Capstone Part 1

Capstone Part 1

· Introduction (Completed in Week 1) 

o State the practice problem in measurable terms and that reflect quality indicators.

This is the same problem described in the Week 1 Practice Experience discussion.

Provide the rationale for selecting the practice problem

o Include a purpose statement.

· Analysis of Evidence (Completed in Week 2) 

o Synthesize a minimum of 5 evidence-based practice resources that support your practice problem. Include a minimum of two to three research studies obtained from the Walden Library.

· Quality Improvement Process (Completed in Week 3)

o Describe the quality improvement process and a brief overview the quality model that will be used to improve your practice problem. Include a description of a quality tool that will be used in the quality improvement plan.

o This process will be used to support the detailed proposed quality improvement plan in Week 4

o Explain why the specific quality model was selected and document your explanation with references.

o Summary

§ Summarize the key points discussed in the paper.

Practice Experience Discussion -Catheter Associated Urinary Tract Infection

Hospitalization or prolonged stay in hospitals is becoming one of the most dangerous ways of contracting catheter-associated urinary tract infections (CAUTI). Indwelling catheters cause this problem among patients.  An indwelling catheter is a tube-like structure inserted into a urethra of a patient. This tube drains patient urine from the bladder into a collection bag. Patients who had surgery or are not able to control the functioning of their bladder require a catheter. It is very critical to monitor the amount of urine that kidneys produce. Limited resources at a healthcare facility are one of the most contributing factors to the prevalent of CAUTI. As a result, CAUTI causes an increased rate of hospitalization, 30-day readmission, poor quality care services, and increased healthcare costs.

After conducting a 20-minute interview with a hospital nurse leader and hospital manager, the outcome revealed that CAUTI is a leading challenge in the provision of quality care services and the enhancement of patient safety. These two leaders highlighted strong urine odor, chills, blood in the urine, unexplained fatigue, cloudy urine, and leakage of urine around the catheter are significant symptoms of a patient with CAUTI (Goldstein, MacFadden, Karaca, Steiner, Viboud, & Lipsitch, 2019). The two leaders stated that the diagnosis of CAUTI is challenging, especially when a patient has been admitted. The reason for diagnosis challenges are due to similar symptoms that may be part of a patient’s original illness.

A nurse leader noted that when bacteria enter a patient’s urinary tract through the catheter, chances of being infected with CAUTI are high. When a catheter is contaminated, or a drainage bag is not frequently emptied often, a patient is also likely to get infected. Other ways in which an infection occur include a dirt catheter and a backward flow of urine in the catheter into the bladder. National Healthcare Safety Network (NHSN) Report indicates 449, 334 CAUTI cases yearly in the United States (Richards, 2017). The report further reveals that CAUTI rates range from 0.00% per 1,000 catheter days to high of 53.2 per 1,000 catheter days between location types, type of medical institute affiliation of the hospital, and location bed size.

I work in the admission room at The Royal Children’s Hospital, where most of the Indwelling urinary catheter insertions (IDC) is done. Preparation of environment and equipment at the room ensure dressed trolley, catheterized pack and drapes, and sterilized gloves (HanCHett, 2012). Only a trained and competent nurse and doctor in urinary catheterization do the Insertion of an IDC. Between 12% to 16% of inpatients are likely to have indwelling urinary catheters during their treatment (hospitalization). Daily, a patient has a 3% to a 7% high risk of contracting CAUTI (Richards, 2017). More than 13, 000 deaths every year result from CAUTI according to the Center for Disease Control (CDC) statistics. A nurse leader and hospital manager identified CAUTI preventions outlined in the CDC, where preventive measures are given. These prevention measures are minimization of urinary catheter use and usage period among patients, avoiding the use of urinary catheters in patients to manage incontinence, and using urinary catheters in operative patients when critical.

After an in-depth discussion on CAUTI, it was agreed that inappropriate uses of dewing catheters are worsening the situation and leading to the delivery of low-quality care services. For instance, the hospital manager identified a prolonged postoperative period with inappropriate indications as improper use of indwelling catheters. Also, a substitute for the care of a patient without incontinence is the wrong use of indwelling catheters. Nurses, clinicians, and doctors must ensure quality care services through an appropriate removal of urinary catheter insertion and cleaning perineal area frequently.

References

Goldstein, E., MacFadden, D. R., Karaca, Z., Steiner, C. A., Viboud, C., & Lipsitch, M. (2019). Antimicrobial resistance prevalence, rates of hospitalization with septicemia and rates of mortality with sepsis in adults in different US states. International journal of antimicrobial agents, 54(1), 23-34.

HanCHett, M., & Rn, M. (2012). Preventing CAUTI: A patient-centered approach. Prevention, 43, 42-50.

Richards, D. E. (2017). Catheter-Associated Urinary Tract Infection (CAUTI) Targeted Assessment for Prevention (TAP) Effective Practices. American Journal of Infection Control, 45(6), S10-S11.

Capstone Paper, Part I

· Introduction (Completed in Week 1)

· State the practice problem in measurable terms and that reflect quality indicators.

This is the same problem described in the Week 1 Practice Experience discussion.

Provide the rationale for selecting the practice problem

· Include a purpose statement.

· Analysis of Evidence (Completed in Week 2)

· Synthesize a minimum of 5 evidence-based practice resources that support your practice problem. Include a minimum of two to three research studies obtained from the Walden Library.

· Quality Improvement Process (Completed in Week 3)

· Describe the quality improvement process and a brief overview the quality model that will be used to improve your practice problem. Include a description of a quality tool that will be used in the quality improvement plan.

· This process will be used to support the detailed proposed quality improvement plan in Week 4

· Explain why the specific quality model was selected and document your explanation with references.

· Summary

· Summarize the key points discussed in the paper.

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   We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

   Do you handle any type of coursework?

   Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

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   • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
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   • Discussion Questions (DQ)

   Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

   • Weekly Participation

   Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

   • APA Format and Writing Quality

   Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

   • Use of Direct Quotes

   I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

   • LopesWrite Policy

   For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

   • Late Policy

   The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

   • Communication

   Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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