Moses Williams NURS 450 Professor Peggy Melloh Accession Catheter-associated urinary amplitude infection (CAUTI) is a adequately accepted aggravation in ailing patients. Nosocomial infection blockage and accommodating assurance advance has been issued and abounding researches accept been conducted to advance patient’s affection of life. In this article, Saint et al. (2005) accept that application a paper-based urinary catheter admonition can abate the accident of urinary catheterization, and appropriately this will enhance the patients’ safety. Critique Part 1 Analysis Questions or Hypotheses
The accomplishments and acceptation of this abstraction are appropriately presented in the introduction. The analysis catechism is presented at the end of the accession of this article. Saint et al. (2005) advance the analysis catechism based on the accurate backgrounds they called and reviewed: “Is a urinary catheter admonition able in abbreviation the accident of congenital urethral catheterization in the ailing patients? ” (p. 456). The Absolute capricious is “a urinary catheter reminder” and the abased capricious is “the accident of congenital urethral catheterization. The analysis catechism appropriately states the accord amid “a urinary catheter reminder” and “the accident of congenital urethral catheterization,” appropriately the analysis catechism is specific to one relationship. The analysis catechism is generated from PICO advice which agency population, intervention, comparison, and aftereffect (LoBiondo-Wood & Haber, 2010, p. 63). In this study, citizenry is the ailing patients in the University of Michigan Medical Center and a absolute of 5,678 patients participate in the study. Action is ‘using’ a catheter admonition and allegory is ‘not using’ a catheter reminder.
Outcome is the capability of a use of the reminder. Although antecedent is not anon accounting in the article, Saint et al. (2005) betoken that a paper-based admonition of congenital urinary catheter ability advice abate abnormal catheterization. The analysis catechism is not placed in a abstract framework; however, the conceptual framework is amid in the abstract analysis of the article. Two conceptual frameworks are activated to advance the analysis question: one is accommodating assurance advance and the alternative one is infection prevention.
The amount of catheter-associated urinary amplitude infection (CAUTI) is almost aerial amid the nosocomial infections. Although congenital urinary catheters are accepted and capital for some ailing patients, ancient these are unnecessarily applied. In this paper, a simple accounting admonition ability cut bottomward the use of congenital urinary catheters and appropriately this can abate the amount of CAUTI and advance accommodating safety. The purpose of this abstraction is not anon stated, but it can be accepted from the analysis question.
The purpose of this abstraction is to analysis the capability of a congenital catheter admonition in abbreviating the use of congenital urinary catheter. The akin of affirmation of the analysis does not explain the acceptation of the abstraction completely, but this is one of the abilities that can abetment the readers to appraise the strengths and weaknesses of a analysis (LoBiondo-Wood & Haber, 2010). This analysis is Akin III because of its quasi-experimental architecture which tests cause-and-effect relationships. Saint et al. (2005) investigate the accord amid the use of a urinary catheter admonition and the accident of congenital urethral catheterization.
In adjustment to administer affirmation in practice, the nurses should appraise the abeyant for account first. Saint et al. (2005) accompany up the botheration that congenital urinary catheter-associated infection “accounts for up to 40% of nosocomial infections. ” Another botheration they acquisition is that abounding physicians are generally blind of urinary catheterization in their patients. Unfortunately, these disregarded catheters are unnecessarily activated in some patients, and again the amount of CAUTI can be increased. Based on these findings, Saint et al. 2005) accept that a accounting admonition can advice the physicians bethink that their patients accept congenital urinary catheter, so this acquaintance of urinary catheterization can abate the accident of congenital urinary catheter. Analysis of the Abstract This commodity does not accommodate the chase action including a cardinal of databases and alternative assets which assay key appear and abstruse research. In this article, both the primary sources and the abstract literatures are calm and acquainted in adjustment to accomplish the analysis catechism and to conduct knowledge-based research.
In the area of the abstract review, nineteen able accessories are acquainted in adjustment to accommodate the acceptation and accomplishments of the study. Saint develops the analysis catechism based on these analyses. “Catheter-associated urinary amplitude infections in surgical patients: A controlled abstraction on the balance anguish and costs” is one of the primary sources accounting by Givens and Wenzel who conduct and assay this study. In addition, “Clinical and bread-and-butter after-effects of nosocomial catheter-related bacteriuria” is a analysis of a abstract commodity which is the accessory source.
Although abounding studies accompaniment that accommodating assurance is a top antecedence and CAUTI can be controlled by the attention of bloom affliction providers, the infection amount is almost aerial amid alternative nosocomial infections. One of the affidavit Saint and colleagues baldheaded is blindness and apathy by bloom affliction providers. In appraising the literatures, Saint finds “over one-third of accessory physicians were blind that their own ailing patients had congenital urinary catheter” (2005, p. 456). This commodity was appear in 2005.
Among thirty two resources, eighteen accessories were appear afore 2000 and twelve accessories were appear aural accomplished bristles years. In this paper, the oldest commodity Saint et al. (2005) advised is “Factors predisposing to bacteriuria during congenital urethral catheterization” which was appear in 1974. This implies that congenital urinary catheter-associated infection has been issued for added than forty years, and abounding advisers still assignment on this topic. The abstract analysis is coherently organized so that the readers can accept accurately why this abstraction is planned. Saint et al. 2005) accompaniment accustomed and capital use of congenital urinary catheter in ailing patients, and again they catechism its safety. They point out some problems acquired by congenital urinary catheter, including congenital urinary catheter-associated infection, the accommodating discomfort, and added bloom affliction cost.
In some patients, the congenital urinary catheters are not necessarily activated due to a abridgement of acquaintance of physicians. Therefore, Saint et al. (2005) appear up with the abstraction that a simple and accounting admonition assists physicians to be acquainted of the congenital catheterization in their atients, so the affairs of catheterization will be bargain and the amount of the congenital urinary catheter-associated infection will be decreased simultaneously. Saint et al. abridge the abstract analysis by stating, “an avant-garde system-wide authoritative action advised to admonish physicians that their accommodating has an congenital catheter in abode ability advice abate inappropriate catheterization” (2005, p. 456). In addition, this analytic arbitrary makes them advance the analysis catechism appropriately. Centralized and Alien Validity
This abstraction almost has a abeyant blackmail to alien validity. On the contrary, the alien authority of the allegation ability be added because Saint et al. (2005) administer the action in a absolute hospital setting, again the allegation can be ambiguous and activated to alternative hospital setting. In adjustment to abate the threats to centralized validity, the absolute capricious is alone manipulated in the action group. In alternative words, the action accumulation alone gets a urinary catheter admonition to analysis capability of it.
The baseline of differences in age, sex, breadth of hospital stay, and catheterization is adjusted. The action allegiance is maintained throughout the study. Everyday, one assistant gathers advice on “catheter status, acumen for catheterization, and recatheterization” (Saint et al. , 2005, p. 457). Also, the time and adjustment of accession abstracts is consistently maintained. The accessory action such as “email, use of tap flag, and paging” is acclimated in adjustment to abbreviate physician’s benightedness with a admonition and to access physician’s response. Analysis Design
The abstraction uses a pretest-posttest architecture with a nonequivalent ascendancy group, which is one of the quasi-experimental designs. Four hospital wards are called and disconnected in two groups. Two wards are assigned to the action accumulation to which the reminders are offered, and the alternative two wards are assigned to the ascendancy group. Abstracts is calm for sixteen months, and sixteen months is disconnected into two eight-month periods which is pre- and post-intervention (Saint et al. 2005, p. 456). A nonequivalent ascendancy accumulation architecture is able for this abstraction because the esearcher can beam the capability or disability of a admonition by comparing the outcomes amid action accumulation and ascendancy group. Also, during pre-intervention periods, baseline abstracts can be calm in both action and ascendancy accumulation which will abatement bias. However, the researcher can artlessly accept that the action of both groups is agnate at the alpha of the analysis (LoBiondo-Wood & Haber, 2010). Therefore, the quasi-experimental architecture is able to conduct this abstraction in adjustment to acknowledgment the analysis question.
References American Psychological Association. (2002). Publication Manual of the American Psychological Association. Washington, DC: American Psychological Association. LoBiondo-Wood, G. , & Haber, J. (2010). Nursing Research: Methods and Critical Appraisal for Evidence-Based Convenance (7th ed. ). St. Louis, MO: Mosby Elsevier. Saint, S. , Kaufman, S. , Thompson, M. , Rogers, M. , & Chenoweth, C. (2005). A Admonition Reduces Urinary Catheterization in Ailing Patients. Journal on Affection and Accommodating Safety. 31(8), 455-462.
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