Development of an Evidence-Based Nursing Practice Guideline

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Development of an Evidence-Based Nursing Practice Guideline

Evidence-Based Practice Paper

Topic: Development of an Evidence-Based Nursing Practice Guideline

  1. PROBLEM –
    • Discussion of the problem and why it is significant to nursing practice and healthcare.
    • The PICO question is presented in this section.
  2. EVIDENCE –
    • What databases did you use to find your evidence? What were your search terms for the evidence?
    • Summarize the evidence you found on the topic that answers the PICO question.
    • Include the appendices to your paper per APA guidelines for formatting. Be sure to reference the Appendices in your paper text.
    • What are your specific recommendations for a practice change? Development of an Evidence-Based Nursing Practice Guideline

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  3. TRANSLATION –

    • What is the feasibility, fit and appropriateness of your recommendations, including potential barriers? Costs, resources, personnel?  Barriers to implementation?
    • Develop an action plan which will include support and resources needed for implementation.
    • What method will you evaluate if the change proposed is effective?
    • Specific measurable goals and a timeline for implementation and evaluation.
    • How could you disseminate the findings of your proposed change in nursing practice?
  4. CONCLUSION – brief summary of your paper
  5. APA Formatting as per 7th edition
    • Page numbers and title page
    • Section headings correct per APA
    • Reference page includes articles from Evidence Appendix plus 4 additional ones to support your content in other sections of the paper.
    • Appendices placed and formatted per APA guidelines.
      1. Guidelines for EVIDENCE-BASED PRACTICE PAPER
      2. Topic: Development of an Evidence-Based Nursing Practice Guideline Scholarly paper about your suggested guideline.   Your topic is a nursing focused topic of interest to you that is relevant to your practice setting.   Your paper will include sections on
  6. You will:
  • Research and appraise the relevant evidence related to the question for the guideline. You will need additional articles to support your proposed change in additions to the articles you will utilize in developing the APPENDICES.  See rubric for more information. Note: You develop the individual Evidence Appendix which requires 2 references for each level of evidence (Dang & Dearholt model).
  • Synthesize and discuss the readings and your research findings related to the nursing practice question and the resulting guideline.
  • You must address the topics in the grade rubric including the required tables and barriers to implementation in practice. Evidence of synthesis of knowledge gained is expected in the paper.
  • Follow APA 7th edition guidelines for paper, citations, references, and appendices.

Appendix A : Individual Evidence Summary

EBP QUESTION: In males with urinary inconsistencies, dementia, an overactive bladder, or even those going through alcohol withdrawal, what is the effect of condom catheterization as compared to the use of Foley catheterization on the prevention of CAUTIs a condition referred to as Catheter-Associated Urinary Tract Infections (CAUTIs)? Development of an Evidence-Based Nursing Practice Guideline

 

Article # Author & Date Evidence Type Sample, Sample Size, & Setting Study findings that help answer the EBP question Limitations Evidence Level & Quality
1 Agrawal, M., Gite, V. A., & Sankapal, P. (2020) Case Study  

2 case studies that presented to the emergency department

 Evidence of the importance of proper care and maintenance of condom catheters. No

recommendations

to improve

 Level V

Quality B
2 Jabbour, Y., Abdoulazizi, B., Karmouni, T., El Khader, K., Koutani, A., & Iben Attya Andaloussi, A. (2018). Pilot Study  

1 case that presented to the emergency department

 The importance of catheter management and potential complication of poor maintenance of a condom catheter. Small sample size Level V- High

Quality
3 Li, F., Song, M., Xu, L., Deng, B., Zhu, S., & Li, X. (2019) Meta-analysis  

23,738 patients and 25 hospitals

 The cause of urinary tract infection in relation to prolong use of catheters in bedridden patients. Too broad of sample size Level V

Quality B
4 Majumder, M. M. I., Ahmed, T., Ahmed, S., & Khan, A. R. (2018) Mix method

study

  

No individual studies

 The rational and un rational use of the catheter use and what ultimately leads to infection development. No sample sizes. No individual studies. Level V

Quality B
5 Hariati, H., Suza, D. E., & Tarigan, R. (2019) A Pilot Study  

82 Patients treated in the General Hospital of Medan

 Provides analysis of the risk factors activating CAUTI Small sample size,

lack of completed

data & terminology

 Level IV

Quality A
6 Majumder, I., Ahmed, T., Ahmed, S. (2018) Pilot Study         100 patients with indwelling catheters at Dhiraj General Hospital This study discovered the most known pathogens (E. coli and Klebsiella) to be created by CAUTI’s.

 

 Reliability

dependent on

author’s

interpretation of

primary literature

 Level III

Quality B
7 Gnade, C., Storm, D., & Ten Eyck, P. (2017) Qualitative

Interview Study

  

150 patients undergoing major urologic oncology surgery

 It encourages the use of alternative methods other than catheterization

 

 Initial sample group not clear,

Individual

organization

 Level III

Quality B
8 Gnade, C., Wu, C., Ten Eyck, P., Leder, L., & Storm, D. (2020) Quantitative research study  

Inpatient CAUTI database. No sample study

 Measures the catheter utilization and CAUTI rate using binomial scattering and compares the result No sample study Level III

Quality A
9 Advani, S. D., & Fakih, M. G. (2019) Literature

Review

  

No sample study. Healthcare associated urinary tract infections

 It suggests that the chances of CAUTI to develop into secondary complications is very minimal.

 

 

 No sample group Level V

Quality B
10 Dehghanrad, F., Gholamzadeh, S., Ghorbani, M., Nobakht-e-Ghalati, Z., Rosenthal, V., Zand, F. (2019)

 

 Quasi-experimental study  

330 patients in the hospital setting

 It advices the use of standardize device utilization ratio which provides a good surrogate that inhibits damages associated with catheter. No

recommendation

for improvement

 Level IIIHigh

Quality

A

Be sure to include the sample (population of interest), sample size (# of participants), setting (location of the participants)

References

Advani, S. D., & Fakih, M. G. (2019). The evolution of catheter-associated urinary tract infection (CAUTI): is it time for more inclusive metrics? Infection Control & Hospital Epidemiology, 40(6), 681-685.

Agrawal, M., Gite, V. A., & Sankapal, P. (2020). Penile gangrene: A rare but disastrous complication of the improper application of condom catheters. Journal of Clinical Urology, 2051415820961915.

Dehghanrad, F., Nobakht-e-Ghalati, Z., Zand, F., Gholamzadeh, S., Ghorbani, M., & Rosenthal, V. (2019). Effect of instruction and implementation of a preventive urinary tract infection bundle on the incidence of catheter associated urinary tract infection in intensive care unit patients. Electronic Journal of General Medicine, 16(2), 1–9. https://doi.org/10.29333/ejgm/94099

Jabbour, Y., Abdoulazizi, B., Karmouni, T., El Khader, K., Koutani, A., & Iben Attya Andaloussi, A. (2018). Penile gangrene and necrosis leading to death secondary to strangulation by condom catheter. Case reports in urology, 2018. Development of an Evidence-Based Nursing Practice Guideline

Li, F., Song, M., Xu, L., Deng, B., Zhu, S., & Li, X. (2019). Risk factors for catheter‐associated urinary tract infection among hospitalized patients: A systematic review and meta‐analysis of observational studies. Journal of advanced nursing, 75(3), 517-527.

Majumder, M. M. I., Ahmed, T., Ahmed, S., & Khan, A. R. (2018). Microbiology of catheter associated urinary tract infection (p. 31). IntechOpen.

Hariati, H., Suza, D. E., & Tarigan, R. (2019). Risk Factors Analysis for Catheter-Associated Urinary Tract Infection in Medan, Indonesia. Open access Macedonian journal of medical sciences, 7(19), 3189.

Gnade, C., Storm, D., & Ten Eyck, P. (2017). MP92-02 BPA alert effect on CAUTI hospital-wide at UIHC. The Journal of Urology, 197(4S), e1226-e1226.

Gnade, C., Wu, C., Ten Eyck, P., Leder, L., & Storm, D. (2020). The Influence of an Electronic Medical Record Embedded Best Practice Alert on Rate of Hospital Acquired Catheter Associated Urinary Tract Infections: Do Best Practice Alerts Reduce CAUTIs? Urology, 141, 71-76.

Md. Mahabubul Islam Majumder, Tarek Ahmed, Saleh Ahmed and Ashiqur Rahman Khan (November 5th 2018). Microbiology of Catheter Associated Urinary Tract Infection, Microbiology of Urinary Tract Infections – Microbial Agents and Predisposing Factors, Payam Behzadi, IntechOpen, DOI: 10.5772/intechopen.80080. Available from: https://www.intechopen.com/books/microbiology-of-urinary-tract-infections-microbial-agents-and-predisposing-factors/microbiology-of-catheter-associated-urinary-tract-infection. Development of an Evidence-Based Nursing Practice Guideline