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Asked by Jillianmorrow
At their monthly team meetings, nurses on a busy hospital unit have identified catheter-associated urinary tract infections (CAUTI) as a high-priority problem. The hospital leadership called for widespread audits to determine the contributing factors to high CAUTI rates. The resulting reports revealed that the total number of incidents of CAUTI in the non-ICU settings for fiscal year 2014 was 54. The CAUTI rates when compared to other hospitals nationally is worse than national benchmark. Another finding was that the rate of infection for males was greater than females, with males having an 85.7% infection rate and females a 12% rate in the previous six months. Audits also revealed that nurses are not using the existing protocol to insert and remove unnecessarily or inappropriately placed indwelling urinary catheters in the hospital. It also was revealed that nurses do not understand the evidence-based criteria recommended by the current, nurse-driven indwelling urinary catheter protocol and are therefore using inappropriate criteria and leaving indwelling urinary catheters in place. In addition, the nurses have many misunderstanding about why patients should have indwelling urinary catheters. One of these myths is that incontinent patients needed UCs. There was a 30% turnover in nursing staff in this hospital during 2014.
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Write 3-4 questions about nursing practice that arise from the above scenario. These do not need to be in PICOT format.
Why do you think the nurses in the scenario have identified CAUTI as a high priority problem?
What do you think needs to change on the hospital unit in the scenario?
Include your rationale for what you think needs to change, using a current research article or current information from professional websites.
SCIENCE
HEALTH SCIENCE
NURSING
NUR 365
