NR439 W2 PICOT Assignment Template

Week 2 Assignment
PICOT Assignment Template

Name:
Date:
Directions: Select a nursing practice problem from the approved list. The list is available to you
in an announcement that was posted during the preview week and again in Week 1. Please go to
the announcement with the following heading:
IMPORTANT: Nursing Practice Problem Topics for Week 2 PICOT Assignment
 Use this template to complete the PICOT Assignment.

 Answer the questions under each section with explanation and detail.
 Correctly cite and reference all scholarly sources.
Section 1: Credible Nursing Practice Problem
 Identify your selected nursing practice problem from the course announcement.
CAUTI is quite a common and dangerous HAI that poses many challenges to patients, especially
those needing extended use of urinary catheters. This condition harks various risks, such as
higher patient morbidity and increased hospital days, resulting in amplified healthcare costs,
hence straining the system. CAUTI is prevalent most in hospitals and long-term care facilities,
especially for patients who are bedridden, critically ill, or elderly, who undergo catheterization
frequently. If a woman has a urinary catheter, bacteria gain easy access and a chance to increase,
resulting in high infection rates. That is why early recognition and prevention of CAUTI are
essential for improving patient protection and decreasing the load on healthcare facilities.
Similarly, by paying more attention to reducing CAUTI incidences, healthcare outcomes for
patients can be improved, as well as overall healthcare delivery system effectiveness.
 Summarize why you believe this nursing practice problem is the most important in your
current or past area of practice.
© 2023. Chamberlain University LLC. All rights reserved.

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Studies have invariably pointed to the importance of using nurse-led interventions as some of the
best methods for preventing catheter-associated urinary tract infections (CAUTI), which remain
some of the most prevalent hospital-acquired infections. Reynolds et al. (2022) explain the
effects of a nurse-driven protocol through an analysis of changes in CAUTI rates over time by
using statistical process control charts. They also affirm that a systematic, research-driven plan
introduced by nurses significantly lowers the rates of contract-acquired Utis. The absence of
timely catheter removal and improper infection control measures were identified as safety
concerns for nursing staff. Thus, the success highlighted the need to provide nursing staff with
essential protocols that can promote catheter removal and maintain appropriate management of
the tools. Both these protocols, when implemented at healthcare facilities, go a long way in
improving the quality of care delivered to patients besides enabling the facility as a whole to
move a notch higher in its journey towards efficiency and better care, meaning a decline in the
healthcare costs as well as complications that are often associated with them.
Section 2: PICOT Question
 Define each PICOT element.

PICOT Elements:
 P (Population): Adult patients with urinary catheters in hospital settings
 I (Intervention): Implementation of a nurse-driven catheter removal protocol
 C (Comparison): Standard care without a structured catheter removal protocol
 O (Outcome): Reduction in CAUTI incidence
 T (Time frame): Six months
 Write out your PICOT question using standard formatting: In _____ (P), how does _____
(I) compared to _____ (C) affect _____ (O) within _____ (T)?
The study question is: In adult patients with urinary catheters (P), and following the
intervention where a nurse-driven catheter removal protocol (I) is compared with no
structured removal protocol (C), how many patients develop CAUTI (O) in the next six
months (T)?
 Describe how you selected the population, intervention, outcome, and time frame.
This question aims to establish how much a nurse-driven protocol for timely catheter
removal can help reduce the prevalence of CAUTI. Long-term catheterization is
detrimental for the patient since it increases the chance of acquiring an infection; an early
removal protocol may be helpful.
Section 3: Evidence Search Terms and Strategies
 Identify four relevant searchable words or phrases to be used in the search for evidence.
1. Catheter-associated urinary tract infection
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2. Nurse-driven catheter removal
3. CAUTI prevention strategies
4. Urinary catheter management
 Identify one search strategy using Boolean Operators and a quotation.

"CAUTI prevention" AND "nurse-driven protocol" AND "urinary catheter"
 Identify one search strategy using truncation.
Using "nurs*" in searches to capture variations of nursing terms (nurse, nursing, nurses) will
help broaden results related to nurse-driven interventions.
Section 4: Evidence Retrieval

Using only the Chamberlain University Library, locate one peer-reviewed journal article that is
relevant to your chosen nursing practice problem and intervention published within the past 5
years.
 Provide the complete APA reference to the evidence, including the permalink. State
which database you found the evidence in.
Reynolds, S. S., Lozano, H., Fleurant, M., & Bhandari, K. (2022). Using statistical
process control charts to measure changes from a nurse-driven protocol to remove
urinary catheters. American Journal of Infection Control, 50(12), 1355–1359.
https://doi.org/10.1016/j.ajic.2022.03.005
 Explain why the evidence is relevant to your selected nursing practice problem and
intervention.
This peer-reviewed article was located through the Chamberlain University Library’s
database, using search terms related to CAUTI and nurse-driven protocols. The study by
Reynolds et al. (2022) investigates the impact of a nurse-driven catheter removal
protocol on CAUTI rates, utilizing statistical process control charts to track infection
trends over time. By implementing this protocol, the study observed a measurable
reduction in CAUTI rates, indicating that a nurse-driven approach effectively mitigates
infection risks.

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 Discuss how this evidence supports or does not support the population, intervention,
outcome, and time frame in your PICOT question.
The evidence presented by Reynolds et al. (2022) is highly relevant to the selected
nursing practice problem of CAUTI. This study aligns closely with the PICOT question,
as it evaluates the same population (hospitalized patients with urinary catheters) and
intervention (nurse-driven removal protocol) and measures its impact on CAUTI rates
over a similar time frame. The findings affirm that a structured nurse-driven protocol
leads to significant improvements in CAUTI prevention. By demonstrating reduced
infection rates following the implementation of the protocol, the study supports the
proposed intervention as a practical solution for minimizing CAUTI incidence.
The study’s findings support the need to reduce unnecessary catheterization duration,
which is a primary risk factor for CAUTI. The results advocate for empowering nurses to
play a proactive role in infection prevention by adopting evidence-based protocols. This
aligns with the population, intervention, outcome, and time frame components in the
PICOT question, validating the relevance of this approach to addressing the CAUTI
issue in nursing practice.
 Explain what changes need to be made to your PICOT question.
Thus, taking into account the findings of Reynolds et al. (2022), minor refinements need
to be made to specify the components of the intervention in the PICOT question. For
example, how it was defined that statistical process control tracking is part of the
protocol can help again with the intervention component. Moreover, the outcome
measurement could embrace parameters that are not strictly related to the effectiveness
of the given protocol but may be of interest, for instance, the length of the patient’s stay
or the patient’s comfort.
References: Provide complete references for all citations.
Reynolds, S. S., Lozano, H., Fleurant, M., & Bhandari, K. (2022). Using statistical
process control charts to measure changes from a nurse-driven protocol to remove
urinary catheters. American Journal of Infection Control, 50(12), 1355–1359.
https://doi.org/10.1016/j.ajic.2022.03.005
Flaubert, J. L., Menestrel, S. L., Williams, D. R., & Wakefield, M. K. (2021). Supporting
the health and professional well-being of nurses. In www.ncbi.nlm.nih.gov.
National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK573902/

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Week 2 Assignment

PICOT Assignment Template

IMPORTANT: Nursing Practice Problem Topics for Week 2 PICOT Assignment

 Use this template to complete the PICOT Assignment.

Section 1: Credible Nursing Practice Problem

© 2023. Chamberlain University LLC. All rights reserved.

Section 2: PICOT Question

 Define each PICOT element.

Section 3: Evidence Search Terms and Strategies

 Identify one search strategy using Boolean Operators and a quotation.

 Identify one search strategy using truncation.

Section 4: Evidence Retrieval

© 2023. Chamberlain University LLC. All rights reserved.

 Explain what changes need to be made to your PICOT question.

References: Provide complete references for all citations.

© 2023. Chamberlain University LLC. All rights reserved.

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