Home  >  Subjects  >  Healthcare / Health / Obamacare  >  current page My Profile

Reducing the Usage or Urinary Catheter in Order to Prevent CAUTIResearch Paper

Pages: 5 (1609 words)  |  Style: n/a  |  Sources: 5

Custom Writing

Reducing catheter days and incidence of CAUTIs

The incidences of catheter-associated urinary tract infections (CAUTI) have been on the rise, and they have been identified as preventable in most hospitals or care facilities (Guide, 2008). Healthcare infections are associated with high mortality and morbidity rates. The purpose of the project is reducing the incidences of CAUTI at a Community Medical Center. The project has established that most CAUTI infections that occur during the hospital stay are non-refundable, and they increase the costs to the medical center. Therefore, it has become vital for the nurses, practitioners, and physicians to establish prevention strategies for CAUTI. CAUTIs represent approximately 40% of all healthcare-associated infections in the United States, and they result in increased mortality, morbidity, and costs. While in hospital, it has been established that almost 25% of patients have a catheter in place (Guide, 2008), and the risk of contracting a urinary tract infection on a daily basis is 3 to 7%.

A qualitative analysis was carried out to establish the prevalence of CAUTI in hospitals for both short-term and long-term in patients. The analysis aimed at identifying stakeholder views on the inclusion of CAUTIs in the Centers for Medicare and Medicaid Services (CMS) payment policy (Palmer, Lee, Dutta-Linn, Wroe, & Hartmann, 2013). The potential impact of its inclusion was also analyzed. The analysts conducted interviews in order to obtain data from infection preventionists. In the analysis, it is clear that CAUTIs is a serious problem and is one of the healthcare infections that can be reduced. The second study was carried out in the United Kingdom and it aimed at reducing the inappropriate use of a urinary catheter. The authors noted that if correctly used and monitored the rates of CAUTIs could be reduced drastically. The main aim was preventing infections when a patient had a urinary catheter (Buckley, Clements, & Hopper, 2015). There were various methods that the authors proposed and demonstrated their effectiveness.

The project aims at synthesizing various study data regarding CAUTIs in order to establish the prevalence and how this can be prevented. The project question is " In hospitalized patients with Foley catheters, can a multi-disciplinary approach involving nurses, physicians, practitioners and infection preventionists designed to remove catheters result in a decrease in Foley catheter days and thereby reduce the rate of catheter association urinary tract infections, compared to rates prior to this intervention at Harrison Medical Center over a three-month period?" This is a relevant project because the reduction of CAUTIs is among the top ten recommended patient safety strategies.

Literature review

Various studies have been carried out to establish the prevalence of CAUTIs for both long-term and short-term inpatients. The studies have all concluded that the cases are preventable, and healthcare workers should be trained on how to better manage urinary catheter. The main reason that CAUTIs continue to occur is because healthcare workers prefer to ignore or find it easier to insert a urinary catheter instead of using other means. It has also been noted that since urinary tract infections have not gained as much media attention as other healthcare associated infections, the caregivers have not paid much attention to it. A time will come very soon when CAUTIs acquired in the hospital would result in a multitude of lawsuits, and it would be best to prevent such a situation. According to Palmer et al. (2013) CAUTIs are preventable, and their inclusion in CMS payment policy is under review. The review would like to encourage the prevention of such cases, which would increase the morbidity and mortality of patients. The costs associated with CAUTIs are also high, and most patients cannot afford to cater for the additional costs (Palmer et al., 2013). Therefore, it is vital to increase prevention strategies for CAUTIs. The policy implemented by the CMS was aimed at encouraging hospitals to be more vigilant in their treatment and care of patients. The CMS stopped the reimbursement of hospitals for extra treatment costs that occurred due to hospital-acquired infections. The study was carried out to demonstrate the impact that this policy had on hospitals (Palmer et al., 2013). The researchers carried out a cross-sectional study, and they used semi-structured interviews.

Magers (2013) carried out a project to reduce CAUTIs. The project was carried out for six months, and during that period, the author established that the outcomes of CAUTIs had significantly improved in a long-term acute care hospital. The project implemented seven steps starting from step zero, which were used to modify the attitudes of the nurses, practitioners, and physicians (Magers, 2013). The project aimed at establishing the best practices that could be used to reduce the incidences of CAUTIs. The article notes the importance of teamwork and protocol instructions were vital for all nurses. In the article, it was established that a failure in these resulted in a spike for two months (Magers, 2013). There have also been cases of inappropriate use of the urinary catheter resulting in infections. Buckley et al. (2015), noted that the improper placement of the catheter would result in infections. There were other factors that should be considered at all times and they include washing hands, using surgical gloves, draining the bag early before it gets full, and monitoring the patient (Buckley et al., 2015). Buckley et al. (2015) posited that CAUTIs might be a common healthcare-associated infection, but the strategies for preventing it have lagged behind.

This study will improve on the available knowledge and information with an aim to show the current trends. The study will also establish cases that have worked and the ones that have failed and offer information on the success or failure. The current gaps would be filled by offering information regarding how nurses can be more careful and vigilant, the training required before one can correctly insert a urinary catheter, and increase the nursing practice for urinary catheter insertion. Nurses have been accused of being lazy to check on patients (Meddings et al., 2013), and this study would establish if this is true or not. The cases of nurses neglecting their patients have not been well documented, but it could be true considering the infection rates of CAUTIs.

Study design

This would be a qualitative study and would make use of interviews to obtain the necessary data. All interviews would be recorded and the recording transcribed in order to retrieve vital data. The interviews would be carried out within the hospital facility for the specific participant in order to increase their confidence. The participant would be requested to spare at least 30 minutes for the interview. The recordings would be transcribed immediately to ensure that nothing interfered with the recording. Transcription would validate the data collected. Reliability of recordings is that the audio can be replayed multiple times.

All data will be measured using SPSS. The analysis would be carried out recursively, and final codes would be updated. There would be two analysts one would conduct the analysis and the other would validate the results. The anticipated findings are that there are various approaches that would be proposed by the participants for reducing infections. Nurses might not prefer decreasing the usage of urinary catheters, but other participants might recommend using the catheters for critical cases only. The physicians would be willing not to prescribe the use of urinary catheters, but they fear this would not be well received by the others. Infection preventionists were willing to permit the use of catheters, but they would suggest that monitoring be carried out more effectively. Interviewing the participants would be an issue especially for the physicians and nurses. Their schedules would not enable them to sacrifice that much time. The audio recording might not be audible enough, and this will be a challenge for the transcribers.

Sample

The study would invite physicians, nurses, infections preventionists, and practitioners to participate in the study. Inclusion criteria would be any nurse, practitioner, infection preventionists, and physician who spends more than 5 hours with patients per day. The participants would be from nearby hospitals offering long-term care for patients. Hospitals that did not offer urinary catheter insertions would not be included in the study. The included hospitals would be catering for adult patients. Pediatric and critical access hospitals would not be included in the study. The study participants were 145, and the interviews would be carried out in person or over the telephone.

The participant recruitment process would involve sending out an invitation to the identified participants inviting them for the interview. It is estimated that most of the participants will decline the invitation, but the participants who accept would receive a token of appreciation.

No data collected would include any identifiable information of the participants. The participants would be guaranteed of their privacy by ensuring that during the interview, no names are used, and the participant is only identified with their position title. The hospital where the participant works would not be mentioned at all in the study. The hospitals would be generalized in… [END OF PREVIEW]

Download Full Paper (5 pages; perfectly formatted; Microsoft Word file) Microsoft Word File

How to Reduce Catheter Induced Urinary Tract Infection in Jim Thorpe Rehab


Strategy of Limiting the Use of Foley


Handling Sharp Instruments in Nursing


Implementing a Quality Improvement Program at a Community Medical Center


Nursing Considerations in the Use of Feeding Tubes


View 12 other related papers  >>

Cite This Paper:

APA Format

Reducing The Usage Or Urinary Catheter In Order To Prevent CAUTI.  (2015, August 20).  Retrieved November 23, 2017, from https://www.essaytown.com/subjects/paper/reducing-usage-urinary-catheter-order/7633061

MLA Format

"Reducing The Usage Or Urinary Catheter In Order To Prevent CAUTI."  20 August 2015.  Web.  23 November 2017. <https://www.essaytown.com/subjects/paper/reducing-usage-urinary-catheter-order/7633061>.

Chicago Format

"Reducing The Usage Or Urinary Catheter In Order To Prevent CAUTI."  Essaytown.com.  August 20, 2015.  Accessed November 23, 2017.
https://www.essaytown.com/subjects/paper/reducing-usage-urinary-catheter-order/7633061.

Disclaimer