Evaluation plan for your EBP proposal.

PICOT Question:

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)?

Urinary tract infections are the leading cause of infections in hospital settings. In my EBP proposal, concluding on how removing urinary catheters within 72 hours will decrease the number of infections that occur. To ensure that urinary catheters are removed in a timely fashion, having a protocol in place for nurses to utilize instead of waiting on the physician to place an order, will decrease the occurrence of urinary tract infections. Utilizing nurse-driven protocols for proper catheter use and timely removal have been proven to reduce the risk of infections (Durant, 2017). The protocols provide a rubric that nurses can follow to make adequate decisions without requiring them to consult the attending physician as frequently. Nurses being able to act within these protocols, the likelihood of a CAUTI from occurring is significantly reduced.

The data obtained for this EBP proposal is imperative. Data will be gathered by obtaining information from patients who have had a urinary catheter inserted once admitted to the hospital. Comparing patients who have had the indwelling urinary catheter longer than 72 hours to those who had it removed before the 72 hours mark. By comparing the numbers there will be an established baseline. This will help create protocols for when the nurses are able to perform removal procedures, and thus will show infection rates are decreased. The statistical analysis method that is planned to be used in this proposal is EBP. The analysis relies on a numerical system by analyzing measurements and reporting associations among studied variables (Lucas-Alfieri, 2015).

References

Durant, D. J. (2017). Nurse-driven protocols and the prevention of catheter-associated urinary tract infection: A systematic review. American Journal of Infection Control, 45(12), p 1331-1341. Retrieved from https://www-sciencedirect-com.southuniversity.libproxy.edmc.edu/science/article/pii/S0196655317309070?via %3Dihub

Lucas-Alfieri, D. (2015). Quantitative research. Science Direct. Retrieved from https://www.sciencedirect.com/topics/social-sciences/quantitative-research