Nursing research Utilization section C
Jamie C. Lynch,
May 5, 2014
Pamela Springer, PhD, RN
Nursing Research Utilization Project: Section C
Section C Research Support Several articles have been reviewed as a research base for this project. Identification of appropriate research is critical to the successful implementation of nurse-led evidence-based practice protocols. Each article was carefully selected for what it could contribute to the quality of the project. Using the evidence in this research will help with the development of an implementation plan.
Article #1 Adams, D., Bucior, H., & Day, G. (2012, January). HOUDINI: make that urinary catheter …show more content…
This study suggests that switching to an antimicrobial cleaning solution for the area prior to insertion of a urinary catheter will reduce the incidence of CAUTI. The research recommended using Octenilin solution for cleansing the meatus prior to catheterization. The case studies are ongoing and no results were mentioned in the study except for to say the change was cost neutral and the practice change is promising. This study failed to show a statistically significant decrease in CAUTI post implementation.
Meddings, J. A., Reichert, H., Rogers, M. M., Saint, S., Stephansky, J., & McMahon Jr., L. F. (2012). Effect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract Infection. Annals Of Internal Medicine, 157(5), 305-312. This study reviewed the Centers for Medicare Services (CMS) recent (2008) initiative to hold or eliminate reimbursement for costs associated with hospital acquired CAUTI. This study alluded to the misuse of coding in failing to identify CAUTI when it actually did exist, therefore claiming the financial impact on health care organizations is low for non-payment of hospital acquired CAUTI. Even when the researchers included all urinary tract infections catheter associated and otherwise, the loss of reimbursement to healthcare organizations would have been less than 1% due to improper coding.
In conclusion, the prevalence and incidence of CAUTI is affected by many factors.