Introduction
Despite the fact that the Foley catheter provides a chance to help patients, in can negatively influence the patient’s health condition (Stickler, 2014 ).
Decision to implement a change
- increased number of complications associated with the Foley catheter;
- desire to improve health outcomes;
- emphasis from Centers for Disease Control and Prevention, the Joint Commission, and the Centers for Medicare and Medicaid Services.
Accreditation standards: quality, safety, and responsibility
- Responsibility: nurses are responsible for all interventions initiated by them.
- Safety: recognized as an accreditation standard by AAAASF (AAAASF, n.d.)
- Quality: recognized as an accreditation standard by AAAASF and ANA (AAAASF, n.d.; ANA, n.d.).
Theory to Drive Change
- Love and Rodrigue (2013) presented evidence that improper usage of Foley catheter can cause infection and further complications.
- Shigemura, Takase, Osawa, Takaba, and Nomi (2015) found out that a range of complications can be eliminated through a number of hygienic activities.
- Schneider (2012) claimed that nurses require decent education on the insertion, removal, and care of Foley catheters.
Project Challenges
Internal:
- Professional boundaries
- Personnel’s resistance and unpreparedness
- Maintaining team commitment and impetus
- Lack of engagement from the administration
External:
- Territorial attitudes
- Absence of a shared language between sectors
Research Trends
- Kendall Regional Medical Center: general medical and surgical. Miami, Fl. 300 beds.
- Kendall Regional Medical Center: general medical and surgical. Miami, Fl. 300 beds.
Complications Prevention:
- Patients: Required insertion, therapy with antibiotics, required insertion;
- Staff: Gloves, hand wash, information on how to use the catheter, personal shelves, automatic flushing toilet system.
SMART Goals
- Goal 1 – “Catheter-associated urinary tract infection prevention in the oncology population” (Love & Rodrigue, 2013).
- Goal 2 – Provision of appropriate training in catheter usage and complication prevention for nurses in Kendall Regional Medical Center.
References
AAAASF. (n.d.). Patient safety first. Web.
ANA. (n.d.). Nursing quality. Web.
Love, N., & Rodrigue, D. (2013). Catheter-associated urinary tract infection prevention in the oncology population: an evidence-based approach. Clinical Journal of Oncology Nursing, 17(6), 593-596.
Schneider, M. (2012). Prevention of catheter-associated urinary tract infections in patients with hip fractures through education of nurses to specific catheter protocols. Orthopaedic Nursing, 31(1), 12-28.
Shigemura, K., Takase, R., Osawa, K., Takaba, K., & Nomi, M. (2015). Emergence and prevention measures for multidrug resistant Pseudomonas aeruginosa in catheter-associated urinary tract infection in spinal cord injury patients. Spinal Cord, 53(1), 70-74.
Stickler, D. (2014). Clinical complications of urinary catheters caused by crystalline biofilms: Something needs to be done. Journal of Internal Medicine, 276(2), 120-129.
Stickler, D., & Feneley, R. (2010). The encrustation and blockage of long-term indwelling bladder catheters: a way forward in prevention and control. Spinal Cord, 48(11), 784-790.