Nurse-Led Initiative Interventions Vs. Standard Clinical Interventions to Reduce Rates

Research Critique: Part 1 Paper
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Introduction
Catheter-associated urinary tract infections (CAUTIs) pose substantial challenges in healthcare contexts, increasing patient morbidity, hospital stays, and healthcare costs. At different state and national levels, interventions and evidence-based guidelines have been implemented to mitigate the prevalence of CAUTIs. While some of these are widely accepted, there is a notable research gap concerning hygiene practices and influencing behaviors in mitigating the health care problem. Investigating these hygiene-related factors and behavioral considerations would help develop evidence-based control and interventions to prevent the spread of CAUTIs (Schiessler et al., 2019). This paper is tailored to establish whether non-clinical aspects of patient hygiene contribute to reducing CAUTIs in hospital contexts. In this vein, by delving into factors such as catheter maintenance, patient education, and perennial care, the paper offers nurses and healthcare practitioners a nuanced comprehension of prospective strategies that complement clinical interventions. The ultimate objective is to improve patient care and outcomes and enhance evidence-based nursing practices that sufficiently mitigate CAUTI incidences.
PICOT Question: Among skilled nursing unit adult patients (P), are nurse-led initiative interventions (I), compared to standard clinical interventions (C), likely to reduce CAUTIs rate and incidence (O) in six months?"
Background of Studies
Mota and Oliveira (2019) examine the problem of CAUTIs and their significance in nursing. Based on their analysis, there is a substantial gap in preventing CAUTIs during maintenance and handling. CAUTIs raise prevalent concerns due to their increased hospitalization period and costs. The article aims to identify gaps in clinical practice regarding CAUTI prevention, aiming to improve nursing prevention and maintenance strategies. The objective is to identify the gaps and areas of improvement. The significance of the study lies in its capacity to inform evidence-based strategies, improve patient outcomes, and reduce CAUTI incidences in healthcare contexts.
On the contrary, Atkins et al. (2020) examine the persistent issue of CAUTIs and their relevance in nursing. The article recognizes the significant effect of CAUTIs on patient outcomes and healthcare costs, thus reiterating its significance in nursing care delivery. The article primarily aims to identify barriers and facilitators to preventing CAUTIs and analyze behaviors and strategies that could reduce CAUTIs. According to the authors, the objective is to expansively review existing literature to identify hindrances and facilitators to promote effective CAUTI prevention and control measures. The research questions include exploring barriers to implementing CAUTI prevention protocols, investigating facilitators, and conducting behavioral analysis to understand underlying concerns leading to compliance and non-compliance with prevention procedures among healthcare professionals.
How the Articles Support the Nursing Practice Problem
The article by Atkins et al. (2020) provides appreciated insights that align with the nursing practice issue of exploring non-clinical aspects of patient hygiene to mitigate CAUTIs. The study emphasizes identifying barriers and facilitators connected to CAUTI prevention and examines a strategic behavioral analysis of interventions. In this context, the authors delve into notions complementing clinical interventions such as education, training, and enablement. For example, the authors examine the complexity of patient care practices such as hygiene-related behaviors, healthcare personnel interactions, and catheter maintenance. The study contributes to knowledge of how non-clinical elements like hygiene practices, patient education, and communication can mitigate CAUTI rates.
By examining various gaps in clinical practice and intervention of CAUTIs, Mota and Oliveira (2019) offers insights that align with the nursing problem of exploration of non-clinical measures of patient hygiene to minimize CAUTIs dominance. The fundamental objective of the study group was to examine the existing gaps in clinical practice concerning CAUTI prevention. Their findings are critical in answering the PICOT question since they investigate patient education, catheter care, and healthcare experts' adherence to guidelines. Hence, by identifying preexisting discrepancies between recommended conventions and actual implementation, the authors provide insights into the potential influence of patient hygiene-relate...