Part 1:
The selected nursing problem for the project is catheter-associated urinary tract infections (CAUTIs). CAUTIs are infections that patients develop following their insertion with urinary catheters. The issue was selected because of it is a safety and quality issue in nursing practice that is preventable (Smith et al., 2019). Statistics shows that CAUTIs affect about 11 million people in America and 150 million people globally annualy. The statistics make CAUTIs the leading type of hospital-acquired infection globally (Flores-Mireles et al., 2019). CAUTIs have adverse health effects. They act as a source of immense disease burden to the population due to their associated costs. CAUTs prolonge the patients’ hospital stay, demand for specialized care, which increase unnecessary costs for them. CAUTIs may also result in complications such as septicemia, which can lead to death. The risk factors associated with CAUTIs include the use of septic techniques, prolonged catheterization, and poor catheter care by the nurses and other healthcare providers. The topic of CAUTIs is relevant to nursing practice because nurses are primarily involved urinary catheter insertion, care, and removal. The actions they take determine the predisposition of patients to urinary tract infections following catheterization (Podkovik et al., 2019). Therefore, the problem should examined to inform the utilization of best practices in catheter insertion, care, and removal.
Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)
| PICOT Question | ||
| P | Population | Patients being catheterized |
| I | Intervention | Use of bundled intervention |
| C | Comparison | Usual care |
| O | Outcome | Reduction in CAUTIS rate by at least 50% |
| T | Timeframe | Eight months |
| PICOT | Among patients requiring urinary catheterization in the medical and surgical ward, does the use of bundled intervention as compared to usual care result in at least 50% reduction in CAUTIs within eight months?
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| Problem Statement |
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References
Flores-Mireles, A., Hreha, T. N., & Hunstad, D. A. (2019). Pathophysiology, Treatment, and Prevention of Catheter-Associated Urinary Tract Infection. Topics in Spinal Cord Injury Rehabilitation, 25(3), 228–240. https://doi.org/10.1310/sci2503-228
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