Research Article On Bladder Catheterization Essay Example

article was the lack of specific patient numbers assessed. The study involved comparing patients who used a standard catheter system with those who used a silver alloy-coated catheter for 20 weeks. The primary objectives included establishing a baseline CAUTI rate over 10 weeks, assessing the CAUTI rate after implementing the silver alloy-coated catheter for another 10 weeks, tracking length of stay for catheterized patients during both periods, identifying reasons for catheterization, and conducting an economic analysis to determine potential cost savings from using the silver alloy-coated Foley catheter. These goals are reasonable and measurable, making them appropriate for inclusion in this research article.

The purpose of this quantitative research was to investigate if using silver alloy hydrogel-coated catheters instead of standard catheters would lead to a 20% reduction in CAUTI. The study followed a similar structure as Kassler & Barnett (2008), consisting of a baseline period of 10 weeks using standard catheters, followed by an evaluation period of 10 weeks using silver alloy hydrogel-coated catheters. The decision to use these coated catheters was based on the belief, supported by Nazarko (2008), that silver has historically had infection-protective properties. Bardsley (2009) further supports this viewpoint, suggesting that silver possesses characteristics that inhibit bacterial colonization. The consistency among these research articles strengthens the effectiveness of the approach and hypothesis. To carry out the study, nursing staff actively participated in caring for the focus groups.

The urology nurse specialists, urology research nurse, and infection control clinical consultant managed the day-to-day data collection activity of newly catheterized patients' records. They examined the records three times a week for signs and symptoms of CAUTI, including microbiological evidence to ensure accuracy. The working

group documented the recorded information on a form, minimizing the audit process's impact on the nursing staff workload. The method of only allowing specific nursing staff to document reduces the research's impact on uninvolved nurses' workload and helps prevent errors. The working group entered the data onto an Excel spreadsheet that calculated descriptive data.

It should be noted that patient-related data were always handled confidentially (McGowan, 2012). Key findings included a 71% reduction in the risk rate of CAUTI during the evaluation period, surpassing the expected 20% reduction rate in audits. This aligns with a study indicating a 100% decrease in CAUTIs when testing new silver alloy catheters in an aged care setting (Kassler & Barnett, 2008). All literature agrees that using the new silver alloy coated Foley catheter lowers the likelihood of infection when using an IDC (Bardsley, 2009). Furthermore, the introduction of the new silver alloy coated Foley catheter was successfully implemented in a busy clinical setting according to the focused article. However, a different article suggests that further research is needed before implementing this innovative catheter in wards (Turner & Dickens, 2011).

The main article did not show a decrease in the average length of stay for patients with urinary catheters after implementing the new catheters. Infections prolong recovery and patients who develop infections stay in the hospital longer than those who do not (Nazarko, 2008). Nonetheless, the research article found that the introduction of the new silver alloy coated catheter improved the economic aspect of IDC use. Cost savings were achieved compared to using catheters during the baseline period. However, Turner and Dickens (2011) disagreed and suggested that further research is needed to

prove the long-term cost-effectiveness of the new "silver" catheters.

In the article, the author correlates fact with interpretation. The results analysis draws rational and evidential conclusions, which are linked to the previously outlined statistics. Upon examining this article, we found that the abstract provides a specific outline of the research intentions and findings. Additionally, it offers a concise summary of the purpose, hypothesis, method, results, and recommendations. The abstract is well-structured and accurately identifies the key aspects of the article. While informative, the introduction lacks clarity regarding the article's purpose.

The introduction of the article provides factual information about the topic without explicitly stating the research's purpose. However, these factual details serve as a solid foundation for readers to interpret the research findings. The author supports their argument by referencing other research articles, using relevant literature to strengthen their conclusions. Some ideas in the article are excessively emphasized, such as the hypothesis of a 20% infection risk reduction being exaggerated to 71% in the findings.

The article presents evidence multiple times to convince the reader of the research's success. The introduction could be shortened to increase reader interest and provide a clearer outline of the article's content. It overlooks the patient's experience and the pain associated with UTIs, which is an important aspect of nursing care and should be considered in infection control (Hart, 2008).

Throughout this article, the author consistently uses clear statements. The topic can be seen as objective; however, there are some drawbacks. These limitations are identified in the research, where the author acknowledges limitations related to objectivity. For example, the results suggest a tendency towards replicating the findings of larger studies, which implies

that the data may not be solely objective to this specific study. This raises questions about the extent to which data from previous larger studies was replicated. Additionally, it is unclear how much information the author has omitted to support their argument and opinion. As a result, the author seemingly assumes that the current management of IDC and infection is inadequate and aims to persuade the audience of their viewpoint.

The study design and methods are appropriate for the purposes of the study, however, the procedures lack detail to allow replication. A drawback of this research article is that the catheter used during the baseline data collection period was not specified. Consequently, nurses cannot determine if a specific catheter is less effective than the silver alloy coated catheter, as the brand and type of the "standard" catheter remains unknown (Scott, 2010). The objective of the study is important since urinary tract infection (UTI) is the most common form of healthcare-associated infection (HCAI) (Nazarko, 2008). This research contributes to reducing the prevalence of HCAI from indwelling catheter (IDC) insertion. However, there were several areas where the article did not meet professional expectations.

The article provided information that was informative, accurate, and innovative. References include Bardsley, A. (2009). Coated catheters - reviewing the literature.

The Journal of Community Nursing published an article titled "Silver alloy vs." in 2011. The article can be found in volume 23, issue 2, on pages 15-16. The authors of the article are Beattie, M. and Taylor, J.

Uncoated urinary catheters: a systematic review of the literature. Journal Of Clinical Nursing, 20(15/16), 2098-2108. Hart, S. (2008). Urinary catheterisation.

. clinical skills: 40. Nursing Standard, 22(27), 44-48. Kassler, J.

, & Barnett, J. (2008). A rehabilitation hospital's experience with ionic silver Foley catheters.

The references for the articles are as follows:
1) Urologic Nursing, 28(2), 97-100.
2) McGowan, C. (2012). Patients' Confidentiality. Critical Care Nurse, 32(5), 61-65.
3) Nazarko, L.

(2008). Reducing the risk of catheter-related urinary tract infection. British Journal Of Nursing, 17(16), 1002-1010. Pomfret, I., Tew, L., & Eustice, S.

The article titled "Reducing encrustation and catheter blockage" by Richardson-Tench, M., Taylor, B., and Kermode, S. was published in the Journal of Community Nursing (2009), volume 23, issue 10, on page 32.

and Roberts, K. (2011). Research in Nursing: Evidence for best practice. Cenage Learning Australia Pty Limited, South Melbourne, Victoria, Australia. Scott, B. (2010).

The review titled "Clinical and cost effectiveness of urethral catheterisation" by Seymour (2006) discussed the audit of catheter-associated UTI using silver alloy-coated Foley catheters in the Journal Of Perioperative Practice (20(7), 235-240). Another relevant article on this topic is by Seymour (2006) titled "Audit of catheter-associated UTI using silver alloy-coated Foley catheters" published in the British Journal Of Nursing (15(11), 598).

Turner, B. & Dickens, N. (2011). Long-term urethral catheterisation.

Primary Health Care, 21(4), 32-39.