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Condom versus Indwelling Urinary Catheters

Condomversus Indwelling Urinary Catheters

PreciousEsene

ChamberlainCollege of Nursing

JulieWhite: NR451 RN Capstone Course

11/06/2016

Condomversus Indwelling Urinary Catheters

Urinarytract infections (UTIs) among young and adult males are often veryrare. A urinary catheter is the main factor that contributes towardsUTI in men alongside other factors. The complex male structure makesit impossible to treat male urinary tracts. Nurses have thus,introduced condoms and Indwelling Catheters as ways of managing UTIamong men due to the complex morphology and anatomic abnormalities.Nurses have, therefore, recommended surgical intervention to preventtheir squeal (Mody, 2011).

TheJohns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model Overview

TheJohns Hopkins Nursing Evidence-Based Practice Model is a greatproblem-solving strategy that has been developed to assist inclinical decision-making. Many nurses have selected this method bydescribing that it is accompanied by user-friendly tools and a guidethat is useful in the management of individual and group patients.John Hopkins EBP model develops a question, looks out for evidenceand its translation to meet the needs of the stated practice problem(Burton et al. 2012).

PracticeQuestion

Thequestion: Does the use of condom catheter compared with the use ofindwelling catheter cause a decrease in the rate of urinary tractinfection in men living in long-term care during a seven-week trial?

Inter-professionalTeam recruitment

Tomanage the Urinary Tract Infection among men patients, an excellentprofessional team will be required. There is need of a lab technicianwho will be doing the required examinations. Other specialistsinclude medical and surgical experts to diagnose and treat thepatients (Heudorf et al. 2012). Additionally, nurses and pharmacistswill be required to assist in the medication process. Nurses areexceptional in this case as they offer any assistance to the doctorsduring their diagnosis and treatment process.

Investigationof the condom use and its effectiveness in reduction of rates inMen’s UTIs in long-term care units

Thepopulation of the research study comprises of bed-ridden men patientsaged above 40 years and above. The infected males in this study willbe taken from the group that has lived with UTI disorder for a periodnot less than seven weeks (Mody, 2011). To treat UTI among theinfected group, several interventions will be addressed. Theprofessional team will diagnose the status of the Urinary TractInfections and determine how efficiency condom catheter will be tohelp in the treatment of their condition. Catheter procedure willinvolve a routine of medical procedures that facilitates directdrainage of the urinary bladder so as to relieve urinary retentionamong men with difficulties in passing out urine. Condoms will alsobe used regularly to help in the prevention of the UTI transmissionto uninfected persons (Fortin, 2012).

Comparisonbetween the catheter treatment and indwelling catheter treatment forurinary tract infection among men will be used in EBP to determinethe efficiency of the selected method of treatment. Indwellingcatheter use is only useful in a short term and needs to bediscontinued in the long term to increase the effectiveness of theInfection control. According to Heudorf et al. (2012), ahigh-frequency use of indwelling urinary catheters has been linkedwith the substantial burden of new infections that need to bemonitored. Alternatively, the condoms minimize urethral traumamainly because are made of appropriate latest technologies oncatheter materials to prevent biofilm formation Crnich (2012).

Thedesired outcome of the treatment must establish effective treatmentstrategies to minimize the rate at which men are being infected withUTI disorders at late stages of life. In men for whom a urinarycatheter is indicated and who have symptoms of minimal post-voidresidual urine, condom catheterization has been considered as themost appropriate method of treating long-term infection because it iscapable of reducing CA-bacteriuria among patients who are notcognitively impaired(Chenoweth, &amp Saint, 2013).Condom catheters reduce the extents of infection and minimize theirtransmission levels, bringing UTI CA to nil in long term sicknessCrnich (2012).

Scopeof the EBP

Urinarytract infections have been increasing exceedingly among aged men.Forming a problem to the healthcare acquired infections. 70-80% ofthe infections have been accelerated by continued use of anindwelling urethral catheter in the long term treatment. According to(Warren et al. 2013) statistics show that 66 European hospitals havebeen experiencing acquired urinary tract infection while 23.6% caseshave been reported in 183 US hospitals. Continue catheter acquiredinfection has affected health care goals due to increasing prevalenceof the disease. The health sector has been forced to spend more totreat their increasing populations. It has also contributed toinfection of other sexually transmitted diseases across the currentgeneration (Mody, 2011).

Responsibilityof Team Members

Doctorswill work alongside an efficient team to provide a solution. Theywill be involved in the diagnosis of the patients. Nurses will beactively engaged in attending necessary services within the urinaryexaminations results from the lab technicians to increase thetreatment processes. The nurses will also be involved in dressing thepatients to ensure the condom catheters are well fitting (Burtonet al. 2012).

Evidence/Summary Findings

Followingthe research that was done using the PICO tool, it is evident thatcondom catheters are efficient in management and treatment of menwith urinary tract infections. When compared with indwellingcatheter, researchers have indicated that the condoms are moreeffective because they reduce the chances of Catheter acquiredurinary tract infection. Burton et al. (2012),goes ahead to discuss that thetreatment process will improve the health care safety because UTI isone of a universal health care acquired infections that needconservative treatment (Warren et al. 2013).

Recommendationsfor Change Based on Evidence

CA-UTIin healthcare facilities must be well monitored. Continued use of anindwelling urethral should be limited because it accelerates thefrequency of symptomatic urinary tract infection and bacteremia. Nicolle (2012), states that a health care professional must integrateinfection control programs as well as the lead in the monitoring ofthe set policies and practices that increase the UTI transmissionover the device used associated with the utilization of thesedevices. It is thus recommended to eliminate indwelling urethralcatheters as well as removal of catheters when they are not in use.

Actionplan

Tomake the research successful, a precise response area must be put inplace to regulate successful reduction of the CA-UTI, acquiredinfection through continued use of the indwelling urethral catheter.Monitoring will be done through the installation of camera fixturesand deployment of additional staff members. Implementation of newpolicies and strategies will be done through a pilot program toensure that all the new policies are actualized to better health careservices and minimize UTI infection among young and the aged men(Nicolle, 2012).

Conclusion

Abetter health care is a key to a healthy nation. UTI infection is oneof the common diseases that need attention to minimizing prolongedsickness among the elderly populations. The PBE evaluation is asuccessful tool that increases the research for many infections. It,thus, offers fair criticism on the negative implications of theindwelling catheters and the essence of incorporating alternativessuch as the condom catheters that are more efficient. Implementationof new strategies must be well handled to increase the success of theresearch to improve people`s health through sustainable health careservices (Warren et al. 2013). Use of practice question, evidence,and translation tool is successful in carrying out successfulresearch in health care centers in both developed and developingcountries

References

BurtonDC, Edwards JR, Srinivasion A, Fredkin SK, Gould CV. (2012). Trendsin catheter-associated urinary tract infections in adult intensivecare units– United States, Infect Control Hosp Epidemiol. 32:748–756.

Chenoweth,C., &amp Saint, S. (2013). Preventing catheter-associated urinarytract infections in the intensive care unit.&nbspCriticalcare clinics,&nbsp29(1),19-32.

CrnichCJ, Drinka P. (2012).Medical device-associated infections in the long-term care setting.Infect Dis Clin North Am.26:143–164

FortinE, Rocher I, (2012). Healthcare-associatedbloodstream infections secondary to a urinary focus:the Quebec Provincial Surveillance results. Infect Control HospEpidemiol 456–462

HeudorfL, Boehicke K, Schade M.(2012). Healthcare-associatedinfections in long-term care facilities in Frankfurt am Main,Germany, January to March 2011. Euro Surveill.

ModyL, Matieshwari S, (2011)Indwellingdevice use and antibiotic resistance in nursing homes:identifying a high-risk group.&nbspJAm Geriatr Soc

NicolleLE. (2012). Urinarycatheter associated infections.Infect Dis Clin North Am.

WarrenJW, Damron D, Tenney JH, Hoopes JM, Deforge B, Muncie HL Jr. Fever,(2013). bacteremiaand death as complications of bacteriuria in women with long-termurethral catheters.J Infect Dis. 1987155:1151–1158.