Students will develop a 3500-4000 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Background Problem statement Purpose of the ch

Folly Associated Urinary Tract Infection in United State

NRS 490

10/14/2018

Folly Associated Urinary Tract Infection in United States

Problem

According to Chenoweth & Saint (2013), urinary tract infections are some of the major categories of medically related infections triggered by the arrangement of the urinary tract. The infection is caused by the use of an indwelling urinary folly.

In the United States, about 70% of cases revolving around urinary tract infections among patients, are attributed to a catheter, inserted at the urethra, which is remarkably prevalent in all hospitals. The use of indwelling urinary Cather is typically used for a short-term period, while long-lasting Cather is most common among patients seeking long-term care. The United States point prevalence survey points out urinary tract infection accounts for about 13 % of health infections (Magill et al., 2014).

The significance of the problem

A common disorder about the patient on a medical-surgical acute care unit is the inability to avoid urinary tract infection, which occurs when the bladder is unable to empty itself. The urinary tract infection may occur due to the retention, ranging from the obstruction of the urinary structure to nerve problems and medications. While urinary tract problem is more widespread, the decision to catheterize the patient is a debatable topic among most hospitals in the United States, for example, American Nurses Association, Nursing World (2009), notes that the fourth and the 5th floor of Hershey Medical Center, in the United States, has an influx of post-operative patients, with urinary tract infections. The healthcare staff working at Hershey Medical Centre, are overwhelmed with this large number of patients; therefore, they make hasty decisions which necessitates the use of catheterize among these patients.

Impact of the problem

The increased rate of urinary infection tract, has elicited and attracted researchers, to find solutions about the appropriate intervention which can be used to treat and minimize cases of urinary tract infections Burton & Deron (2011), points out that these interventions aim at raising awareness among all the healthcare staff specialized in treating urinary tract infection. The awareness can be done by educating the nurse and health care staff about the guidelines of using Catharize to treat patients. However, Marra et al., (2011), points out that most healthcare facilities in the United States, have no specific guidelines which they can utilize, to treat urinary tract infections.

Proposed solution and suggestions

Nevertheless, Conway et al., (2012), posits that with the introduction and the execution of a standardized health care facility, most hospitals in the United States, can embrace Catheter-associated urinary tract infections protocols, which will help reduce the increased number of urinary tract infection. According to Bhatia, et al., (2010), the introduction of practical, clear and strict guidelines, offers most healthcare facilities with the chance and opportunity to provide patients suffering from urinary tract infections. The directive also provides advanced care for all hospitalized patients; hence doctors at Hershey Medical Centre can implement policy guidelines, including the use of bladder bundle, which allows them and the other medical team, to follow a specified protocol when inserting or removing the Cather, from the urinary tract.

Society for Healthcare Epidemiology of America/Infectious Disease Society of America, (2008), proposes the need of safely care for patients with inherent risk, undergoing urinary tract treatment, through integrating and combining all relevant measures such as establishing surgical protocol and increasing more health staff to minimize a large number of patients. A combined intervention helps reduce the rate of patients suffering from Urinary tract infection.

References

American Nurses Association, Nursing World. The Nursing Process (2009). American Nurses Association. http://www.nursingworld.org.

Bhatia, N., Daga, M. K., Garg, S., & Prakash, S. K. (2010). Urinary Catheterization in Medical Wards. Journal of Global Infectious Diseases, 2(2), 83–90

Burton, Deron C DC (2011). "Trends in catheter-associated urinary tract infections in adult intensive care units - United States, 1990-2007.". Infection control and hospital epidemiology (0899-823X), 32 (8), p. 748.

Chenoweth, C., & Saint, S. (2013). Preventing catheter-associated urinary tract infections in the intensive care

Conway, L. J., Pogorzelska, M., Larson, E., & Stone, P. W. (2012). Adoption of policies to prevent catheter-associated urinary tract infections in United States intensive care units. American journal of infection control, 40(8), 705-710.

Magill, S. S., Edwards, J. R., Bamberg, W., Beldavs, Z. G., Dumyati, G., Kainer, M. A., ... & Ray, S. M. (2014). Multistate point-prevalence survey of health care–associated infections. New England Journal of Medicine, 370(13), 1198-1208.

Marra et al., (2011), Preventing catheter-associated urinary tract infection in the zero-tolerance era, American Journal of Infection Control, Volume 39, Issue 10, December 2011, Pages 817-822, ISSN 0196-6553.

Society for Healthcare Epidemiology & Infectious Disease Society of America. Clin Infect Dis. (2008) 46 (2): 155-164. doi: 10.1086/524891