Urinary Catheter Policies for Long-Term Bladder Drainage, Coursework Example

Urinary Tract Infections are one of the most widespread hospital-acquired infection and many have links to an indwelling catheter. Everyday a catheter is in place the risk of developing a CAUTI rises by 3-7%. The complications related to CAUTI comprise physical, as well as psychological discomfort to the patient, bladder calculi, and renal infection. Not only does urinary catheter lead to complications to the patient and put them at a greater risk for mortality and morbidity, but they too increase the hospital costs. Furthermore, urinary tract infections are the majority reported nosocomial infections. Of all the Urinary tract infections recorded, 82.4 % emanate from the use of an indwelling urinary catheter. Invalid length of time and the use of the catheters may place the patients at an unnecessary risk for a longer hospital stay, which is normally over 48 hours in order for the disease to qualify, and it may lead to financial strain on the health care system. With guidelines in place for the insertion and the reason for continuing the use of the indwelling catheters, protocols call for adherence. The amplified occurrence of the catheters being left in place; raises the number of UTI’s reported. A great number of catheters remained in place for reasons, which are preventable, or perhaps an oversight by hospital personnel, possibly a convenience. It does not matter the reason, these types of actions places the patient at risk for infection.

Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections. Urologic Nursing, 32(1), 29-37.

Bernard et al (2012) provides systematic analysis of CAUTIS and offers valuable information regarding the disease. The source has massive information related to the condition regarding the different ways of lowering the incidence of the condition. The article has statistics that supports the main ideas addressed, thus making it an excellent article for research studies.

Centers for Disease Control and Precention. (2014). Catheter-assocaited urinary tract infection event. Retreived from http://www.cdc.gov/nhsn/pdfs/pscmanual/7psccauticurrent.pdf.

According to CDC (2014) catheter should be in place over 48 hours on the day of the event to qualify as a CAUTI. The article is important because it addresses the effects of the diseases and uses a number of evidence-based practices (EBPs) to highlight the main features of CAUTIS. The use of diagrams is effectively an important aspect of the source because the graphs offer a clear picture of the health problem in question. The article is appropriate for further research.

Kahnen, D. A., Flanders, S., &Magalong, T. (2011). Catheter-associated urinary tract infections: making them matter. MedSurg Matters, 20(6), 4-7.

Kahnen et al (2011) offers a number of clinical ways that can be used to deal with CAUTIS in the healthcare setting. The information on CAUTIS is supported by examples and statistics that make the article more suitable for future studies. However, the article does not provide more information on the background of the disease.

Niel-Weise, B. S., van den Broek, P. J., da Silva, E. M. K., & Silva, L. A. (2012). Urinary catheter policies for long-term bladder drainage. Cochrane Database of Systematic Reviews, 11 July 2012, 43 pp.

Niel-Weise et al (2012) address the policies that govern CAUTIS in depth and explore the important strategies that can be used to manage the disease. The data provided in the article is up-to-date making it a valid source of preventing the disease through effective policies.

The raw data can be collected through a quantitative study where patients are selected by random methods using control trial methods. The control trial method will be appropriate since it will use the reminder system that will remind the nurse to remove the catheter based on the numbers of days assigned. The data collected from the trials will be crucial in diagnosing the patient and further treatment.

The other method that can be used to collect raw data on CAUTIS can be the use of electronic data collection. Electronic data collection method comprises an “on-screen” data collection form that is exhibited on the tablet PC/laptop screen. The raw data collected on the on-screen is then entered on the on-screen form and stored in a database. This method is cost-effective and many data can be collected at a given time for many patients. This will provide clear pathways for nurses to undertake diagnosis and treatment to the patient.

References

Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections. Urologic Nursing, 32(1), 29-37.

Centers for Disease Control and Precention. (2014). Catheter-associated urinary tract infection event. Retreived from http://www.cdc.gov/nhsn/pdfs/pscmanual/7psccauticurrent.pdf.

Kahnen, D. A., Flanders, S., &Magalong, T. (2011). Catheter-associated urinary tract infections: making them matter. MedSurg Matters, 20(6), 4-7.

Niel-Weise, B. S., van den Broek, P. J., da Silva, E. M. K., & Silva, L. A. (2012). Urinary catheter policies for long-term bladder drainage. Cochrane Database of Systematic Reviews, 11 July 2012, 43 pp.