I would take this opportunity to thank my research supervisor, family and friends for their support and guidance without which this research would not have been possible.
DECLARATION
I, [type your full first names and surname here], declare that the contents of this dissertation/thesis represent my own unaided work, and that the dissertation/thesis has not previously been submitted for academic examination towards any qualification. Furthermore, it represents my own opinions and not necessarily those of the University.
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ABSTRACT
Urethral catheterization may be necessary for patients with unresolved or unmanaged urinary retention. Patient safety has been studied since the 1960s in an effort to improve healthcare services. In the study conducted by Thomas et al. (2009) a bacterium associated with Catheter is the most common prevailing infection throughout the world and spreads as a result of wide use of urinary catheterization.The second quasi-experimental study conducted by Apisamthanarak, et al. to investigate the effectiveness of a hospital wide quality improvement program. The third study conducted by Huang, et al. the two years study demonstrated a decrease in CAUTI in the intervention phase using nurse-generated reminders. The fourth study conducted by Tenke, et al. The clinicians should consider two priorities which include that the catheter system should remain minimal. For the study we are introducing a model which is Evidence Based Model used to guide the implementation or the Iowa Model. The prevention of health care-associated infections has become a high priority in many hospitals. The Iowa Model was used to implement this EBP project.
Table of Contents
ACKNOWLEDGEMENTII
DECLARATIONIII
ABSTRACTIV
Background of the Study1
Purpose of the Study2
Research Questions2
CHAPTER 2: LITERATURE REVIEW3
CHAPTER 3: RESEARCH METHODOLOGY5
Methodology5
Background and Rationale6
Inclusion and Exclusion Criteria7
Literature Sources7
Literature Critique9
Authors10
Titles and Abstracts11
Ethical Concerns11
Purpose/Problem of Study12
Key Words13
Appraisal Framework13
Hypotheses14
Sample and Design14
Critique on Quantitative Research Approach16
Statistical Analysis17
Results17
Themes18
CHAPTER 4: RECOMMENDATIONS/ RESULTS ANALYSIS20
Project Introduction20
Protection of Human Subjects21
Barriers/Problems for Implementation22
Implementation23
CHAPTER NO 5: CONCLUSION25
REFERENCES26
APPENDIX35
Articles35
IOWA Model38
CHAPTER 1: INTRODUCTION
Background of the Study
Urethral catheterization may be necessary for patients with unresolved or unmanaged urinary retention. Complications can exist, and a UTI is the most common complication. Other reported complications can be trauma from catheterization, renal and bladder stone formation, fistula formation, and incontinence (Association for Continence Advice, 2008a).
The duration and type of catheterization are important considerations to minimized catheter-associated complications. Types of catheterization include in dwelling urethral catheterization, intermittent catheterization, supra pubic catheterization, and external catheters, such as condom catheters.Patient safety has been studied since the 1960s in an effort to improve healthcare services. Healthcare organizations have always been under close scrutiny for services rendered by state health inspections and federal regulatory inspection agencies such as the Joint Commission Accreditation Hospital Organization (JCARO). The Institute of Medicine (10M), 2001 has reported an estimated cost of$6.3 billion/year from deaths attributed to medical errors from the hands of medical providers.
Short-term indwelling catheter placement is defined by the CDC and NHSN (2009) as a catheter that is in place within the 7 day period before the onset of the symptoms and the diagnosis of CAUTI. If a urinary tract infection (UTI) develops in ...