Literature Evaluation Table
Student Name:
Summary of Clinical Issue (200-250 words):
A catheter associated urinary tract infection (CAUTI) is one of the most commonly hospital acquired infections according to emerging research. Even with the best precautionary measures, the chances of developing this infection are about 9% for catheterized patients. About 9% to24% of these patients develops CAUTI. A good number of hospitalized patients have a urinary catheter increasing the risk of developing CAUTI. In addition, healthcare institutions are penalized for having more than expected CAUTIs making them experience significant financial impacts. CAUTI risk is associated to the dwell time of the catheter. The rate of development of the bacterium causing CAUTIs for catheterized patients is about 4%-7% in a day.
However, this risk approaches 100% if the patients remain with the indwelling urinary catheter for more than thirty days. The recognition that about 75% of CAUTIs can be preventable has resulted in the development of multiple strategies to reduce development of CAUTIs in the healthcare setting. These interventions include simple approaches such as removing urinary catheters that are no longer needed and avoiding placing unneeded urinary catheters. Health care professionals are responsible for taking care of the patients having urinary catheters in the healthcare setting and are therefore important in preventing the development of CAUTIs.
PICOT Question: In the Management of CAUTI patients (P), how effective is staff education and regular monitoring of CAUTI cases (I) compared to maintenance of a closed urinary drainage system (C) in preventing the development of CAUTIs (O) for the period of hospital stay (T)?
Criteria |
Article 1 |
Article 2 |
Article 3 |
APA-Formatted Article Citation with Permalink |
Meddings, J., Manojlovich, M., Ameling, J. M., Olmsted, R. N., Rolle, A. J., Greene, M. T., ... & Saint, S. (2019). Quantitative Results of a National Intervention to Prevent Hospital-Acquired Catheter-Associated Urinary Tract Infection: A Pre–Post Observational Study. Annals of Internal Medicine, 171(7_Supplement), S38-S44. Retrieved from https://annals.org/aim/fullarticle/2752410 |
Parker, V., Giles, M., Graham, L., Suthers, B., Watts, W., O’Brien, T., & Searles, A. (2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study. BMC health services research, 17(1), 314. Retrieved from https://link.springer.com/article/10.1186/s12913-017-2268-2 |
Huis, A., Schouten, J., Lescure, D., Krein, S., Ratz, D., Saint, S., ... & Greene, M. T. (2020). Infection prevention practices in the Netherlands: results from a National Survey. Antimicrobial Resistance & Infection Control, 9(1), 1-7. Retrieved from https://aricjournal.biomedcentral.com/articles/10.1186/s13756-019-0667-3 |
How Does the Article Relate to the PICOT Question? |
This article analyzes the effect of a multimodal initiative on CAUTI in hospitals with high burden of health care–associated infection (HAI) |
This article analyzes ways in which IDC usage rates can be reduced by reducing inappropriate urinary catheterization and duration of catheterization. |
This study aimed to examine the extent to which acute care hospitals have adopted recommended practices to prevent catheter-associated urinary tract infection (CAUTI). |
Quantitative, Qualitative (How do you know?) |
This is a quantitative study because data is collected using structured research instruments and is presented in form of numbers. |
This is a quantitative study as it uses randomized controlled trial as the research design. |
This is a quantitative study because data is presented in form of numbers and researchers compare various variables to determine the outcome. |
Purpose Statement |
To investigate the effect of a multimodal initiative on CAUTI in hospitals with high burden of health care–associated infection (HAI) |
To reduce IDC usage rates by reducing inappropriate urinary catheterization and duration of catheterization. |
To examine the extent to which acute care hospitals in the Netherlands have adopted recommended practices to prevent catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), ventilator-associated pneumonia (VAP), and Clostridioides difficile infection (CDI). |
Research Question |
What are the effects of a multimodal initiative on CAUTI in hospitals with high burden of health care–associated infection (HAI)? |
How can IDC usage rates be reduced by reducing inappropriate urinary catheterization and duration of catheterization? |
What is the extent to which acute care hospitals in the Netherlands have adopted recommended practices to prevent catheter-associated urinary tract infection (CAUTI)? |
Outcome |
The combination of web based program and psychotherapy was more effective than psychotherapy alone after three months. |
A sample size calculation has indicated that 500 patients per Health District would be sufficient to detect a 40% fall (15 to 9%) in relative IDC insertion rates with a power of 0.8 and alpha 0.05 |
Surveillance systems for monitoring CAUTI, CLABSI, VAP, and CDI were present in 17.8, 95.4, 26.2, and 77.3% of hospitals, respectively |
Setting (Where did the study take place?) |
Acute care, long-term acute care, and critical access hospitals, |
Hospitals in NSW, Australia |
Acute care hospitals in the Netherlands |
Sample |
387hospitals |
4- four acute care hospitals |
47 hospitals |
Method |
Prospective, national, nonrandomized, clustered, externally facilitated, pre–post observational quality improvement initiative |
multiple pre-post control intervention design using a phased mixed method approach |
Written interview |
Key Findings of the Study |
This multimodal intervention yielded no substantial improvements in CAUTI or urinary catheter utilization. |
Hospital-wide and multi-hospital interventions help to reduce urinary catheter use and the development of CAUTI. |
Most Dutch hospitals report regular use of recommended practices for preventing CLABSI and CDI. |
Recommendations of the Researcher |
Future studies should focus on how to improve the prevention of CAUTI. |
More studies need to be conducted on the topic to provide ways in which integrated approaches can be used to prevent CAUTI. |
Future studies should focus on the importance of using integrated approaches to the prevention of CAUTI |
Criteria |
Article 4 |
Article 5 |
Article 6 |
APA-Formatted Article Citation with Permalink |
Carter, E. J., Pallin, D. J., Mandel, L., Sinnette, C., & Schuur, J. D. (2016). Emergency department catheter-associated urinary tract infection prevention: multisite qualitative study of perceived risks and implemented strategies. infection control & hospital epidemiology, 37(2), 156-162. Retrieved from https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/emergency-department-catheterassociated-urinary-tract-infection-prevention-multisite-qualitative-study-of-perceived-risks-and-implemented-strategies/8A6263415F32FB876EEED70C7E269654
|
Carter, E. J., Pallin, D. J., Mandel, L., Sinnette, C., & Schuur, J. D. (2016). A qualitative study of factors facilitating clinical nurse engagement in emergency department catheter-associated urinary tract infection prevention. JONA: The Journal of Nursing Administration, 46(10), 495-500. Retrieved from https://journals.lww.com/jonajournal/Abstract/2016/10000/A_Qualitative_Study_of_Factors_Facilitating.4.aspx |
Fletcher, K. E., Tyszka, J. T., Harrod, M., Fowler, K. E., Saint, S., & Krein, S. L. (2016). Qualitative validation of the CAUTI Guide to Patient Safety assessment tool. American journal of infection control, 44(10), 1102-1109. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S0196655316302930 |
How Does the Article Relate to the PICOT Question? |
This study explores various strategies for reducing the risk of CAUTIs in the healthcare setting. |
This article explores the actions of nurse leaders that facilitated clinical nurses' active involvement in emergency department (ED) catheter-associated urinary tract infection (CAUTI) prevention programs. |
This article explores the need for CAUTI guide to patient safety (GPS) to prevent CAUTI |
Quantitative, Qualitative (How do you know?) |
This is a qualitative study because semi structured interviews were used to collect data. |
This is a qualitative study because semi structured interviews were used to collect data. |
This is a qualitative study because semi structured interviews were used to collect data. |
Purpose Statement |
To describe the motivations, perceived risks for CAUTI acquisition, and strategies used to address CAUTI risk among EDs that had existing CAUTI prevention programs. |
To explore the actions of nurse leaders that facilitated clinical nurses' active involvement in emergency department (ED) catheter-associated urinary tract infection (CAUTI) prevention programs. |
To qualitatively validate The CAUTI guide to patient safety (GPS) |
Research Question |
Does early-adopting emergency departments (ED) redesigned workflows minimizes catheter use and ensure proper insertion technique? |
What are the actions of nurse leaders that facilitated clinical nurses' active involvement in emergency department (ED) catheter-associated urinary tract infection (CAUTI) prevention programs? |
What is the effectiveness of CAUTI guide to patient safety (GPS) in preventing CAUTI? |
Outcome |
ED CAUTI prevention was perceived to differ from CAUTI prevention in the inpatient setting. |
Clinical nurses are best positioned to examine urinary catheter insertion workflow and to suggest improvements in avoiding use and improving placement and maintenance. |
Nurse managers found the GPS helpful and complete. There was higher agreement between nurse managers and unit nurses than with physicians. |
Setting (Where did the study take place?) |
Six diverse hospitals |
6 emergency departments |
4 medical intensive care units and 4 medical-surgical units |
Sample |
52 participants |
52 participants |
49 participants |
Method |
Semi structured interviews |
Semi structured interviews |
Semi structured interviews |
Key Findings of the Study |
Early-adopting EDs redesigned workflow to minimize catheter use and ensure proper insertion technique |
The prevention of CAUTI is an important opportunity for nurse leaders to engage clinical nurses in meaningful improvement efforts |
GPS is comprehensive and may be best used to stimulate discussions between stakeholders to address key issues. |
Recommendations of the Researcher |
Assessment of ED workflow is necessary to identify and modify local practices that may increase CAUTI risk. |
The researchers suggest nurse leaders should focus on how urinary catheters expose patients to potential harm to engage clinical nurses in CAUTI prevention, |
The current healthcare structures need to be changed to accommodate GPS. |
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Rubic_Print_Format
Course Code | Class Code | Assignment Title | Total Points | |||||
NRS-433V | NRS-433V-O501 | Rough Draft Quantitative Research Critique and Ethical Considerations | 200.0 | |||||
Criteria | Percentage | 1: Unsatisfactory (0.00%) | 2: Less Than Satisfactory (75.00%) | 3: Satisfactory (83.00%) | 4: Good (94.00%) | : Excellent (100.00%) | Comments | Points Earned |
Content | 75.0% | |||||||
Quantitative Studies | 5.0% | Only one article is presented. Neither of the articles presented use quantitative research. | Two articles are presented. Of the articles presented, only one article is based on quantitative research. | N/A | N/A | Two articles are presented. Both articles are based on quantitative research. | ||
Background of Study | 10.0% | Background of study, including problem, significance to nursing, purpose, objective, and research questions, is incomplete. | Background of study, including problem, significance to nursing, purpose, objective, and research questions, is included but lacks relevant details and explanation. | Background of study, including problem, significance to nursing, purpose, objective, and research questions, is partially complete and includes some relevant details and explanation. | Background of study, including problem, significance to nursing, purpose, objective, and research questions, is complete and includes relevant details and explanation. | Background of study, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and extensive explanation. | ||
Article Support of Nursing Practice | 15.0% | Discussion on how articles support the PICOT question is incomplete. | A summary of how articles support the PICOT question is presented. It is unclear how the articles can be used to answer the proposed PICOT question. Significant information and detail is required. | A general discussion on how articles support the PICOT question is presented. The articles demonstrate general support in answering the proposed PICOT question. It is unclear how the interventions and comparison groups in the articles compare to those identified in the PICOT question. Some rational or information is needed. | A discussion on how articles support the PICOT question is presented. The articles demonstrate support in answering the proposed PICOT question. The interventions and comparison groups in the articles compare to those identified in the PICOT question. Minor detail or rational is needed for clarity or support. | A clear discussion on how articles support the PICOT question is presented. The articles demonstrate strong support in answering the proposed PICOT question. The interventions and comparison groups in the articles strongly compare to those identified in the PICOT question. | ||
Method of Study | 15.0% | Discussion on the method of study for each article is omitted. The comparison of study methods is omitted or incomplete. | A partial summary of the method of study for each article is presented. The comparison of study methods is incomplete. A benefit and a limitation of each method are omitted or incomplete. There are significant inaccuracies. | A general discussion on the method of study for each article is presented. The comparison of study methods is summarized. A benefit and a limitation of each method are summarized. There some inaccuracies or partial omissions. More information is needed. | A discussion on the method of study for each article is presented. The comparison of study methods is generally described. A benefit and a limitation of each method are presented. There minor are inaccuracies. Some detail is required for accuracy or clarity. | A thorough discussion on the method of study for each article is presented. The comparison of study methods is described in detail. A benefit and a limitation of each method are presented. The discussion demonstrates a solid understanding of research methods. | ||
Results of Study | 15.0% | Discussion of study results, including findings and implications for nursing practice, is incomplete. | A summary of the study results includes findings and implications for nursing practice but lacks relevant details and explanation. There are some omissions or inaccuracies. | Discussion of study results, including findings and implications for nursing practice, is generally presented. Overall, the discussion includes some relevant details and explanation. | Discussion of study results, including findings and implications for nursing practice, is complete and includes relevant details and explanation. | Discussion of study results, including findings and implications for nursing practice, is thorough with substantial relevant details and extensive explanation. | ||
Anticipated Outcomes and Outcomes Comparison | 15.0% | Anticipated outcomes for the PICOT are omitted or are unrealistic. Comparison of research article outcomes to anticipated outcomes is incomplete. | Anticipated outcomes for the PICOT are partially summarized. Comparison of research article outcomes to anticipated outcomes contains omissions of key information. It is unclear how the anticipated outcomes of the PICOT and those of the current research mentioned compare. | Anticipated outcomes for the PICOT are summarized. Comparison of research article outcomes to anticipated outcomes is generally presented. More information is needed to fully establish how the anticipated outcomes of the PICOT and those of the current research mentioned compare. | Anticipated outcomes for the PICOT are discussed. A comparison of research article outcomes to anticipated outcomes of the PICOT is presented. An explanation of how the anticipated outcomes of the PICOT and those of the current research mentioned compare is presented. Some detail is needed for clarity. | Anticipated outcomes for the PICOT are thoroughly discussed. A detailed comparison of research article outcomes to the anticipated outcomes of the PICOT is presented. An explanation of how the anticipated outcomes of the PICOT and those of the current research mentioned compare is presented in detail. | ||
Organization and Effectiveness | 15.0% | |||||||
Thesis Development and Purpose | 5.0% | Paper lacks any discernible overall purpose or organizing claim. | Thesis is insufficiently developed or vague. Purpose is not clear. | Thesis is apparent and appropriate to purpose. | Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. | Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. | ||
Argument Logic and Construction | 5.0% | Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. | Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. | Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. | Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. | Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. | ||
Mechanics of Writing (includes spelling, punctuation, grammar, language use) | 5.0% | Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. | Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. | Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. | Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. | Writer is clearly in command of standard, written, academic English. | ||
Format | 10.0% | |||||||
Paper Format (use of appropriate style for the major and assignment) | 5.0% | Template is not used appropriately or documentation format is rarely followed correctly. | Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. | Template is used, and formatting is correct, although some minor errors may be present. | Template is fully used; There are virtually no errors in formatting style. | All format elements are correct. | ||
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) | 5.0% | Sources are not documented. | Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. | Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. | Sources are documented, as appropriate to assignment and style, and format is mostly correct. | Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. | ||
Total Weightage | 100% |
Research Critique Guidelines – Part II
Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.
Quantitative Studies
Background
1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.
How do these two articles support the nurse practice issue you chose?
1. Discuss how these two articles will be used to answer your PICOT question.
2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.
Method of Study:
1. State the methods of the two articles you are comparing and describe how they are different.
2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.
Results of Study
1. Summarize the key findings of each study in one or two comprehensive paragraphs.
2. What are the implications of the two studies you chose in nursing practice?
Outcomes Comparison
1. What are the anticipated outcomes for your PICOT question?
2. How do the outcomes of your chosen articles compare to your anticipated outcomes?
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