Course Project Milestone 3 Template
Directions: Prior to completing this template, carefully review Course Project Milestone 3 Guidelines paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this required template and save again. This assignment is due by Sunday end of Week 6 by 11:59 p.m. Mountain Time.
Your Name: Mauldin NR392 Milestone 3.docx
| Assignment Criteria | Answers: |
| Brief Statement of Nursing Care Issue
25 points
|
CAUTI leads to extended hospital stays that lead to an increase in health care costs and morbidity. The most critical risk factor for the development of CAUTI is the extended use of the urinary catheter without replacement. Therefore, catheters should be removed as soon as they are no longer required. However, as Trautner, Hull and Darouiche (2005) noted, about 30% of the first time urinary catheterizations are usually unjustified. Similarly, about one- third to one-half of the days of continued catheterization are unjustified. Considering that these catheters are usually inserted in the emergency rooms without documented orders and that the providers are never aware that the catheters are in place in close to 38% of the patients, there is a higher likelihood that the mean duration of catheterization is often unjustifiably extended. With the extended durations of catheterization comes an increased probability that the patients will contract CAUTI. |
| I: Intervention to Improve Quality of This Nursing Care Issue
50 points
|
Saint et al. (2013) provide that the novel method to prevent CAUTI is to minimize the frequency of catheterization. Saint et al. (2013) guide that the use of catheter reminders or stop orders is the appropriate strategy that can be used to avoid the unnecessary days of catheterization. There is evidence to show that the use of catheter reminders or stop-order systems can affect a 37% drop in the mean duration of catheterization. The 37% drop in the mean duration of catheterization, in turn, can lead to a 52% drop in the cases of CAUTI. Early removal of the catheters is, therefore, effective in reducing the infections health problems caused by indwelling use of urinary catheters. |
| I: Professional Article to Support Intervention
50 points |
Authors: Sanjay Saint, M. Todd Greene, Christine P. Kowalski, Sam R. Watson,
Timothy P. Hofer, Sarah L. Krein. Publication Year: 2013 Article Title: Preventing Catheter-Associated Urinary Tract Infection in the United States Journal Name: JAMA INTERN MED Volume Number: VOL 173 Issue Number: NO. 10 Page Numbers: 4 DOI (if available): |
| I:Article Summary
50 points |
The article presents research by Saint et al. (2013) that examined the effectiveness of the best practices used to prevent CAUTI. The research involved a survey of the prevalence of hospitals within the State of Michigan which participated in the use of specific control measures to minimize the cases of CAUTI. In the hospitals that participated in the collaborative to reduce the spread of CAUTI provided a significant drop in the cases of CAUTI as compared to the ones that did not participate. The article provides specific data to show the degree of effectiveness of each of the methods. |
| C: Control/
Evaluation 50 points
|
The evaluation criterion involved a comparison of the number of CAUTI cases between the hospitals in Michigan that took part in the preventive initiative and those outside Michigan that did not take part in the initiative. Overall, there was a drop in the participant hospitals while the number of cases for non-participant hospitals did not register decreases in the registered cases. |
References
Saint, S., Greene, M. T., Kowalski, C. P., Watson, S. R., Hofer, T. P., & Krein, S. L. (2013). Preventing catheter-associated urinary tract infection in the United States: a national comparative study. JAMA internal medicine, 173(10), 874-879.
Trautner, B. W., Hull, R. A., & Darouiche, R. O. (2005). Prevention of catheter-associated urinary tract infection. Current opinion in infectious diseases, 18(1), 37.
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