Jamie C. Lynch,
NUR/598
May 5, 2014
Pamela Springer, PhD, RN
Nursing Research Utilization Project: Section C
Section C Research Support Several articles have been reviewed as a research base for this project. Identification of appropriate research is critical to the successful implementation of nurse-led evidence-based practice protocols. Each article was carefully selected for what it could contribute to the quality of the project. Using the evidence in this research will help with the development of an implementation plan.
Article #1 Adams, D., Bucior, H., & Day, G. (2012, January). HOUDINI: make that urinary catheter disappear-nurse-led protocol. Journal of Infection Prevention, 13, 44-48. This article discusses the use of 7 criteria that must exist in order to keep an indwelling urinary catheter in place. According to Adams (2012), the average daily risk of developing a bacteremia with an indwelling urinary catheter increases by 3%-7% for every additional day the catheter remains indwelling. The study uses the acronym HOUDINI to demonstrate the criteria. The acronym stands for Hematuria, Obstruction, Urologic surgery, Decubitus ulcer, Input and output measurement, Nursing end of life care, and Immobility. In the absence of these aforementioned indications, according to the study, the catheter should be removed to decrease the risk of catheter-associated bacteremia.
Article #2
Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A Review of Strategies to Decrease the Duration of Indwelling Urethral Catheters and Potentially Reduce the Incidence of Catheter- Associated Urinary Tract Infections. Urologic Nursing, 32(1), 29-37. This article discussed different strategies to decrease the incidence of indwelling urinary catheter times. It was a retrospective study that analyzed data obtained from hospital databases. The study supports
References: Adams, D., Bucior, H., & Day, G. (2012, January). HOUDINI: make that urinary catheter disappear-nurse-led protocol. Journal of Infection Prevention, 13, 44-48. Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A Review of Strategies to Decrease the Duration of Indwelling Urethral Catheters and Potentially Reduce the Incidence of Catheter- Associated Urinary Tract Infections. Urologic Nursing, 32(1), 29-37. Clarke, K., Tong, D., Pan, Y., Easley, K., Norrick, B., Ko, C., & ... Stein, J. (2013). Reduction in catheter-associated urinary tract infections by bundling interventions. International Journal For Quality In Health Care: Journal Of The International Society For Quality In Health Care / Isqua,25(1), 43-49. doi:10.1093/intqhc/mzs077 Levers, H. (2014). Switching to an antimicrobial solution for skin cleansing before urinary catheterisation. British Journal Of Community Nursing, 19(2), 66-71. Meddings, J. A., Reichert, H., Rogers, M. M., Saint, S., Stephansky, J., & McMahon Jr., L. F. (2012). Effect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract Infection. Annals Of Internal Medicine, 157(5), 305-312.