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Using evidence-based practice to reduce catheter-associated urinary tract infections

Usingevidence-based practice to reduce catheter-associated urinary tractinfections

Infectionsthat can be caught from hospitals are a recurrent dispute toexcellence care and these will be prevented when finest performanceis employed. This article showed a quality improvement program andthe application of the seven paces of evidence-based practice, EBP,which is described as the steps to solve problems of health care andreduce the occurrence of infection related to urinary tract infectionby decreasing the period of catheterization. A survey in US hospitalsshowed that catheter-associated urinary tract infection (CAUTI) is32% of all hospital-acquired infections which is equivalent to449,000 incidences yearly costing at around $450 million (Magers,2013).

Theseven steps are termed as step zero to step six. The step zero isexplained as a step about cultivating a spirit of inquiry and itdescribed several approaches for effective urethral cathetermanagement. Step one is about asking clinical questions in PICOTformat that questions the effect of employing the procedure forassessing the suitability of short-term urethral cathetercontinuation or elimination. Step two is concerned on the search forbest evidence. Step three is appraising the evidences critically todecide whether the literature recognized in the investigation isrelevant and appropriate to the clinical inquiry. Step four involvesintegrating the evidences by combining it with several aspects suchas clinical expertise, patient evaluation and so on. It also entailsteam building, institutional approval, project planning andimplementation. Step five is evaluating the outcomes by collectingand analyzing the data and applying the learned lesson onimplementation. Step six is dissemination of EBP results throughhospital educators (Magers,2013).

EBPprotocol was made to support suitable urethral catheter practices todiminish CAUTI rates in adult patients. It is sensible to regard thatfurther than basic nursing care, the best advancement to decreaseCAUTI rates and catheter-days is to utilize a procedure that dejectspointless catheterization and endorse the elimination of urethralcatheters once specified (Magers,2013).


Magers,T. L. (2013). Usingevidence-based practice to reduce catheter-associated urinary tractinfections. AmJ Nurs,113(6),34-42. doi: 10.1097/01.NAJ.0000430923.07539.a7