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Nursing Theory

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Nursing Theory, Research and Evidence Based Practice Over years nursing has been evolving as a science and the nursing practice became governed and organized now by rules, regulations and theories. Since 1992 Evidence Based practice (EBP) has been formally introduced to the field of nursing, and nursing policies and procedures have been changed accordingly due to the advances in research. Our practice is guided by our beliefs and directed by our advanced knowledge, (Laureate education 2010).
Describe a change in practice that came out because of theory based research and evidence As discussed earlier nursing practice is in constant change, the latest change I have seen in my Intensive care unit (ICU) was the emphasis on early removal of unnecessary Foley catheters (Urinary catheters) , as many studied has shown its direct coloration with urinary tract infections, (Dr. L. Brusch MD, 2012). Every day the Foley catheter stays. The incidence of catheter associated urinary tract infection (CAUTI) is increased by 3-10%, and about 80% of nosocomial UTI’s is related to urethral catheterization.
What kind of evidence where used The evidence used was urine specimens (urinalysis and urine cultures), blood test and clinical presentation. Urine cultures has showed bacterial colonization, meanwhile CBC showed leukocytosis, more over the clinical picture of fever, chills, puss around the site of insertion, pain, redness also supports the diagnosis of CAUTI, (Dr. L. Brusch MD, 2012). Since then the trend in my unit and institution became the early removal of unnecessary urethral catheters. The infection control practitioner rounded every day to ask about the need of the Foley catheter, for example a patient with renal failure and on hemodialysis does not need to be catheterized. Even though he is admitted to the ICU, instead an in/out catheters can be...

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