NU560-8D-Unit 6 Discussion 2 reply 2

 

Describe any assumptions that you may have about what the research-based evidence will reveal to be true.

An assumption is an acceptance of something that is recognized and upholds scholars clear principle for the extent of investigation that if untrue can concede the credibility of the outcome Gray, Grove, and Sutherland, 2017). For my PICOT question, the assumptions I have and was revealed by research-based evidence revealed to be true include various data to confirm the surge in catheter-associated urinary tract infection when an unnecessary indwelling urinary catheter is inserted without following the Center for Disease Prevention and Controls guidelines for IUC insertion. Another assumption is the fact that nurses have the greatest responsibility of enhancing patients safety and prevent harm by IUC is inserted for a therapeutic indication using evidence-based practice approach during insertion and management. This places nurses at the frontline in catheter management, as they deliver a major part of daily catheter cares (Gesmundo, 2016).

Are you receptive to research findings that do not agree with your assumptions? Please explain.

Yes, I am receptive to research findings that do not agree with my assumptions. Although these findings may not necessarily agree with my assumptions, they will likely provide information to support further studies or present a new approach to the topic from another point of view thereby giving more insight and understanding to the evidence-based problem.

Have you already formed your own conclusions and are you looking for evidence to support your claims? Please explain.

I have formed my conclusion that Catheter-associated urinary tract infections can be prevented through adequate education of nurses on avoiding unnecessary usage, if possible, and if not proper management with antimicrobial chlorhexidine wipes and prompt discontinuation of an indwelling urinary catheter is necessary to prevent CAUTI. This conclusion is also supported by various literature and studies that confirm that the use of chlorhexidine for routine urinary catheter care and after bowel movements for patients with urinary catheters may significantly decrease catheter-associated urinary tract infections when compared with the standard of care using soap and water (Schmudde, Olson-Sitki, Bond & Chamberlain, 2019).