Description of Clinical Issue Of Interest And Development Of A PICOT Question Discussion
Description of Clinical Issue Of Interest And Development Of A PICOT Question Discussion
Catheter-Associated Urinary Tract Infection (CAUTI) among hospitalized patients is a pertinent issue that healthcare organizations are facing. It is important to note that CAUTI is among the most common hospital-acquired infections whose rates continue to increase leading to increased hospital stays, patient discomfort, and excess healthcare costs thus contributing to patient morbidity and high mortality rates (Connor, 2018). There are various causes of this condition that include poor hygiene and prolonged use of the catheter and therefore, it is important to ensure that preventive measures are followed by nurses to reduce CAUTI cases. Prevention of CAUTI cases in healthcare organizations helps in achieving improved patient experience, patient satisfaction, patient safety, and patient outcomes (Clarke et al., 2019). The use of a picot question is effective in developing an evidence-based nursing intervention that can be used to solve a healthcare problem. Additionally, it is important to note that a PICOT question is a problem-solving approach/strategy used by nurses and healthcare providers to establish a long-term solution for problems like CAUTI. This, therefore, leads to improvement of service quality because the interventions used are evidence-based and were derived from the research findings of the PICOT question Description of Clinical Issue Of Interest And Development Of A PICOT Question Discussion.
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Engaging in various research activities by nurses and healthcare practitioners has greatly helped in reducing the rate of infections. Critically looking at the risk factors for developing CAUTI and incorporating clinical guidelines as well as nurse-driven protocols like the use of anti-microbial catheters will play a significant role in reducing the number of CAUTI cases in healthcare facilities (Al-Qahtani et al., 2019). Therefore, I formulated a picot question as follows:
PICOT QUESTION
Among hospitalized patients, how does the nurse-driven protocol of using anti-microbial catheters as compared to the use of the normal catheters effective in preventing catheter-associated urinary tract infections in six months?
Search Terms and Databases
The Walden University Library, MEDLINE, EMBASE, PubMed, Cochrane, and CINAHL are some of the databases that I used to search for important information for my research question. Some of the search terms that I used include catheter-associated urinary tract infections, hospitalized patients, catheter insertion, and aseptic techniques. Nine articles were found from the search and after refining the search further by adding other search terms like prevention of CAUTI using nurse-driven protocols like the use of anti-microbial catheters; the search resulted in 1580 articles. Upon adding the year 2016-2021, it was reduced to 289 articles and much less as 94 articles after prevention of CAUTI, AND nurse-driven protocols, AND aseptic technique of catheter insertion were added thus narrowing the language to English.
Strategies to Increase the Rigor and Effectiveness of Database Search
For researchers to increase the rigor and the effectiveness of database search, using the appropriate vocabulary while combining concepts and search terms by incorporating Boolean operators is an essential strategy (Foell, & Pitzer, 2020). Additionally, evaluation of search strategies, using more than one database to search for information on the topic in question, and learning the search rules to bring out uniqueness are other important strategies that can improve the rigor and effectiveness of database search Description of Clinical Issue Of Interest And Development Of A PICOT Question Discussion.
References
Al-Qahtani, M., Safan, A., Jassim, G., & Abadla, S. (2019). Efficacy of anti-microbial catheters in preventing catheter-associated urinary tract infections in hospitalized patients: A review on recent updates. Journal of infection and public health, 12(6), 760-766. https://doi.org/10.1016/j.jiph.2019.09.009
Clarke, K., Hall, C. L., Wiley, Z., Tejedor, S. C., Kim, J. S., Reif, L., … & Jacob, J. T. (2019). Catheter-associated urinary tract infections in adults: diagnosis, treatment, and prevention. J. Hosp. Med, 14, E1-E5. 10.12788/jhm.3292
Connor, B. (2018). Best practices: CAUTI prevention. American Nurses Association.
Durant, D. J. (2017). Nurse-driven protocols and the prevention of catheter-associated urinary tract infections: a systematic review. American journal of infection control, 45(12), 1331-1341.
Foell, A., & Pitzer, K. A. (2020). Geographically targeted place-based community development interventions: A systematic review and examination of studies’ methodological rigor. Housing Policy Debate, 30(5), 741-765.
Discussion: Searching Databases
When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.
The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format Description of Clinical Issue Of Interest And Development Of A PICOT Question Discussion.
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POST INSTRUCTIONS:
Post a brief description of your clinical issue of interest.
- Clinical issue of interest, prevention of hospital-acquired infections (HAIs) –MUST USE this clinical issue of interest.
This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question.
Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators.
Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.
In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.
To Prepare:
- Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
- Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
- Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
- Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course Description of Clinical Issue Of Interest And Development Of A PICOT Question Discussion.