Author

McCoy, C., Paredes, M., Allen, S., Blackey, J., Nielsen, C., Paluzzi, A., … Radovich, P. (2017).

Type of Article/Paper

(EB guideline, systematic review, RTC, case study, etc.)

Qualitative study

Aim of Article/Paper

The aim of the paper is to come up with preventions strategies towards Catheter Associated Urinary Tract Infection within the inpatient oncology population by implementing part of the evidence based nurse driven protocol used in the discontinuation of the indwelling urinary catheters.

Conceptual Framework (if any)

The conceptual framework is based on the findings from the literature review which has openly demonstrated that ensuring staff education is very fundamental to the CAUTI prevention and also ensures a reduction of the IUC duration.  The educational interventions are also going to be important to ensure that there is application of some of the best practices for the IUC care in addition to evidence based indications for the continuation of the IUC removal. Also when it comes to empowering nurses regarding the inpatient oncology units is important as this also advocate for the patient’s with inappropriate IUC and can play a very important role in respect to the prevention protocols.

Study Design &

Method

●       Due to lack of evidence IUC practices the methodology entailed a team of seven acute care nurses from two of the medical surgical oncology units that were required to ensure the development of an evidence based   CAUTI prevention protocol.

●       There was then a clinical question to be followed with was that in adults, how would the implementation of the nurse driven IUC algorithm, compared to the current practices in urinary catheter affect the number of CAUTI as per quarter?

●       The study conducted a literature review that analyzed 45 articles on the said topic.

●       From the selection, eighteen articles were not used on the ground that there was poor research done and the quality or relevance of the article was also low in respect to the clinical question.

●       After this, the inpatient oncology unit evidence based practice team made use of the Johns Hopkins process of review to ensure the level and quality of evidence in respect to the remaining articles.

●       After this, each of the article was then reviewed independently three times to ensure the validation on the level of quality of evidence.

●       The study also came up with a summary of the table of articles to used, which was important in allowing for the ease in identification of the CAUTI prevention best practices.

●       In any case all the articles used during the literature review were based on the development of the protocol in levels I and III which as ranged from good to high quality.

Population/

Sample/ sample size

Setting

Since the study methodology was based on a literature review of previous done studies there was not population sample.

Major Variables and their definitions

CAUTI rates:  being able to come up with a particular number of infections in regard to the number of urinary catheter line days, multiplied by 1000, it is important to mention that the CAUTI rates are often mentioned per the catheter days.

Measurements/

Instruments/

Tools

Knowledge of Inpatient Oncology team:  the study made use