Summary: Catheter-Associated Urinary Tract Infection

Nursing research offers the scientific foundation for the practice of the profession. “In order for nursing to be at the forefront of knowledge generation and address societal issues and health care, nursing research must be relevant to health and illness situations, scientifically rigorous, and readily translatable into practice and health policy”(Potempa & Tilden, 2004). Catheter associated urinary tract infections (CA-UTIs), accounts for almost 40% of all nosocomial infections, which result in increased morbidity, mortality, and costs and, it is one of the most common health care- associated infections in acute care area. The study existed in this paper discourses the influence of the 2008 nonpayment policy of the Centers for Medicare and Medicaid Services (CMS) on catheter-associated urinary tract infections (CAUTIs) from the viewpoint of infection preventionists.

National Patient Safety Goals (NPSGs) were established in 2002 by the Joint Commission to help accredited organizations address specific areas of concern in regard to patient safety ("Catheter-Associated," 2015). NPSG.07.06.01 Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI) is a 2015 NPSG ("The Joint Commission," 2015). Our facility has 1.32 CAUTIs per 1000 device days (Carson, 2015). Decreasing our CAUTIs can be achieved with a strict goal, addressing the financial implications, interdisciplinary collaboration, nursing leadership, a measurement tool, and discussing the future healthcare delivery methods.

For patients that have indwelling catheters, with the evidence-based practice and standards of care, UTI’s does still continue to be an ongoing problem today. In one of the large hospitals in my area had recently developed a poster and video approach with special focus on alternatives to urinary catheterization, removing catheters early, and the reinforcement of sterile technique prior insertion and foley catheter care were used to educate nursing staff and improve outcomes. The purpose of this paper is to educate nursing on

This literature review essay will demonstrate a review of four different research articles and research related methodology The articles and review are based on the prevention of Catheter-associated Urinary Tract Infection (UTI). The aim of this literature review is to review publications concerning the management of Catheter-related to UTI 's including the prevention. Articles reviewed include the various precaution and preventions concerning Catheter-associated urinary tract infection (CAUTI) The article evidence summarized bellow was generated using a literature search conducted for Randomised Controlled Trials, Systemic Review or quantitative and qualitative research.

One of the issues that has been addressed since the initial release of the report is the need to eliminate the occurrence of hospital-acquired infections (HIAs). As noted by Knudson (2014), current efforts to improve healthcare practices encompass new regulations and prevention efforts to eliminate, or at least reduce, HAS, including catheter-associated urinary tract infections (CAUTI). The following paper discusses current efforts in CAUTI prevention, contemporary regulations and mandates, and a quality improvement plan that can be initiated at the focus clinical site.

Contributing factors to the problem could be lack of education and training in caring for patients with urinary catheters, poor time management to properly care for patients with urinary catheters, and a lack of evidence-based bundled intervention. An example of an inappropriate reason would be keeping a urinary catheter device for convenience due to the incontinence of the patient.

The practice issue identified in collaboration with the MICU nurse manager for this task is non-adherence to the current catheter associated urinary tract infection (CAUTI) prevention protocol.

The policy was initiated July 2015. Hospital across the world are struggling with catheter-associated urinary tract infection which is an easily preventable hospital acquired infection. In nursing school, of the first skills check-off in the use of aseptic technique. During my maternity and pediatric clinical rotation in nursing school the proper insertion of an indwelling urinary catheter using aseptic technique was a required skill check off. As a new nurse on the medical surgical unit during my eight-week orientation proper insertion of indwelling urinary catheter was required competency check off. As a floor nurse and ICU nurse, I have put in many urinary catheters and have used my nursing judegement to discontinue those catheters that

Catheter related blood stream infection is very common to patients receiving haemodialysis treatment. Although catheters provide vascular access, they put the patients at risk for developing local and systemic infections. Dialysis CRBSI can be obtained during insertion in the operating theatre and handling of the catheter by the health care team post insertion. Causes include improper technique in hand washing, breaking principles of aseptic technique when managing catheters and contaminated supplies. It is quite tough to describe and to put a figure on the occurrence of dialysis CRBSI despite the presence of standardised procedures in every institution. One more concern would be the systems for reporting cases of CRBSI among dialysis

Fink, R., Gilmartin, H., Richared, A., Capezuti, E., Boltz, M., & Wald, H. (2012). Indwelling urinary catheter management and catheter-associated urinary catheter tract infection prevention practices in nursing improving care for healthsystem elders hospital. American Journal of infection Control, 40, 712-20

The leadership team in my organization took a conventional approach in assisting the frontline nurse with CAUTI. Indeed, the infection control department and the educational committee collaborated; an effort to curtail CAUTI, had an audit done amongst the five Emory Healthcare Hospitals, to understand the main reason behind the upsurge CAUTI. The results indicated staffing shortage, increase agency staff usage, nursing misunderstanding related to essential reasons why patients have an indwelling urinary catheter, and nurses’ lack of knowledge related to the indwelling removal protocol. Because of all the aforementioned, the committee established a nurse-focused indwelling catheter removal protocol that is essentially based

Catheters have always been a way to introduce infection into the body. Although, they are needed in some cases, it is of very high importance to insert them with aseptic technique and to not insert them if there are other ways to properly care for the patient. Sometimes as a ED nurse, nurses may get in a rush, and lack the proper techniques or by less wait time and time being an issue. I have long term experience as well, and catheter care, and removing catheters as soon as possible remain of high importance there as well. Without proper care it easily introduces infection for a urinary tract infection.

Galiczewski’s article was aimed at medical professionals and the role they play in preventing catheter associated urinary tract infections (CAUTIs). The author provided significant statistical information on CAUTIs and the impact they have on patients in the intensive care unit (ICU) of hospitals. Using information from various research articles and their associated electronic data bases, Galiczewski effectively summarized interventions that have the maximum effect in preventing CAUTIs. For example, removing catheters when they are no longer deemed necessary was shown to significantly decrease the risk of CAUTIs in adult ICU patients. The author used a plethora of empirical evidence to successfully support her findings that health care

The teaching initiatives describe proper insertion, catheter care and prompt removal of a urinary catheter to reduce patients’ risk of catheter-associated urinary tract infection. All in all, the project went well, and the students learning objectives were met. Hence, the students were receptive to the teaching and voice their appreciation and their passion for catheter care and will implement the evidence-based practice in their clinical practice. This project was essential for nursing students to have strong fundamental knowledge in catheter care and CAUTI prevention so when they graduate from the program, they will be able to utilize their knowledge and skills in the clinical area and to share their experience with other nurses to reduce catheter-associated urinary tract infection. The student learning outcomes were attained and evidence in their demonstration of the skills in the clinical lab area. My professional expectations were met to the maximum and achieved evidenced by my teaching and implementation phase. Recommendations for future projects related to CAUTI is to conduct systemic and analytic reviews and to evaluate clinically relevant outcomes. Furthermore, more research is needed for antiseptic-impregnated catheters in reducing CAUTI and the role of bacterial biofilms in the pathogenesis of catheter-associated urinary tract infections. Thinking critical collaborating with others and providing safe, quality care is vital. Educational gaming has been identified as a way to assist students in improving critical thinking, building problem-solving skills and facilitates higher order of thinking. After conducting the literature review on gaming and role-playing, I have a greater understanding of the benefits in the classroom, and the articles provided excellent

Oman, K. S., Makic, M. B. F., Fink, R., Schraeder, N., Hulett, T., Keech, T., & Wald, H. (2012). Nurse-directed interventions to reduce catheter-associated urinary tract infections. AJIC: American Journal of Infection Control, 40(6), 548-553. doi:10.1016/j.ajic.2011.07.018