NR 439 Assignment Problem/PICOT/Evidence Search (PPE) Worksheet

NR 439 Assignment Problem/PICOT/Evidence Search (PPE) Worksheet

NR 439 Assignment Problem/PICOT/Evidence Search (PPE) Worksheet

Problems/Picot/Evidence Search PPE

Problem/PICOT/Evidence Search (PPE) Worksheet Name: Date: 
CriteriaOne of the problems experienced by patients due to catheter use is Catheter-Associated Urinary Tract Infections (CAUTI). This clinical issue is one of the most important due to its devastating effects, even though it can be controlled. Urinary tract infections are one of the most common bacterial infections in the world. Besides, among all the hospital-acquired infections, UTIs constitute up to 40% of them. These infections have substantial effects on mortality and morbidity. Even though catheters can help during treatments, they cause up to 80% of all hospital-acquired UTIs (Tenke et al., 2017). Besides, 30% of the initial urinary catheterization cannot be justified. The rationale for choosing this condition is that CAUTIs can effectively be prevented by following appropriate strategies.  
Clinical Nursing Practice Problem   Select and identify ONLY one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why youbelieve the nursing practice problem/issue is the most important.  Summarize your rationale (why) for choosing the problem.  
Clinical Nursing PICOT Question   Using the NR439 Guide for Writing PICOT Questions and Examples located in the assignment guidelines, write out your PICOT question. Include the PICOT letters in your question.  In patients admitted at the surgical wards (P), does the use of improved hand hygiene compliance (I) as compared to the use of maintaining unobstructed urine flow (C) reduce the rates of Catheter associated infection (T) within 12 months?
Define PICOT Elements   Define each of the      PICOT elements from your question above.  P– (patient population/patients of interest):    The population of interest are patient admitted to surgical wards and are liable for catheterization                                I– (Intervention): The intervention targeted is hand hygiene compliance.   C– (Comparison): Comparison will be made with maintaining unobstructed urine flow, which is another strategy for controlling CAUTI   O– (Measurable outcome): The expected measurable outcome is the rate of incidences of Catheter-Associated Urinary Tract Infections developed. T– (Time frame in months): The time frame considered is 12 months.
Evidence Retrieval Process and Summary   Using only the Chamberlain College of Nursing library:  (1) Locate evidence that is relevant to your chosen nursing practice problem.  Explain how you believe the evidence is relevant to your chosen nursing practice problem.  (2) Explain why you chose the evidence (3) Provides a complete APA reference to the evidence (must include authors, year, title of the evidence, title of the resource) (4) Evidence must be published within the last 10 years (5) Provides the permalinkFrom the evidence search using the Chamberlain College of Nursing Library, one of the pieces of evidence that were relevant to the problem is practicing of standard hand hygiene when placing in the catheters and when removing them. In one of the pieces of evidence retrieved, researchers used an automated hand hygiene compliance system and evaluated its efficacy in reducing the rates of Catheter-associated urinary infections. McCalla et al. analyzed data for preintervention and post-intervention and realized that there was a significant decrease in the rate of development of CAUTI upon implementation of the hand hygiene compliance system (McCalla et al.,2018). This evidence was chosen since it is relatively easier to implement and it is very effective.      
Implications of the Evidence Summarize what you learned from the evidence. Summarize why you believe the nursing evidence-based practice committee should focus their next research project on the nursing practice problem. In analyzing the evidence, I learned that, even though the evidence is effective, its implementation and continued use require a high level of corporation and discipline. The reason the nursing evidence-based practice committee should focus the next research project on this particular problem is that statistics show that the problem is on the rise despite the fact that numerous interventions have been suggested. I believe that the team should focus on this problem and explore the suggested solution. The success of this intervention in our care setting would mean that the intervention can be extended for other hospital-acquired infections.
Evidence Search Terms Identify 4 (or more) relevant searchable terms you used for your search for evidence.  Catheter, urinary tract,  infections, hand hygiene
Evidence Search Strategies   Select 4 (or more) relevant search strategies you used to narrow/limit your search for evidence.     __Y__   Full text __Y__   Boolean Operators/Phrase __Y__   Selected publication dates       within last 10 years ____   Subject, title, or author search box ____   Truncation (used an asterisk * at            the beginning or end of a word) ___Y_   Academic or scholarly (Peer            Reviewed) journals ____   Quotation marks for key words __Y__   Selected key terms from            PICOT question ____   Others: (list below) _______________________________   _______________________________        

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NR 439 Assignment Problem PICOT Evidence Search (PPE) Worksheet
NR 439 Assignment Problem PICOT Evidence Search (PPE) Worksheet


McCalla, S., Reilly, M., Thomas, R., McSpedon-Rai, D., McMahon, L. A., & Palumbo, M. (2018). An automated hand hygiene compliance system is associated with decreased rates of health care-associated infections. American journal of infection control46(12), 1381-1386. Doi: 10.1016/j.ajic.2018.05.017

Tenke, P., Mezei, T., Bőde, I., & Köves, B. (2017). Catheter-associated urinary tract infections. European urology supplements16(4), 138-143. Doi: 10.1016/j.eursup.2016.10.001