RESEARCH PROPOSAL

Melissa Dean RN, BSN-BC

 INTRODUCTION
• CAUTI are preventable
• Early removal is essential
• Nursing staff provides catheter care
• Focusing on prevention in the early
stages of catheter use has potential
to drastically reduce CAUTI rates.
 STATEMENT OF THE
PROBLEM
• There is a significant gap of understanding
regarding catheter care among nurses.
• Although UPHM does have nurse driven
protocols in place, many of the staff nurses are
unaware of their existence or unfamiliar with
the specifics.
 PICO

•In the Inpatient setting, how does

catheter-associated urinary tract
infection (CAUTI) education impact
knowledge of Nursing staff in an
inpatient setting.
 THEORETICAL FRAMEWORK
• Planning would begin with discussing the •Importance of CAUTI •CAUTI data

importance of CAUTI reduction. It would also reduction

•Outline strategy
•EBP analysis

include a strategy on how the project would

be conducted.
• The do section would include the work of data
collection. This is important to get a baseline
of current knowledge and statistics. Plan Do
• Study is analyzing the data that has been
collected. I would also look at EBP during this
section.
• Act section is implementation of my
interventions targeted at CAUTI reduction.
• If the actions are not effective, the cycle can Act Study
begin again with the planning phase.
•Implement plan •Analysis of CAUTI data
•Conduct study •Analysis of EBP data
•Education day
•Pretest
•Lecture
•Post test
 REVIEW OF THE LITERATURE:
Monina Gesmundo,
RN, BSN Parker, et al. Richards, et al.
1. Sample: 14 nurses from two 1. Sample: 4 hospitals 1. Sample: 18 bed unit
postoperative wards 2. Design: A prospective, interventional
2. Design: multiple pre-post control design
2. Design: A multi-phased mixed- intervention design using a 3. Statistical tests: standardized infection
method approach phased mixed method approach ratio
3. Statistical tests: paired t-test 4. Intervention:
3. Statistical tests: Proposed study 1. Daily chart audits
4. Intervention: Educational lecture 1. A mixed methods analysis 2. Root cause analysis
3. Education during staff
5. Limitations 4. Intervention: education, 5. Limitations
1. Small sample size (14) monitoring and feedback, 1. Performed at a single center
2. CAUTI rates unknown resources, and facilitation 2. Staff perceptions not formally investigated
3. Subjective interpretation of 3. atheoretical approach was used
qualitative data 5. Limitations Proposed study 6. Major findings: reduction of CAUTI
1. 2012: 40
6. Major findings 6. Major findings Proposed study 2. 2013: 38
1. Improvement in test scores 3. 2014: 15
2. (p < .05)

• Pre and posttest design
• Convenience sampling
• Demographics questionnaire
• Educational lecture
• Handouts
• Adult Nursing Urinary Catheter
Removal Protocol.
• Quick reference guide that can be
attached to nametag
•
METHODOLOGY
• Learning objectives
• Identification of CAUTI and its risk
factors
• Increased knowledge of the Adult
Nursing Urinary Catheter Removal
Protocol.
• Increased competence in catheter
care
 DATA
COLLECTION/ANALYSIS
• Data will be collected and compared using
statistical analysis comparing pretest to post
test scores.
• Pre and posttest will be analyzed using a
paired t-test.
• What the expected result from using the t-test
should show is a significant variation in the test
after the variable is applied
 RELIABILITY AND VALIDITY
• Convenience sampling
• Represent the general nursing population at
UPHM
• Test questions
• Adult Nursing Urinary Catheter Removal Protocol
• Policy and Procedure manual.
• The same test will be given twice to insure
reliability in the results
• prior to and immediately after the education is
delivered.
 PROTECTION OF HUMAN
SUBJECTS
• Informed consent
• May opt out
• Educational lecture
• CNEs will be given.
• Two copies of the same test
• Numbered
• Stored in locked cabinet
• Data computer encrypted
DISCUSSION/CONCLUSION
• Significance of CAUTI cannot be understated
• Impacts all patients with IDCs
• Nursing has an impact
• Nurse driven protocols
• EBP
• Education is crucial
• A solid impact can be made to reduce CAUTI,
improve patient outcomes and reduce the
cost of healthcare.