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Catheter associated urinary tract infection (Author’s name)
(Institutional Affiliation)

Catheterization is a frequently part of care for various surgical procedures. The study confirmed that patients lacked knowledge in catheterization and most of the patients were limited in decision making on when the catheter was to be removed. The clinical problem and research problem that led to the study being carried in the clinic was that the use of urinary catheter on patients, whom had not vacated the hospital lead to progressive bacterial settlement of the bladder at speed of approximately 5% per day. The increasing threat of the CAUTI infection, in the National Health Service steered to the prevention incorporating one of highly important interventions for the lifesaving initiative. The motive of the study was to reduce chances of the patients who had surgical experience and had been catheterized from being infected with CAUTI. Repetitive placement of a urinary catheter for lengthier period of more than two days after surgery was found to escalate the risk of CAUTI. Most patients lacked the knowledge in the fact that it was more risky for catheter to be routinely placed for more than two days after surgery. If patients had this information, most of CAUTI infections could have been prevented. According to some patients, they had no knowledge in catheters before their surgery; generally it was a new experience for most of them. For example some participants, were of the idea that they could have preferred the removal of the catheter earlier enough to avoid risk of acquiring infection, regardless of the pain they were to experience during urination and how far the toilets were located. One participant felt that the necessity for catheterization was overlooked during preparation for surgery; he believed that it was an important procedure and needed to be seriously taken. For this reason, the staff members should ensure the information about catheterization is available to the patients before the onset of the surgery so that after the surgery patients were not to be emotionally affected. The significance of this study came to pass when most of the participants after being interview revealed their suffering caused by lack of information about catheter. Some of the statements given by some participants revealed that most of the patients were mostly affected by lack of information. Most were anxious on the removal because they thought it could involve another surgery and for this reason they got distressed. Four participants experienced symptoms of urinary infections after catheter removal; they felt a strange sensation of burning after urination. Due to these reasons this study was very significant. It targeted on exploring patients’ beliefs and perceptions regarding peri-operative urinary catheterization and related patients’ belief on future practices. The studies mostly targeted the control of CAUTI infection among surgical patients and to provide sufficient information about catheterization to the patients. The biggest aim of the study was to be able to answer questions such as, what were the uncertainty triggered by lack of information, how much knowledge did patients have on catheter insertion, what were the perceptions and concerns around patient autonomy, did patients have knowledge in the process of catheter removal and environmental impact, and what were patients recommendations about catheter removal?. Because the study was all about urinary infection resulting from delayed removal of catheters and most of the entire question were trying to find a solution of the problem statement thus, for this reason the purpose of the research question were relative to the research problem. Most of the participants involved in the study lack knowledge on how and when to remove the catheter. The quantitative methods used in the study of the research question were appropriate because it helped in analyzing the findings of the study. Upon analyzing the author’s citation of the study it was realized that the study was significant to both the quantitative and qualitative citation. Most of the references were recent, three to four years in difference from the year of the study and also other references were older than five years, which helped in quantitative study for example Lincoln (1985) contribution. In this study the author outlined some of the limitations of the study, which included, a small section of patients from one surgical specialty was a limiting factor in the study. Secondly the study did not combine methods such as questionnaire to increase the sample magnitude. According to the findings of the study the information gathered was adequate to logical argument about the fact that delayed removal of catheter was leading to patients’ contraction of infections through the examination of the symptoms shown by some of the patients. Most of the uncertainties were associated with lack of information, as one of the female participant conveyed dissatisfaction with information provided to her before surgery, which instigated to the need for the search of information online, this information helped her after the surgery. The perspective, from which the study was developed, revolved around the length of time catheter should take after surgery before it is removed from the patient. The lengthier catheter stayed on the patient, the more chances the patient was likely to be infected.
Considering the findings of the study a link was established between catheter duration and CAUTI risks. Most of the health facility staff were to be largely involved in controlling patients’ anxiety and uncertainty regarding urinary catheterization rather than generalizing it as a routine. Information about catheter was to be availed to all patients mostly to those who needed short-term catheterization related to formalized consent, because this information could have reduced catheter length. Health care should provide clear information to the patients in order to avoid in case of infection after surgical procedures. A good knowledge will help patients to be involved in decision making on when the catheter are to be removed after surgery. According to this study it can be concluded that delayed removal of catheter led to most symptoms of CAUTI infection, and as long as the patients had a good knowledge of catheter this could have been avoided.

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