Urinary Tract Infection is an infection that involves any part of the urinary system, including kidneys, ureters, urethra, and bladder. The common type of UTI is a healthcare-associated infection common in various healthcare organizations. CAUTI accounts for 75% of all the infections associated with the urinary urethra. Despite the cases of CAUTI receiving a great attention, the cases have remained high in the healthcare system. Therefore, measures which are taken to reduce CAUTI should have a positive impact in the patient outcome. The PICOT question guiding this research is: Among patients using indwelling urinary catheters, what is the efficacy of using CAUTI bundle care compared to no intervention in lowering the rates of CAUTI by 25% within six months? The purpose of this assignment is to write a review of the research articles and their comparisons concerning the provided evidence-based project.
Search Methods
A literature review is key to the success of the project. Therefore, a literature review was accomplished using databases accessed through the university. Some of them include Cochrane databases of systematic reviews. The American Journal of Psychiatry, Ovid, ProQuest, PubMed, MEDLINE, CINAHL, and journals by Professional organizations such as CDC using only recent articles of 5 years or less, and obtaining appropriate evidence from databases required using keywords related to the project topic. Therefore, the keywords used include urinary tract infection, bundle care intervention, and nurse education. These key words were essential in finding relevant articles that support the PICOT question.
Literature Review
Elkbuli et al. (2018) carried out a study on CAUTI among the trauma population. Their study aimed at determining whether the implementation of a 5-S CAUTI bundle would reduce CAUTI rates among trauma patients. This quantitative included 2926 trauma patients. The findings showed that 94 of these patients developed CAUTIs. Secondly, the average injury severity score was 16 in patients with CAUTIs compared with 9 in non-CAUTI patients (p < .0002). It was evident that the implementation of a 5-S CAUTI bundle would reduce CAUTI rates among trauma patients. Therefore, this article will support the PICOT question as it shows that using CAUTI bundles among trauma patients significantly reduces CAUTI rates.
Another article authored by Davies et al. (2018) also relays more information on the PICOT question. Their study compared pre and post-outcomes after the implementation of the CAUTI bundle. This quantitative study was carried out among 6236 patients in a trauma care environment. The findings showed that fewer patients in the post-bundle group received a urinary CAUTI bundle decreasing CAUTI rates in patients. This is the desired outcome that the PICOT question would want to meet.
The study by Reynolds et al. (2022) examined the effect and sustainability of a multifaceted intervention to reduce CAUTI rates. Their study occurred in three large adult intensive care units in a healthcare facility. The authors observed three different outcomes. For example, the urine culture rates dropped, catheter utilization also dropped, and CAUTI incidence rates. The findings of this study make it important in the evidence based-project as it shows an analysis of how a multifaceted approach led to reduced rates of CAUTI.
Mundle et al. (2020) conducted a study to explore the impact of implementing a CAUTI bundle care on developing CAUTI rates. This research took place in internal medicine units where all admitted patients were eligible to participate. The study found that using the intervention reduced the CAUTI rates by 79% among patients. This significant outcome makes the study reliable and important in supporting the proposed intervention since it shows a reduction in the rates of CAUTI upon using CAUTI bundles.
Another study by Sultan et al. (2022) focused on investigating the impact of using a CAUTI bundle in preventing CAUTI among critically ill patients. This research was done in intensive care units among 80 patients in an Egyptian hospital and found that implementing CAUTI bundle care reduced CAUTI by 50%. The outcome of this article is important in supporting the evidence-based project as it aligns with the desired outcome of the proposed PICOT question.
According to Tyson et al. (2020), implementing a nurse-driven protocol for catheter removal is important in decreasing the CAUTI rate. Their study aimed to compare the rates of CAUTI and indwelling urinary catheter use before and after using a nurse-driven CAUTI bundle approach among patients in the surgical trauma intensive care unit. They found that catheter utilization was reduced when nurse-driven protocols were implemented among the patients. In doing so, it is imperative to approve that the findings of this study are s
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