NR451 Assignment Week 6 EBP Change Process FORM Lopez Perez

NR451 Assignment Week 6 EBP Change Process FORM Lopez Perez Week 6 Assignment: EBP Change Process form ACE Star Model of Knowledge Transformation 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: Adrianny Lopez-Perez 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 at hand is hospital acquired infections with a focus catheter associated urinary tract infections. Briefly describe your rationale for your topic selection. Include the scope of the issue/problem. The topic of hospital-acquired infections (HAI) specifically catheter-associated urinary tract infections (CAUTI) is vital to touch upon. Urinary tract infections (UTI) are known to be the most common type of HAI. CAUTI can ultimately increase mortality, morbidity, healthcare cost, and lengthen hospital stays. About 75% of UTIs are a result of an indwelling catheter. The saddest part is that an estimated 13,000 deaths are attributed to UTIs which could have been prevented. As nurses we can help combat these rates from increasing in the years to come. With proper education and protocols in place, we can prevent it from occurring. Therefore, it is crucial to provide catheter care to all patients with an indwelling catheter in place. This includes timely perineal and tubing care, while also completing daily catheter removal assessment. These assessments help decrease the length of time a catheter remains in place to ultimately decrease infection. 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 problem is that indwelling urinary catheters are remaining in place for longer periods of time. Even when catheters are not medically necessary. This is placing the patient at a higher risk for exposure to a urinary tract infection due to improper perineal and catheter care, and failure to conduct discontinuation assessment. PICOT question – In patients with an indwelling catheter on a medical-surgical unit (P), would implementing a nurse-driven protocol (I), compared to the current physician driven protocol (C), reduce the number of catheter-associated urinary tract infections (O), over a sixmonth period (T)? List the systematic review chosen from the CCN Library databases. Type the complete APA reference for the systematic review selected. Durany, D.J. (2017). Nurse-driven protocols and the prevention of catheter-associated urinary tract infections: a systematic review. American journal of infection control, 45(12), . Retrieved from 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. The article written by Russell, Leming-Lee & Watters (2019), allows readers to get a glance at the history of CAUTI. It also discloses all the costs that have been related to this issue. The most important part of this article is evidence provided on how a nurse-driven algorithm has been able to decrease CAUTI rates. According to Russell, Leming-Lee & Watters (2019), in the first six weeks, this algorithm was implemented it resulted in approximately 36% CAUTI incident rate reduction. Russell, J.A., Leming-Lee, T.S., & Watters, R. (2019). Implementation of a nurse-driven CAUTI prevention algorithm. Nursing Clinics of North America, 54(1), 81-96. Retrieved from This next article helps to show more influential data regarding the positive impact of nurse-driven protocols on the reduction of CAUTI. Blakely & Smith (2019), disclosed that by proper education to staff about these protocols 100% compliance was shown within a year. While also showing that of three months the CAUTI rate was reduced to half of the original incidence rate.