Answer 2 for NUR 550 Identify a data collection tool you could use for your research
Data collection tool which I can use for my PICOT study is CAUTI prevention bundle check list for educating the nurses by in-service training. By using this CAUTI prevention bundle tool, it trains nurses for timely catheter removal and promote best practices for catheter insertion, maintenance, and removal. It also guides nurses through key components of complete bladder assessment. Differentiating and prioritizing interventions based on individualized assessment findings related to complete bladder emptying, urinary retention, and incontinence are important in preventing CAUTIs. (Trevellini ,2015.)
Nurses’ workload is the one of the barriers which can arise during data collection. Common barriers to CAUTI prevention bundle implementation and appropriate urinary catheter use are: 1) difficulty with nurse and physician engagement; 2) patient and family request for indwelling catheters; and 3) catheter insertion practices and customs in the ICU. Strategies to address these barriers were also identified by several of the participating hospitals including: 1) incorporating urinary management (e.g., planned toileting) as part of other patient safety programs, such as a fall reduction program; 2) explicitly discussing risks of indwelling urinary catheters with patients and families; and 3) engaging with emergency department nurses and physicians to implement a process that ensures that appropriate indications for catheter use are followed.
These barriers can be addressed with a third level of translation research type, which explores innovative way of using recommendations or guidelines. Imperatively, T3 research yields knowledge concerning the working of interventions recommended. At the core of T3 research is yielding knowledge that allow provider to offer care in real-world situations.
Strategies to overcome lack of nursing buy-in included using nurse champions and focusing on the benefits to patients of early catheter removal. Having a nurse champion, someone who is passionate about CAUTI prevention, and the importance of making the initiative a unit-based activity. As an infection preventionist explained: “It’s just finding that person to put the individual energy into it…yes, it’s a bundle but I think it has to be rolled out as something super special for that unit…” (Krein et.al, 2013.)
References:
Krein, S. L., Kowalski, C. P., Harrod, M., Forman, J., & Saint, S. (2013). Barriers to reducing urinary catheter use: a qualitative assessment of a statewide initiative. JAMA internal medicine, 173(10), 881–886. https://doi.org/10.1001/jamainternmed.2013.105.
Trevellini, C. (2015). Operationalizing the ANA CAUTI prevention tool in acute-care settings. American Nurse Today, 10(9), A5+. https://link.gale.com/apps/doc/A434414862/AONE?u=anon~77c44c69&sid=googleScholar&xid=16c56d75
