Reduce Urinary Catheters And Infection Rates Essay Assignment Paper

Background: Catheter-associated urinary tract infections (CAUTIs) are common nosocomial infections. In 2015, the Centers for Medicare and Medicaid Services began imposing financial penalties for institutions where CAUTI rates are higher than predicted.

Keywords: Catheter-related infections; infection; urinary catheters; urinary tract infections.

The qualitative study by Fletcher et al., (2016) was based on the background knowledge that hospital acquired infections, particularly CAUTIs are common. Despite the fact that they can be prevented, most hospital units struggle to reduce the rates. Therefore, in order to assess CAUTIs prevention activities in hospital units, the guide to patient safety (GPS) is an important tool that may be used.  Therefore, the researchers aimed at qualitatively validate the GPS tool. Participants from 2 units in 4 different hospitals were interviewed (Fletcher et al., 2016). The nurse manager in every unit was required to complete the GPS and discuss the findings with a research assistant. The researchers later compared the answers provided by unit nurses and physicians. Collectively, 49 participants from 4 medical and surgical units were interviewed. Based on the findings, nurse managers found the GPS to be helpful. The agreement between nurse managers and nurses was stronger and higher than with physicians (Fletcher et al., 2016). The results generally suggested that the GPS   was effective in stimulating discussions between stakeholders to address major issues in CAUTIs prevention efforts. The integration of this article in the body of evidence is supported by the fact that it discusses on how CAUTIs can be prevented in hospital settings using the GPS tool.

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The quantitative study by Ferguson (2018) purposed to improve nurse’s knowledge on appropriate care of indwelling catheters to reduce the incidences of CAUTIs among patients in two units of an acute care setting, through the implementation of an interactive a CAUTIs education program. Reduce Urinary Catheters And Infection Rates.The researchers selected two units in an acute care setting that had a 393 bed capacity (Ferguson, 2018). The nurses actively participated in a one-hour comprehensive CAUTIs prevention education session where they were given one-on-one instructions, the knowledge and skills acquired were assessed. Within the period of 3 months, a total of 59 nurses had completed the education program. The summary score of nurse’s knowledge based on the paired t tests in all subscales had improved (p=0.00). In all hospital units, the rates of CAUTIs had reduced to zero (from 7.49) and to 1.56(from 4.12) per 1000 catheter days respectively after the implementation of the education program (Ferguson, 2018).