NURS FPX 4905 Assessment 2: The Role of Nurse Informaticists in Healthcare
High-quality treatment of patients by healthcare providers is a precondition of patient safety, minimization of complications, and outcomes. The article leverages the interdisciplinary team work and evidence-based intervention to present systematic solutions to some of the issues that have been a curse to clinical environments with good clinical practice in an attempt to reduce catheter-associated urinary tract infection (CAUTIs) in an acute care unit of a community hospital. This clinical evaluation relies on the problem which was detected in this plan. CAUTIs are on the rise and preventable etiology of nosocomial infections with high impact on the morbidity of patients, length of stay and healthcare expenditure.
NURS FPX 4905 Assessment 2 is aimed at the implementation of a standard CAUTI prevention bundle following the latest research and designed in accordance with the Plan-Do-Study-Act (PDSA) model. It will be the basis of the intervention itself, strategies of its execution, the participation of stakeholders, the assessment process, and ethical perspectives.
Description of the Problem and Goal Setting
The figures presented by the Centers of Disease Control and Prevention (CDC) confirm the fact that CAUTIs constitute approximately 30 per cent of all the acute infections that are contracted in healthcare facilities, and that is why it is one of the most common illnesses connected to healthcare. Rubi (2022) claimed that the prevention of urinary tract infections is a problem that should be taken seriously because it is one of the most avoidable illnesses and is often provoked by the vast number of catheters and negligence of sterile operations. They are largely associated with disloyal catheter care,
The initial target of the whole project, based on NURS FPX 4905 Assessment 2, is to ensure that CAUTI prevention bundle will ensure the reduction of CAUTI by at least 30 percent in 6 months. This bundle will be complemented in staff education by catheter need daily monitoring and practice improvement documentation. In this project, both behavioral and procedural intervention will enhance adherence to good clinical practices and establish a long-term culture of safety and responsibility in catheter care.
Evidence-Based Strategies
The focus of much of the research work on CAUTI prevention modalities is the means by which one can limit the quantity of undesired insertions, promote sterile insertion practices, and the promotion of proper withdrawal practices all of which support accepted clinical practice guidelines. As far as the pathologies of hospital-acquired infections are numerous and expensive, Monegro (2023) clarifies that the term CAUTI is one of the most common and expensive phenomena that should be minimized by concentrating on the implementation of infection control standards to decrease the number of patients with CAUTI. Before the urinary catheter, the bladder scanner has been employed to investigate the urinary retention avoiding catheterization.
Proposed Intervention Plan
The intervention plan, using the evidence, as it is presented in NURS FPX 4905 Assessment 2, will be founded on CAUTI prevention bundle, which is centered on inserting catheters in an aseptic fashion, recording the need of catheter insertion, removal in a timely manner, and educating employees. Patel et al (2023) provided the most recent evidence-based CAUTI prevention practices in acute care hospitals and were all based on the aseptic insertion bundles, catheter avoidance bundles, maintenance bundles, and removal bundles. This plan must involve bladder scanner tests since it will reduce cases of unwarranted catheter insertions. Implementing change in healthcare involve training staff on the best practices on catheter care and remind them of the existing practice in the patient care environments with visual aids on the EHR templates that will be revised to contain both the areas that need catheter indication and reassessment.
This plan will be used on NURS FPX 4905 Assessment 2 using the PDSA model. Planning will include personnel training, development of checklists and development of teaching materials. A two-week trial as a part of Do step will be presented in a unit. The phase will be the Study period, where the data on the rate of infections and compliance of the staff above will be gathered. The second stage will
The communication channel will be realized by creating an open channel, which implies transparency, and the channel of motivating everyone. To bring it into alignment with good clinical practices, the weekly staff meetings and twice guided huddles would be utilized to report updates, grievances and progress. It would also introduce a monthly dashboard in the lounges of the staff and would include CAUTI rates and compliance rates. Wernburg (2022) condensed the most recent problems connected to the question of CAUTI control and their solution including the development of antibiotic resistance and novel catheter pattern. All the group members are welcome to take ownership and assume responsibility in this free flowing, collaborative style of communication.
Evaluation and Measurement of Outcomes
The most important element of assessing the effectiveness of the intervention will be taken as a foundation of the further improvements. The evaluation plan would entail process and outcome measures that will play a crucial role in implementing change in healthcare. The measure of whether the intervention is effective is the measure of the impact of intervention. Both process and result measures are present in the evaluation plan. The decrease in the rates of CAUTIs per 1000 catheter days would present the main outcome measure. This data will be collected by the infection prevention team monthly and compared to continuous baselines after each six-month time.
As patient-reported outcomes are an essential part of a healthcare quality indicator, the assessment step would also entail a patient reporting his or her satisfaction with urine care. All the information will then be communicated to stakeholders to congratulate the good done and correct what has to be done. Schatz Bergren (2022) agreed with the use of team huddles in the healthcare industry as the most desirable medium of communication to realize the staff awareness, coordination, and patient safety results.
Ethical, Legal, and Regulatory Considerations
Because the nature of the project is to prevent possible harm and also improve patient outcomes in accordance with the clinical practice guidelines, it is closely associated with such ethical concepts as beneficence and nonmaleficence. Since the care methods used are standard, the intervention does not present the patients with any novel hazards.
With that said, all the data will be de-identified so as to ensure the privacy of patients and adherence to HIPAA. The nature of the project will be informed to the employees and there will be a chance to be involved in training activities and questionnaires. Lin et al. (2022) state that multidisciplinary teams in hospitals have a positive influence on the quality of their work due to the huddles, enhancing the
Addressing Barriers and Ensuring Sustainability
The process of change of clinical practice will always have its difficulties and other unexpected obstacles. The possible barriers to this program are that the workforce may be opposed to changes implemented, the busy units will have no time, and the extensive documentation may be incomprehensive. The project team will be interested in promoting the early-involvement, peer-to-peer-support and collaboration between the unit leaders to eradicate real world problems in developing the principles of good clinical practice.
It is proposed to include the CAUTI prevention bundle into the institutional policy and to calculate the feasibility of the policy on the long-term level, by evaluating the staff performance. They will be used through unit champions in order to be observed and guided to work according to compliance. Weekly performance reviews will make the team performance-oriented and accountable. Also, refresher courses will be completed once a year as a reminder of the need to practice in order to maintain the required continuing education.
Conclusion
It is stated that the reduction of CAUTI prevalence in acute care facilities is both a clinical imperative and an unprecedented responsibility that, based on NURS FPX 4905 Assessment 2, is ethically acceptable. This quality improvement initiative, the influence of the latest practices among the professionals and stakeholders of the organization and the monitoring of the progress will provide the opportunity to implement an evidence-based set of prevention measures to help to provide safer patient care in the long-term perspective. The systematic application of the PDSA formula visit to an industry can provide constant enhancement and long-term success. A 30-percent reduction in CAUTI rate is a realistic target that is demanded in the nursing practice improvement. Our collaboration will be capable of enhancing compliance to good clinical practice, and achieve a safety, accountability and high care culture in management of urinary catheters.
References
Lin, S. P., Chang, C. W., Wu, C. Y., Chin, C. S., Lin, C. H., Shiu, S. I., Chen, Y. W., Yen, T. H., Chen, H. C., Lai, Y. H., Hou, S. C., Wu, M. J., & Chen, H. H. (2022). The effectiveness of multidisciplinary team huddles in a healthcare hospital-based setting. Journal of Multidisciplinary Healthcare, 15, 2241–2247. https://doi.org/10.2147/JMDH.S384554
Monegro, A. F., Muppidi, V., & Regunath, H. (2023). Hospital-acquired infections. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK441857/
Patel, P. K., Advani, S. D., Kofman, A. D., Lo, E., Maragakis, L. L., Pegues, D. A., Pettis, A. M., Saint, S., Trautner, B., Yokoe, D. S., & Meddings, J. (2023). Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 update. Infection Control and Hospital Epidemiology, 44(8), 1209–1231. https://doi.org/10.1017/ice.2023.137
Rubi, H., Mudey, G., & Kunjalwar, R. (2022). Catheter-associated urinary tract infection (CAUTI). Cureus, 14(10), e30385. https://doi.org/10.7759/cureus.30385
Schatz, M., & Bergren, M. D. (2022). The huddle: A daily dose of communication. NASN School Nurse, 37(2), 76–78. https://doi.org/10.1177/1942602X211056371
Werneburg, G. T. (2022). Catheter-associated urinary tract infections: Current challenges and prospects. Research and Reports in Urology, 14, 109–133. https://doi.org/10.2147/RRU.S273663
