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High incidence of urinary catheter infections
High incidence of urinary catheter infections
High incidence of urinary catheter infections
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Recommended: High incidence of urinary catheter infections
Urinary Tract Infections Using Indwelling Urethral Catheters
Systematic Review
A systematic review is a scientific approach that looks at different research studies and their results. The results of the different studies are combined so that they may be studied more efficiently by researchers (Nieswiadomy, 2012, p. 279). Systematic reviews are important to evidence based practices because they allow people in the medical field to practice safely on patients. Evidence base practices that are reviewed systematically decreases the risk of infections in patients and in the health care settings.
Titles Found -1st Search
The first five searches that one would come across when looking up urethral catheters at the Cochrane library are as follows:
• Strategies for the removal of short‐term indwelling urethral catheters in adults (Griffiths & Fernandez ,2009).
• Types of urethral catheters for management of short‐term voiding problems in hospitalized adults (Schumm & Lam, 2010).
• Urinary catheter policies for long‐term bladder drainage (Niël‐Weise, Broek & Silva, 2012).
• Urinary catheter policies for short‐term bladder drainage in adults (Niël-Weise & Van den Broek 2010).
• Types of indwelling urinary catheters for long‐term bladder drainage in adults (Patrick, Beutner, & Langer 2012).
Systemic Review Found- 2nd search
The PICO that I will be using is adults who undergo short-term suprapubic catheterization have a decreased occurrence of urinary tract infections opposed to those with indwelling urethral catheters.
The systematic review that I have chosen to do my PICO question titled Urinary Catheter Policies for short-term Bladder Drainage in Adults (Review)
Summary of the Systematic Review
Niel-Weise and Van den Broek (200...
... middle of paper ...
...997.pub3
Niël‐Weise, Broek & Silva, (2012). Urinary catheter policies for long‐term bladder drainage.
Cochrane Database of Systematic Reviews, 8. doi: 10.1002/14651858.CD004201.pub3
Niël-Weise B, Van den Broek P. (2010).Urinary catheter policies for short-term bladder drainage in adults. Cochrane Database of Systematic Reviews, 3. doi: 10.1002/14651858.C.
D004203.pub2
Niel- Weise &Van den Broek. (2009). Urinary catheter policies for short-term bladder drainage in adults. The Cochrane Collaboration, 1, 1-10 doi: 10.1002/14651858.CD004203.pub2.
Nieswiadomy, R. M. ( 2012). Foundations of nursing research. Upper Saddle River, NJ: Pearson
Schumm, K & Lam, T (2010). Types of urethral catheters for management of short- term voiding problems in hospitalized adults. Cochrane Database of Systematic Reviews, 11. doi:
10.1002/14651858.CD004013.pub3.
BioPatch, and alternatives like Tegaderm CHG, are an important first step in helping prevent catheter-related bloodstream infections (CBIs). As CBIs rank among the most frequent and potentially lethal nosocomial infections, the need for a device to cut down infections at the insertion site has increased. The growing numbers of infections has driven companies to consider a three-tiered approach: a maximal aseptic barrier at insertion, proper site maintenance, and hub protection. With BioPatch and alternative products catheter sites receive that maximal aseptic barrier to prevent bacteria growth.
Melnyk’s Hierarchy of Evidence is a system often use for assigning levels of evidence in nursing by integrates clinical expertise and patient choices with the best available research. It is represented by a pyramid that enumerates the levels of strength of the evidence from 1 to 7, of which level 1 is the higher level. The higher level on the pyramid, the more likelihood that the research is valid; therefore, answering a clinical or practice question. “The systematic review or meta-analysis of randomized controlled trials are at the top of the evidence pyramid and are typically assigned the highest level of evidence, due to the fact that the study design reduces the probability of bias” (Melnyk, 2011). The weakness of the system is that when
Supports and enhances urinary flow. Say goodbye to the weak stream you have been having lately and experience relief as you urinate without the straining and the
An example of evidence based practice would be to find relevant studies for a specific topic area being researched. For example, to find the research paper titled ‘The efficiency of cotton cover gowns in reducing infection in nursing Neutropenic patients,’ the journal in which the article was published in this case, The International Journal of Nursing, would need to be found. Medline, an online database would be one method of finding this. A list of relevant search terms would then need to be researched by using the PICO Framework, this limits the search to only relevant items and ensures that a well built clinical question will then be formulated (Drummond,1998).
2013). Inappropriate use of urinary catheter in patients as stated by the CDC includes patients with incontinence, obtaining urine for culture, or other diagnostic tests when the patient can voluntarily void, and prolonged use after surgery without proper indications. Strategies used focused on initiating restrictions on catheter placement. Development of protocols that restrict catheter placement can serve as a constant reminder for providers about the correct use of catheters and provide alternatives to indwelling catheter use (Meddings et al. 2013). Alternatives to indwelling catheter includes condom catheter, or intermittent straight catheterization. One of the protocols used in this study are urinary retention protocols. This protocol integrates the use of a portable bladder ultrasound to verify urinary retention prior to catheterization. In addition, it recommends using intermittent catheterization to solve temporary issues rather than using indwelling catheters. Indwelling catheters are usually in for a longer period. As a result of that, patients are more at risk of developing infections. Use of portable bladder ultrasound will help to prevent unnecessary use of indwelling catheters; therefore, preventing
Different studies had different result numbers or different percentage reduction rates which was primarily based on their indifferences in regards to study design utilized and sample size. As evidenced by research results (Magers, June 2013) and (Welden, 2013), these showed a reduction of urinary catheter days resulted in reduced CAUTI rates. Though different outcome results between the different research studies, they all strongly significantly supported the notion that a nurse-driven protocol to assess and evaluate the appropriateness and use of urethral catheter compared with a no protocol is essential to help in the reduction of CAUTIs. Interpreting these results, (Meddings et al., 2013) showed a drop greater than 52% in CAUTIs and a decrease in catheterization by 37%. The study results from the six scholarly research study articles showed nearly similar or corresponding outcomes. The results were significant enough to support the PICO question. In general, though the difference in sample size, the results still strongly supported excellent outcomes when a nurse-driven protocol is used to evaluate the necessity of continued urethral catheter use. (Chen et al., 2013, para.
• You may have a flexible tube (catheter) put into your bladder to drain urine.
“The Nephrology Nursing Journal” was initially published in 1974, and is a refereed clinical and scientific resource that provides current information on a wide variety of subjects to facilitate the practice of professional nephrology nursing (ANNA, 2015). Its purpose is to disseminate information on the latest advances in research, practice, and education to nephrology nurses to positively influence the quality of care they provide (ANNA, 2015). It is designed to meet the educational and information needs of nephrology nurses in a variety of roles at all levels of practice, while also serving as a source of knowledge for non-nephrology nurses. (ANNA, 2015). Its content expands the knowledge base for nephrology nurses, stimulates professional growth, guides research-based practice, presents new technological developments, and provides a forum for review of critical issues promoting the advancement of nephrology nursing practice (ANNA, 2015).
After further multidisciplinary team meetings with the involvement of John the treatment option of automated peritoneal dialysis was implemented (NSF 2004). Once the Tenchkoff catheter had been inserted, education and training completed John was ready for discharge home.
Evidence-based practice is important to consider when researching for interventions, further knowledge, or help to guide a new idea in the health professions. Evidence-based practice is comprised of three significant concepts: respect and awareness for the targeted population’s values, previous clinical practice or experience with that population, and systematic research to establish a better understanding of what is already known about the study’s focus. These concepts are all taken into consideration when designing and conducting a study because it provides a more valid and credible source for others.
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
When caring for patients it is fundamentally important to have a good selection of up to date evidence Based Practice clinical articles to support research strategies, this allows professionals to assemble the most resent and accurate information known which enables them to make decisions tailored to the individual’s plan of care. It is essential to have clinical expertise and have the involvement from the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.
...urine inside the body. This is attached to the urethra and allows for normal urination. Sometimes, a catheter may be needed to drain the bladder completely. There are also options for Immunotherapy. This is when drugs are administered through the urethra directly to the bladder that work with the body’s immune system to help fight cancer. There are also options for radiation therapy and chemotherapy, before and after surgery or even alone (Mayo Clinic, 2012).
Hospital-acquired bladder infections. These infections, occur in people in a medical care facility, such as a hospital or nursing home. Most often they happen in those who have had a urinary catheter placed through the urethra and into the bladder to collect urine, a common practice before surgical procedures, for some diagnostic test, or as a means of urinary drainage for older adults or people confined to bed.
The importance of Evidence-Based Practice is to ensure the best possible care is provided for patients. Evidence-Based Practice functions by measuring the effectiveness of a treatment and differentiating findings between high-quality and low-quality. It also helps with health development and improves the reliability and facilitates students to become reflecti...