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You work in a small, long-term care

You work in a small, long-term care facility and are often the only registered nurse working on the unit. Many of your patients have indwelling Foley catheters. Recently, several patients have developed bladder infections, after having a unit nosocomial urinary tract infection (UTI) rate of less than 1% for the past year. In fact, the facility has always prided itself on carefully following established evidence-based policies and procedures, both in catheter insertion and in routine catheter care. When you talk to the chief nursing officer about the problem, she asks you to investigate the problem and report back to her. You decide to sit down and make a list of the structure and process indicators you could examine to find the cause of the problem. 1. Identify process and structure variables you could use to determine the cause(s) of the spike in nosocomially acquired UTIs in the facility. 2. What data would you collect if you were to develop a quality evaluation plan for one of the variables? 3. What steps would you implement to carry out this quality audit? SCIENCE HEALTH SCIENCE NURSING NUR 459

 
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