EBP Change Process FORM Tiffany Barone EBP Process Form

EBP Change Process FORM Tiffany Barone EBP Process Form 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: _Tiffany Barone 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 will be hospital-acquired infections, the specific issue being catheter-associated urinary tract infections (CAUTI). Briefly describe your rationale for your topic selection. Include the scope of the issue/problem. My rationale for this topic is that hospital-acquired infections, specifically from urinary catheters can be greatly influenced by staff's adherence to safety and proper sterile techniques. By adhering to proper sterile procedures CAUTI could be potentially decreased by properly cleaning before placement of catheters in the perineal area, and increased cleaning for continuous indwelling catheters. The use of catheters as a last resort, and a short term solution vs long use, can decrease the rate of infections as well. UTI’s are the most common hospital-acquired infections, of those acquired 75% are directly associated with indwelling urinary catheters (CDC, 2015). Approximately 13,000 deaths can be contributed to CAUTI annually, CAUTI can lead to increased hospital stays, morbidity, mortality, and increased insurance costs.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 practice problem is nurses are not adhering to cleaning the perineal area of patients with indwelling catheters, and indwelling catheters are left in place for excessive lengths of time. In (P) patients with a catheter, does (I) cleaning the perineal area every 8 hours in comparison to (C) once daily cleaning (O) decrease CAUTI with patients over a (T) six month period?