Indwelling Urinary Catheters Research Proposal

Indwelling Urinary Catheters
A study proposal to examine registered nurses' perceptions of the effect of indwelling urinary catheters.
# 106234 | 4,010 words | 27 sources | APA | 2008 | US
Published on Jul 30, 2008 in Medical and Health (Medical Studies) , Medical and Health (Nursing)


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Description:

This paper proposes research into the issue of the inappropriate use of urinary catheters. The paper points out that, in the past three decades, the major focus of catheter-associated urinary tract infection (CAUTI) prevention research has been evaluation of new devices or materials that will prevent CAUTI. The paper states that a common theme emerging from the literature is that not all indwelling urinary catheters are appropriate for the duration of the catheterization, which places the patient at an increased risk of CAUTI. The proposed study will be administered in a 149 bed rural for-profit hospital using a descriptive, correlation design. Objectives of the mandatory nursing staff education will be to educate all nurses on the relationship of increased catheter days to hospital-acquired urinary tract infection, and to report the findings of the survey. In conclusion, the paper suggests that catheter days be collected over the next three months to determine the effect of the study.

Outline:
Introduction
Significance
Problem Statement
Purpose
Research Question and Research Hypothesis
Definition of Terms
Conceptual Framework
Review of the Literature
Methodology
Ethical Considerations
Measurement Method
Limitations
Communication of Findings
Appendices

From the Paper:

"Catheter-associated urinary tract infection (CAUTI) has been a leading cause of morbidity and mortality in hospitalized patients (Somwang & Chertsak, 2005). The Centers for Disease Control developed the first guideline for prevention of CAUTI in 1981, and CAUTI has been repsonsible for at least forty percent of healthcare-acquired infection since that time (Centers for Disease Control, 1981). More than four decades ago, Dr. Paul Beeson argued against the routine use of indwelling urinary catheters (Saint, 2002). He argued that the decision to use the devices should be made with the knowledge that they could lead to serious consequences or disease for the patient (Saint). In addition ot increased morbidity and mortality, infections associated with the use of urinary catheters lead to increased healthcare costs and patient discomfort (Saint). In 2007, Medicare decided to disallow incremental payments associated with eight secondary conditions that it sees as preventable complications of healthcare (Rosenthal M., 2007). Catheter-associated urinary tract infection, if not present at the time of admission, will no longer be taken into account in calculating payment to hospitals after October 1, 2008 (Rosenthal). After twenty-seven years, the Centers for Disease Control will issue new draft guidelines for the prevention of CAUTI in June 2008 (Brennon, 2008). Appropriate catheter placement and avoiding inappropriate catheter days will be addressed in the new guidelines (Brennon). New guidelines will assist the infection control practitioner in mitigating patient risk for CAUTI through development of process improvements designed to decrease the number of catheter days experienced by the patient."

Sample of Sources Used:

  • Ajzen, I., & Fishbein, M. (1975). Belief, Attitutde, Intention and Behavior: An Introduction to Theory & Research. Reading, Mass: Addison-Wesley.
  • Andrus, M. (2006, November). Centers for Disease Control National Health and Safety Network. Retrieved March 7, 2008, from Protocols and Defintions Device-Associated Module: Catheter-Associated Urinary Tract Infections: http://www.cdc.gov/ncdod/dhqp/pdf/nhsn/NHSN_trainingNov14_CAUTI.pdf
  • Apisarnthanarak, A., & Rutjanawech, S. (2007). Initial Inappropriate Urinary Catheters Use in a Tertiary-Care Center: Incidence, Risk Factors,and Outcomes. American Journal of Infection Control , 35 (9), 594-599.
  • Apisarnthanarak, A., & Thongphubeth, K. (2007). Effectiveness of Multifaceted Hospitalwide Quality Improvement Programs Featuring an Intervention to Remove Unnecessary Urinary Catheters at a Tertiary Care Center in Thailand. Infection Control and Hospital Epidemiology , 28 (7), 791-780.
  • Brennon, P. (2008). CDC on the Fast Track with New UTI Prevention Guidelines. Hospital Infection Control , 35 (3), 25-36.

Cite this Research Proposal:

APA Format

Indwelling Urinary Catheters (2008, July 30) Retrieved May 23, 2022, from https://www.academon.com/research-proposal/indwelling-urinary-catheters-106234/

MLA Format

"Indwelling Urinary Catheters" 30 July 2008. Web. 23 May. 2022. <https://www.academon.com/research-proposal/indwelling-urinary-catheters-106234/>

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