Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson.
Please do not use any of the Nurse Daniel information for your own topic, nursing
intervention, or change project. Nurse Daniel serves as an example only to illustrate the
change process.
Name: _Tiffany Barone______
Star Point 1: Discovery (Identify topic and practice issue)
Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing
practice issue.)
The topic will be hospital-acquired infections, the specific issue being catheter-associated urinary
tract infections (CAUTI).
Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.
My rationale for this topic is that hospital-acquired infections, specifically from urinary catheters
can be greatly influenced by staff's adherence to safety and proper sterile techniques. By
adhering to proper sterile procedures CAUTI could be potentially decreased by properly
cleaning before placement of catheters in the perineal area, and increased cleaning for continuous
indwelling catheters. The use of catheters as a last resort, and a short term solution vs long use,
can decrease the rate of infections as well.
UTI’s are the most common hospital-acquired infections, of those acquired 75% are directly
associated with indwelling urinary catheters (CDC, 2015). Approximately 13,000 deaths can be
contributed to CAUTI annually, CAUTI can lead to increased hospital stays, morbidity,
mortality, and increased insurance costs.
9.2019 Update. DLP
This study source was downloaded by 100000810282105 from CourseHero.com on 10-07-2022 11:22:28 GMT -05:00
Star Point 2: Summary (Evidence to support need for a change)
Describe the practice problem in your own words and formulate your PICOT question.
The practice problem is nurses are not adhering to cleaning the perineal area of patients with
indwelling catheters, and indwelling catheters are left in place for excessive lengths of time.
In (P) patients with a catheter, does (I) cleaning the perineal area every 8 hours in comparison to
(C) once daily cleaning (O) decrease CAUTI with patients over a (T) six month period?
List the systematic review chosen from the CCN Library databases. Type the complete APA
reference for the systematic review selected.
Conterno, L. O., Mayhew, A., Pereira, C. R., Flodgren, G., Omar, O., & Shepperd, S. (2013).
Interventions aimed at improving professional adherence to guidelines for prevention of
device-related infections. Cochrane Database of Systematic Reviews. doi:
10.1002/14651858.cd006559 https://chamberlainuniversity.idm.oclc.org/login?
url=https://search.ebscohost.com/login.aspx?
direct=true&db=ccm&AN=108001033&site=ehost-live&scope=site
List and briefly describe other sources used for data and information. List any other optional
scholarly source used as a supplement to the systematic review in APA format.
Catheter-associated Urinary Tract Infections (CAUTI). (2015, October 16). Retrieved June 9,
2020, from https://www.cdc.gov/hai/ca_uti/uti.html
9.2019 Update. DLP
This study source was downloaded by 100000810282105 from CourseHero.com on 10-07-2022 11:22:28 GMT -05:00
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