NUR 550 Picot Paper Latest

NUR 550 Picot Paper Latest

NUR 550 Picot Paper Latest

PICOT Paper
Evidence-based practice plays an important role in delivering optimum outcomes in nursing practice. Nurses and other healthcare providers collaborate in identifying and implementing evidence-based practices to address the actual and potential health needs of their populations. Problem such as catheter-associated urinary tract infections (CAUTIs) act as a source of significant disease burden to patients and their families. Interventions such as training nurses about best practices in catheter insertion and care is effective in addressing the problem. Therefore, the purpose of this paper is to examine the proposed evidence-based practice project. It focuses on population demographics and health concerns, proposed evidence-based intervention, comparison with research, expected outcomes, and application of nursing science in the intervention.

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Population Demographics and Health Concerns
The proposed evidence-based practice project aims at addressing CAUTIs among hospitalized patients. Hospitalized patients with indwelling foley catheters are increasingly predisposed to CAUTIs. Factors such as prolonged urinary catheterization and lack of aseptic techniques in the insertion and care increase the risk of development of CAUTIs. According to the Centers for Disease Control and Prevention (CDC), CAUTIs is among the leading hospital acquired infections in hospitalized patients. It contributes to up to 75% of the urinary tract infections among hospitalized patients (CDC, 2019). Patient factors such as age and being hospitalized for an acute health problem requiring prolonged care in the intensive units are crucial predictors of CAUTIs.
CAUTIs are a crucial public health concern. First, it increases the risk of patients developing CAUTIs-associated complications. The risk of complications such as bacteremia, prostatitis, orchitis, pyelonephritis, and meningitis among others. CAUTIs also increase healthcare costs. The increase is attributed to prolonged hospitalization and complex healthcare needs. CAUTIs are preventable (Kayem Al refey& Hassan, 2022). Nurses and other healthcare providers can embrace best practices to prevent and minimize their occurrences in their practice.
Proposed Evidence-Based Intervention
The proposed evidence-based intervention entails training nurses on the best practices that will aid in CAUTIs prevention and reduction in rates in the hospital. Training is an effective tool that increases knowledge and skills of the nurses on the causes, effects, and prevention of CAUTIs. It also empowers them to explore innovative strategies that can be adopted to prevent hospital acquired infections in the institution. The effects of training nurses on the best practices can also be sustained in the organization, hence, its significance. The proposed intervention incorporates health goals and policies that support health care equity for the patients with indwelling urinary catheters. The intervention aims at ensuring safety, quality, and efficiency in the care process. It also aims at ensuring the protection of patient rights to high-quality and dignified care (Gray et al., 2023; Kayem Al refey & Hassan, 2022). It also eliminates disproportionate care being offered to patients in need of urinary catheterization.
Comparison with Previous Research or Practice
Studies conducted in the past have shown that nurses lack the competencies needed to ensure catheter care, hence, the significance of training interventions to address the problem. For example, the study by Khasal (2022) found that nurses had fair knowledge on the prevention of CAUTIs in their practice. Studies have demonstrated the effectiveness of training in preventing and reducing the rates of CAUTIs. One of the studies is a quasi-experimental study that was undertaken by Menegueti et al. (2019). The study investigated the impact of implementing a healthcare workers educational program and checklist for patients with indwelling urinary catheters. The results obtained from this study showed that the program was effective, as seen from the reduction in CAUTIs and urinary catheter utilization. The authors recommended the utilization of the intervention to address the problem in nursing and healthcare.
Kayem Al refey and Hassan (2022) examined the impact of an interventional program that aimed at assessing nurses’ practices related to CAUTIs among male patients. The study adopted a pre-experimental design and pre-test and post-test design. The analysis of data that was obtained from 45 nurses enrolled in the study showed that there were highly statistically significant differences between the pre- and post-program. The program resulted in an increase in nurses’ knowledge, skills, and practices in urinary care in the post-intervention period. It also addressed the erroneous practices that contribute to CAUTIs among hospitalized male patients.
Mohammed and Hamza (2019) investigated the effectiveness of an educational program on nurses’ knowledge on the prevention of female catheter-associated urinary tract infections. The results of the study showed that the educational program increased the nurses’ knowledge towards the prevention of CAUTIs, as seen by significant differences between the results of the pre- and post-interventional phases. A systematic review conducted by Gray et al. (2023) also found the effectiveness of nurses’ training and education in reducing and preventing CAUTIs. Besides the use of education with simulation, other interventions that included protocols and procedure changes, daily rounds, and reminders and order sets were effective in preventing and reducing the risk and rate of CAUTIs (Gray et al., 2023). Based on these result, the proposed intervention is evidence-based, and likely to result in considerable improvement in the rates of CAUTIs in the practice site.
Expected Outcome
One of the expected outcomes of the project is the reduction in rates of CAUTIs in the practice site. The training is anticipated to increase the knowledge, skills, and practices of nurses towards catheter care. It is also expected that the knowledge and skills of the nurses on catheter care will increase following the implementation of the intervention. The other direct benefits associated with the intervention include the reduction in the length of hospital stay and hospitalization costs (Khasal, 2022).
Time
The estimated period for implementing the evidence-based practice project is six months. It is expected that the duration will be enough to undertake training, implementation, monitoring, and evaluation of the project. Evaluation will be done at the end to determine the impact of the project on the clinical outcomes.
Nursing Science, Social Determinants of Health, and Epidemiologic, Genomic, and Genetic Data are Applied
Nursing science supports the use of evidence-based interventions in the prevention of CAUTIs among hospitalized patients. Evidence-based interventions contribute to safety, quality, and efficiency in the patient care process. Social determinants of health such as income, employment status, race and ethnicity should not predispose patients to poor outcomes due to CAUTIs. As a result, the training intervention proposed in the project aims at ensuring equity in the care for hospitalized patients with indwelling urinary catheters (Decker et al., 2021). The intervention also aims to reduce the high prevalence of CAUTIs among hospitalized patients, hence, the incorporation of epidemiologic data.
Conclusion
The proposed intervention entails training nurses about best practices in catheter care to prevent and reduce CAUTIs. Studies have shown the intervention to be effective. The duration for the project implementation is six months. The intervention is expected to increase nurses’ knowledge and skills on CAUTIs prevention and reduce its rates and associated costs.
References
CDC. (2019, October 1). Catheter-associated Urinary Tract Infections (CAUTI) | HAI | CDC. https://www.cdc.gov/hai/ca_uti/uti.html
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
Gray, J., Rachakonda, A., &Karnon, J. (2023). Pragmatic review of interventions to prevent catheter-associated urinary tract infections (CAUTI) in adult inpatients. Journal of Hospital Infection. https://doi.org/10.1016/j.jhin.2023.03.020
Kayem Al refey, A. B., & Hassan, H. S. (2022). Nursing Practices toward Prevention of Indwelling Catheter Associated Urinary Tract Infection: An Interventional Study for nursing staff. Mosul Journal of Nursing, 10(3), 182–187. https://doi.org/10.33899/mjn.2022.175551
Khasal, Q. A. (2022). Knowledge of Nurses toward Prevention for Catheter-Associated Urinary Tract Infection in Intensive Care Unit at Al Nasiriyah General Hospital. HIV Nursing, 22(2), 1516–1522.
Menegueti, M. G., Ciol, M. A., Bellissimo-Rodrigues, F., Auxiliadora-Martins, M., Gaspar, G. G., Canini, S. R. M. da S., Basile-Filho, A., & Laus, A. M. (2019). Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the implementation of an educational program and a daily checklist for maintenance of indwelling urinary catheters. Medicine, 98(8), e14417. https://doi.org/10.1097/MD.0000000000014417
Mohammed, H. T., & Hamza, R. A. H. (2019). Effectiveness of educational program on nurses’ knowledge toward preventing female catheter-associated urinary tract infections. Prof. RK Sharma, 13(1), 230.

Appendix: PICOT Question
Among hospitalized patients with indwelling foley catheters (P), does training nurses on the best practices on catheter insertion and care (I) compared to usual care (C) reduce the rates of CAUTIs and length of hospital stay (O) within six months (T)?

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Assessment Description

Refer to the PICOT you developed for your evidence-based practice project proposal. If your PICOT required revision, include those revisions in this assignment. You will use your PICOT paper for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

Write a 750-1,000-word paper that describes your PICOT.

Describe the population’s demographics and health concerns.

Describe the proposed evidence-based intervention and explain how your proposed intervention incorporates health policies and goals that support health care equity for the population of focus.

Compare your intervention to previous practice or research.

Explain what the expected outcome is for the intervention.

Describe the time for implementing the intervention and evaluating the outcome.

Explain how nursing science, social determinants of health, and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population.

Create an Appendix for your paper and attach the PICOT. Be sure to review feedback from your previous submission and revise your PICOT accordingly.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as the final appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite at least four to six peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the 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 required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

MS Nursing: Public Health

MS Nursing: Education

MS Nursing: Acute Care Nurse Practitioner

MS Nursing: Family Nurse Practitioner

MS Nursing: Health Care Quality and Patient Safety

4.1: Synthesize nursing science, determinants of health, and epidemiologic, genomic, and genetic data in the management of population health.

Can Moses do this pls as he did the Final Picot