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this is my fellow student’s discussion post, I need to reply back to this post, it is related to an article and the article link is below. please reply to this discussion post in two paragraph thank you
The purpose of the study I chose was to decrease CAUTIs in adult outpatients from a specific population discharged with a urinary catheter (Spencer et al., 2019). The design of the research was based on quality improvement. Based on the departments involved it can be assumed that the facility’s process needed to be standardized due to patients’ outcomes and reports of their care. The design looked at all aspects of the patient’s care including reporting limitations in the study due to patients’ cleanliness of their homes. The sample for the study consisted of 60 adults from a urologic oncology population.
The data for the study was collected through multiple methods such as data collection through chart audits, meetings, checklists, standardization of diagnosis of CAUTI, and patient surveys (Spencer et al., 2019). The interventions that the study implemented did not result as statistically significant (<0.7) but was considered clinically significant, enough to warrant a change in practice. Their CAUTI rate decreased from 12.5% to 8% and the patient's length of time in PACU decreased saving the facility money in cost of care. A strength of the study is the involvement of everyone in the patients care. The study did not just focus one part of the care. The study involved all the care the patient received such as pre-operative, peri-operative, inpatient care, and urology office follow up. A limitation of the study is the sample selection. Only 13% of the sample were women and the mean population age was 66. Though the sample may be an accurate representation of the facility's population of their urological oncology, but I do not think it accurately represents the increased risks women have due to the length of their urethra. A takeaway from this study is looking at the whole process of the patient's care, the continuum of their care. Should have standardization of care from beginning to end and education from time of diagnosis. The reported limitations of the study are important considerations such as environmental factors and the patient's ability to care for their indwelling urinary catheter. Reference: Spencer, T. S., Flynn Makic, M. B., & Shaw, K. (2019). Decreasing catheter-associated urinary tract infections in urologic oncology patients discharged with an indwelling urinary catheter: A quality improvement project. Journal of Perianesthesia Nursing, 34(2), 394-402. https://doi.org/10.1016/j.jopan.2018.07.002 Decreasing Catheter-Associated Urinary Tract Infections in Urologic Oncology Patients Discharged With an Indwelling Urinary Catheter_ A Quality Improvement Project.pdf

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