Evidence-Based Practice Proposal - Section D: Solution Description

\Intervention for Reducing Infection Rate in CAUTI NameInstitutional; AffiliationDate
Catheter Urinary Tract Infection (CAUTI)
Urinary tract infection (UTI) is a common infection in the nursing homes. They are mostly associated with the indwelling urinary catheters. In a report published by CDC’s National Healthcare Safety Network (NHSN), UTI is the most common type of the hospital acquired infection. 75% of the UTIs acquired in hospital are usually associated with the catheter which is a tube inserted into the bladder through the urethra in order to drain urine (Clarke & Tong, 2014). This infection is common in a number of nursing homes and it is approximated that up to 10% of the nursing homes residents will experience and indwelling urinary catheter during their stay ant the nursing homes (Meddings, Manojlovich, & Ameling, 2019). Even though prevalence for CAUTI is low in the nursing homes than in an acute care setting, the duration of stay appears to be longer in these nursing homes than in the acute setting. Some of the interventions that have been put in place to reduce infection in the acute setting may not also be appropriate in the nursing homes. Given that the risk of developing CAUTI is associated with the longer duration of stay at the indwelling catheter placement, the most effective way of reducing CAUTI is by only making sure that placement takes place only for instances where it is necessary and looking for interventions of reducing or limiting the placement time to the shortest time. The goal of the proposed intervention is to reduce the infection rate of CAUTI.
Proposed Solution
The implementation of practice standards such as the use of silver- alloy catheters, education of the nursing staff to prevent tube kinking and maintenance drainage have often been mentioned by different authors as possible alternatives of reducing the rate of infection of CAUTI. Despite the recommendation that the above strategies can play an important role in reducing the infection of CAUTI, research show that inconsistency in practicing the interventions is one of the main reasons why they do not bear fruits CITATION Hun17 \l 1033 (Hung, 2017).
As an intervention to reduce CAUTI, we suggest the use of the bundled approach intervention. According to Blanck et al (2014), bundled approach is the process of carrying out all the elements of care at the same time with the guidance of a checklist to make sure that each element of care has been included. The intervention has the following aspects;
1 Always ...