Nursing Research Utilization Project: Section C Essay

Several holds have been reviewed as a inquiry base for this project. Identification of appropriate research is critical to the successful murder of nurse-led evidence-based practice communications protocols. Each article was carefully selected for what it could contribute to the quality of the project. utilise the evidence in this research impart help with the development of an effectuation plan. Article 1Adams, D., Bucior, H., & Day, G. (2012, January). HOUDINI make that urinary catheter disappear-nurse-led protocol. Journal of Infection Prevention, 13, 44-48. This article discusses the use of 7 criteria that must exist in order to asseverate an indwelling urinary catheter in place. According to Adams (2012), the average daily venture of developing a bacteremia with an indwelling urinary catheter increases by 3%-7% for all in all(prenominal) additional day the catheter re primary(prenominal)s indwelling. The bring uses the acronym HOUDINI to demonstrate the criteria. The acronym stands for Hematuria, Obstruction, Urologic surgery, Decubitus ulcer, stimulation and output measurement, Nursing end of life care, and Immobility. In the absence of these aforesaid(prenominal) indications, according to the study, the catheter should be removed to mitigate the risk of catheter-associated bacteremia. Article 2Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A retrospect of Strategies to Decrease the Duration of Indwelling Urethral Catheters and potentially Reduce the incidence of Catheter- Associated urinary Tract Infections. Urologic Nursing, 32(1), 29-37. This article discussed different strategies to lower the incidence of indwelling urinarycatheter times. It was a retrospective study that analyze data obtained from infirmary databases. The study supports nurse-led or electronic chart reminders every 24 hours to assess the need for indwelling urinary catheters on a daily basis. The conclusion lists timely removal as mavin of the main factors affec ting the incidence of CAUTI. Article 3Clarke, K., Tong, D., Pan, Y., Easley, K., Norrick, B., Ko, C., & Stein, J. (2013). Reduction in catheter-associated urinary tract infections by bundling interventions. International Journal For Quality In Health concern Journal Of The International Society For Quality In Health wish well / Isqua,25(1), 43-49. doi10.1093/intqhc/mzs077 This article reviews the affect on incidence of CAUTI by bundling interventions. Also a retrospective study, this research reviewed the strength of bundling four interventions for patients with indwelling urinary catheters. The bundle consisted of 1) Using a silver alloy impregnated catheter 2) Using a securement device to limit the catheter feat 3) Repositioning of the catheter tubing if it was found to be kinked or on the knock down 4) Prompt removal of the catheter on send operative day one or two. Implementing this bundle of care for patients resulted in a significant drop in CAUTI for these study partic ipants. Pre implementation of the bundle the CAUTI incidence rate was 5.2/1000. sevensome months post implementation the CAUTI incidence rate was 1.5/1000. The authors have proven with statistical significance that the four-intervention bundle will be successful in reduce the incidence rate of CAUTI in indwelling urinary catheter patients. Article 4Levers, H. (2014). Switching to an antimicrobial solution for skin cleansing onwards urinary catheterisation. British Journal Of Community Nursing, 19(2), 66-71. This study suggests that switching to an antimicrobial cleaning solution for the area earlier to insertion of a urinary catheter will reduce the incidence of CAUTI. The research recommended using Octenilin solution for cleansing the meatus prior to catheterization. The case studies are ongoing and no results were mentioned in the study but for to say the change was cost neutral and the practice change is promising. This study failed to show a statistically significant decre ase in CAUTI postimplementation. Article 5Meddings, J. A., Reichert, H., Rogers, M. M., Saint, S., Stephansky, J., & McMahon Jr., L. F. (2012). Effect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract Infection. chronological record Of Internal Medicine, 157(5), 305-312. This study reviewed the Centers for Medicare Services (CMS) recent (2008) initiative to hold or eliminate reimbursement for costs associated with hospital acquired CAUTI. This study alluded to the misuse of coding in failing to identify CAUTI when it actually did exist, therefore claiming the financial impact on health care organizations is low for non-payment of hospital acquired CAUTI. Even when the researchers included all urinary tract infections catheter associated and otherwise, the loss of reimbursement to healthcare organizations would have been less than 1% due to improper coding. ConclusionIn conclusion, the prevalence and incidence of CAUTI is stirred by many factors. First health ca re workers need to be aware of the significance of CAUTI and be compliant with new practice guidelines to decrease risk. Second, adherence to inclusion criteria for indwelling urinary catheters and their placement using the HOUDINI protocol (Adams, Bucior, & Rimmell, 2012). Lastly, implementation of a bladder bundle to decrease the incidence of hospital acquired CAUTI. Each factor focuses on a unique evidence-based prevention, reduction, or obliteration strategy to address the problem of CAUTI. Health care workers, who possess an cognisance of the need to decrease this preventable infection, will add to the forward flight of stairs of solving this problem, and implementing this project.ReferencesAdams, D., Bucior, H., & Day, G. (2012, January). HOUDINI make that urinary catheter disappear-nurse-led protocol. Journal of Infection Prevention, 13, 44-48. Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A Review of Strategies to Decrease the Duration of Indwelling Urethral Cathe ters and Potentially Reduce the Incidence of Catheter- Associated Urinary Tract Infections. Urologic Nursing, 32(1), 29-37. Clarke, K., Tong, D., Pan, Y., Easley, K., Norrick, B., Ko, C., & Stein, J. (2013). Reduction incatheter-associated urinary tract infections by bundling interventions. International Journal For Quality In Health Care Journal Of The International Society For Quality In Health Care / Isqua,25(1), 43-49. doi10.1093/intqhc/mzs077 Levers, H. (2014). Switching to an antimicrobial solution for skin cleansing before urinary catheterisation. British Journal Of Community Nursing, 19(2), 66-71. Meddings, J. A., Reichert, H., Rogers, M. M., Saint, S., Stephansky, J., & McMahon Jr., L. F. (2012). Effect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract Infection. Annals Of Internal Medicine, 157(5), 305-312.