Evidence-Based Practice: A Qualitative Analysis

Decent Essays
Clinical Question
The clinical question for this quantitative article is: How can we apply Evidence-Based practice instead of using traditional practice in order to have a better outcome for preventing secondary infections in inpatients such as CAUTIs?
The clinical question for this qualitative article is: Does education of nurses on specific catheter protocols decreases the risk and incidence of urinary tract infections in-patient’s with hip fractures?
The Problem
The problem that this paper address is weather nurse driven protocol is effective at reducing CAUTIs. Secondary infection such as CAUTIs will and have continue to cost hospitals billions of dollars each year and risk to patient’s safety. With the application of evidence-based practice, we as nurses can decrease and prevent CAUTIs at a significance rate. Therefore, the implementation of a nurse driven protocol to remove unnecessary indwelling urethral catheters and decrease the number of catheter device days will ultimately reduce the incidence of catheter associated urinary tract infections (Retcher, 2014).
Description of the Findings
Concepts
…show more content…
Applying effective evidence-based practice is an importance aspect of nursing, in order to improve patient safety and quality of care. The American Nurse Association states that nurses have enormous impact on the reduction of UTIs, since they are always assessing clients (Decision-making tool to prevent CAUTIs now available, 2015). Evidence-based practice shows that patients would greatly benefit from nurse-driven protocols designed to prevent CAUTIs independently instead of physician’s orders, which it has always been done this way (Retcher,

Related Documents

  • Improved Essays

    CAUTI Problem

    • 865 Words
    • 4 Pages

    According to the Centers for Disease Control and Prevention, there was “A 6 percent increase in CAUTI between 2009 and 2013; although initial data from 2014 seem to indicate that these infections have started to decrease” (Centers for Disease Control and Prevention, 2015, p. 1). These statistics indicate interventions implemented to prevent the incidence of CAUTIs were effective in 2014. Unfortunately, there is still an estimated there are more than 13,000 deaths associated with Urinary tract infections in the United States (Centers for Disease Control and Prevention,2015, January).…

    • 865 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Research Question: How will education on the importance and use of the nurse-driven indwelling urinary catheter removal protocol affect knowledge of nurses taking care of patients with urinary catheters and the CAUTI rates in an acute care hospital in North Carolina ? Project Significance: An indwelling catheter removal protocol is a recommended tool and is part of a bundle used to prevent CAUTI. The lack of knowledge of its use and its importance may be directly related to high CAUTI rates O Catheter Associated Urinary Tract Infections (CAUTI) can be reasonably prevented with the application of evidence-based prevention strategies (Institute for Healthcare Improvement, 2011, CDC, 2015)…

    • 896 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The primitive element of Evidence Base Practice is to personalize the evidence to fulfill distinct patient need within the context ((Polit & Beck, 2012, p. 25). paper includes the summary of an Evidence Based Practice implementation on reduction on hospital acquired Cather-Associated Urinary Tract Infection (CAUTI) in a community hospital setting. The key points, list of steps taken by nursing, a practice problem that would benefit from the implementation of an EBP are explained here. The result of the study with a conclusion is also enclosed.…

    • 1150 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    In particular, NPSG 07.06.01 focuses on the prevention of catheter associated urinary tract infections (CAUTIs). Under this guideline, Joint Commission outlines three elements of performance that must be validated for compliance during a Joint Commission survey. First, indwelling catheters must be inserted according to evidence-based guidelines which include limiting the use and duration of indwelling catheters as well as inserting them using aseptic technique. Second, the indwelling catheters must be maintained using evidence-based guidelines which include maintaining a closed, sterile system, securing catheters and allowing for unobstructed flow and replacing collection system, as needed. Finally, health care facilities must monitor for catheter associated urinary tract infections, as well as develop and track prevention processes and outcomes (TJC, 2016).…

    • 804 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Treatment services include individual and family sessions utilizing the selected Evidence-Based Practices. Case Management is also conducted by the treatment provider, social services staff and/or the Behavioral Health Administrative Assistant, and can include referrals to other tribal programs such as Victims of Crime (VOCA), Social Services, medical/dental/optical services, education programs, transportation, residential and aftercare services. Staff also report providing customized client services such as: providing assistance with student aid application(s), community college applications and enrollments, and referrals to Computer Corps. D. Use of Evidence-Based Practices. Under the project, two Evidence-Based Practices (EBPs) have…

    • 163 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    During the recent years, changes on reimbursement has forced hospitals to re-examine current CAUTI prevention practices and consider new alternatives in an attempt to ensure payment for provided services. Previous studies have contributed to the currently used practices for the prevention of CAUTI which include proper insertion, catheter composition, maintenance and education. Despite the multiple attempts to prevent CAUTI, the rates remain high due to the prolonged duration of urinary catheters and inappropriate use. The studies reviewed recommend the use of a reminder system options: written, verbal or computer generated alerts to notify providers or nurses of the presence of a urinary catheter; consequently, continuation of the urinary…

    • 267 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Section D: Solution Description The proposed solution in the evidence-based practice (EBP) project is the plan to overcome an identified problem. It should be reasonable and accomplishable within the time frame and the budget constraints. The evaluation of the outcomes should be quantifiable by the empirical evidence (Roberts & Yeager, 2004).…

    • 1016 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    According to the Center for Disease Control, 1 in 25 people admitted to the hospital will also suffer from a nosocomial, or hospital acquired infection (CDC, 2015). That number totals to 1.7million people a year, of that, catheter-associated urinary tract infections account for 35% and result in 8,205 deaths (AHRQ, 2015). These infections cost hospitals $565 million dollars each year and the majority of them can be prevented (AHRQ, 2015). Due to the unnecessary money that is spent treating this…

    • 1583 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    In today’s society, new findings based on the premise of Evidence-Based Practice have helped set up guidelines and advance the standards for healthcare members especially nurses in the clinical setting. According to Hood (2014), the term Evidence-Based Practice (EBP) have been define by Sherwood and Barnsteiner as “practice based on the best available evidence that also incorporates patient values and preferences and clinician judgment and expertise” (p. 250). It is one of the most discussed topics among the Nurse of the Future Nursing Core Competency due to its effectiveness and usefulness in the healthcare…

    • 95 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Evidence-Based Practice

    • 423 Words
    • 2 Pages

    Evidence-based practice (EBP) is known as the integration of best research evidence, clinical expertise, and consideration of patient value. ASHA addresses ways in which the principles of evidence-based practice are to be incorporated into clinical decision making. Speech-language pathologists (SLPS) are expected to recognize and integrate the needs, values, and interests of clients and families receiving services with the best current research and their clinical expertise. EBP has become an important principle in the delivery of speech-language pathology services. It is a continuing process that is dynamic and evolving of clinical expertise that is used in everyday practice.…

    • 423 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Evidence based practice is so important in the current healthcare world. When evidence based practice is at the center of any organization, there is great improvement in practice and patient outcome. “Only 55% of the time, patients get the evidence-based practice needed for their plan of treatment (IOM 2001). The institute for healthcare improvement, launched 100,000 Lives Campaign enrolled more than 3,000 hospitals, representing an estimated 75 percent of U.S. hospitals beds, which implemented up to six evidence-based and life-saving interventions. In eighteen months, the campaign prevented an estimated 122,300 deaths through the implementation of these six evidence-based practices across the country.”…

    • 325 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Evidence-Based Practice

    • 566 Words
    • 3 Pages

    Fain (2013), states that “evidence-based practice relies on evidence from research and refers to clinicians making an effort to integrate research findings into clinical thinking and decision making (p. 5). Fain also goes to state that we, as nurses, can improve the roles of nursing by asking questions such as “What is the best evidence for this practice?” or “What are the highest achievable outcomes for the patient, family, and nurse?” (p. 5). Where I currently work, I triage individuals that come in off the street to determine whether they need psychiatric admission or just outpatient referrals.…

    • 566 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Both guidelines, the CDC and NCGC both inform the readers that lack of research in the home setting is a challenge when assessing and addressing a standardized method of teaching and care for home urinary catheter patients in general. It is stated, “No evidence of surveillance of healthcare-associated infections (such as CAUTI) in the community is currently available.” (UK, 2012) The regulations that declare who can insert, maintain and troubleshoot urinary catheters also is confusing and not properly regulated.…

    • 701 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    A catheter-associated urinary tract infection (CAUTI) is an infection in the urinary system, which includes the bladder and the kidneys, through the travel of bacteria along the catheter. CAUTIs are one of the most prevalent hospital acquired infections in the United States. They account for 34% of all hospital acquired infections. “More than 500,000 CAUTIs are reported annually in the United States, resulting in significant morbidity and mortality and excess resource utilization” (Fink & Capezuti, 2012, p.1). However, with the implementation of nurse driven protocols, the rate of these infections can be greatly reduced.…

    • 1448 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Evidence based clinical practice guidelines are defined as a compilation of statements developed to guide clinical decision making by heath care providers regarding best practices for positive patient outcomes (Baddour & Saleh, 2013). Implementation of evidence based practice allows the nurse practitioner to make clinical decisions to guide care for patients based on research. The guidelines are established after extensive research studies determine the methods of care which produce the most positive outcome for the patient. These guidelines are established for various medical conditions and disease processes and determine the medical diagnostic studies to be used and the treatment of choice for the conditions (Baddour & Saleh, 2013). The…

    • 151 Words
    • 1 Pages
    Improved Essays