PICOT-Catheter-Associated Urinary Tract Infection

Type: Nursing PICO project

Subject: Will let writer choose

Subject area: Nursing

Education Level: Undergraduate/College

Length: 1 pages

Referencing style: APA

Preferred English: US English

Spacing Option: Double

Title: PICOT Project Paper

Instructions: i need a pico project paper in apa format that is one page and a reference page. i want to let the writer choose the topic question but let me know what it is so i can make sure it is not the same as someone else in my class. also, they need to use 3 evidence-based practice article that is no more than 5yrs old and i have to turn in the ebp articles with my paper as well as a questionnaire that i will upload with the written instructions and rubric. please let me know if there are any questions.

Focus: nursing picot

Important notes: i need a picot project paper in apa format that is one page and a reference page. i want to let the writer choose the topic question but let me know what it is so i can make sure it is not the same as someone else in my class. also, they need to use 3 evidence-based practice article that is no more than 5yrs old and i have to turn in the ebp articles with my paper as well as a questionnaire that i will upload with the written instructions and rubric. please let me know if there are any questions.

Required: writer can choose topic but please let me know the topic before writing so i can make sure it is not one being used by someone else in my class

Suggested: i need a picot project paper in apa format that is one page and a reference page. i want to let the writer choose the topic question but let me know what it is so i can make sure it is not the same as someone else in my class. also, they need to use 3 evidence-based practice article that is no more than 5yrs old and i have to turn in the ebp articles with my paper as well as a questionnaire that i will upload with the written instructions and rubric. please let me know if there are any questions.

 

Catheter-Associated Urinary Tract Infection

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Catheter-Associated Urinary Tract Infection

CAUTIs (Catheter-associated urinary tract infections) are the prevalent healthcare-associated infections. They account for more than one million cases in Europe and the United States annually (Theobald et al., 2017).  CAUTIs result in increased hospital stays and other complications like urosepsis, pyelonephritis, and sometimes death. The annual costs for treating CAUTIs in the United States are about $370 million (Theobald et al., 2017). As a preventable condition, healthcare workers should use a combination of interventions to enhance patient safety and healthcare outcomes.

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Also Read: Nursing PICO Questions Help

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PICOT Question

Does the use of multifaceted interventions compared to a single intervention reduce the prevalence of CAUTI’s (catheter-associated urinary tract infection) among hospitalized patients over three months?

Summary of the Best Evidence

Theobald, C. N., Resnick, M. J., Spain, T., Dittus, R. S., & Roumie, C. L. (2017). A multifaceted quality improvement strategy reduces the risk of catheter-associated urinary tract infection. International Journal for Quality in Health Care, 29(4), 564-570. https:/doi.org/10.1093/intqhc/mzx073

The article’s primary objective was to examine the effectiveness of a multifaceted program implementation in reducing CAUTI rates and Catheter use. The interventions included post-catheter removal care, automated catheter discontinuation orders, clinical decision support plus structured catheter order set, and a bedside catheter reminder. According to the study findings, multifaceted intervention implementation resulted in a 33-35% reduction in the utilization of urinary catheter and significantly reduced catheter-associated infection rates.

Menegueti, M.C., Ciol, M.A., Bellissimo-Rodrigues, F., Auxiliadora-Martins, M., Gaspar, G.G., Canini, S.R.M., Basile-Filho, A., & Laus, A.M.(2019). Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the implementation of an educational program and a daily checklist for maintenance of indwelling urinary catheters.  Medicine, 98(8), 1-6.  https:/doi.org/10.1097/MD.0000000000014417

The article’s primary objective was to assess the impact of implementing a daily checklist and healthcare workers education program on CAUTI incidences among critical patients with indwelling urinary catheter.  According to the study conclusions, daily evaluations and health care worker’s education about indwelling urinary catheter resulted in reduced rates of CAUTI and catheter utilization.

Parker, V., Giles, M., Graham, L., Suthers, B., Watts, W., O’Brien, T., & Searles, A.(2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): A pre-post control intervention study. BMC Health Services Research, 17(314), 1-9. https:/doi.org/10.1186/s12913-017-2268-2

According to the article, multifaceted interventions integrating monitoring, education, staff engagement, and best practice guidelines are effective in bringing about changes in practice compared to those that concentrates on a single intervention.  Therefore, a robust evaluation and implementation of practice and clinical practice change is necessary to reduce CAUTIs and associated consequences.

 

The Clinical Bottom Line & Recommendations for Practice Change

The clinical bottom line is that multiple interventions are successful in reducing catheter utilization and CAUTIs. Therefore, changes in clinical practice are necessary to reduce incidences of CAUTIs. Healthcare workers’ education about catheters and associated infections is necessary to allow them apply appropriate interventions to avoid infections.

References

Menegueti, M.C., Ciol, M.A., Bellissimo-Rodrigues, F., Auxiliadora-Martins, M., Gaspar, G.G., Canini, S.R.M., Basile-Filho, A., & Laus, A.M.(2019). Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the implementation of an educational program and a daily checklist for maintenance of indwelling urinary catheters.  Medicine, 98(8), 1-6.  https:/doi.org/10.1097/MD.0000000000014417

Parker, V., Giles, M., Graham, L., Suthers, B., Watts, W., O’Brien, T., & Searles, A.(2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): A pre-post control intervention study. BMC Health Services Research, 17(314), 1-9. https:/doi.org/10.1186/s12913-017-2268-2

Theobald, C. N., Resnick, M. J., Spain, T., Dittus, R. S., & Roumie, C. L. (2017). A multifaceted quality improvement strategy reduces the risk of catheter-associated urinary tract infection. International Journal for Quality in Health Care, 29(4), 564-570. https:/doi.org/10.1093/intqhc/mzx073