NSG 6691 Research and Evidence for Advanced Practice Nursing
Evidence Table of Literature Review
PICOT: In adult patients who have undergone colorectal surgery, how does the implementation of a nurse educational program compared to lack of education for nurses affect rates of CAUTIs?
| Reference | Setting / Sample Size | Purpose of the study/Outcome Measures | Research Design / Level of Evidence/ Intervention / Theoretical Framework (if used) | Limitations/ Threats to validity/ Results |
| Krocová, J., Prokešová, R. & Horová, J. (2019). The prevention of healthcare associated urinary tract infections from the point of view of nursing care. Journal of Nursing and Social Sciences Related to Health and Illness, 21(2), 135–143. doi: 10.32725/kont.2019.008. | Setting: Medline, Science Direct, NursingOvid, CINAHL, Ebsco, ProQuest.
Sample: n=11 (11 studies met the required criteria)
|
Purpose: To summarize findings of studies that have examined effective measures for preventing catheter associated urinary tract infections (CAUTIs)
Outcome measures: Rates of CAUTIs |
Design: Systematic review of literature
Level of Evidence: I
Intervention: Education of medical workers regarding a number of issues related to CAUTIs such as patient care protocols, standards of care, and relevant indications for CAUTIs.
Theoretical Framework: None.
|
Limitations:
Evidence contained in the reviewed articles is based on conclusions of authors which might have reliability concerns and inconclusive.
Threats to validity: Relying only on those articles that are published in English.
Results: Educating medical workers regarding the recommended preventative guidelines for CAUTIs were associated with a reduction in CAUTI rates. |
| Reference | Setting / Sample Size | Purpose of the study/Outcome Measures | Research Design / Level of Evidence/ Intervention / Theoretical Framework (if used) | Limitations/ Threats to validity/ Results |
| Menegueti, M. G., Ciol, M. A., Bellissimo-Rodrigues, F., Auxiliadora-Martins, M., Gaspar, G. G., Canini, S., Basile-Filho, A., & Laus, A. M. (2019). Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the implementation of an educational program and a daily checklist for maintenance of indwelling urinary catheters: A quasi-experimental study. Medicine, 98(8), e14417. https://doi.org/10.1097/MD.0000000000014417. | Setting: A general intensive care unit of a tertiary hospital in South East Brazil.
Sample: n=24 healthcare workers (HCWs)
|
Purpose: To evaluate the effects of implementing a daily urinary catheter indication and a HCWs educational program on CAUTI incidences.
Outcome measures: CAUTI incidences |
Design: A quasi-experimental study
Level of Evidence: II
Intervention: Educational program for HCWs
Theoretical Framework: None
|
Limitations: Exclusive use of aggregated data for catheter-days and patient-days by months.
Threats to validity: Using HCWs located in a single intensive care unit.
Results: The implementation of a HCWs educational program resulted in a reduction in CAUTI incidences. |
| Reference | Setting / Sample Size | Purpose of the study/Outcome Measures | Research Design / Level of Evidence/ Intervention / Theoretical Framework (if used) | Limitations/ Threats to validity/ Results |
| Seyhan, A. E & Özbaş, A. (2018). The effect of education of nurses on preventing catheter-associated urinary tract infections in patients who undergo hip fracture surgery. Journal of Clinical Nursing, 27(5-6):e1078-e1088. doi: 10.1111/jocn.14160. | Setting: An orthopedics and traumatology clinic of a training hospital.
Sample: n=18 nurses
|
Purpose: To investigate the impacts of educating nurses on prevention measures for CAUTIs among patients who undergo a hip fracture surgery.
Outcome measures: Pre- and post-education knowledge score, catheter duration, and rates of CAUTIs. |
Design: Semi-experimental design.
Level of Evidence: I
Intervention: Nurse education about management of urinary catheters and on the prevention of CAUTIs.
Theoretical Framework: None
|
Limitations: The study was concentrated in an orthopedics and traumatology clinic.
Threats to validity: The researchers used a small sample size which reduces the power for the study.
Results: Nurse education increased the mean post-education knowledge score to 95.13 ± 6.27 from 68.05 ± 10.69 in pre-education. There was a decrease on the mean catheter duration from 1.06 ± 6.34 days-3.83 ± 0.95 days following nurse education. CAUTI rates reduced by 9.37 per thousand. |
References
Krocová, J., Prokešová, R. & Horová, J. (2019). The prevention of healthcare associated urinary tract infections from the point of view of nursing care. Journal of Nursing and Social Sciences Related to Health and Illness, 21(2), 135–143. doi: 10.32725/kont.2019.008.
Menegueti, M. G., Ciol, M. A., Bellissimo-Rodrigues, F., Auxiliadora-Martins, M., Gaspar, G. G., Canini, S., Basile-Filho, A., & Laus, A. M. (2019). Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the implementation of an educational program and a daily checklist for maintenance of indwelling urinary catheters: A quasi-experimental study. Medicine, 98(8), e14417. https://doi.org/10.1097/MD.0000000000014417.
Seyhan, A. E & Özbaş, A. (2018). The effect of education of nurses on preventing catheter-associated urinary tract infections in patients who undergo hip fracture surgery. Journal of Clinical Nursing, 27(5-6):e1078-e1088. doi: 10.1111/jocn.14160.