Introduction: urinary catheterization in the wards despite the nurses

Introduction:

Research has been used to uphold nursing as a profession.
Evidenced-based practice should be useful and to target the allied healthcare
workers into the right direction. This is due to the dilemma of the healthcare
workers, overwhelming demands in the clinical settings and lack of skills from
the allied healthcare workers, (Mulhall,
2017)

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Background:

The author of this essay has chosen to write about urinary
tract infections related to urinary catheterization. This is because of the
increased number of nosocomial infections such as urinary tract infections
related to urinary catheterization in the wards despite the nurses doing an
aseptic technique. The types of catheter will influence the rate of patients
getting urinary tract infections. Urinary tract infection has been the main
cause of patients to stay longer in the hospital. The author of this essay has
chosen elderly patients in the ward to be the targeted population and the
intervention is to decrease and prevent urinary tract infections by using
alternative types of catheters. The author will be using IOWA model as a guide
for the implementation.

Objectives:

The aim of the author is to decrease and prevent urinary
tract infections among the targeted populations.
Based on an article, the author has chosen to focus on different types of
catheter to prevent urinary tract infections related to urinary catheterization,
(Schumm & Lam, 2017). The author
of this essay will discuss the barriers that may be faced during
implementation, strategies to overcome those barriers and the potential
impacts.

Strategies:

The author of this essay has chosen to use the IOWA model as
a guide among the various evidenced-based practice models. This is because it
focuses on the importance of the healthcare system to guide practice decisions
using this research method (“Evidence-
Based Practice: Understanding the Process”, 2017)

Implementations:

There are so many implementations to prevent urinary tract
infections such as cleaning the perineal area daily with water and soap or
another product called wet wipes. Urinary toilet should be carried out as a
daily hygiene activity (“Healthcare-associated
infections: prevention and control in primary and community care | Guidance and
guidelines | NICE”, 2017). Besides doing urinary toilet for the
patients, nurses should use an aseptic technique to insert the catheter. Another
way to prevent urinary tract infection is to use a different type of urinary
catheter. The different types of catheter would be silver-coated catheters.

Comparison of silver
coated catheters with standard catheters. According to Rupp et al.,

(2004), interventional study has been
conducted and the outcome was 57% of reduction of urinary tract infections when
using the silver-coated catheters as compared to standard catheters, Ford (2018).

In the implementation plan, it is important to form a team
of four before carrying out the action plan. The team can include nurse
manager, staff nurses and enrolled nurses. By forming a team, it can help to
gain support and provide better care for patients. After forming a team, the
author of this essay will discuss the action plan with the nurse manager. To
carry out the plan successfully, the team will need to ensure that there will
be sufficient supplies of catheters in the ward. The team will have to announce
this implementation to the ward staffs through emails, role calls and further
information in the ward’s circulation file.

Impacts and
Evaluation:

With changing the types of urinary catheters, there will be
a lesser percentage of patients getting catheter-associated urinary tract
infections. The patient’s length of stay will be shortened after using the
silver-alloy catheter instead of the standard catheter. This is also to
minimise the spread of infection in the ward.

As the targeted population is the elderly with the need of
catheterization, which are common for them to get urinary tract infections,
nurses and nurse managers will be able to adapt the changes and use the
silver-alloy catheters instead of the standard catheters, (Anon, 2018). From there, nurses and
nurse managers will be able to reduce the urinary tract infections associated
with urinary catheters.

Possible Barriers:

There will always have possible barriers. Even when using the
silver-alloy catheters, there will be several patients that will still get
catheter-associated urinary tract infections. At times, nurses are
non-compliant or unable to adapt to the changing of catheter due to the habit
of using the standard catheters. Emails, announcing in the role call and having
the email printed out and be placed in the ward’s circulation file will
probably serve as a reminder to the nurses about using the silver-alloy
catheter instead. The team will need to ensure that the supplies from the
supplier are sufficient for the ward. A weekly stock-checking and stock-taking
should be carry out to ensure there will be enough supplies for the ward. A
weekly stock-checking will be able to help the nurses by leading them to ask
the ward clerk to order the supplies, so it will not run out.

Conclusion:

The author of this essay has concluded to reduce the
percentage of the catheter-associated urinary tract infection by coming up with
an action plan of using the silver-alloy catheter for patients who need to be
catheterized. This essay discussed the reduction rate when using the
silver-alloy catheter by reviewing a research study related to the topic, described
the strategies that will be implemented, potential impacts of the
implementation and possible barriers that will be faced by the team of nurse
manager, staff nurses and enrolled nurses.