Description

Week 6 Assignment: EBP Change Process form Star Point 1: Discovery (Identify topic and practice issue) Identify the topic and the nursing practice is sue related to this topic. (This MUST involve a nursing practice issue.) The topic is hospital acquired infections. The nursing practice issue is catheter associated urinary tract infections and the high incidence on an acute rehabilitation unit. Briefly describe your rationale for your topic selection. Include the scope of the issue/problem. The nursing practice issue I would like to investigate is healthcare associated infections (HAI), particularly catheter associated urinary tract infection (CAUTI). CAUTI is very important to investigate because I believe HAI’s can be decreased, if not prevented. Being that nurses are educated on the possible causes or symptoms of HAI’s, we can be more proactive in our treatment plans. If a patient falls, that can be an unpredictable event but HAI’s are more so predictable. With CAUTI, making sure that the perineal area is cleaned on a regular, consistent basis is important. Providing proper interventions to not keep an indwelling catheter in longer than necessary is also important. Urinary tract infections are one of the most common hospital acquired infections. At least 80% of urinary tract infections an be attributed to an indwelling urinary catheter. There are approximately 13,000 annual deaths associated with catheter associated urinary tract infections (CAUTI). CAUTIs can lengthen hospital stays, increase morbidity and mortality, and raise healthcare costs. Star Point 2: Summary (Evidence to support need for a change) Describe the practice problem in your own words and formulate your PICOT question. The practice problem is members of the healthcare team are not properly cleaning the perineal area of patients who have indwelling catheters and indwelling catheters are placed for unnecessary longer periods of time. PICOT question- In (P) patients with an indwelling catheter on an acute rehabilitation unit, does (I) cleansing the perineal area every eight-hour period compared to (C) routine daily cleansing of the perineal area (O) decrease the catheter associated urinary tract infection with patients over a (T) six month period?