Determining the Credibility of Evidence and Resources NURS FPX 4030 Determining the Credibility of Evidence and Resources

 NURS FPX 4030 Determining the Credibility of Evidence and Resources



Nursing practice is based on evidence, guidelines, and protocols. Research and articles provide evidence and recommendations that can help in increasing quality care through evidence-based practices (Gray et al., 2016). However, different researches based on different methodologies and interventions provide results to transform them into practices. For example, catheter-associated urinary tract infection (CAUTI) researches used interventions such as indwelling catheters, daily check-up, aseptic interventions, and other interventions (Atkins et al., 2020). The purpose of the paper is to evaluate the credibility of evidence and resources related to safety or quality issues of CAUTI prevention and use evidence-based practice models to implement the EBP change.

Description of a quality or safety issue, or a chosen diagnosis
Urinary tract infections (UTIs) are one of the most common and a high priority safety and quality health care acquired infections where the urinary system including kidney, ureters, bladder, and urethra. According to NHSN or National Health Care Safety Network, 75% of UTIs are CAUTI (Wanat et al., 2020), which is caused by infection secretion due to the insertion of a catheter tube in the bladder to drain the urine.

Around 15 to 25% patients receive catheters during their hospital stay (CDC, 2021). It is a safety issue as it leads to mortality and morbidity. It is reported in study that every year 13,000 die due to CAUTI and the condition increased hospital stay days by 2 to 4 days (Taha et al., 2017). Further, it increased cost by $1200 to $2400, which is a quality care issue (Taha et al., 2017).

The issue is also quality-based as failing to monitor and examine the indwelling catheter will increase CAUTI by 5% (Taha et al., 2017). Even though the infection can be prevented and treated, the risk of contracting infection increases with use of inappropriate catheters, technique in inserting catheters, hygiene, and other issues (Parker et al., 2017). Nurses and health care professionals need to take care of different challenges to prevent and manage the CAUTI by using evidence-based practice and monitor its outcome by using the EBP change model that fits the issue and the organization (Giles et al., 2020).