Literature Evaluation

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Literature Review

Literature Evaluation

Christy Armes

American Sentinel University

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Literature Evaluation

A 2002 estimate by the Centers for Disease Control and Prevention (CDC) found that urinary tract infections were the most common health care associated infections (HAI?s). These infections account for >30% of HAI?s (CDC, 2009). The CDC further estimated the number of attributable mortalities at >13,000. CAUTI rates have increased from three percent between 2009 to 2012, to six percent between 2009-2013 (CDC, 2009). While at times urinary catheter may be a necessary intervention, studies have confirmed over half the patients who receive a urinary catheter do not have a valid indication

The campaign included integrative education and training based on evidence based practices and applicable process revisions to address those practices (Gray, et al., 2016). Strategies incorporated applying tightly defined indications for indwelling catheterization into the electronic health record. Electronic alerts requiring daily review and orders for continued catheterization. Comprehensive training was required for nursing staff to include substitutions for indwelling foley catheters. Daily assessment of continued need for the urinary catheter while doing multidisciplinary rounds. Observation of maintenance bundle elements with real time education and case review of each CAUTI to identify opportunities for improvement.

The study was done using pre intervention CAUTI rate data from January 2010 to December 2012, and post intervention from January 2013 to December 2014. Staff members were also surveyed during the September 2014 to February 2015 to determine their perceptions on CAUTI and preventative methods before and after the

Using evidenced based practices have shown decrease in infections. These articles indicated nurse driven protocols impressively decrease the duration of catheterization and CAUTI rate. Using the CDC evidenced based guidelines reduction in duration of catheterization and CAUTI rate. Multidisciplinary campaigns increase health care worker perspective toward prevention as a priority in the health care system.

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References

Barbadoro, P., Labricciosa, F., Recanatini, C., Gori, G., Tirabassi, F., Martini, E., . . . Propero, E. (2015). Catheter associated urinary tract infection: Role of the setting of catheter insertion. American Journal of Infection Control, 707-710.

CDC. (2009). Guideline for prevention of Catheter Associated Urinary Tract Infections 2009. Retrieved April 22, 2016, from Centers for Disease Control:

Gray, D., Nussle, R., Cruz, A., Kane, G., Toomey, M., Bay, C., & Ostovar, G. A. (2016). Effects of a catheter associated urinary tract infection prevention campaign on infection rate, catheter utilization, and health care workers perspective at a community safety net hospital. American Journal of Infection Control, 115-116.

Mori, C. (2014). A-Voiding Catastrophe: Implementing a Nurse-Driven Protocol. MEDSURG Nursing,