Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. I have included my change project as an attached file. Please use this information to help guide you making the presentation. Please do not just copy and paste my information into a presentation, this information is to help you understand my change project.
Running head: BENCHMARK- CAPSTONE PROJECT CHANGE PROPOSAL 1 BENCHMARK- CAPSTONE PROJECT CHANGE PROPOSAL 11 Benchmark - Capstone Project Change Proposal Bobbie Brown Grand Canyon University Capstone December 18, 2020 Benchmark - Capstone Project Change Proposal Background Urinary Tract Infection (UTI) occurs in the urinary system in either urethritis- infection in the urethra, pyelonephritis- infection in the kidneys, or cystitis- infection bladder. These conditions are healthcare-associated infections and are a considerable healthcare problem that majorly results from the indwelling catheters (Sampathkumar et al., 2016). The tube-like kit that is fixed into the urethra acts as a urine passage and drains the bladder. The apparatus is mainly used when one cannot control it, such as post-surgery or dysfunction in the bladder. Fungi and bacteria gain entry into the urinary system by the catheter making those using the indwelling catheter prone to get UTIs (Shambare, 2020). Contamination of the catheter can occur before, during, or after insertion. The urine flowing back to the bladder, not emptying the catheter bag, and cleaning the tube predisposes one to acquire CAUTIs. Administering antibiotics such as ciprofloxacin is often used to tear CAUTIs but not as effective, creating a better alternative. Clinical Problem Statement The current community-based practice of using catheters for patients with UTIs has detrimental effects not observed in the traditional norms of not applying catheters for patients with UTIs. Studies show that Catheter-Associated Urinary Tract Infections (CAUTIs) are involved instead of non-Catheter Associated Urinary Tract Infection (non- CAUTIs). The rate of infection is high, and this impacts the patient's health negatively. Purpose of the Change Proposal Strategies to prevent UTIs when providing patient care should be developed, leading to this change proposal. It is essential to control and avoid infection rates in the hospital to prevent more health complications and burden the hospital. The change proposal sets to change the clinical practice and cultural norms of applying catheter use for UTI patients. The change proposal abides by the existing practice guidelines set for infection prevention and control that is CAUTIs. The plan is essential as the CAUTIs will reduce when the program is implemented and maintained. A community-based approach is founded on the principles that enhance quality healthcare delivery from healthcare professionals' beliefs, values, and perceptions. Furthermore, the change proposal will address the myths and misconceptions associated with CAUTIs and the factors that propel their spread by creating awareness. For instance, the indwelling of the catheters increases the rate of CAUTIs that results in the dysfunction of the urinary system and other body organs and structures. The change proposal is tasked to evaluate the community-based approach to effect change and encourage its embrace. PICOT Question In Catheter-Associated Urinary Tract Infection- CAUTI (P), how effective is the use of the Catheter-Associated Urinary Tract Infection (CAUTI) Bundle (I) compared to the Intermittent application of the catheter (C) in the prevention and management of Catheter-Associated Urinary Tract Infection- CAUTI (O) for during the patients' hospital stay(T)? Problem: Catheter-Associated Urinary Tract Infection (CAUTI) Intervention: Catheter-Associated Urinary Tract Infection (CAUTI) Bundle Comparison: Intermittent application of the catheter Outcome: Prevention and management of Catheter-Associated Urinary Tract Infection (CAUTI) Time: No time frame Literature Search Strategy The literature search strategy employed critical terms on google scholar such as CAUTI, CAUTI bundle, and intermittent catheterization. Date peer-reviewed articles were identified and used for the review. Evaluation of the Literature Student Name: Change Topic: Catheter Associated Urinary Tract Infection (CAUTI) Bundle Literature Evaluation Table Criteria Article 1 Article 2 Article 3 Article 4 Article 5 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Shambare, MSN Capstone Projects, http://hdl.handle.net/10950/2636 Monina et al., Nursing Praxis in New Zealand, Braun, Walden University Davies et al., American journal of infection control Sampathkumar et al., The Joint Commission Journal on Quality and Patient Safety, https://doi.org/10.1016/S1553-7250(16)42033-7 Article Title and Year Published Reducing Catheter-Associated Urinary Tract Infection (CAUTI) Rates Benchmark Study, 2020 Catheter-associated urinary tract infection (CAUTI) prevention and nurses' checklist documentation of their indwelling catheter management practices, 2019 Implementing a CAUTI Bundle in the Adult Hospitalized Trauma Population, 2020 Effectiveness of a bundled approach to reduce urinary catheters and infection rates in trauma patients, 2018 Mayo Clinic reduces catheter-associated urinary tract infections through a bundled 6-C approach, 2016 Research Questions (Qualitative)/Hypothesis (Quantitative) Improper or unjustified use of the urinary catheter Inappropriate catheter management customs by nurses The CAUTI bundle reduce infection rate and days with indwelling catheter The CAUTI bundle is effective in addressing myths and reducing the rate of CAUTIs The CAUTI bundle is effective in reducing the rate of CAUTIs Purposes/Aim of the Study Determine nurse compliance to the CAUTI bundle Determine the impact of the CAUTI education component of the CAUTI bundle Determine if the CAUTI bundle reduces catheter application length Determine the attitudes of the CAUTI bundle Determine the efficacy of the "6 Cs" of the CAUTI bundle Design (Type of Quantitative, or Type of Qualitative) Qualitative Qualitative study Quantitative study Quantitative Quantitative Setting/Sample Hospital staff and nurses Two surgical wards Hospital trauma unit 6,236 patients ICU Unit Methods: Intervention/Instruments Patient healthcare records Mixed methods such as instruments Instruments Retrospective review "6 Cs" of CAUTI reduction Analysis Infection rate and education level analyzed Indwelling catheter management checklist CAUTI audit tool Days and attitudes of the CAUTI bundle use analysis Infection rates Key Findings Less compliance rate to the CAUTI bundle Proper use of the CAUTI bundle, Reduction in bacteriuria and CAUTI rates Infection incidence reduction and less catheter application CAUTI rate reduced The facility managed to reduce the CAUTIs rates Recommendations Inform nurses on the use of the CAUTI bundle Education of nurses and patients on the CAUTI bundle CAUTI bundle use Incorporate cultural practices in the CAUTI bundle Employ the "6 Cs" of CAUTI reduction Explanation of How the Article Supports EBP/Capstone Project The article established the rate of CAUTI use and its efficacy The report shows the importance of proper implementation of the CAUTI bundle component The article depicts the efficacy of the CAUTI bundle The article sheds light on the importance of cultural practice in the intervention The article depicts the efficacy of the CAUTI bundle Applicable Change When implementing the CAUTI bundle, the applicable change comprises a change in the practice policies, medical practitioners' engagement and education on the CAUTI bundle, monitoring the patient, and addressing their concerns and risks. Proposed Implementation Plan with Outcome Measures The healthcare team and the patients will be trained to identify, assess, and treat CAUTIs using the CAUTI bundle. The nurses will be trained on how to use the bundle and follow the due protocols effectively. The CAUTI bundle components will be implemented one at a time, and each being assessed independently. The features will be monitored and evaluated on the success of its implementation. Finally, an evaluation will later be done to show the CAUTI bundle's efficacy in the prevention and management of CAUTIs. The anticipated outcome is to prevent and manage Catheter-Associated Urinary Tract Infections (CAUTIs). Discussion The CAUTI bundle is an evidence-based practice with many scholarly articles recommending its application after its success in preventing and managing CAITIs. The intervention plan is being adopted by many in the healthcare team, and patients are more open-minded to the practice (Sampathkumar et al., 2016). Proper implementation of the CAUTI bundle has been shown to improve the number of days with an indwelling catheter and reduce the risk of developing Catheter-Associated Urinary Tract Infection- CAUTI (Braun, 2020). Nurse and patient education are also paramount in ensuring the CAUTI bundle is correctly implemented to result in positive outcome measures. Studies show that many healthcare professionals are not skilled in proper insertion and proper hygiene to reduce the risk of contaminating the catheter (Monina et al., 2019). Besides, there is a negative attitude that catheter use ultimately leads to an infection that discourages its use both in nurses and patients (Shambare, 2020). Therefore, programs should be initiated to create awareness and resolve the myths and misconceptions of catheter use (Davies et al., 2018). Plan for Evaluating the Proposed Nursing Intervention The decrease in the rate of CAUTIs has to be experienced and observed by the health care professionals. The CAUTI bundle will be administered to the patients, and after the outcome measures are evident, the health care professionals will embrace it more. Time should be allocated for the nurses to research the better option between the intermittent catheterization and the CAUTI bundle. Using the CAUTI bundle will increase when healthcare professionals see the results of their efforts. Potential barriers There are potential barriers to implementing this change proposal, the CAUTI bundle that should be addressed. These barriers include lack of proper engagement between the nurse and the physician, consent by the patient or caregiver to using the CAUTI bundle, and improper use of the urinary catheter (Krein et al., 2013). The nurses and doctors should engage each other before applying the CAUTIs and discussing and following the proper indications in this process. The patients and the caregivers should be given a chance to raise their concerns on the CAUTI bundle, and their issues addressed appropriately, and the risks and benefits clearly explained. The health care team should also be trained in the insertion and customs of the bundle. Urinary management such as a scheduled toilet visit will again come in handy as a safety precaution. References Braun, S. M. (2020). Implementing a CAUTI Bundle in the Adult Hospitalized Trauma Population. (Doctoral dissertation, Walden University). Davies, P. E., Daley, M. J., Hecht, J., Hobbs, A., Burger, C., Watkins, L., ... & Coopwood, T. B. (2018). Effectiveness of a bundled approach to reduce urinary catheters and infection rates in trauma patients. American journal of infection control, 46(7), 758-763. Krein, S. L., Kowalski, C. P., Harrod, M., Forman, J., & Saint, S. (2013). Barriers to reducing urinary catheter use: a qualitative assessment of a statewide initiative. JAMA internal medicine, 173(10), 881-886. Monina Hernandez, R. N., Anna King, R. N., Lisa Stewart, R. N. (2019). Catheter-associated urinary tract infection (CAUTI) prevention and nurses' checklist documentation of their indwelling catheter management practices. Nursing Praxis in New Zealand, 35(1), 29-42. Sampathkumar, P., Barth, J. W., Johnson, M., Marosek, N., Johnson, M., Worden, W., ... & Keigley, D. (2016). Mayo Clinic reduces catheter-associated urinary