Current evidence-based practice related to prevention of urinary tract infections
Date of Completion of Thesis/SIPSpring 4-22-2020 Show Document TypeScholarly Inquiry Paper (SIP) Degree NameMaster of Science in Nursing (MSN) First AdvisorJulie Ponto AbstractThere are numerous healthcare associated infections (HAIs) that individuals can acquire while receiving care in an acute healthcare facility. Catheter associated urinary tract infections (CAUTIs) are HAIs that may cause increased lengths of stay, hospital costs, and mortality for patients. CAUTIs may be preventable through evidence-based nursing interventions and care. Using CINAHL, PubMed, and ProQuest, an evidence-based practice inquiry was conducted on the prevention of CAUTIs. Ten articles were chosen based on the relevance to the clinical question and quality of research. The articles were English language, peer-reviewed, and published within the last ten years. The levels of evidence ranged from I to III, with predominantly level III evidence within the ten articles. Current evidenced-based practice in the prevention of CAUTIs includes: (a) nursing education on the insertion, care, and maintenance of catheters; (b) utilization of checklists, protocols or tools; and (c) staff engagement, informatics, testing indications, and equipment. To assist with translating evidence into clinical practice, an integrative literature review and the use of the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model were utilized to establish nursing recommendations for the prevention of CAUTIs. The JHNEBP model uses three phases with 18 detailed steps for reviewing and utilizing the evidence to implement changes into clinical practice. Nursing education and the use of tools were interventions found successful most frequently in the literature review. Positive outcomes included increased nursing knowledge and decreased incidence of CAUTIs. The nursing education and use of tools that were found effective iii in the prevention of CAUTIs will assist with ensuring patient safety through the care of critically-thinking professional nurses. Recommendations include 40 minute in person nursing education on the insertion, care, and maintenance of indwelling urinary catheters and the use of a shift checklist for indwelling urinary catheters to decrease CAUTI rates for inpatients within an acute healthcare facility. This education and checklist will also assist nurses with providing professional and skilled care to inpatients with an indwelling urinary catheter. Recommended Citation Sherburne, Laura, "Nursing Practice and the Prevention of Catheter Associated Urinary Tract Infections" (2020). Nursing Masters Papers. 378. DOWNLOADS Since May 14, 2020 COinS Description of HICPAC recommendation categories.
* Please refer to Methods for implications of Category designations. Recommendations for Appropriate urinary catheter use by ID number and category.
I.B. Consider using alternatives to indwelling urethral catheterization in selected patients when appropriate.Recommendations for Consider using alternatives by ID number and category.
Recommendations for Proper urinary catheter insertion techniques by ID number and category.
Recommendations for Proper urinary catheter maintenance techniques by ID number and category.
Recommendations for Catheter materials by ID number and category.
Recommendations for Management of catheter obstruction by ID number and category.
Recommendations for Specimen collection by ID number and category.
Recommendations for Spatial separation of patients by ID number and category.
Recommendations for Surveillance by ID number and category.
V.A. Provision of guidelinesRecommendations for Quality improvement programs by ID number and category.
V.B. Education and TrainingRecommendations for Education and training by ID number and category.
V.C. SuppliesRecommendations for Urinary catheter supplies by ID number and category.
V.D. System of documentationRecommendations for System of documentation by ID number and category.
V.E. Surveillance resourcesRecommendations for Surveillance resources by ID number and category.
Recommendations for Surveillance by ID number and category.
Which method of prevention is best for controlling urinary tract infection?The key is to keep bacteria out of your system. Drink plenty of water, and relieve yourself often. The simplest way to prevent a UTI is to flush bacteria out of the bladder and urinary tract before it can set in. If you're well-hydrated, it will be tough to go too long without urinating.
What are four 4 ways to prevent urinary tract infections?Here are nine prevention methods that may help you sidestep a UTI.. Wipe front to back. Since the rectum is a main source of E. ... . Drink plenty of fluids. Stay hydrated throughout the day. ... . Avoid holding your pee. ... . Urinate before and after sex. ... . Avoid scented products. ... . Explore birth control options. ... . Take probiotics. ... . Get antibiotics.. What are 5 nursing interventions that can prevent UTI?Prevention. Avoid bath tubs. Shower rather than bathe in a tub because bacteria in the bath water may enter the urethra.. Perineal hygiene. ... . Increase fluid intake. ... . Avoid urinary tract irritants. ... . Voiding habit. ... . Medications.. What are the factors that protect against urinary tract infections?These steps may help lower the risk of UTI s:. Drink plenty of liquids, especially water. Drinking water helps dilute the urine. ... . Try cranberry juice. ... . Wipe from front to back. ... . Empty your bladder soon after having sex. ... . Avoid potentially irritating feminine products. ... . Change your birth control method.. |