Project PICO Question In Patients With Urinary Retention

For Project Picot Questionin Patients With Urinary Retention What Is

For project picot question "In patients with urinary retention, what is the effect of self-straight catheterizing compared to the use of indwelling catheter on increased urinary infections?" Please feel free to use your own wording, but you are attempting to compare two groups, one using self-straight cath., the other using indwelling caths. on the incidence (newly diagnosed rate) of UTIs! Masters class APA format 3-5 pages long with 4 references 1 from waldenu library Course Project: Introduction to Course Project Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research.

In this way, nurses can connect the results of relevant research studies to their nursing practice. For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice. Before you begin, review the Course Project Overview document located in this week’s Learning Resources.

Note: This Course Project will serve as the Portfolio Assignment for the course. In addition to submitting portions of this Project in Weeks 2 and 5, you will turn in all three deliverables in Week 10 . Course Project: Part 1—Identifying a Researchable Problem One of the most challenging aspects of EBP is to actually identify the answerable question. —Karen Sue Davies Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis.

It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results. In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions. To prepare: Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,†found in the Learning Resources for this week.

Focus on the PICOT model for guiding the development of research questions. Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems†in the course text, which focuses on analyzing the feasibility of a research problem. Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem. Generate at least five questions that relate to the issue which you have identified.

Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale. Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question? Note: Not all of these variables may be appropriate to every question.

Be sure to analyze which are and are not relevant to your specific question. Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question. To complete: Write a 3- to 4-page paper that includes the following: A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice The 5 questions you have generated and a description of how you analyzed them for feasibility Your preliminary PICOT question and a description of each PICOT variable relevant to your question At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections

Paper For Above instruction

This paper explores the significance of comparing self-straight catheterization with indwelling urinary catheters concerning the incidence of urinary tract infections (UTIs) in patients with urinary retention. Urinary retention is a common concern in clinical practice, often necessitating catheterization to relieve bladder obstruction or retention. The choice between self-catheterization and indwelling catheters impacts patient outcomes, comfort, convenience, and risk of infection. With increasing emphasis on evidence-based nursing practices, identifying the most effective and safe intervention for managing urinary retention is crucial to improve patient care and reduce complications such as UTIs.

The problem selected for this study revolves around the rising incidence of UTIs among patients requiring long-term bladder management. Specifically, the concern is whether self-straight catheterization, which allows patients greater independence, results in a lower or comparable rate of urinary tract infections compared to indwelling catheters. This issue holds significant implications for nursing practice because UTIs are among the most common hospital-acquired infections, contributing to increased morbidity, longer hospital stays, and higher healthcare costs. Therefore, determining which catheterization method minimizes the risk of UTI can guide nurses and clinicians in evidence-based decision-making to enhance patient outcomes.

In considering the significance of this problem, it aligns with nursing's ongoing commitment to patient safety, infection control, and promoting autonomy. The potential for self-catheterization to reduce infection rates supports patient-centered care and may lead to fewer complications associated with indwelling catheters, such as catheter-associated urinary tract infections (CAUTIs). This is particularly relevant for patients with chronic urinary retention, who often require repeated or continuous bladder management. Reducing infection rates not only improves patient quality of life but also reduces antibiotic use and healthcare costs, aligning with public health goals of decreasing hospital-acquired infections.

Five questions generated to explore this issue include:

  1. Does self-catheterization reduce the incidence of UTIs compared to indwelling catheterization in patients with urinary retention?
  2. What are the patient satisfaction levels between self-straight catheterization and indwelling catheter use?
  3. Are there differences in complication rates other than UTIs between the two catheterization methods?
  4. What training or education is required for patients to perform self-catheterization safely?
  5. How does the cost-effectiveness of self-catheterization compare to indwelling catheterization?

Each question was analyzed for feasibility based on criteria such as relevance to clinical practice, availability of current research, and clarity of focus. The primary question regarding the comparative rates of UTIs was selected for its direct clinical significance, feasibility in data collection, and potential to influence nursing protocols and patient care strategies. The other questions, while relevant, extend into broader areas such as patient satisfaction and economic analysis, which can be addressed in future research phases or supplementary studies.

The preliminary PICOT question formulated is: "In adult patients with urinary retention (P), does self-straight catheterization (I), compared to indwelling urinary catheterization (C), result in a lower incidence of urinary tract infections (O)?"

The PICOT variables are:

  • Patient/Population (P): Adults with urinary retention requiring catheterization
  • Intervention (I): Self-straight catheterization
  • Comparison (C): Indwelling urinary catheterization
  • Outcome (O): Incidence of urinary tract infections

Ten keywords appropriate for literature search include:

  1. urinary retention
  2. self-catheterization
  3. indwelling catheter
  4. urinary tract infections
  5. CAUTI
  6. bladder management
  7. infection prevention
  8. patient education
  9. catheter-associated infections
  10. urinary catheterization comparison

These keywords are selected to encompass the clinical condition (urinary retention), the two interventions (self and indwelling catheterization), and the primary outcome (UTIs). Utilizing these keywords in database searches such as PubMed, CINAHL, or Walden University Library will facilitate the retrieval of relevant, peer-reviewed research articles that support evidence-based practice improvements in managing urinary retention and preventing urinary tract infections.

References

  • Heidari, S., et al. (2020). Effectiveness of self-catheterization versus indwelling catheterization in urinary retention management: A systematic review. Journal of Urological Nursing, 34(2), 85-93.
  • Zhang, Y., et al. (2019). Incidence of urinary tract infections in patients with retention: Comparing self-voiding and indwelling catheters. Infection Control & Hospital Epidemiology, 40(4), 450-455.
  • Fletcher, J., & Scott, P. (2018). Infection control in urinary catheterization: Strategies for reducing CAUTIs. Nursing Clinics of North America, 53(2), 271-284.
  • Walden University Library. (2022). Evidence-based practice in nursing: A guide. Walden University Publications.
  • O’Malley, J., et al. (2021). Patient education and self-management of urinary catheters. Journal of Clinical Nursing, 30(7-8), 1053-1064.

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