Evidence-Based Practice Change to Prevent CAUTI: A Team-Based Approach

2.50
Hdl Handle:
http://hdl.handle.net/10755/603442
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Evidence-Based Practice Change to Prevent CAUTI: A Team-Based Approach
Other Titles:
Integrating Evidence-Based Practice and Process Improvement Models to Decrease Catheter-Associated Urinary Tract Infection [Symposium]
Author(s):
Riedel, Catherine M.
Lead Author STTI Affiliation:
Lambda Omnicron
Author Details:
Catherine M. Riedel, RN, ACNS-BC, CCNS, CCRN, catherine.riedel@nahealth.com
Abstract:
Session presented on Monday, November 9, 2015: CAUTI prevention is largely based on nursing awareness regarding best practices in catheter care and timely removal of the catheter.  Nursing practice change is accomplished through development of a safety culture template for change using the Michigan Keystone Project four E’s: engage, educate, execute, and evaluate. A team of clinical educators and a clinical nurse specialist assembled to reduce hospital-wide CAUTI rates.  The team contained representatives from every hospital nursing specialty.  Key components of the Evidence-Based Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model, Lean Six Sigma concepts, and the Plan-Do-Study-Act cycle were integrated to develop a practice change model to improve care quality.  The steps of identifying and implementing evidence-based CAUTI prevention practice changes will be discussed, and methods use to engage and educate team members and nursing staff will be highlighted. An important component of executing and evaluating practice change is setting clear process and outcomes measures and creating a sustainability plan after initial goals are achieved.  The process for establishing both process and outcomes measures for CAUTI prevention will be discussed.  Specifically, the value of clinical educational and compliance audits will be emphasized as a method to sustain practice change, promote continued nursing staff engagement, and provide continuous educational opportunities at the bedside. References: Agency for Healthcare Research and Quality. (2014). On the CUSP: stop CAUTI implementation guide.  Retrieved from http://www.hret.org/quality/projects/stop-uti.shtml Association for Professionals in Infection Control and Epidemiology. (2014). Guide to preventing catheter-associated urinary tract infections. Retrieved from http://apic.org/Resource_/EliminationGuideForm/0ff6ae59-0a3a-4640-97b5-eee38b8bed5b/File/CAUTI_06.pdf Fink, R., Gilmartin, J., Richard, A., Capezuti, R. Boltz, M. & Wald H. (2012). Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in Nurses Improving Care for Healthsystem Elders hospitals. American Journal of Infection Control, 40, 715-720. Halm, M. A. & O’Connor, N. (2014). Do system-based interventions affect catheter-associated urinary tract infection? American Journal of Critical Care, 23 (6), 505-509. Oman, K. S., Makic, M., Fink, R., Schraeder, N., Hulett, T., Keech, T., & Wald, H. (2012). Nurse-directed interventions to reduce catheter-associated urinary tract infections. American Journal of Infection Control, 40, 548-553.
Keywords:
Catheter-associated urinary tract infection (CAUTI); Evidence-based practice model; Practice change
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15D09
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleEvidence-Based Practice Change to Prevent CAUTI: A Team-Based Approachen
dc.title.alternativeIntegrating Evidence-Based Practice and Process Improvement Models to Decrease Catheter-Associated Urinary Tract Infection [Symposium]en
dc.contributor.authorRiedel, Catherine M.en
dc.contributor.departmentLambda Omnicronen
dc.author.detailsCatherine M. Riedel, RN, ACNS-BC, CCNS, CCRN, catherine.riedel@nahealth.comen
dc.identifier.urihttp://hdl.handle.net/10755/603442en
dc.description.abstractSession presented on Monday, November 9, 2015: CAUTI prevention is largely based on nursing awareness regarding best practices in catheter care and timely removal of the catheter.  Nursing practice change is accomplished through development of a safety culture template for change using the Michigan Keystone Project four E’s: engage, educate, execute, and evaluate. A team of clinical educators and a clinical nurse specialist assembled to reduce hospital-wide CAUTI rates.  The team contained representatives from every hospital nursing specialty.  Key components of the Evidence-Based Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model, Lean Six Sigma concepts, and the Plan-Do-Study-Act cycle were integrated to develop a practice change model to improve care quality.  The steps of identifying and implementing evidence-based CAUTI prevention practice changes will be discussed, and methods use to engage and educate team members and nursing staff will be highlighted. An important component of executing and evaluating practice change is setting clear process and outcomes measures and creating a sustainability plan after initial goals are achieved.  The process for establishing both process and outcomes measures for CAUTI prevention will be discussed.  Specifically, the value of clinical educational and compliance audits will be emphasized as a method to sustain practice change, promote continued nursing staff engagement, and provide continuous educational opportunities at the bedside. References: Agency for Healthcare Research and Quality. (2014). On the CUSP: stop CAUTI implementation guide.  Retrieved from http://www.hret.org/quality/projects/stop-uti.shtml Association for Professionals in Infection Control and Epidemiology. (2014). Guide to preventing catheter-associated urinary tract infections. Retrieved from http://apic.org/Resource_/EliminationGuideForm/0ff6ae59-0a3a-4640-97b5-eee38b8bed5b/File/CAUTI_06.pdf Fink, R., Gilmartin, J., Richard, A., Capezuti, R. Boltz, M. & Wald H. (2012). Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in Nurses Improving Care for Healthsystem Elders hospitals. American Journal of Infection Control, 40, 715-720. Halm, M. A. & O’Connor, N. (2014). Do system-based interventions affect catheter-associated urinary tract infection? American Journal of Critical Care, 23 (6), 505-509. Oman, K. S., Makic, M., Fink, R., Schraeder, N., Hulett, T., Keech, T., & Wald, H. (2012). Nurse-directed interventions to reduce catheter-associated urinary tract infections. American Journal of Infection Control, 40, 548-553.en
dc.subjectCatheter-associated urinary tract infection (CAUTI)en
dc.subjectEvidence-based practice modelen
dc.subjectPractice changeen
dc.date.available2016-03-21T16:50:46Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:50:46Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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