PICOT Statement Paper Review: The Topic Materials And Work

PICOT Statement Paper Review the Topic Materials and the Work Completed

Review the topic materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project. A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project. In a paper of words, clearly identify the clinical problem and how it can result in a positive patient outcome. Make sure to address the following on the PICOT statement: Evidence-Based Solution Nursing Intervention Patient Care Health Care Agency Nursing Practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Paper For Above instruction

The clinical problem I have identified for my capstone project revolves around the high incidence of catheter-associated urinary tract infections (CAUTIs) in hospitalized patients within a medical-surgical unit of a healthcare facility. CAUTIs are among the most common healthcare-associated infections, leading to increased morbidity, extended hospital stays, and elevated healthcare costs (Kang et al., 2018). Evidence indicates that preventing CAUTIs through appropriate nursing interventions can significantly improve patient outcomes and reduce healthcare-associated infection rates (Saint et al., 2019).

The clinical issue stemmed from observations and review of hospital infection control data showing a persistence of CAUTI rates despite existing protocols. The problem is exacerbated by prolonged catheterization and inconsistent adherence to evidence-based insertion and maintenance practices by nursing staff. The setting primarily involves adult patients admitted for medical or surgical reasons requiring urinary catheterization, with an emphasis on improving catheter management protocols. The patient population is adults across various age groups, with highest risk observed among elderly patients with comorbidities such as diabetes or immunosuppression.

To address this issue, an evidence-based solution involves implementing a nurse-led intervention focused on adherence to best practices for urinary catheter management. This intervention includes staff education, daily assessment of catheter necessity, and the use of aseptic insertion techniques aligned with guidelines provided by the Centers for Disease Control and Prevention (CDC, 2017). The goal is to encourage nurses to evaluate the continued need for a urinary catheter daily, remove unnecessary catheters promptly, and adhere strictly to infection control protocols to prevent CAUTIs.

The health care agency involved is the hospital's multidisciplinary infection prevention team, which supports initiatives aimed at reducing healthcare-associated infections. From a nursing practice perspective, this intervention emphasizes the critical role nurses play in infection prevention through evidence-based practices and patient advocacy. The primary care outcome targeted is the reduction of CAUTI rates among hospitalized patients, which would lead to decreased patient morbidity, shorter hospitalization periods, and overall improved patient safety. The timeframe for implementing this intervention is anticipated to span three months, allowing sufficient time for staff education, protocol integration, and initial evaluation of impact via infection surveillance data.

The PICOT formulation for this project is: "In adult hospitalized patients requiring urinary catheterization (P), does an evidence-based nurse-led intervention including staff education, daily assessment, and aseptic insertion techniques (I), compared to standard care without targeted intervention (C), reduce CAUTI incidence (O) within three months (T)?"

This PICOT statement focuses on resolving a specific clinical problem—excess CAUTI rates—by applying an evidence-based, nursing-led intervention that aims to improve patient outcomes. Implementing this change aligns with best practices in nursing and hospital policies geared towards infection control. By systematically addressing this issue, it is expected that patient safety will improve, healthcare costs related to infection treatment will decrease, and the overall quality of nursing care will be enhanced.

References

• Centers for Disease Control and Prevention (CDC). (2017). Urinary Tract Infection (UTI) Prevention in Healthcare Settings. Retrieved from https://www.cdc.gov/infectioncontrol/guidelines/urinary-tract-infection/index.html
• Kang, C., Wong, T. P., Wu, C. M., & Lee, C. H. (2018). Strategies for preventing catheter-associated urinary tract infections. Journal of Healthcare Engineering, 2018, 1-7.
• Saint, S., Fowler, K. E., & Meddings, J. (2019). Systematic review of interventions to reduce urinary catheter use in hospitalized patients. Journal of Infection Control, 47(3), 255-262.
• Hooton, T. M., Bradley, S. F., Cardenas, D. D., et al. (2010). Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: CDC guideline. Clinical Infectious Diseases, 50(5), 625-663.
• Lo, E., Nicolle, L. E., Classen, D., et al. (2014). Strategies to prevent catheter-associated urinary tract infections in acute care. Infection Control & Hospital Epidemiology, 35(S2), S32-S70.
• Chenoweth, C. E., & Saint, S. (2013). Preventing catheter-associated urinary tract infections in hospitalized patients. Infectious Disease Clinics, 27(4), 665-679.
• Gould, C. V., Umscheid, C. A., Ackerman, E., et al. (2010). Guideline for prevention of catheter-associated urinary tract infection. Infect Control Hosp Epidemiol, 31(4), 319-326.
• Popovich, K. J., Weinstein, R. A., & Hota, B. (2014). Are hospitals prepared for bioterrorism? The current state of infection control preparedness in the United States. Journal of Infectious Diseases, 210(12), 1753-1760.
• Fowler, K. E., & Saint, S. (2014). The role of nurses in preventing catheter-associated urinary tract infections. Nursing Outlook, 62(5), 393-395.
• Olson, S. K., & Wissink, A. (2018). Best practices for urinary catheter care in hospitalized adults. Journal of Clinical Nursing, 27(21-22), 4123-4131.