NUR-550 Evidence Based Project Essay

NUR-550 Evidence Based Project Essay

PICOT Draft

Part 1: Catheter-associated urinary tract infections (CAUTIs) are one of the biggest concerns for healthcare providers, organizations, and patients. These hospital acquired infections (HAIs) have negative effects on patient safety and lead to prolonged hospital stays, increased medical costs, and in some cases adverse effects like disability and even mortality. According to the Centers for Disease Control and Prevention (CDC) (2019) among the urinary tract infections acquired in healthcare settings, over three quarters (75%) are related to urinary catheter, a tube inserted into the bladder through urethra to drain urine. The prolonged use of urinary catheters is the most prevalent risk factor for developing CAUTI. Medical patients in different inparient facilities are susceptible to CAUTIs because of the need ti drain urine (Zavodnick et al., 2020). Interventions to reduce CAUTIs have mainly focused on replacement of such equipment like foley with others that reduce the susceptibility to infections such as the use of purewick among female patients.

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Understanding CAUTIs and evidence-based practice (EBP) interventions to address them is essential for advance nursing practice to improve patient safety and quality of care. Advanced practice nurses should know the different interventions that they can use to reduce and prevent the occurrence of CAUTIs among patients for better outcomes and reduced cost of care (Lem et al., 2022). The use of interventions like purewick as opposed to foley catheter is gaining increased prominence and acceptance as an EBP intervention to reduce hospital acquired infections among medical patients.

Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)

PICOT Question
P	Population	Medical patients in 4NW with foley catheters
I	Intervention	Removing foley catheter and replacing it with purewick
C	Comparison
O	Outcome
T	Timeframe
PICOT
Problem Statement

References

Centers for Disease Control and Prevention (CDC) (2019). Catheter-associated Urinary Tract Infections

(CAUTI). https://www.cdc.gov/hai/ca_uti/uti.html

Lem, M., Jasperse, N., Grigorian, A., Kuza, C. M., Deyell, J. S., Prasad, J. P., … & Nahmias, J. (2022). Effect of

external urinary collection device implementation on female surgical patients. Infection, Disease & Health, 27(4), 227-234. https://doi.org/10.1016/j.idh.2022.05.005

Zavodnick, J., Harley, C., Zabriskie, K., & Brahmbhatt, Y. (2020). Effect of a female external urinary catheter

on incidence of catheter-associated urinary tract infection. Cureus, 12(10). DOI: 10.7759/cureus.11113

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Learners will select a valid nursing practice problem for an evidence-based practice project proposal. The project will be completed in sections, beginning in NUR-550 and culminating in a final written paper detailing the evidence-based practice proposal in NUR-590.

The purpose of this assignment is to select a relevant nursing practice problem for your evidence-based practice project proposal. To identify a relevant problem, consider problems generally faced in nursing practice (coordination of health care, assessment, education, patient support, trauma prevention, recovery, health screenings, etc.).  Use the “PICOT Draft” template to complete this assignment.

Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT statement.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite one peer-reviewed source to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

My nursing Problem is CAUTI

Population: medical patients in 4NW with foley catheters

Intervention: removing foley and using purewick