NUR 550 Assignment Literature Review – Resubmission
NUR 550 Assignment Literature Review – Resubmission
https://nursingassignmentgurus.com/nur-550-assignment-literature-review-resubmission/
Assessment Description
Submit your literature review from NUR-550 for your NUR-590 instructor to review. If your NUR-550 instructor indicated areas for revision be sure to incorporate these improvements prior to submitting your paper for this assignment.
You will use the revised literature review for your final written paper in Topic, 8 detailing your evidence-based practice project proposal.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the
NUR 550 Assignment Literature Review Resubmission
Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Resources
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Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice
Read “Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice,” by Ne
… Read More
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005110-202105000-00003&LSLINK=80&D=ovft
Evidence Based Medicine Toolkit
Explore the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and Saunders (2012), located on the University of Alberta w
… Read More
http://www.ebm.med.ualberta.ca/
Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study
Read “Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study,” by Wilson, Ice, Nakas
… Read More
http://www.sciencedirect.com.lopes.idm.oclc.org/science/article/pii/S0260691715000817
A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety
Read “A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety,” by Tucker and Mel
NUR 550 Assignment Literature Review – Resubmission
… Read More
https://link.gale.com/apps/doc/A616904277/AONE?u=canyonuniv&sid=AONE&xid=f2d66c7c
Advanced Nursing Research: From Theory to Practice
Read Chapters 1 and 2 in Advanced Nursing Research: From Theory to Practice.
View Resource
Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting
Read “Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting,” by Au
… Read More
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=01741002-900000000-99523&PDF=y
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Read Chapters 1-3 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.
View Resource
Centre for Evidence Based Medicine: About Us
Read “About Us” page of the Centre for Evidence Based Medicine (CEBM) website.
http://www.cebm.net/about
Evidence-Based Practice Tutorial
Read the Evidence-Based Practice tutorial, located on the Duke University website.
http://guides.mclibrary.duke.edu/c.php?g=158201&p=1036002
Evidence Based Medicine
Explore the Evidence Based Medicine page of the University of Illinois Library of the Health Sciences website. Use this website as a reso
… Read More
http://researchguides.uic.edu/ebm
Centre for Evidence Based Medicine: Resources
Explore the Resources page of the Centre for Evidence Based Medicine (CEBM) website.
http://www.cebm.net/cate
Urinary Tract Infection is an infection that involves any part of the urinary system, including kidneys, ureters, urethra, and bladder. The common type of UTI is a healthcare-associated infection common in various healthcare organizations. CAUTI accounts for 75% of all the infections associated with the urinary urethra. Despite the cases of CAUTI receiving a great attention, the cases have remained high in the healthcare system. Therefore, measures which are taken to reduce CAUTI should have a positive impact in the patient outcome. The PICOT question guiding this research is: Among patients using indwelling urinary catheters, what is the efficacy of using CAUTI bundle care compared to no intervention in lowering the rates of CAUTI by 25% within six months? The purpose of this assignment is to write a review of the research articles and their comparisons concerning the provided evidence-based project.
Search Methods
A literature review is key to the success of the project. Therefore, a literature review was accomplished using databases accessed through the university. Some of them include Cochrane databases of systematic reviews. The American Journal of Psychiatry, Ovid, ProQuest, PubMed, MEDLINE, CINAHL, and journals by Professional organizations such as CDC using only recent articles of 5 years or less, and obtaining appropriate evidence from databases required using keywords related to the project topic. Therefore, the keywords used include urinary tract infection, bundle care intervention, and nurse education. These key words were essential in finding relevant articles that support the PICOT question.
Literature Review
Elkbuli et al. (2018) carried out a study on CAUTI among the trauma population. Their study aimed at determining whether the implementation of a 5-S CAUTI bundle would reduce CAUTI rates among trauma patients. This quantitative included 2926 trauma patients. The findings showed that 94 of these patients developed CAUTIs. Secondly, the average injury severity score was 16 in patients with CAUTIs compared with 9 in non-CAUTI patients (p < .0002). It was evident that the implementation of a 5-S CAUTI bundle would reduce CAUTI rates among trauma patients. Therefore, this article will support the PICOT question as it shows that using CAUTI bundles among trauma patients significantly reduces CAUTI rates.
Another article authored by Davies et al. (2018) also relays more information on the PICOT question. Their study compared pre and post-outcomes after the implementation of the CAUTI bundle. This quantitative study was carried out among 6236 patients in a trauma care environment. The findings showed that fewer patients in the post-bundle group received a urinary CAUTI bundle decreasing CAUTI rates in patients. This is the desired outcome that the PICOT question would want to meet.
The study by Reynolds et al. (2022) examined the effect and sustainability of a multifaceted intervention to reduce CAUTI rates. Their study occurred in three large adult intensive care units in a healthcare facility. The authors observed three different outcomes. For example, the urine culture rates dropped, catheter utilization also dropped, and CAUTI incidence rates. The findings of this study make it important in the evidence based-project as it shows an analysis of how a multifaceted approach led to reduced rates of CAUTI.
Mundle et al. (2020) conducted a study to explore the impact of implementing a CAUTI bundle care on developing CAUTI rates. This research took place in internal medicine units where all admitted patients were eligible to participate. The study found that using the intervention reduced the CAUTI rates by 79% among patients. This significant outcome makes the study reliable and important in supporting the proposed intervention since it shows a reduction in the rates of CAUTI upon using CAUTI bundles.
Another study by Sultan et al. (2022) focused on investigating the impact of using a CAUTI bundle in preventing CAUTI among critically ill patients. This research was done in intensive care units among 80 patients in an Egyptian hospital and found that implementing CAUTI bundle care reduced CAUTI by 50%. The outcome of this article is important in supporting the evidence-based project as it aligns with the desired outcome of the proposed PICOT question.
According to Tyson et al. (2020), implementing a nurse-driven protocol for catheter removal is important in decreasing the CAUTI rate. Their study aimed to compare the rates of CAUTI and indwelling urinary catheter use before and after using a nurse-driven CAUTI bundle approach among patients in the surgical trauma intensive care unit. They found that catheter utilization was reduced when nurse-driven protocols were implemented among the patients. In doing so, it is imperative to approve that the findings of this study are significant in supporting the proposed ideas on the PICOT question.
Another study by Shadle et al. (2021) also explored the impact of using CAUTI bundle care in reducing CAUTI rates. This study adopted a quantitative study design approach where the data on the study was collected from EHRs. The study found that no catheter-associated urinary tract infections were reported during the intervention period. This outcome shows that implementing bundle care among patients was important in reducing CAUTI rates. This article supports the proposed intervention since it showed that bundle care significantly reduced the rate of CAUTI in intensive care settings.
Pajerski et al. (2022) also researched CAUTI, where their research aimed to reduce the rates of CAUTI using a care bundle approach. This research was carried out in a traumatic brain injury rehabilitation unit. The findings of the study showed a significant reduction in CAUTI rates. The outcome of the study supports the findings of another author in supporting the importance of CAUTI bundle care in addressing the issue of CAUTI among patients. This supports the proposed intervention because the results show that utilization of the CAUTI bundle care approach reduced the CAUTI rates to zero during the intervention.
Soundaram et al. (2020) conducted a study to explore the effectiveness of implementing a CAUTI bundle in reducing CAUTI incidence. This study was carried out in the adult intensive care units, where every patient admitted to the units was recruited to participate. The study found that cases of CAUTI were reduced by 60%. This is a desired outcome that can be replicated in future studies. Consequently, this proposed intervention will support its implementation using this article as it has shown the efficacy of the CAUTI bundle in reducing the rates of CAUTI.
Another study by Ravi and Joshi (2018) aimed to explore the efficacy of the CAUTI care bundle in lowering the incidences of CAUTI. This research was conducted in a zonal hospital. The authors found that the catheter care bundle approach, along with the education of the staff, reduced the CAUTI incidence by 60.64. This outcome is important in the PICOT question as it supports the proposed intervention.
Comparison of the Articles
The articles in this study include the ideas of various authors on the efficacy of using CAUTI bundle care. The selected articles approached their research question using a quantitative research design, making these studies look similar on the approach design that these empirical studies apply to address the issue of CAUTI bundle care. Again, the articles have varying sampled participants. While others have large sampled patients, others resorted to acquiring information from electronic health records. The intervention used in each study differs in the ways of data analysis and the tools deployed in analyzing the collected data. However, they reach an outcome that supports the significance of the bundle care intervention. Therefore, all these articles are significant in supporting the ideas of the proposed intervention as they approach CAUTI through various interventions that give a positive result.
Suggestions for Future Research
In the future, more studies must develop a more technological approach to CAUTI. More studies in the recent past include the importance of technologically generated patient data to address an issue such as CAUTI. The inclusion of these strategies in the future would enable studies to consider a wide range of data through the years and analyze the trend over time. Such studies are significant in giving an outcome with high generalizability. This would create another line of thinking in research that could improve quality. Besides, it supports the use of technology in offering bundle care intervention.
Conclusion
CAUTI is one of the common issues in healthcare that has been attracting the attention of many scholars worldwide. The above review shows the findings of various scholars on the issues and the direction that future research on bundle care would have on CAUTI. The constant improvement of patient safety and quality will be defined by the drastic reduction of healthcare issues such as CAUTI within the healthcare system. Therefore, these studies’ outcome effectively supports the proposed intervention.
References
Davies, P. E., Daley, M. J., Hecht, J., Hobbs, A., Burger, C., Watkins, L., … & Brown, C. V. (2018). Effectiveness of a bundled approach to reduce urinary catheters and infection rates in trauma patients. American Journal of Infection Control, 46(7), 758-763 ttps://doi.org/10.1016/j.ajic.2017.11.032
Elkbuli, A., Miller, A., Boneva, D., Puyana, S., Bernal, E., Hai, S., & McKenney, M. (2018). Targeting catheter-associated urinary tract infections in a trauma population: a 5-S bundle preventive approach. Journal of Trauma Nursing| JTN, 25(6), 366–373. 10.1097/JTN.0000000000000403
Mundle, W., Howell-Belle, C., & Jeffs, L. (2020). Preventing catheter-associated urinary tract infection: A multipronged collaborative approach. Journal of Nursing Care Quality, 35(1), 83-87. Doi: 10.1097/NCQ.0000000000000418
Pajerski, D. M., Harlan, M. D., Ren, D., & Tuite, P. K. (2022). A clinical nurse specialist–led initiative to reduce catheter-associated urinary tract infection rates using a best practice guideline. Clinical Nurse Specialist, 36(1), 20-28.Doi: 10.1097/NUR.0000000000000643.
Ravi, P. R., & Joshi, M. C. (2018). Role of “bladder care bundle” and “infection control nurse” in reducing catheter-associated urinary tract infection in a peripheral hospital. Journal of Marine Medical Society, 20(2), 116. Doi: 10.4103/jmms.jmms_8_18
Reynolds, S. S., Sova, C. D., Lewis, S. S., Smith, B. A., Wrenn, R. H., Turner, N. A., & Advani, S. D. (2022). Sustained reduction in catheter-associated urinary tract infections using multifaceted strategies led by champions: a quality improvement initiative. Infection Control & Hospital Epidemiology, 43(7), 925-929. https://doi.org/10.1017/ice.2021.135
Shadle, H. N., Sabol, V., Smith, A., Stafford, H., Thompson, J. A., & Bowers, M. (2021). A bundle-based approach to prevent catheter-associated urinary tract infections in the intensive care unit. Critical Care Nurse, 41(2), 62-71. https://doi.org/10.4037/ccn2021934
Soundaram, G. V., Sundaramurthy, R., Jeyashree, K., Ganesan, V., Arunagiri, R., & Charles, J. (2020). Impact of care bundle implementation on the incidence of catheter-associated urinary tract infection: A comparative study in intensive care units of a tertiary care teaching hospital in South India. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine, 24(7), 544. https://doi.org/10.5005%2Fjp-journals-10071-23473
Sultan, M. A., Ahmed, H., & Kandeel, N. A. (2022). The Effect of Implementing CAUTIs Bundle on Prevention of Hospital-Acquired Urinary Tract Infections among Critically Ill Patients. Mansoura Nursing Journal, 9(1), 141-153. https://mnj.journals.ekb.eg/article_259013_7bf12c0832ee68848bd1ddcedfa1e4f7.pdf
Tyson, A. F., Campbell, E. F., Spangler, L. R., Ross, S. W., Reinke, C. E., Passaretti, C. L., & Sing, R. F. (2020). Implementation of a nurse-driven protocol for catheter removal to decrease catheter-associated urinary tract infection rate in a surgical trauma ICU. Journal of Intensive Care Medicine, 35(8), 738-744. https://doi.org/10.1177/0885066618781304
NUR-550 Literature Review – Resubmission – Rubric
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NUR-550 Resubmission of Literature Review
50 points
Criteria Description
NUR-550 Resubmission of Literature Review
- 5: Excellent
50 points
The Literature Review paper from NUR-550 is submitted.
- 4: Good
46 points
NA
- 3: Satisfactory
44 points
NA
- 2: Less Than Satisfactory
40 points
NA
- 1: Unsatisfactory
0 points
The Literature Review paper from NUR-550 is not submitted.