Decreasing CAUTI by Using Chlorhexidine Baths

Part 1: Foundations of a Research Proposal: Research question, problem, specific aims, hypothesis
Develop an introduction to the research problem. The student must discuss the problem, need for the study, and the implications for nursing practice. From this, the students must develop the research question, specific aims of the study and a hypothesis (if appropriate for the research design).

Part 2: Article Critiques, Review of the Literature, and Theoretical Framework
Write the review of the literature and theoretical framework section of the research proposal. The review of the literature must include an introduction to the topic of study, present key statistics, data and information to demonstrate the importance of the topic, and issues related to the topic and need for the study. The review of the literature should include an analysis/critique of the 3 research studies related to the proposed research study. Students must also identify the theoretical/Conceptual framework for the proposed study utilizing a nursing theorist.  For each of these sections see the grading rubric on Blackboard for the specific requirements for each section.

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Part 3: Research Design & Methodology
Compare and contrast research designs, ethical considerations, sampling methods, data collection, and data analysis used from the 3 studies critiqued in the review of the literature. Then, based on these studies and the content from class, develop the design and methodology for your proposed study.

What We have so far: Build Upon it. No plagerism, going into safeassign.

Research Question: How can we use Chlorhexidine baths to decrease CAUTI found in geriatric patients during their acute care stays?

Briefly describe the problem: Geriatric populations that require long term catheterization, due to declining functional status, prolonged intubation and urologic abnormalities are primary candidates for CAUTI. When Cauti occurs in patients hospitalized, it may cause major complications including: pyelonephritis, bacteremia and even endocarditis (Ghabimi et al., 2020). Patients with CAUTI have an increased risk for mortality. The United States alone has two millions cases of CAUTI a year, which increases the cost of care to 400 million dollars a year (Ghabimi et al., 2020). More than 13,000 deaths yearly are contributed to catheter associated urinary tract infections in the United States (Ghabimi et al, 2020). Perineal care is one factor that was studied in providing care to the patient with an Indwelling Catheter. One study by Mitchell et al  has found that with the use of Chlorhexidine 0.1% versus the use of 0.9% Normal Saline there was a reduction of CAUTI in ICUs using chlorhexidine wipes (Ghabimi et al., 2020).

Specific Aims: The goal of our paper is to investigate the increasing occurrence of CAUTI’s in older adults that reside in acute care settings that did not receive daily CHG baths.

Hypothesis: With the use of daily CHG baths, hospitalized patients would benefit from a reduction in community acquired urinary tract infections.

PICO:

P  Geriatric patients with chronic foleys 

I  Assessing the need for daily CHG baths in patients who have chronic indwelling foley catheters

C  Patients benefiting from daily CHG baths while having indwelling foley catchers vs. patients who did not receive daily CHG baths, but rather traditional methods such as soap and water

O  the boys will find papers

Tittle:
The effects of daily Chlorhexidine baths and their reduction in CAUTI’s for geriatric populations 

Introduction- Foley catheters are vital to nurses and medical professionals particularly in acute care settings. Post operative anesthesia care units, intensive care units  as well as inpatient medicine floors utilize catheters for perioperative use, obstruction/retention, and prevention of skin break down. The end goal of each insertion is always to get the foley removed as soon as possible, however patients with chronic foleys do not have that option. Our paper will explore the benefits of daily CHG baths on these patient populations through a holistic nursing framework.

References
Sarani, H., Mofrad, Z. P., Faghihi, H., & Ghabimi, M. (2020). Comparison of the Effect of Perineal Care with Normal Saline and 2% Chlorhexidine Solution on the Rate of Catheter-Associated Urinary Tract Infection inWomen Hospitalized in Intensive Care Units: A Quasi-Experimental Study. Medical-Surgical Nursing Journal, 9(2), 1–8. https://doi.org/10.5812/msnj.106739. For more information on Decreasing CAUTI by Using Chlorhexidine Baths checkout this: https://en.wikipedia.org/wiki/Chlorhexidine

Decreasing CAUTI by Using Chlorhexidine Baths

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