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Running head: EBP PROJECT 2

EBP PROJECT

2

EBP Project

Student’s Name

Department, Institutional Affiliation

Course Title

Tutor’s Name

Date

Urinary tract infections (UTI) are the top cause of healthcare-acquired infections. Based on the proposed EBP, the removal of the UTIs within 72 hours helps in the reduction of the number of infections that occur to the hospitalized patients on a general medicine unit with the Foley Catheter. Foley bundles together with education on the Foley bundles are amongst the strategies that are used to ensure that there is a reduction in the incidences of CAUTIs (Li et al., 2019).

The topic is of interest is based on the adverse impacts associated with CAUTIs. For example, there are increased reported cases of morbidity, mortality, increase in-hospital stay, and an increase in healthcare cost. The topic is important since it informs about the need to have a successful intervention that can be used to help in addressing the issue of CAUTIs (Li et al., 2019).

To address the issue of CAUTIs, it is important to have an EBP that gives nurses to make necessary improvements. Therefore, the development of the intervention (EBP) is based on the created PICOT question of For hospitalized patients on a general medicine unit with Foley catheters (P), does implementation of nursing Foley bundles, accompanied with continual education on Foley bundles (I), compared to using no nursing Foley bundles/continual education (C), decrease the incidence of hospital-acquired catheter-associated urinary tract infections (O), over one year (T)?

Search strategy

Concerning the search strategy, the picot question will be used to frame the search engine. Within the picot question, various descriptors terms will be highlighted by identifying the main elements that would be important in finding the pre-reviewed sources. Using the time case factor element of 5 years from 2021, the search will be narrowed to ensure that suitable articles are found (Fukuoka et al., 2018). The evidence will then be filtered through narrowing or expansion of the research.

Implementation Plan

The implementation of the EBP will first involve informing the healthcare team as well as the hospital management. This is important in ensuring that there is little resistance from the nurses when it comes to the implementation of the EBP. Informing the management ensures that adequate resources for the implementation are provided. The baseline data concerning the incidences of CAUTIs in the absence of EBP are collected. After taking the opinions from the nurses, their views are incorporated into the implementation process. nurses are then educated on the implementation procedures. While the implementation takes place, the results from the implementation are compared to the baseline data before the implementation (Fukuoka et al., 2018). It helps in revealing whether the EBP is working towards addressing the issue.

The Outcome evaluation

The evaluation of the outcome is based on the collection of the information from the implementation results to determine whether there was a positive change. It is expected that the successful implementation process will lead to a reduction in the incidence of CAUTIs. Consequently, there will be a reduction in the length of hospital stay, the cost of healthcare, and the morbidities associated with CAUTIs.

Project Dissemination

The proposed EBP is not only aimed at benefiting this organization, but also other healthcare facilities that are facing the problems of CAUTIs. Therefore, it is important to ensure that the information about the EBP is disseminated to the targeted audiences. The dissemination process, therefore, occurs publication in national journals or recognized journals. It is also done during nursing conferences, professional meetings, special interest newsletters, and sharing through the organizational websites or the informal professional networks (Stewart et al., 2019).

Conclusion.

CAUTIs are a major issue that affects the quality of healthcare services that is being delivered to the healthcare providers. it is important to ensure that there is the existence of evidence-based intervention aimed at assisting in addressing the issue. Therefore, this capstone project will help in the generation of the EBP that can be used to ensure that nurses implement the procedure in reducing the risks of CAUTIs. Within healthcare facilities.

Evidence Synthesis

Study by Li et al (2019) focused at looking at the risk factors for the CAUTIs among the hospitalized patients. It is a systematic review study and this implies that the evidence presented in this case are based on the literature review or past articles. The errors made in the past studies might have affected the study outcome thus interfering with the reliability and validity of the article. The study outcome reveals that there was high risks of female exposure to CAUTIs as a result of the long hours, longer stay in hospital, and the previous diagnosis with diabetes. The study is important to the capstone project or topic of study since it shows some of the factors associated with high risk of exposure to CAUTIs.

Study by Hernandez et al (2019) was based on experimental study aimed at looking at the prevention approaches and the role of the documentation checklists. The outcome of this study are based on the primary data that are collected from observing the experimental work. This increases the authenticity of the study hence making it more reliable and valid. The outcome of the study reveals that checklist of the indwelling catheter management practices are important in the prevention of CAUTIs. Therefore, the study is important to the topic since it offer an effective approach that can be adopted to help in the reduction of the CAUTIs.

Fukuoka et al (2018) aimed at looking at the impacts of the longer duration of catheter use on the risk of CAUTIs infection and it was a retrospective cohort study. Th study outcome shows that longer use of catheterization results in the increased risk of exposure to CAUTIs by 5 percent on the daily basis. Therefore, the study is important since it shows that one of the risk factors for CAUTIs is the extended use of catheters.

References

Fukuoka, K., Furuichi, M., Ito, K., Morikawa, Y., Watanabe, I., Shimizu, N., & Horikoshi, Y. (2018). Longer duration of urinary catheterization increases catheter-associated urinary tract infection in PICU. Pediatric Critical Care Medicine, 19(10), e547-e550. doi: 10.1097/PCC.0000000000001628.

Hernandez, M., King, A., & Stewart, L. (2019). Catheter-associated urinary tract infection (CAUTI) prevention and nurses' checklist documentation of their indwelling catheter management practices. Nursing Praxis in New Zealand, 35(1).

Li, F., Song, M., Xu, L., Deng, B., Zhu, S., & Li, X. (2019). Risk factors for catheter‐associated urinary tract infection among hospitalized patients: A systematic review and meta‐analysis of observational studies. Journal of advanced nursing, 75(3), 517-527. https://doi.org/10.1111/jan.13863

Appendix

Evaluation Table

Citation	Design	Sample size: Adequate?	Major Variables: Independent Dependent	Study findings: Strengths and weaknesses	Level of evidence	Evidence Synthesis
Li, F., Song, M., Xu, L., Deng, B., Zhu, S., & Li, X. (2019). Risk factors for catheter‐associated urinary tract infection among hospitalized patients: A systematic review and meta‐analysis of observational studies. Journal of advanced nursing, 75(3), 517-527. https://doi.org/10.1111/jan.13863	A systematic review and meta-analysis of observational studies	8785	Independent variable: Risk factors Dependent Variable: CAUTIs	Female were highly exposed to CAUTIs. They had an extended hour of catheterization. Other risk factors for CAUTIs included diabetes, previous catheterization, and longer hospital stay	Level V: A systematic review and meta-analysis of observational studies.	The Study confirms that prolonged duration of catheterization is a risk factor associated with CAUTIs
Hernandez, M., King, A., & Stewart, L. (2019). Catheter-associated urinary tract infection (CAUTI) prevention and nurses' checklist documentation of their indwelling catheter management practices. Nursing Praxis in New Zealand, 35(1)	Experimental study	50 nurses	Independent variable: nurses’ checklist documentation of their indwelling catheter management practices Dependent variable: CAUTIs	The management practices in the catheter use is causing a great impact on CAUTI prevention efforts	Level I: Experimental study	The study shows that the checklist of the indwelling catheter management practice is effective in the prevention of CAUTIs
Fukuoka, K., Furuichi, M., Ito, K., Morikawa, Y., Watanabe, I., Shimizu, N., & Horikoshi, Y. (2018). Longer duration of urinary catheterization increases catheter-associated urinary tract infection in PICU. Pediatric Critical Care Medicine, 19(10), e547-e550. doi: 10.1097/PCC.0000000000001628	Retrospective cohort study.	1890 Children with urethral catheter	Dependent Variable: Longer Duration of Urinary Catheterization Independent Variable: Risk for CAUTIs	An extended period of catheterization leads to the increase in the risk of exposure to CAUTIs by 5% everyday within PICU.	Level IV: Evidence from well-designed cohort studies	The increase in the number of days of catheterization exposes patients to the risk of CAUTIs