Refinement of a Nursing Concern into an Evidence-based Practice Proposal Using the Research Process

PICOT/PICO QUESTION

Week 2 Discussion Post

Dear Dr. Hellem and Classmates,

My EBP project will be related to Catheter-Associated Urinary Tract Infection – CAUTIs. After reading between quantitative and qualitative approaches to use on my EBP project proposal, I decided to use qualitative research due to the target of the particular group and the technicalities involved with the above issue. Understanding that Catheter-Associated Urinary Tract Infection, comes as a result of the involvement of the medical practitioner and staff, as it comes to life when proper medical care is not administered to the patient (Charlotte, 2019). Prolong use of indwelling urinary catheters is a significant risk factor for CAUTI, therefore catheters should be placed only when appropriate indications are present and its appropriateness and prevalence should be tracked daily as proper documentation for indication of use along with identifying and collecting process measures such as staff competency to perform insertion, audits of aseptic insertion technique, and maintenance measures followed insertion (e.g. drainage bag positioned below patient’s bladder and off the floor) (Saint, Greene, Krein, Rogers, Ratz, Fowler, Edson, Watson, Meyer-Lucas, Masuga, Faulkner, Gould, Battles, and Fakih, 2016).

Using a qualitative research approach will allow the research to undertake some methods such as participant observation, in-depth interviews, small sample of participants, use of written data, among others, keeping in mind that qualitative research design is mainly focused on understanding the issue at hand by embracing alternative ways of knowing in which findings will be implemented in practice. Grounded Theory, a type of qualitative research approach, generates theory by gathering and analysing data which focus on the development of knowledge that will help us understand the experience of a particular situation and how relevant they are to our practice to identify common risk factors among ICU and non-ICU patients (Saint et al., 2016).

PICO question: How does the use nurse driven protocol for evaluating the appropriateness and prevalence of catheter use or removal, compared with no protocol affect the CAUTI rates?

Reference

Charlotte Lillis. (2019). Uses and types of urinary cateter. Retrieved from https://www.medicalnewstoday.com/articles/324187.php

Saint, S., Greene, T., Krein, S., Rogers, M., Ratz, D., Fowler, K., Edson, B., Watson, S., Meyer-Lucas, B., Masuga, M., Faulkner, K., Gould, C., Battles, J., and Fakih, M. (2016). A Program to Prevent Catheter-Associated Urinary Tract Infection in Acute Care. The New England Journal of Medicine. 374(22). Retrieved from https://www.nejm.org/doi/pdf/10.1056/NEJMoa1504906?articleTools=true