Catheter-Associated Urinary Tract Infection

Catheter-Associated Urinary Tract Infection

Health issues are global and linked to all people. Over the recent past, there have been an increase in transmission of different infections in the process of treating other conditions. One of the common illnesses is the catheter associated urinary tract infection (CAUTI). A urinary tract infection refers to any infection within any part of the urinary system such as the bladder, urethra, ureters and kidney. A catheter refers to the tube that is inserted into the patient’s bladder through the urethra so as to drain urine. According to past researches, about 9% of catheterized patients are likely to contract the infection. However, it is important to note that each hospital has an expected risk level of CAUTI infections and it would be penalized in case it have more cases of CAUTI infections than expected. The issue of increased CAUTI infections is significant to nursing especially for the reason that it affects the healthiness of an individual, while nursing aims at ensuring high quality healthiness for patients within a health facility (McClusky, 2018). Catheter-Associated Urinary Tract Infection

The purpose of this paper is to discuss………….

This paper aims at studying the issue of CAUTI infections by reviewing two quantitative articles relating to this issue. Article 1 is entitled “Quantitative Results of a National Intervention to Prevent Hospital-Acquired Catheter-Associated Urinary Tract Infection: A pre-post Observational Study.” Article 2 is entitled “Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study.” The paper aims at providing relevant information about this health issue that would reduce the prevalence of the health issue based on the findings of the two research articles. The purpose is to establish ways of preventing the transmission of CAUTI infections in the course of a treatment. The research questions are: Comment by June Helbig: A lot of information should be cited and referenced.

1. What is the impact of a multimodal initiative on CAUTI in healthcare facilities with high tendency for hospital-transmitted infections?

2. How can the utilization rate of In-dwelling catheter (IDC) get lessened to reduce occurrence of inappropriate urinary catheterization and the period through which a patient is catheterized? Catheter-Associated Urinary Tract Infection

How the articles support the nursing practice issue

The two articles are related to the nursing practices in different ways. This is mainly evident for the fact that they aim at establishing the solution for the CAUTI infections. The PICOT question for the study is “In the Management of CAUTI patients (P), how effective is staff education and regular monitoring of CAUTI cases (I) compared to maintenance of a closed urinary drainage system (C) in preventing the development of CAUTIs (O) for the period of hospital stay (T)?” Article 1 relates to the PICOT question especially in the sense that it works towards analyzing the impact of a multimodal initiative on Catheter-associated urinary tract infections within healthcare facilities with high burden of healthcare associated infections. On the other hand, article 2 also relates to the PICOT question in that it analyzes methods through which the utilization rates of IDC would get lessened through reducing inappropriate urinary catheterization and duration of catheterization. The two articles therefore tend to relate to the nursing practices directly. The reason is that nursing involves ensuring high quality healthcare services for all the patients who visit the particular healthcare facilities. Hence, by finding a way of reducing the transmission rates of CAUTI infection for the entire period when a patient is catheterized within a healthcare institution, this improves the quality of services they get. Hence, it would be imperative to conclude that the articles are related to nursing practice issue (Meddings .et.al, 2019). Catheter-Associated Urinary Tract Infection

Study Method

The study method used in both articles is the quantitative research method. This is the study method that involves the use of numerical data rather than non-numerical data. From the article 1, it is evident that the researchers utilized the quantitative research design especially for the reason that the data is presented I numerical form. Also, the researcher implements the structured research instruments which further confirm that the article follows the quantitative research method. For the article 2, the researcher has also presented the largest percentage of the data in numerical form. There is also the use of the randomized control trial as a method for collecting and analyzing data. This method is used with quantitative data. Comment by June Helbig: This information should be cited.

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Results of the study

There are different outcomes for the different articles based on their research questions. For instance, the article 1 aimed at establishing the impact of multimodal initiative on CAUTI in healthcare facilities especially those that are characterized with high transmission rates of the hospital-transited illnesses. Based on the study data and its analysis, the article established that the interventions have no significant effects towards CAUTI and the utilization of the urinary catheter. Hence, this implies that the use of this approach with the aim of curbing CAUTI in hospitals may be termed as ineffective. The other article aimed at establishing the way through which reducing the utilization rate of IDC can be done by avoiding unnecessary catheterization of patients and also through reducing the period that the patient would be catheterized (Parker .et.al, 2017).

Outcomes Comparison

The results of each of he two articles compare to each other in the sense that they both aim at recommending ways of minimizing occurrences of CAUTI in hospitals and other healthcare facilities. Although the first article establishes that the use of multimodal interventions is ineffective when it comes to reduction of the CAUTI infections, it went ahead to give necessary recommendation with respect to the nursing issue. It stated that the web-based programs should be combined with the psychotherapy programs so as to ensure best results as far as reduction of CAUTI in healthcare facilities is concerned. The other article states that the utilization rates of IDC insertions amongst patients would reduce due to reduction in the duration through which a patient is catheterized. The same utilization rates would also be achieved through reducing the use of inappropriate catheterization on patients. This would in turn reduce the chances of transmission of CAUTI amongst patients within a healthcare facility. Hence, it would be imperative to state that both article outcomes are relevant to the health issue under study. Comment by June Helbig: This information should be cited. Catheter-Associated Urinary Tract Infection

References

McClusky, J. (2018). One Year CAUTI Free: A Multi-Disciplinary Team Approach to Reducing CAUTI in a Pediatric Intensive Care Unit. American Journal Of Infection Control46(6), S76. doi: 10.1016/j.ajic.2018.04.143

Meddings, J., Manojlovich, M., Ameling, J. M., Olmsted, R. N., Rolle, A. J., Greene, M.T., … & Saint, S. (2019). Quantitative Results of a National Intervention to Prevent Hospital-Acquired Catheter-Associated Urinary Tract Infection: A Pre–Post Observational Study. Annals of Internal Medicine, 171(7_Supplement), S38-S44. Retrieved from: https://annals.org/aim/fullarticle/2752410

Parker, V., Giles, M., Graham, L., Suthers, B., Watts, W., O’Brien, T., & Searles, A. (2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study. BMC health services research, 17(1), 314. Retrieved from: https://link.springer.com/article/10.1186/s12913-017-2268-2 Catheter-Associated Urinary Tract Infection

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