Topic: Health & MedicineNursing

Last updated: May 11, 2019

The purpose of this research study is to discuss how nurses can prevent their patients from acquiring catheter associated urinary tract infections (CAUTI).

Each article presents with different themes on how nurses can help their patients prevent urinary catheter infections by following proper protocols on insertion and discontinuation techniques. Andreessen, Wilde, and Herendeen (2012) showed that with an evidence base practice approach of guidelines for proper insertion and maintence, there was a significant decrease in catheter infections and length of time for a catheter as well. Similarly, Scanlon, Wells, Woolforde, Khameraj & Baumgarten (2017) focused on a CAUTI reduction program that gathered the best practices for nurses to perform while inserting and maintaining urinary catheters. The help of the CAUTI reduction program showed a decrease in urinary catheter infections and decrease in length of stays in patients while in the ICU. The use of CAUTI reduction programs can have a significant decrease on CAUTIs and increase patient care and safety if nurses follow the correct protocols set up for infection prevention. Another study conducted showed the use of nursing educators as the most important team members for reducing CAUTIs. Nurse educators showed to help floor nurses increase ideas and prevention strategies for urinary catheters, along with having successful communication between all healthcare providers caring for the patient, and holding the floor nurses accountable for CAUTI reduction strategies.

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By having nurse educators gather floor nurses together and have evidence base strategies to help prevent catheter infections, the ratio of urinary catheters to infections can, and will decrease. In contrast, the article by Mizerek and Wolf (2015) discussed how environmental and individual factors can affect nurse’s critical thinking judgment on catheter insertion and maintenance and the importance of communication when inserting urinary catheters. In the article nurses reported that the use of their own judgement and intuition of how a patient is presenting helps them decide of when to a insert a urinary catheter. Nurses often times realize their patients need a urinary catheter and then receive the doctors order to make it acceptable.

The issue the article ran into is, that nurses were unaware of proper protocols for insertion of a urinary catheter and were not following hospital guidelines necessary for proper care of the patient. Also, the ED nurses felt that they were exempt from the CAUTI issues and that inserting urinary catheters into these patients and sending them off to inpatient units were not responsible for the probable causes of infection.


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