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Urinary Catheter Infection (PICOT)

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Urinary Catheter Infection (PICOT)

Misty D Duncan

Daytona State College

NUR4169

Professor Duffy

Date

 

 

Literature Review/Research Summary Table – Individual Assignment

RESEARCH STUDY #1Please type in this table; it will expand as you type
APA Citation for the studyFerguson, A. (2018). Implementing a CAUTI prevention program in an acute care hospital setting. Urology Nursing, 38 (6), 273-281. DOI: 10.7257/1053-816X.2018.38.6.27
Question in PICOT formatIn admitted clients (P), does the implementation of nurse-driven protocols for raising awareness on unnecessary insertion of catheters as compared to not using protocols (C) in preventing CAUTIs (O) within a period of one year (T)?
Search History:
What were your key search terms, what was the order of your search terms, why did you limit or expand your search, when and why did you apply limiters? How did you use the advanced search function, what Boolean terms were used?
My major key terms included; “urinary tract infections”, “CAUTIs” and “urinary catheters”.

When searching for articles relevant to the PICOT question, I commenced by typing the phrase “urinary tract infections” then refined my search by typing the phrase “prevention of CAUTIs” and “prevention of complications associated with urinary catheters”.

I proceeded to apply limiters when I realized that my search was bringing me articles and books older than five years. I also limited my search to articles that are peer-reviewed and the year of publication is within the last five years.

I utilized the advanced searching function to further refine the search for relevant articles since I was still getting millions of articles after applying limiters. During my advanced searched, I used the Boolean term AND then further filtered my search to “Title”. For instance, I used the Boolean search urinary tract infections AND prevention of CAUTI.

 

Permalink-https://union.discover.flvc.org/permalink.jsp?35133645974&ISSN=1053816X

Databases used & resultsCINAHL Complete and Ovid. This specific article was retrieved from Ovid. It was selected from 230,595 results that were displayed using the advanced searching function.
Purpose of the studyAssessing the influence of a health education program on knowledge of nurses on care of indwelling urinary catheters and rate of CAUTIs in a hospital setting.
Defining characteristics:
Study design, study population size & method for data collection 
The research used a pre/post-survey design to assess all nursing staff working in the neurotrauma intensive care and telemetry units in a 390-bed capacity acute care healthcare facility situated on the Southeastern side of the USA. Specifically, the study population consisted of 59 nurses from the aforementioned two units which had the highest incidents of CAUTIs.

Data was collected on a weekly basis for a period of six months using a 14-item self-report survey.

Design (including methodology)This study used a survey design. Participating nurses were educated for a period of three months and filled up a 14-item survey report at the beginning and end of the educational program. After training, nurses were assessed by the project leader using a checklist.
Data collection tools usedA self-report survey comprising of 14 items was used in collecting data during the pre- and post-training period. A checklist was also used in collecting data on nurses’ skill acquisition and competency post-training.
How was data analyzedData analysis was done using SPSS version 22.0. To assess nurses’ knowledge and rates of CAUTIs, descriptive statistics were used whereas paired sample t-tests were utilized in assessing the variations in pre- and post-training summaries and subscale scores.
Limitations of the study

 

This study has two major limitations. One, when the study was conducted, the data used to measure the nurses’ knowledge with regards to suitable care for indwelling urinary catheter was not quite reliable. Two, the results of this research cannot be generalized to other nursing staff working in the other departments of the facility under study or in other medical facilities.

 

 

 

 

RESEARCH STUDY #2Please type in this table; it will expand as you type
APA Citation for the studyShaver, B., Eyerly-Webb, S. A., Gibney, Z., Silverman, L., Pineda, C., & Solomon, R. J. (2018). Trauma and intensive care nursing knowledge and attitude of Foley catheter insertion and maintenance. Journal of Trauma Nursing, 25(1), 66-72.
Question in PICOT formatIn admitted clients (P), does implementation of nurse-driven protocols for raising awareness on unnecessary insertion of catheters as compared to not using protocols (C) in preventing CAUTIs (O) within a period of one year (T)?
Search History:
What were your key search terms, what was the order of your search terms, why did you limit or expand your search, when and why did you apply limiters? How did you use the advanced search function, what Boolean terms were used?
Key search words included “catheter-associated urinary tract infections”, “urinary tract infections”, and “catheters”.

I refined my search words because I was getting millions of results. Thereafter, I applied limiters to include only studies dealing with nursing knowledge on catheterization.

I utilized the advanced searching function using the Boolean term AND under three categories namely title, journal, and DOI. I added the words “nurse education” to further refine the search.

 

Permalink-https://union.discover.flvc.org/permalink.jsp?35127421473&ISSN=10787496

Databases used & resultsCINAHL Complete. It was selected among 1,439 matching items.
Purpose of the studyEstablishing the participants’ clinical knowledge and attitude towards the insertion and maintenance of Foley catheters and CAUTIs.
Defining characteristics:
Study design, study population size & method for data collection 
A prospective cohort study design was used for this research. Participants were 48 registered nurses from the emergency room, medical ICU, and trauma/surgical units. Data was collected using a survey tool. They took part in the pre-survey process, CAUTI education program, and post-survey process.
Design (including methodology)The design used was a prospective cohort design.
Data collection tools usedThis was done by use of a 20 question survey tool
How was data analyzedData analysis was done using descriptive statistics techniques. The knowledge and attitude of nursing staff towards the insertion and maintenance of Foley catheters and CAUTIs was evaluated by assessing the mean post-survey scores against the mean pre-survey scores.
Limitations of the study

 

The study findings cannot be generalized for other nursing staff in other departments in the facility or different other facilities.

 

 

 

References

Ferguson, A. (2018). Implementing a CAUTI prevention program in an acute care hospital setting. Urology Nursing, 38 (6), 273-281. DOI: 10.7257/1053-816X.2018.38.6.27

Shaver, B., Eyerly-Webb, S. A., Gibney, Z., Silverman, L., Pineda, C., & Solomon, R. J. (2018). Trauma and intensive care nursing knowledge and attitude of Foley catheter insertion and maintenance. Journal of Trauma Nursing, 25(1), 66-72.

 

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