Journal on the Summary of Two Articles on Their Findings, Conclusion and Recommendation

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Journal on the Summary of Two Articles on Their Findings, Conclusion and Recommendation

Catheter associated urinary tract infections (CAUTIs) leads to complications including pyelonephritis, gram-negative bacteremia, endophthalmitis, urosepsis, prostatitis, epididymitis, cystitis, septic arthritis and even death. With respect to the findings, the mean cost of healthcare associated infections (HAI) is $13,973 per patient while CAUTI’s cost $1,007 per episode. The incidence HAI in US is 5-6%, it affects approximately 1.7 million patients who have UTI which is 36% representation of all the affected (WHO, 2008). In US, between patients who are hospitalized have an indwelling urinary catheter and 21% among them have no urinary catheter use indwelling (Gotelli, Carr, pperson, Merryman, McElveen, & Bynum, 2008). The indwelling urinary catheter elevates microorganisms access to the bladder and while inhibiting complete emptying of the bladder.

In conclusion, the reduction of urinary tract infection by implementing best practices by use of reminder system.  This can be achieved through: catheter management, indwelling urinary catheter insertion and continuation nurse driven protocol and use of bladder scanners. For ease of use, the protocols are joined. These protocols can be combined for under-stability and ease use. Thus reduced instrumentation use reduces urinary tract

Infections episodes in in all patients care setting.

According to the recommendations based on literature synthesis include implementation of nurse driven protocol that follows simple discontinuation algorithm of IUC’s. It should update all procedures and policy for the organization affecting the management and use of IUC’s with the most recent best practice. It also implements organisation system reminders in discontinuing promptly with IUC’s. Data should be collected after implementation of the best evidence practice, in assessing financial gains and positive patient outcome.

In the study findings, the quality improvement is a working together process to improve processes and systems with intention to improve outcomes. The evidence-based medicine practice is integration of individual clinical expertise together with available external clinical evidence found in systematic research. While using Q1 data, two major problems may occur. First, Q1 does not encounter fundamental standard for the research publication. Second, the Q1 processes use interventions that are based on theories predicting success.

In conclusion, efforts that improve working environment that necessitate application of evidence in the delivery of healthcare, preparation of workforce and alignment payment policies. In advancing quality, language, an interdisciplinary common vision, and processes required. Q1, EBP and Research tools that describe and identify problem, implement strategies or interventions and explain relationships between factors of interest.

Reference

Finan, D. (2012). Improving Patient Outcomes: Reducing the Risk of CAUTIs. The Kansas Nurse, 87(2).

Purdy, R. (2007). Diffusing Confusion Among Evidence-Based Practice, Quality Improvement, and Research. Evidence And The Executive, 37(10), 432-435.