NURS_6052_Week07_A4

profileyayi_tha
PPorder_160298_4408051.ppt

NAME
UNIVERSITY
DATE
INSTRUCTOR

ADVANCED LEVELS OF CLINICAL INQUIRY AND SYSTEMATIC REVIEWS

Description of the chosen clinical issue

  • CAUTI is the most common infection that an individual can contract in the hospital according NHSN.
  • Approximately 75% of UTIs infections are associated with CAUTI.
  • It is caused by an indwelling catheters infection.
  • The infection affects any part of the urinary system, such as urethra, bladder, ureters, and kidney.

UTIs is the most common type of healthcare associated infection according to NHSN (Ferguson, 2018). Approximately 15-25 percent of hospitalized patients receive urinary catheter during their stay in hospital. The most common risk of acquiring catheter associated CAUTI is long usage of the urinary catheter.

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PICOT Question

P: Population Patients admitted in the intensive care unit and nurses taking care of them
I: Intervention Training nurses and other clinical experts.
C: Comparison Versus implementation of a daily checklist for reviewing the indication of indwelling urinary catheters
O: Outcome To prevent CAUTI and improve care for indwelling catheters
T: Time Doing several years study?

I focused on the forefront questions while searching for the correct answers and facts for the clinical issue so as to prevent uncertainity.The population that will be studied are patients in the intensive unit in both government and private health facilities. The main intervention being considered is training nurse and other clinical experts to improve their understanding on how to prevent CAUTI and to care for patients with indwelling urinary catheters. The study will be carried out for several years.

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Research databases

  • PubMed
  • Google scholar
  • Scopus
  • Science direct.

The above four mention databases provides a simple way to broadly search for the scholarly literature across various disciplines.

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Articles

Ferguson, A. (2018). Implementing a CAUTI Prevention Program in an Acute Care Hospital Setting. Urologic Nursing, 38(6), 273–302. https://doiorg.ezp.waldenulibr ary.org/10.7257/105 3- 816X.2018.38.6.27 3.

Menegueti, M. G., Ciol, M. A., Bellissimo-Rodrigues, F., Auxiliadora-Martins, M., Gaspar, G. G., Canini, S. R. M. da S., Bakir., M. (2019). Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the study. Medicine, 98(8), . https://doiorg.ezp.waldenulibrary.org/10.109 7/MD.0000000000014417implementation of an educational program and a daily checklist for maintenance of indwelling urinary catheters: A quasi-experimental.

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, 1–9. https://doiorg.ezp.waldenulibrary.org /10.1186/s12913-017- 2268-2.

Scanlon, K. A. (2017). Saving Lives and Reducing Harm: A CAUTI Reduction Program. Nursing Economic$, 35(3), 134– 141. Retrieved from https://search-ebscohostcom.ezp.waldenulibrary. org/login.aspx? direct=true&db=rzh&AN =123428995&site=ehostlive&scope=sit.

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Level of Evidence

Citation Evidence Level
(Parker et al, 2017) Level V
(Scanlon, 2017). Level IV
(Ferguson, 2018). Level III
(Menegueti et al, 2019) Level III

Parker et al, (2017), is at level V of evidence because it provides evidence of systematic reviews of descriptive and qualitative studies that are commonly referred to mixed methods. Scanlon, (2017), is a cohort study hence level IV of evidence. Both Ferguson, (2018) and Menegueti et al, (2019) are of level of evidence because the data was obtained from well-designed control trials without randomization.

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Benefits of systematic review and examples

  • Give clear and comprehensive overview of the available evidence on a given topic e.g. Implementing a CAUTI Prevention Program in an Acute Care Hospital Setting.
  • Identifies methodological concerns that can be used to improve the study e.g. understand contradictions between qualitative findings and quantitative results.
  • Allow predictions and testable hypothesis for example, the effect of educating health care professionals concerning indwelling urinary tract catheter

Systematic review provides a number of benefits such as identifying, evaluating and summarizing the findings for all relevant individual studies over a health concern (Scanlon, 2017).

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References

Ferguson, A. (2018). Implementing a CAUTI Prevention Program in an Acute Care Hospital Setting.

Urologic Nursing, 38(6), 273–302. https://doiorg.ezp.waldenulibr ary.org/10.7257/105 3-

816X.2018.38.6.27 3.

Menegueti, M. G., Ciol, M. A., Bellissimo-Rodrigues, F., Auxiliadora-Martins, M., Gaspar, G. G., Canini, S.

R. M. da S., Bakir., M. (2019). Long-term prevention of catheter-associated urinary tract infections

among critically ill patients through the study. Medicine, 98(8), .

https://doiorg.ezp.waldenulibrary.org/10.109 7/MD.0000000000014417implementation of an

educational program and a daily checklist for maintenance of indwelling urinary catheters: A quasi-

experimental.

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, 1–9.

https://doiorg.ezp.waldenulibrary.org /10.1186/s12913-017- 2268-2.

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References

Scanlon, K. A. (2017). Saving Lives and Reducing Harm: A CAUTI Reduction

Program. Nursing Economic$, 35(3), 134– 141. Retrieved from

https://search-ebscohostcom.ezp.waldenulibrary. org/login.aspx?

direct=true&db=rzh&AN =123428995&site=ehostlive&scope=sit.

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