This document discusses preventing catheter-associated urinary tract infections (CAUTIs) through educational strategies. It provides background on CAUTIs, noting they are common in hospitalized patients using urinary catheters. The document then outlines a research proposal, including developing educational strategies through a family nurse practitioner to reduce CAUTI prevalence. It proposes researching the causes and symptoms of CAUTIs, effects and current prevention methods, and an educational strategy to incorporate into patient care plans.

1. Discussion: Preventing Catheter Associated UTIs
Discussion: Preventing Catheter Associated UTIs ON Discussion: Preventing Catheter
Associated UTIsThis is a continuation from the previous papers. Please remember to follow
instructions and APA guidelines. I have attached previous weeks work so that you can
ensure that this paper follows the others.Assignment 2: Research Proposal DraftWrite a 1-
page paper addressing the sections below of the research
proposal.MethodologySample/Setting: Number and criteria for inclusion and description of
place in which data will be collected.Sampling StrategyResearch Design: Type (e.g., Quasi-
Experimental), description, and rationale for selection.Post your assignment to the W6:
Assignment 2 Dropbox.Assignment 2 Grading CriteriaMaximum PointsSample discussion
includes justification for number of subjects and criteria for inclusion/exclusion.5Setting
discussion includes an overview and rationale for setting location5Sampling Strategy is fully
explained and appropriate to the study focus.10Research Design is described in detail and is
appropriate to answer the research question.5Followed APA guidelines for writing style,
spelling and grammar, and citation of sources.5Total:30Discussion: Preventing Catheter
Associated
UTIsattachment_1attachment_2attachment_3attachment_4attachment_5Unformatted
Attachment PreviewRunning head: CATHETER ASSOCIATED 1 Catheter Associated Urinary
Tract Infection Student University Maximum Assignment 2 Grading Criteria Points
Background and Significance Section articulates the problem and need for the proposed
innovation. 5 Statement of the Problem and Purpose of the Study is appropriate and ed
with evidence. 5 Research Question is appropriate and meets all criteria. Research
Hypothesis and Null Hypothesis are appropriate for research question. Variables are
Operationally Defined. Followed APA guidelines for writing style, spelling and grammar,
and citation of sources. Total: Hi , 4/5 5 0/5 5 24/30 CATHETER ASSOCIATED 2 Thanks for
your work on this assignment. You started out strong with a good discussion of your
background and significance, and then you go on to provide a good discussion of the
problem and purpose. I would like for you to look at making sure you write the operational
definitions. This is not written in your paper. Please write your research question in PICOT
format. Please look at this and let me know what questions you have or how I can help you.
Best- Catheter Associated Urinary Tract Infection The study explores catheter associated
urinary tract infections (CAUTIs) which is considered one of the acquired health infectious
diseases caused by the urinary catheter. Most of the urinary infections that are acquired in
hospitals are the result of urinary catheter use by some patients due to the failure of the

2. bladder and other urinary passages to function properly. Continuous use of these tubes is
the significant causal effect of the disease. It affects various organs of the urinary system
including the bladder, urethra, ureters and the kidneys. CATHETER ASSOCIATED 3 The
principal purpose of this research is focused on assisting the family nurse practitioner with
devising educational strategies aiming to prevent and reduce the prevalence of the disease
process; the education strategies will be created through programs and conduction of
researches to enhance the health facilities. Research Questions The study seeks to answer
the following questions: 1. What are the main causes of the infection in most health centers,
and how do they prevail signs and related symptoms? 2. Discussion: Preventing Catheter
Associated UTIsWhat are the main effects of the infection, and how are they prevented in
these facilities? 3. What educational strategies can a family nurse practitioner contribute to
the plans regarding reduction and prevention of catheter associated urinary tract infections
in a 60year old female patient? The hypothesis of the research is that various educative
strategies developed in the course of the study are a major plan that will reduce the nature
of the infection and its development in most of the health facilities. Various programs
involving how to handle the patients should sensitize on how to maintain the hygienic state
of the catheter. Null hypothesis Educative strategies cannot be a primary recommendation
to reduce the development of the infection in hospitals. The variables involved will be the
use of physical features that are evidenced in the research to analyze the possible
preventive measures in hospitals. These variables will be included in the accessible signs of
the patients and how to control it. Literature Review CATHETER ASSOCIATED 4 CAUTI is
mostly experienced in hospitals by patients who have been using the catheter for long
periods of time due to infections arising from the undiagnosed kidney. Some surgical
procedures require the placement of urinary catheters; the catheter tube replaces the
malfunctioning urinary bladder. This tube is responsible for the collection of urines into a
collection bag which sometimes might not meet the expected hygienic conditions leading to
the infection. The 60-year old female patient suffering from CAUTI experiences typical
symptoms of unitary tract infections since they affect urinary systems of the patient. These
symptoms include cloudy urine sometimes symbolized by the presence of hematuria. In
some instances, there is an odor caused by the leakages around the catheter due to poor
insertion or mishandling of the equipment. Patients sometimes experience discomfort
caused by the abdominal and flank pain. Other related signs experienced are vomiting,
chills, fever, fatigue, and sometimes an upset stomach. Elderly patients might experience
altered mental status if the infection is undiagnosed thus untreated. CAUTIs can be
diagnosed through urine testing process where a sample of urine is tested for the presence
of red blood cells, white blood cells, or bacteria. The urinalysis process is able to detect the
presence of blood in the urine suggesting the possibilities of CAUTI. A blood test is also
another important lab that can be done to reveal any other signs. The patient will be
assessed for general symptoms of the infection through therapy, controlled trials, and
devising of the best prevention methods to be applied in infection reduction and prevention
(McGuckin, & Goldfarb, 2012). I will devise an educative strategy to introduce into the
patient’s plan of care to facilitate the prevention and reduction in the development of the
catheter associated urinary tract infection. CATHETER ASSOCIATED 5 The patient will be

3. hospitalized for 48-72 hours for observation of major symptoms and implementation of
preventive measures through appropriate diagnosis and therapeutic solutions (Cazeau,
2013). Other strategies that can be used include catheter placement to avoid unnecessary
urinary retention. The research questions are answerable through the analysis and
experimental deductions of the study. Most will be acquired by presented symptoms of the
patient that was characterized through assessment and diagnosis of the infection. Analysis
of the patients’ symptoms offers observable techniques that can be used in the research
analysis. Evidence exists that most of the patients experiencing CAUTIs are mainly the aged
individuals due to the continual decline in functions of the genitourinary system.
Discussion: Preventing Catheter Associated UTIsCommonly, CAUTIs are evident among the
patients who had undergone surgical procedures involving the genitourinary system. The
family nurse practitioner also conducted patient observable strategies that assist in
presenting various standards for the prevention of the infection (Agarwal et al., 2009).
References Agarwal, R. K., Gould, C. V., Kuntz, G., Pegues, D. A., Umscheid, C. A., & Healthcare
Infection Control Practices Advisory Committee. (2009). Guideline for prevention of
catheter-associated urinary tract infections 2009. Retrieved from
https://www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf Cazeau, M. (2013).
Catheter associated urinary tract infection and length of days in situ. Phoenix, AZ: Grand
Canyon University. CATHETER ASSOCIATED 6 Garber, J. S., Gross, M., & Slonim, A. D. (2010).
Avoiding common nursing errors. Retrieved from
https://books.google.com/books?id=FdH48FdsT_oC&printsec=frontcover&source=gbs_
ViewAPI#v=onepage&q&f=false McGuckin, M., & Goldfarb, T. (2012). The patient survival
guide: 8 simple solutions to prevent hospital- and healthcare-associated infections.
Retrieved from https://www.scribd.com/read/100546102/The-Patient-Survival-Guide
Running head: CATHETER-ASSOCIATED URINARY 1 Maximum Assignment 3 Grading
Criteria Points Articles selected are appropriate to role option and the potential problem
identified. Addresses required elements for each of the 4 nursing research articles that
provide ive evidence for the problem. Articles selected meet guidelines (quantitative
methodology, nursing scholarly literature, 20 40 30 no older than 5 years since publication).
Followed APA guidelines for writing style, format, spelling, and grammar. Total: 9/10
99/100 Hi, Thanks for your work on the annotated bibliography. You provided appropriate
annotations that address each article clearly. I see you provided a good discussion of the
appropriate relevance to your article and how this relates to practice. I made a few
corrections to your APA. Make sure to consistently use title case for the journal name.
Please let me know what questions you have. Best- CATHETER-ASSOCIATED URINARY 2
Catheter-Associated Urinary Tract Infections: Annotated Bibliography Name University
CATHETER-ASSOCIATED URINARY 3 Catheter-Associated Urinary Tract Infections:
Annotated Bibliography Alexaitis, I., & Broome, B. (2014). Implementation of a nurse-driven
protocol to prevent catheter-associated urinary tract infections. Journal of Nursing Care
Quality, 29(3), 245252. doi:10.1097/NCQ.0000000000000041 Alexaitis and Broome
examine the effectiveness of a quality improvement initiative aimed at the reduction of the
catheter associated urinary tract infections (CAUTIs) in an academic medical center. They
report that for the reduction of the infections, intermittent catheterizations should be used

4. alongside bladder ultrasonography. Indwelling catheters, however, should be discontinued
as they were found to be the most significant factors promoting the increased prevalence of
CAUTIs. After the total embracement of the protocol, the study established that the infection
rates had gone down. The duration of catheterization had also decreased significantly, as
well as the costs of treating the conditions. The research was conducted on 183 patients
who were utilizing urinary catheters (indwelling) in neurosurgical intensive care unit
(NSICU). Discussion: Preventing Catheter Associated UTIsIt was so extensive that it
included the 107 registered nurses at the facility. Results revealed a 2.5-day decrease in
catheter duration and a 20% decrease in CAUTI rate. Catheter utilization was increased by
over two percent. The study faced shortcomings like the absence of heterogeneity in the
population observed and small sample size that could have influenced the results. Though
the article concludes that the protocol is effective, more comprehensive statistical
CATHETER-ASSOCIATED URINARY 4 analyses would be needed to ensure that it can be
relied upon on a large-scale and more representative basis for the management of urinary
catheterization. In my role, integrating Alexaitis and Broome’s protocol into the evidence-
based practice proposed by Magers, as well as the adequate documentation of nursing
practices discussed by Dailly, will be pivotal in the establishment of a comprehensive
intervention towards the urinary tract infections. The knowledge acquired will be
instrumental in the practice of my profession both in the field and also in medical research.
Dailly, S. (2012). Auditing urinary catheter care. Nursing Standard, 26(20), 35-40.
doi:10.7748/ns.26.20.35.s48 The article by Dailly reports on an investigation that was
conducted in Hampshire Hospital on whether the hospital maintained the best standards
for the minimization of catheter-associated urinary tract infections (UTIs). It is a
quantitative research based on an audit that had revealed that the hospital did not have
enough documentation to prove the adherence to best practices. After establishing that the
hospital lacked sufficient evidence on the provision of the best care to patients with the
catheters, Dailly proposes an assessment and monitoring tool to be used for the urinary
catheter care. The audit was conducted on 400 patients from 22 wards. It was found that 76
patients had urinary catheters. The audit further found that 32 of the patients with the
catheters did not receive adequate care. They were being attended by medics without
aprons, and CATHETER-ASSOCIATED URINARY 5 there were no records on the daily meatal
hygiene. To combat the flaws on the issue, infection prevention, and control nurses were
offered training on the importance of the catheters, and how care could be improved to
ensure that the patients with them received sufficient care to prevent the infections
associated with the tools. Further, a urinary catheter assessment and monitoring tool was
piloted on several wards to test its effectiveness before full implementation. It was
established that most users found the tool to be useful. The author concludes that the
urinary catheter assessment and management (UCAM) form significantly improved the
situation in the hospital. The paper is substantially objective and representative. Being a
family nurse practitioner, I will be able to utilize the evidence provided by the audit to
ensure that the best practices suggested regarding the UCAM are embraced in all my
endeavors for the mitigation of catheter-associated UTIs. Magers, T. L. (2013). Using
evidence-based practice to reduce catheter-associated urinary tract infections. AJN The

5. American Journal of Nursing, 113(6), 34-42. doi:10.1097/01.NAJ.0000430923.07539.a7
Magers’ article reports on a study that was carried out to establish the usefulness of an
evidence-based seven-step approach in the reduction of CAUTIs. The protocol used was
nurse-driven and involved the reduction of catheterization duration among adult patients.
The primary objective of the AJN project was to implement best practices and enhance the
quality of care. The evidence based practice (EBP) project was aimed at integrating
CATHETER-ASSOCIATED URINARY 6 evidence from care data and other studies with the
values and preferences of the patients, as well as the clinician expertise. Magers’ paper
reports on a project in which the author, together with a multidisciplinary team, applied the
approach in the Mississippi Hospital for Restorative Care through the reduction of the
duration of adult patient catheterization. Discussion: Preventing Catheter Associated
UTIsThe article narrates all the processes from Step Zero to the seventh one, including all
analyses and findings in each stage. Graphical illustrations are presented to paint a clearer
picture of the implications of the seven-step intervention carried out. Statistical analysis is
also part of the report; thus, the quantitative aspect of the research is well covered. After
collecting data and analyzing the findings, they found out that the incidences of catheter-
associated infections had been significantly reduced after the intervention. The study
adheres to statistical consistency, is representative, and overly objective. The players
involved in the study can also be said to have sufficient technical expertise to carry out the
study. As a future family nurse practitioner, I have gained a lot from the article and learned
that an evidence-based practice could be combined with adequate documentation of
nursing practices in the amelioration of health care for the catheterized adult patients.
Purvis, S., Gion, T., Kennedy, G., Rees, S., Safdar, N., VanDenBergh, S., & Weber, J. (2014).
Catheter-associated urinary tract infection: a successful prevention effort employing a
multipronged initiative at an academic medical center. Journal of Nursing Care Quality,
29(2), 141-148. doi:10.1097/NCQ.0000000000000037 CATHETER-ASSOCIATED URINARY
7 This compendious article by Purvis et al. reports on a quantitative study conducted at an
academic medical center to establish the implication of a broad spectrum of interventions
on the rate of catheter-related infections in the urinary tract. Some of the approaches
included staff education, electronic health records (EHR) icons, bladder management
models, data reporting, and indwelling urinary catheter strategies. So far, this is the most
comprehensive approach among those evaluated in this bibliography. Before the
implementation of the protocol by the interdisciplinary workgroup, the CAUTI rate was
around 4.7 for every 1000 catheter days. However, after the implementation, the rate was
almost halved to a commendable 2.4 per 1000. Further, the catheter days reduced
tremendously. A graphical representation shows that there was a downward trend of
catheter days from January 2011 to February 2013. The paper concludes that on top of the
multifaceted approach, the teamwork of the interdisciplinary was instrumental to the
success of the intervention. One notable shortcoming of the study is that so many strategies
were used that it became difficult to identify the most important strategies. Trying to single
out those approaches that performed best is a daunting task that cannot be accurately
completed. All in all, the conglomeration of methods and the interdisciplinary workgroup
managed to mitigate the prevalence of CAUTIs. To effectively perform my tasks as a family

6. nurse practitioner, an extensive understanding of the essential concepts associated with
catheterization is fundamental. CATHETER-ASSOCIATED URINARY This article presents all
these concepts in a well-founded approach by reliable evidence; therefore, can help in the
enhancement of one’s knowledge regarding the infections and how to help reduce their
prevalence. 8 Running head: CATHETER ASSOCIATED 1 Catheter Associated Urinary Tract
Infection Student University Maximum Assignment 2 Grading Criteria Points Background
and Significance Section articulates the problem and need for the proposed innovation. 5
Statement of the Problem and Purpose of the Study is appropriate and ed with evidence. 5
Research Question is appropriate and meets all criteria. Research Hypothesis and Null
Hypothesis are appropriate for research question. Variables are Operationally Defined.
Followed APA guidelines for writing style, spelling and grammar, and citation of sources.
Total: Hi , 4/5 5 0/5 5 24/30 CATHETER ASSOCIATED 2 Thanks for your work on this
assignment. You started out strong with a good discussion of your background and
significance, and then you go on to provide a good discussion of the problem and purpose. I
would like for you to look at making sure you write the operational definitions. This is not
written in your paper. Please write your research question in PICOT format. Please look at
this and let me know what questions you have or how I can help you. Best- Catheter
Associated Urinary Tract Infection The study explores catheter associated urinary tract
infections (CAUTIs) which is considered one of the acquired health infectious diseases
caused by the urinary catheter. Discussion: Preventing Catheter Associated UTIs Most of the
urinary infections that are acquired in hospitals are the result of urinary catheter use by
some patients due to the failure of the bladder and other urinary passages to function
properly. Continuous use of these tubes is the significant causal effect of the disease. It
affects various organs of the urinary system including the bladder, urethra, ureters and the
kidneys. CATHETER ASSOCIATED 3 The principal purpose of this research is focused on
assisting the family nurse practitioner with devising educational strategies aiming to
prevent and reduce the prevalence of the disease process; the education strategies will be
created through programs and conduction of researches to enhance the health facilities.
Research Questions The study seeks to answer the following questions: 1. What are the
main causes of the infection in most health centers, and how do they prevail signs and
related symptoms? 2. What are the main effects of the infection, and how are they
prevented in these facilities? 3. What educational strategies can a family nurse practitioner
contribute to the plans regarding reduction and prevention of catheter associated urinary
tract infections in a 60year old female patient? The hypothesis of the research is that
various educative strategies developed in the course of the study are a major plan that will
reduce the nature of the infection and its development in most of the health facilities.
Various programs involving how to handle the patients should sensitize on how to maintain
the hygienic state of the catheter. Null hypothesis Educative strategies cannot be a primary
recommendation to reduce the development of the infection in hospitals. The variables
involved will be the use of physical features that are evidenced in the research to an
…Purchase answer to see full attachmentDiscussion: Preventing Catheter Associated UTIs