Journal on the Summary of two Articles, their Findings, Conclusion, and Recommendation

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Journal on the Summary of two Articles, their Findings, Conclusion, and Recommendation

Catheter associated urinary tract infections (CAUTIs) lead 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 CAUTIs cost $1,007 per episode. The incidence HAI in the US is 5-6%, it affects approximately 1.7 million UTI patients, which is 36% representation of all the affected. In the US, among patients who are hospitalized majority have an indwelling urinary catheter, and 21% among them have no indwelling urinary catheter (Finan, 2012). The indwelling urinary catheter elevates microorganisms’ access to the bladder while inhibiting complete draining of the bladder.

Finan (2012) suggests the reduction of urinary tract infection by implementing best practices such as the use of reminder systems.  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 of use. Therefore, reduced instrumentation use lowers urinary tract infections episodes in in all patients’ care setting.

According to the recommendations by Finan (2012), based on literature synthesis there is need to implement a nurse driven protocol that follows simple discontinuation algorithm of IUCs. It should update all procedures and policies for the organization affecting the management and use of IUCs with the most recent best practice. It also implements organisation system reminders in discontinuing promptly with IUCs. Data should be collected after implementation of the best evidence practice, in assessing financial gains, and positive patient outcome.

According to the study findings by Purdy (2007), quality improvement is a working together practice to improve processes and systems with based medicine practice in integration with individual clinical expertise and available external clinical evidence which are found in systematic research. While using Q1 data, two major problems may occur. Q1 does not encounter fundamental standard for the research publication its 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 problems, implement strategies or interventions, and explain relationships between factors of interest.

References

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.