on appropriate dressing changes using sterile technique, transitioned to a different end
The focus of health care is and has always been, practicing good hygiene, living a healthy lifestyle, and having a positive attitude reduces the chance of getting ill. Although there is not much prevention we can take for some of the diseases but we can certainly practice good hand hygiene to prevent infection and its ill effects. Research proves that hand washing is surely the most easy and effective way to prevent infection in health care. The question for this research: Is Hand washing an effective way to prevent infection in health care? It led to the conclusion that due to the high acuity, high patient: staff ratio, and lack of re evaluation certain units in the health care facilities cannot adhere to correct hand washing guidelines. Hand
The systematic review; Interventions to improve hand hygiene compliance in patient care, conducted by the Cochrane Collaboration investigated inventions to improve hand hygiene compliance within patient care. The review included 2 original studies with an additional two new studies (Gould & Moralejo et al., 2010). Throughout the review it was affirmed that among hand hygiene is an indispensable method in the prevention of hospital-acquired infections (HAI), the compliance among nurses’ is inadequate. Nurses are identified within the public as dependable and trustworthy in a time of vulnerability due to their specialised education and skills (Hughes, 2008). Thus, it is imperative that evidence based practice is cond...
A urinary tract infection is a very common infection that can happen to anybody. A urinary tract infection usually occurs when bacteria enters the urethra and multiples in the urinary system. The Urinary tract includes the kidneys, the thin tubes that carry urine from the kidneys to the bladder (ureters), and the main tube that carries the urine from the bladder (urethra). Women, men, and children are all immune to this infection. Women have the highest chances of getting it. In the Urinary tract, the main links of the ureters help get rid of any bacteria that tries to enter the urine, and the bladder helps prevent urine from backing up into the kidneys.
Prevention of hospital-acquired infections: review of non-pharmacological interventions. Journal of Hospital Infection, 69(3), 204-219. Revised 01/20 Haugen, N., Galura, S., & Ulrich, S. P. (2011). Ulrich & Canale's nursing care planning guides: Prioritization, delegation, and critical thinking. Maryland Heights, Mo. : Saunders/Elsevier.
The infection control plays an important role for the prevention from bacteria and other microorganism that may affect the condition of the patient.
QSEN is started as an initiative to give future nurses the quality education necessary to provide the quality care and safety for the community (Potter, Perry, Stockert, Hall, & Ostendorf, 2017). This nursing care ties in with the standard of care in competency because QSEN is providing the level of education needed for future nurses to be competent to provide the appropriate care for patients. Nursing process is break down of the care and treatment a patient is given depending on their illness in 5 stages of assessment, nursing diagnosis, planning, implementation and evaluation. The standard of care that can be defined by this nursing care is available information given. Nurses assess patients based on the chief complaint that patients give. The importance of this correlation is the rapport that is builds between nurse and patient. For example, if a patient does not disclose recreational use of opioids and the nurse gives them a sedative, such as propofol, for a procedure, the patient’s respiratory system will decline immediately. This is an example of lack of information given in which the nurse was not able to give the appropriate care and treatment. Last but not least, is the nursing care established on evidence-based practice. An example of this is the use hand sanitizers before and after enter a patient’s room. This practice has become a policy at many facilities to decrease infection. This correlates with the standard of care of following approved