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NR 451 Week 6 Assignment: EBP Change Process form Week 6 Assignment, Exams of Nursing

Chamberlain College of NursingNursing

NR 451 Week 6 Assignment: EBP Change Process form Week 6 Assignment: EBP Change Process form

Typology: Exams

2025/2026

Available from 11/20/2025

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Star Point 2: Summary (Evidence to support need for a change)
Describe the practice problem in your own words and formulate your PICOT question.
The practice problem is members of the healthcare team are not properly cleaning the perineal
area of patients who have indwelling catheters and indwelling catheters are placed for unnecessary longer
periods of time.
NR 451 Week 6 Assignment: EBP Change Process form
Week 6 Assignment: EBP Change Process form
ACE Star Model of Knowledge Transformation
Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson.
Name: Lishan Brown
Star Point 1: Discovery (Identify topic and practice issue)
Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing
practice issue.)
The topic is hospital acquired infections. The nursing practice issue is catheter associated urinary tract
infections and the high incidence on an acute rehabilitation unit.
Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.
The nursing practice issue I would like to investigate is healthcare associated infections (HAI),
particularly catheter associated urinary tract infection (CAUTI). CAUTI is very important to
investigate because I believe HAI’s can be decreased, if not prevented. Being that nurses are
educated on the possible causes or symptoms of HAI’s, we can be more proactive in our
treatment plans. If a patient falls, that can be an unpredictable event but HAI’s are more so
predictable. With CAUTI, making sure that the perineal area is cleaned on a regular, consistent
basis is important. Providing proper interventions to not keep an indwelling catheter in longer
than necessary is also important.
Urinary tract infections are one of the most common hospital acquired infections. At least 80% of
urinary tract infections an be attributed to an indwelling urinary catheter. There are
approximately 13,000 annual deaths associated with catheter associated urinary tract infections
(CAUTI). CAUTIs can lengthen hospital stays, increase morbidity and mortality, and raise
healthcare costs.
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Download NR 451 Week 6 Assignment: EBP Change Process form Week 6 Assignment and more Exams Nursing in PDF only on Docsity!

Star Point 2: Summary (Evidence to support need for a change)

Describe the practice problem in your own words and formulate your PICOT question. The practice problem is members of the healthcare team are not properly cleaning the perineal area of patients who have indwelling catheters and indwelling catheters are placed for unnecessary longer periods of time.

NR 451 Week 6 Assignment: EBP Change Process form

Week 6 Assignment: EBP Change Process form

ACE Star Model of Knowledge Transformation Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson. Name: Lishan Brown

Star Point 1: Discovery (Identify topic and practice issue)

Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.) The topic is hospital acquired infections. The nursing practice issue is catheter associated urinary tract infections and the high incidence on an acute rehabilitation unit. Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.

The nursing practice issue I would like to investigate is healthcare associated infections (HAI),

particularly catheter associated urinary tract infection (CAUTI). CAUTI is very important to

investigate because I believe HAI’s can be decreased, if not prevented. Being that nurses are

educated on the possible causes or symptoms of HAI’s, we can be more proactive in our

treatment plans. If a patient falls, that can be an unpredictable event but HAI’s are more so

predictable. With CAUTI, making sure that the perineal area is cleaned on a regular, consistent

basis is important. Providing proper interventions to not keep an indwelling catheter in longer

than necessary is also important.

Urinary tract infections are one of the most common hospital acquired infections. At least 80% of

urinary tract infections an be attributed to an indwelling urinary catheter. There are

approximately 13,000 annual deaths associated with catheter associated urinary tract infections

(CAUTI). CAUTIs can lengthen hospital stays, increase morbidity and mortality, and raise

healthcare costs.

PICOT question- In (P) patients with an indwelling catheter on an acute rehabilitation unit, does (I) cleansing the perineal area every eight-hour period compared to (C) routine daily cleansing of the perineal area (O) decrease the catheter associated urinary tract infection with patients over a (T) six month period? List the systematic review chosen from the Cochrane Database of Systematic Reviews from the Chamberlain library. Type the complete APA reference for the systematic review selected. Interventions to improve professional adherence to guidelines for prevention of device‐related infections. Reference Flodgren G, Conterno LO, Mayhew A, Omar O, Pereira CR, Shepperd S. Interventions to improve professional adherence to guidelines for prevention of device‐related infections. Cochrane Database of Systematic Reviews 2013, Issue 3. Art. No.: CD006559. DOI: 10.1002/14651858.CD006559.pub2. List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format. In my search for evidence, I found an article about nurse-driven CAUTI prevention. This evidence is relevant to my PICOT because I would like to find a way to decrease or eliminate the instances of CAUTI in a hospital setting. The article gives a history of prevalence of CAUTI then goes into costs related to CAUTI. The article also mentions ways of preventing CAUTI. The article also discusses an algorithm used to decrease the prevalence of CAUTI. I also found an article about the causes of CAUTI and how to properly clean the perineal area as an educational tool. Reference Russell, J. A., Leming-Lee, T. ‘Susie,’ & Watters, R. (2019). Implementation of a Nurse-Driven CAUTI Prevention Algorithm. Nursing Clinics of North America , 54 (1), 81–96. https://doi- org.chamberlainuniversity.idm.oclc.org/10.1016/j.cnur.2018.11. Memorial Sloan Kettering Cancer Center (2018). Caring for Your Urinary (Foley®) Catheter. Retrieved from https://www.mskcc.org/cancer-care/patient-education/caring-your-urinary-foley-catheter Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence. The main findings from the systemic review were that there weren’t sufficient evidence to properly corroborate the research. The trials were too small and there was inadequate reporting of information. Because the findings were too small, it was difficult to determine which intervention would be optimal in CAUTI care. The strength of the evidence was weak for the change process. Outline one or two evidence-based solutions you will consider for the trial project.

Patient- consents to a clinical trial and helping to identify symptoms of CAUTI. What specifically is your nursing role in the change process? Other nursing roles? My nursing role in the change process is to be at the forefront of change process. As the nurse leader, I would want to ensure that all supplies, education, proper documentation is in place throughout the trial to ensure effectiveness. Unit nurses are responsible the placement of an indwelling catheter, the daily care management, and the removal of the indwelling catheter. Nurses are also responsible for specimen collection. Nurses are also the main person to diagnose a patient who is suspected of CAUTI. List your stakeholders by position titles (charge nurse, pharmacist, etc.).-Why are the members chosen (stakeholders) important to your project? MD- Doctor of Medicine DO- Doctor of Osteopathic Medicine Nurse Educator RN- Registered Nurse/ Unit Nurse CNA- Certified Nursing Assistant Nurse Manager These members are important to the project because they are all a part of the team who is essentially caring for a patient with an indwelling urinary catheter. They are important in making necessary changes to decrease the incidents of catheter associated urinary tract infection. It all begins with proper education right down to actually caring for the patient who has an indwelling catheter. The MD/DO are responsible for ordering the indwelling catheter for the patient. Unit nurses and CNA’s are important in the day to day care of the indwelling catheter. The nurse manager is important in making sure policies are followed for the change process and provide additional assistance if necessary. What type of cost analysis will be needed prior to a trial? Who needs to be involved with this? The type of cost analysis which would be needed prior to a trial would be a cost effectiveness analysis. A cost effectiveness analysis is a method of analyzing the cost and health outcome of an intervention. The finance department would need to be involved in this portion of the change process. This is necessary to see how much funds can be allocated to the project for additional resources. It is also important to know the initial cost to the hospital for CAUTI’s compared to after the completion of the trial to see if there was an improvement. Having the quality control department involved ensures policy and procedures are being followed as well. Reference Jamison DT, Breman JG, Measham AR, et al., editors. Priorities in Health. Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2006. Chapter 3, Cost- Effectiveness Analysis. Available from: https://www.ncbi.nlm.nih.gov/books/NBK10253/

Star Point 4: (Implementation) Describe the process for gaining permission to plan and begin a trial. Is there a specific group, committee, or nurse leaders involved? The process of gaining permission to plan and begin a trial first begins with management of the hospital. One cannot perform a trial without the permission of management. There also needs to be the onboarding of the finance department to see how much resources can be allocated to the project. Quality assurance is important for ensuring policy and procedures are being followed. There also needs to be permission from other nurses on the unit for their cooperation. Having signed permission from patients are also important to begin the trial. Patients need to be aware of what they are getting into and if they would cooperate or not. Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate. First, coordination with a nurse educator is important in order for them to educate staff members on the change process. Nurse educators can educate staff members of the proper way of preventing CAUTI and an ongoing refresher course throughout the trial period. Educators could be available for all shifts throughout the day in order for convenience to the staff. Educators can come to the unit to educate for added convenience. Online educational learning exercises would be an also added benefit. Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline).

Star Point 5: (Evaluation) How will you report the outcomes of the trial? Reporting of the outcomes will be posted throughout the staff rooms on the unit in the form of a data report. A meeting at the end of the trial will also be held to discuss how effective the trial was or wasn’t. The data from the report can then be given to management to consider further implementation or recommendations. What would be the next steps for the use of the change process information? Using the information from the trial, ongoing changes can continue to be made regarding CAUTI using the takeaway from the trial. After seeing what worked and what didn’t, staff can adapt what was successful and build on that information and make progress in decreasing the incidents of CAUTI on the unit. is happening during the trial. Opinions can be shared on what could be effective or changes that can be made to make the trial a success.