Comparison of Outcomes of the Selected Studies to the Anticipated PICOT Outcome

Comparison of Outcomes of the Selected Studies to the Anticipated PICOT Outcome

The outcomes of the selected studies align with the anticipated PICOT outcomes. For example, Shadle et al. (2021) found that bundle interventions eliminated CAUTIs, which support the PICOT outcomes. Similarly, Decker et al. (2021) revealed that bundle interventions reduce CAUTIs and increase healthcare provider’s knowledge of the appropriate use of indwelling urinary catheters. Parker et al., (2020) and Quinn et al. (2020) provide insights into the potential barriers that might be experienced when implementing the proposed bundle interventions. Therefore, the outcomes of the selected studies align with those of the PICOT statement.

The Link between the PICOT Question, Research Articles, and Identified Nursing Problem

The identified nursing problem is CAUTI. The existing evidence shows the increased risk of CAUTIs among hospitalized patients with indwelling catheters. CAUTIs have adverse outcomes such as prolonging the length of hospital stay, increasing care costs, predisposing patients to other complications, and premature deaths (Carter et al., 2016; Shadle et al., 2021; Smith et al., 2019).

Nurses should adopt best practices to prevent and reduce CAUTIs. The selected research articles provide insights into the effectiveness of bundle interventions in preventing and reducing CAUTIs. They also inform about the barriers that might be encountered in implementing the proposed change in the project. The PICOT question seeks to determine the effectiveness of bundle interventions in reducing and preventing CAUTIs. Therefore, the PICOT question, research articles, and the identified nursing problem are interrelated.

Proposed Evidence-Based Practice Change

The proposed evidence-based practice change based on the reviewed evidence is the implementation of bundle interventions to prevent and reduce CAUTIs in long-term care facility. The bundle interventions include educating nurses on indications, contraindications, evaluation, care, and removal of urinary catheters, the introduction of a daily checklist for indwelling urinary catheters, and nurse-driven protocol for catheter removal.

The practice change will address CAUTIs by strengthening the consistent use of best practices in catheter insertion, care, and removal. Staff training will equip them with the required competencies in assessing the need, caring for, and removing indwelling urinary catheters. The proposed change is evidence-based as seen from the evidence from the included studies in this review.

Conclusion

In summary, the reviewed articles support the use of bundle interventions to address CAUTIs in long-term care facilities. Bundle interventions reduce and prevent CAUTIs. The anticipated PICOT outcomes for the project include reduction and prevention of CAUTIs, increase in provider’s knowledge about CAUTIs prevention and reduction, and reduction in the length of hospital stay and costs for patients with indwelling urinary catheters. Therefore, the evidence informs the proposed change, which entails the use of bundle interventions in the project.

References

Carter, E. J., Pallin, D. J., Mandel, L., Sinnette, C., & Schuur, J. D. (2016). A Qualitative Study of Factors Facilitating Clinical Nurse Engagement in Emergency Department Catheter-Associated Urinary Tract Infection Prevention. The Journal of Nursing Administration, 46(10), 495–500.

Decker, S. G. V., Bosch, N., & Murphy, J. (2021). Catheter-associated urinary tract infection reduction in critical care units: A bundled care model. BMJ Open Quality, 10(4), e001534. https://doi.org/10.1136/bmjoq-2021-001534