CLC: EBP Research Table
Citation
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Abstract/Purpose
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Research/Study
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Methods
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Setting/Subject
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Findings/Results
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Variables
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Implication for Practice
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Reference 1
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The study was done to determine the effectiveness of a bundle of four interventions for reducing CAUTI. The method was found to be effective irrespective of the high cost of implementation. | A retrospective study design was used. | A community hospital was selected and silver alloy catheters used. Securing and repositioning of the catheter was done. The last intervention was removal of the catheter. | A total of 2228 patients were examined over a period of 9 months. The study was done at West Georgia Medical Center | The method used reduced the incidence of CAUTIs in the hospital. | The four bundle interventions using silver alloy catheters form the independent variable.
The hospital policies on CAUTI prevention. |
Reduction rate of CAUTIs in the population used for the study. | The research proves that the four bundle interventions can help in reducing CAUTIs in healthcare settings. |
| Reference 2 | The study aimed at describing the presence of and adherence to CAUTI prevention policies in ICUs of hospitals in US. The hospitals studied were found to use various measures of preventing CAUTIs. | A cross-sectional survey was used. | Pilot testing of the research was done before the actual study. The study involved data collection from respective hospital departments. | A total of 441 hospitals in the National Healthcare Safety Network were surveyed. | A small proportion of ICUs surveyed had policies to prevent CAUTIs. Only 57% of the hospitals visited provided relevant information. A conclusion that little attention is currently placed on CAUTI prevention in the United States was reached. | Facility characteristics, IPC department characteristics and presence of CAUTI prevention policies. | CAUTI incident rates and adherence to the policies. | The research implies that failure to control effectively CAUTIs in the US is not only due to the bad practices but also lack of policy reinforcements by the management teams. |
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Reference 3
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The research was conducted to assess the impact of CAUTI quality improvement prevention bundle on CAUTI rates. The results indicated that adoption of the prevention bundle reduced monthly cases of CAUTIs in the hospitals. | Observational and retrospective studies were used simultaneously. | Two observational studies were performed. The first study focused on CAUTI rates before introduction of the bundle policy. A retrospective study in the hospital followed for a period of 3 years. | For the observational study, a team was used to analyze records from CHOP department of infection prevention and control. A total of 57 patients were examined for the retrospective study. | Implementation of CAUTI prevention bundle reduced monthly CAUTI rates by 50%. Most patients with CAUTIs were female. | Chart review by the clinician to identify indication of catheterization, administration of medications and do not resuscitate orders. | Date of CAUTI, catheterization, removal dates and the rate of CAUTIs in the hospitals. | The project reveals that implementation of the CAUTI prevention bundle can aid in reduction of the infections. |
References
Clarke, K., Tong, D., Pan, Y., Easley, K. A., Norrick, B., Ko, C., Wang, A., … Stein, J. (January 01, 2013). Reduction in catheter-associated urinary tract infections by bundling interventions. International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care, 25, 1, 43-9.
Conway, L. J., Pogorzelska, M., Larson, E., & Stone, P. W. (2012). Adoption of policies to prevent catheter-associated urinary tract infections in United States intensive care units. American Journal of Infection Control, 40(8), 705–710. https://doi.org/10.1016/J.AJIC.2011.09.020
Davis, K. F., Colebaugh, A. M., Eithun, B. L., Klieger, S. B., Meredith, D. J., Plachter, N., … Coffin, S. E. (2014). Reducing Catheter-Associated Urinary Tract Infections: A Quality-Improvement Initiative. PEDIATRICS, 134(3), e857–e864. https://doi.org/10.1542/PEDS.2013-3470
Fink, R., Gilmartin, H., Richard, A., Capezuti, E., Boltz, M., & Wald, H. (2012). Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in Nurses Improving Care for Healthsystem Elders hospitals. American Journal of Infection
Ghazal, S., Viorica, S. C., Joseph, M., Mukahal, M., Hakawi, A., & Edmond, M. B. (2015). Reducing the Rate of Catheter-Associated Urinary Tract Infection in the Non-ICU Setting. Advances in Infectious Diseases, 05(02), 81–86. https://doi.org/10.4236/AID.2015.52009
