Using evidence-based practice to reduce catheter-associated urinary tract infections.
نویسنده
چکیده
OVERVIEW In November 2009, AJN launched a 12-part series, Evidence-Based Practice, Step by Step, authored by nursing leaders from the Arizona State University College of Nursing and Health Innovation's Center for the Advancement of Evidence-Based Practice. Through hypothetical scenarios, based on the authors' collective clinical experience, the series illustrated the seven steps of evidence-based practice (EBP), defined as "a problem-solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preferences and values." This article reports on an EBP project in which the seven-step approach to EBP described in the AJN series was used to reduce the incidence of catheter-associated urinary tract infection among adult patients in a long-term acute care hospital by reducing the duration of catheterization.
منابع مشابه
Prevalence and Microbiological Profile of Catheter Associated Urinary Tract Infections: A Case Study in Secondary Care Hospital
Background and Objectives: Healthcare-associated infections is a major health care concern posing potentially serious negative impact on patient safety and outcome. In this paper, we report this microbiological profile and the prevalence of Catheter Associated Urinary Tract Infections (CAUTIs). Methods: This was a prospective observational study for...
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متن کاملReducing foley catheter device days in an intensive care unit: using the evidence to change practice.
The prolonged use of indwelling urinary catheters can lead to many complications, the most prevalent being urinary tract infections. These hospital-acquired infections can increase hospital costs, length of stay, and mortality rates. Evidence-based guidelines for the prevention of urinary tract infections are compared and discussed. Minimizing indwelling urinary catheter use is well-recognized ...
متن کاملNurse-directed interventions to reduce catheter-associated urinary tract infections.
BACKGROUND Catheter-associated urinary tract infections (CAUTIs) are common, morbid, and costly. Nearly 25% of hospitalized patients are catheterized yearly, and 10% develop urinary tract infections. Evidence-based guidelines exist for indwelling urinary catheter management but are not consistently followed. METHODS A pre/post intervention design was used in this quality improvement project t...
متن کاملScientific Retreat on Implementation Science Improving Health through Evidence-based Practice & Policy
Hospitalized adult patients are at increased risk for adverse outcomes, particularly when undergoing invasive procedures such as indwelling urinary catheterization. Nurses are essential in providing high quality, cost-effective, and safe health care. This mixed methods pilot study identified factors associated with nurses' adoption of an evidence-based practice to reduce the duration of cathete...
متن کاملAvoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study
BACKGROUND Urinary tract infection (UTI) as the most common healthcare-associated infection accounts for up to 36% of all healthcare-associated infections. Catheter-associated urinary tract infection (CAUTI) accounts for up to 80% of these. In many instances indwelling urinary catheter (IDC) insertions may be unjustified or inappropriate, creating potentially avoidable and significant patient d...
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ورودعنوان ژورنال:
- The American journal of nursing
دوره 113 6 شماره
صفحات -
تاریخ انتشار 2013