Constructing the Written Evidence-Based Proposal

Running head: EVIDENCE-BASED PROPOSAL Professional Research Project: Catheter-Associated Urinary Tract Infection (CAUTI) - Evidence-Based Proposal (Student`s Name) (Course Code/Number) (Name of Professor) (Date of Submission) Catheter-Associated Urinary Tract Infection (CAUTI): Evidence-Based Proposal Abstract Urinary catheterization is considered as one of the most standard procedures carried out in hospitals, especially in cases of surgeries and other medical interventions. However, because of different reasons attributable to neglect or breaks in sterility, urinary catheterization also becomes a source of nosocomial infection. Indeed, even though the insertion of urinary catheters is considered as a sterile procedure, breaks in the sterility of the catheter system may sometimes bring different types of infections to the patient. In relation, one of the most common forms of nosocomial infection acquired from urinary catheter insertion is CAUTI, which stands for Catheter- Associated Urinary Tract Infection. The rise in the cases of CAUTI has continued to alarm concerned officials and healthcare providers. Therefore, this paper presented an in-depth discussion of the problem on CAUTI. This paper has been divided into five main parts, each of which discussed an aspect of evidence-based practice: problem-identification, solution description, implementation of interventions, evaluation of implementation, and dissemination of findings or results. Thus, the first chapter presented an exploration of the problem on CAUTI, the second part provided a solution for the said problem, and the third section discussed a plan for implementation. Moreover, the fourth and fifth parts of the paper presented a plan for evaluation and a strategy for dissemination, respectively. Based on the evidences and literatures discussed, it was found that there is indeed a problem on CAUTI, especially with the negative impacts of the said disease, but that there are steps the healthcare provider can take in order to solve the said problem. Key Words: CAUTI, nosocomial infection, urinary catheterization Catheter-Associated Urinary Tract Infection (CAUTI): Evidence-Based Proposal 1.0 Problem Description Urinary catheterization is a treatment used to empty the bladder. Healthcare providers may recommend urinary catheterization for short or long-term use for patients experiencing urinary incontinence, urinary retention, surgery and other medical conditions. The occurrence for long-term use of urinary catheters can usually be observed in the intensive care unit (ICU). Because most of the patients in the ICU are unconscious and critically-ill, it is not uncommon for long-term use of urinary catheters to occur. Urinary catheterization is indicated for diagnostic or therapeutic purposes. Diagnostic use includes urine specimen collection, urine output monitoring and urinary tract imaging. The therapeutic use of urinary catheterization includes acute urinary retention, chronic obstruction, initiation of continuous bladder irrigation, intermittent decompression for neurogenic bladder, and hygienic care for bedridden patients ("Urinary Catheterization", n d). Nosocomial ...