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NR439-Week-3-Assignment-Problem-PICOT-Evidence-Search-PPE-Worksheet-graded.Name: Debbie McClaskey
Date: 9/19/2021
Problem/PICOT/Evidence Search (PPE) Worksheet
Criteria Catheter-associated urinary tract infections (CAUTI) present a serious health
concern for patients with urinary tract and urination problems. CAUTI is ex-
Clinical Nursing Practice tremely common among persons with short-term and long-term indwelling
Problem
catheters and can have an adverse impact on the health and well-being of the
patients. According to Sun et al. (2020), CAUTI substantially adds to the
morbidity in patients with prolonged hospital stays. Moreover, approximately
70% of hospital-associated urinary tract infections can be prevented using the
existing CAUTI protocols (Sun et al., 2020). Thus, it is crucial to examine
the problem of CAUTI in patients with frequent hospital stays, specifically
geri- atric persons. It is also essential to address additional measures that can
be implemented to decrease the prevalence of CAUTI among the target
popula- tion to ensure prolonged hospital stays are not detrimental to their
health.
Clinical Nursing
PICOT Question In nursing home patients (P), does the use of noble metal-coated urinary
catheters (I) as compared to no coating (C) help reduce catheter-associated
urinary tract infections (O) 14 days after insertion (T)?
Define PICOT Elements P- (patient population/patients of interest): Geriatric patients residing in nurs-
ing homes
I- (Intervention): The utilization of antibacterial noble metal-coated urinary
catheters, including silver, gold, and palladium coating.
C- (Comparison): Urinary catheters with no noble metal coating.
O- (Measurable outcome): Reduced incidence of catheter-associated urinary
tract infections in geriatric patients. T- (Time frame in months): 14 days after
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NR439 PICOT Worksheet 5/2019 ST
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, Chamberlain College of Nursing NR439 PPE
Worksheet
initial urinary catheter insertion.
For the purposes of this assignment, two articles were located using the
Evidence Retrieval
Process and Summary Chamberlain College of Nursing library. The first study is a meta-analysis on
the effect of noble metal-coated catheters on the development of CAUTI in
adults after short-term catheterization. The work was selected because it di-
rectly relates to the developed PICOT question and was published within the
last five years.
Sun, Y., Ren, P., & Long, X. (2020). Role of noble metal-coated catheters
for short-term urinary catheterization of adults: A meta-analysis.
PLOS ONE, 15(6), 1–15. https://eds-b-ebscohost-
com.chamberlainuniversi- ty.idm.oclc.org/eds/pdfviewer/pdfviewer?
vid=1&sid=e6e8a712-3a84- 42a2-a398-042f9da9c560%40pdc-v-
sessmgr02
The second article was selected as it pertains to the issue of catheter-associ-
ated urinary tract infections in geriatric patients and provides general informa-
tion on the incidence of CAUTI among older adults in nursing home settings.
Griebling (2018) addresses long-term catheterization of older patients with in-
continence and the current catheterization and CAUTI prevention protocols.
As the article was published within the last five years, it provides up-to-date
data on the incidence of CAUTI among older adults.
Griebling, T. L. (2018). Geriatric considerations for CAUTI. AUA
News, 23(12), 6–7. https://eds-b-ebscohost-
com.chamberlainuniversity.idm.o- clc.org/eds/pdfviewer/pdfviewer?
vid=1&sid=dc7d0d22-1547-4fe2-9f51- 33bcd11da230%40pdc-v-sessmgr02
The selected research articles significantly inform the developed PICOT
Implications of the Evi-
dence ques- tion. According to Sun et al. (2020), the meta-analysis illustrates that
catheters coated with silver, gold, and palladium are associated with a
reduced risk of
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NR439 PICOT Worksheet 5/2019 ST
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